Evidence map›Paper›PMID 33830636›Full record

ArticleMaternal & child nutrition2021

Effect of a baby-friendly workplace support intervention on exclusive breastfeeding in Kenya.

Elizabeth W Kimani-Murage, Calistus Wilunda, Teresia Njoki Macharia, Eva Watiri Kamande, Peter Muriuki Gatheru, Tadesse Zerfu, Hermann Pythagore Pierre Donfouet, Laura Kiige, Susan Jabando, Lynette Aoko Dinga and 6 more

Abstract read
In one paragraph

Article in Maternal & child nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Between and Within-Country Variations in Infant and Young Child Feeding Practices in South Asia.International journal of environmental research and public health · 2022
    Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Elizabeth W Kimani-MurageMaternal and Child Wellbeing Unit, African Population and Health Research Center, Nairobi, Kenya.ORCID 0000-0001-5272-616X
Calistus WilundaMaternal and Child Wellbeing Unit, African Population and Health Research Center, Nairobi, Kenya.ORCID 0000-0002-6606-6534
Teresia Njoki MachariaMaternal and Child Wellbeing Unit, African Population and Health Research Center, Nairobi, Kenya.
Eva Watiri KamandeMaternal and Child Wellbeing Unit, African Population and Health Research Center, Nairobi, Kenya.
Peter Muriuki GatheruMaternal and Child Wellbeing Unit, African Population and Health Research Center, Nairobi, Kenya.
Tadesse ZerfuMaternal and Child Wellbeing Unit, African Population and Health Research Center, Nairobi, Kenya.ORCID 0000-0001-5190-9845
Hermann Pythagore Pierre DonfouetUnited Nations Children's Fund (UNICEF), N'djamena, Chad.
Laura KiigeUnited Nations Children's Fund (UNICEF), Nairobi, Kenya.
Susan JabandoUnited Nations Children's Fund (UNICEF), Nairobi, Kenya.
Lynette Aoko DingaDepartment of Food Science and Technology, Jomo Kenyatta University of Agriculture and Technology, Juja, Kenya.
Betty SamburuUnited Nations Children's Fund (UNICEF), Nairobi, Kenya.
Richard LilfordWarwick Medical School, University of Warwick, Coventry, UK.
Paula GriffithsSchool of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.ORCID 0000-0002-0591-9724
Debra JacksonUnited Nations Children's Fund (UNICEF) Headquarters, New York, USA.
France BeginUnited Nations Children's Fund (UNICEF) Headquarters, New York, USA.ORCID 0000-0001-8545-1545
Grainne MoloneyUnited Nations Children's Fund (UNICEF), Nairobi, Kenya.

Funding

Wellcome TrustWellcome Trust 208791/Z/17/Z
6 · The paper itself

Abstract

Exclusive breastfeeding (EBF) during the first 6 months of life is crucial for optimizing child growth, development and survival, as well as the mother's wellbeing. Mother's employment may hinder optimal breastfeeding, especially in the first 6 months. We assessed the effectiveness of a baby-friendly workplace support intervention on EBF in Kenya. This pre-post intervention study was conducted between 2016 and 2018 on an agricultural farm in Kericho County. The intervention targeted pregnant/breastfeeding women residing on the farm and consisted of workplace support policies and programme interventions including providing breastfeeding flexi-time and breaks for breastfeeding mothers; day-care centres (crèches) for babies near the workplace and lactation centres with facilities for breast milk expression and storage at the crèches; creating awareness on available workplace support for breastfeeding policies; and home-based nutritional counselling for pregnant and breastfeeding women. EBF was measured through 24-h recall. The effect of the intervention on EBF was estimated using propensity score weighting. The study included 270 and 146 mother-child dyads in the nontreated (preintervention) group and treated (intervention) group, respectively. The prevalence of EBF was higher in the treated group (80.8%) than in the nontreated group (20.2%); corresponding to a fourfold increased probability of EBF [risk ratio (RR) 3.90; 95% confidence interval (CI) 2.95-5.15]. The effect of the intervention was stronger among children aged 3-5 months (RR 8.13; 95% CI 4.23-15.64) than among those aged <3 months (RR 2.79; 95% CI 2.09-3.73). The baby-friendly workplace support intervention promoted EBF especially beyond 3 months in this setting.

Indexed as

Breast FeedingWorkplaceCounselingFemaleHealth EducationHumansInfantKenyaMothersPregnancybaby-friendly workplacebreastfeeding supportinfant feeding behaviourmother-friendly workplacepropensity score weighting

Identifiers

PMID33830636
PMCPMC8476432

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.