ArticleInternational breastfeeding journal2020
Early feeding practices and associated factors in Sudan: a cross-sectional analysis from multiple Indicator cluster survey.
Article in International breastfeeding journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 27 citations in OpenAlex.
- Pre-lacteal feeding practices and associated factors among mothers of children under 24 months age in Ethiopia: A geo-additive model approach.BMC public health · 2025Article
- Factors associated with early initiation of breastfeeding in Guinea: Analysis DHS 2018 and implications for public health.Journal of public health in Africa · 2025Article
- Geospatial determinants and spatio-temporal variation of early initiation of breastfeeding and exclusive breastfeeding in Ethiopia from 2011 to 2019, a multiscale geographically weighted regression analysis.BMC public health · 2024Article
- How did the use of the social marketing approach in Egyptian communities succeed in improving breastfeeding practices and infants' growth?BMC public health · 2024Article
- Determinants of Undernutrition among Children Admitted to a Pediatric Hospital in Port Sudan, Sudan.Nutrients · 2024Article
- Factors associated with early initiation of breastfeeding in central Saudi Arabia: a hospital-based survey.International breastfeeding journal · 2023Article
- Correlates of early initiation of breast feeding and prelacteal feeding: a cross-sectional study in Sindh province of Pakistan.BMJ open · 2023Article
- First 72-hours after birth: Newborn feeding practices and neonatal mortality in India.PloS one · 2023Article
- Review
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- Discharge instructions given to women following delivery by cesarean section in Sub-Saharan Africa: A scoping review.PLOS global public health · 2022Article
- Trends of Inequalities in Early Initiation of Breastfeeding in Ethiopia: Evidence from Ethiopian Demographic and Health Surveys, 2000-2016.BioMed research international · 2022Article
- Prelacteal feeding among infants within the first week of birth in eastern Uganda: evidence from a health facility-based cross-sectional study.International breastfeeding journal · 2021Article
- Review
- Prevalence and predictors of timely initiation of breastfeeding in Ghana: an analysis of 2017-2018 multiple indicator cluster survey.International breastfeeding journal · 2020Article
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Authors and funding
4 authors at 4 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn efforts to reduce neonatal mortality, the World Health Organization (WHO) has included breastfeeding among its recommended packages of interventions. Early initiation of breastfeeding and avoidance of prelacteal feeding are key contributors to optimal feeding practices. This study aims to assess the prevalence and associated factors of early breastfeeding practices in Sudan.
methodsThis study utilises the cross-sectional nationally-representative Sudan Multiple Indicator Cluster Survey (MICS) conducted in 2014. The sample includes women who had a live birth in the two years before the survey and their self-report on early breastfeeding practices, namely early initiation and prelacteal feeding. Percentages of these early breastfeeding practices indicators were estimated accounting for the complex survey design. Multivariable logistic regression analyses were used to examine the factors associated with these outcomes.
resultsOf 5622 mothers, 69% initiated breastfeeding within one hour of birth, 72% avoided prelacteal feeding in the first three days after birth, and 51% met the criteria for both (i.e. practised optimal early feeding practice). Optimal early feeding varied across regions of Sudan. Birth by caesarean section (Adjusted Odds Ratio [AOR] 0.34; 95% CI 0.25, 0.47) and at a health facility (AOR 0.75; 95% CI 0.60, 0.94) were negatively associated with optimal early feeding practice. Mothers with secondary education (AOR 1.62; 95% CI 1.30, 2.02), those who desired their pregnancy at the time (AOR 1.31; 95% CI 1.08, 1.60), those who were assisted by a skilled birth attendant at birth (AOR 1.48; 95% CI 1.19, 1.83), and those who gave birth to female infants (AOR 1.16; 95% CI 1.02, 1.33) had higher odds of use optimal early feeding practice. Similarly, the odds of optimal early feeding increased with parity and maternal age.
conclusionsOnly half of Sudanese mothers practised optimal early feeding practice, with important differences between regions in the country. Early feeding practices in Sudan are associated with various maternal, child and community level factors. The findings suggest the need to develop breastfeeding promotion programs with consideration of regional variations and healthcare system interventions.
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