ArticleInternational breastfeeding journal2021
Maternal and child factors associated with timely initiation of breastfeeding in sub-Saharan Africa.
Article in International breastfeeding journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- Prevalence and contributing factors of early initiation of breastfeeding (EIBF) in Ethiopia: a systematic review and meta-analysis.BMC public health · 2025Pooled it
- Early Initiation of Breastfeeding and Exclusive Breastfeeding in Anglophone and Francophone West African Countries: Systematic Review and Meta-Analysis of Prevalence.Maternal & child nutrition · 2025Pooled it
- Delayed Breastfeeding Initiation and Associated Factors in Tanzania: A Cross-Sectional Study.Health science reports · 2026Article
- Factors associated with infant and young child feeding practices in Kaduna and Lagos States, Nigeria.PLOS global public health · 2025Article
- Investigation of factors associated with delayed initiation of breastfeeding in Papua New Guinea: a cross-sectional study.BMJ paediatrics open · 2024Article
- Socioeconomic Moderators of the Association Between Delayed Breastfeeding Initiation and Place of Delivery: Cross-Sectional Study.JMIR public health and surveillance · 2024Article
- Article
- Multilevel analysis of early initiation of breastfeeding in Ethiopia.Frontiers in public health · 2024Article
- Prediction of delayed breastfeeding initiation among mothers having children less than 2 months of age in East Africa: application of machine learning algorithms.Frontiers in public health · 2024Article
- Early initiation of breastfeeding up to six months among mothers after cesarean section or vaginal birth: A scoping review.Heliyon · 2023Article
- A descriptive analysis of the coverage of newborn care services among women who delivered in health facilities in 17 sub-Saharan African countries.BMC pregnancy and childbirth · 2023Article
- Article
- Mother and newborn skin-to-skin contact and timely initiation of breastfeeding in sub-Saharan Africa.PloS one · 2023Article
- Examining the prevalence and determinants of early initiation of breastfeeding: Evidence from the 2017/2018 Benin demographic and health survey.PLOS global public health · 2023Article
- The impact of intrapartum and immediate post-partum complications and newborn care practices on breastfeeding initiation in Ethiopia: A prospective cohort study.Maternal & child nutrition · 2023Article
- Determinants of timely initiation of complementary feeding among children aged 6-23 months in Ethiopia.Scientific reports · 2022Article
- Factors Associated with Adequate Breastfeeding: Evidence from the Peruvian Demographic and Health Survey, 2019.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe probability of not breastfeeding within the first hour after delivery (timely initiation of breastfeeding) is particularly pronounced in sub-Saharan Africa. In this study, we examined the maternal and child factors associated with timely initiation of breastfeeding in sub-Saharan Africa.
methodsWe pooled data from 29 sub-Saharan African countries' Demographic and Health Surveys conducted from 2010 to 2018. A total of 60,038 childbearing women were included. Frequencies, percentages, and binary logistic regression analyses were carried out. Binary logistic regression was used to examine the maternal and child factors associated with timely initiation of breastfeeding and the results were presented as adjusted odds ratios (aOR) at 95% confidence interval (CI).
resultsWe found a prevalence of 55.81% of timely initiation of breastfeeding in the sub-region. The country with the highest prevalence of timely initiation of breastfeeding was Burundi (86.19%), whereas Guinea had the lowest prevalence (15.17%). The likelihood of timely initiation of breastfeeding was lower among married women, compared to never married women (aOR 0.91; 95% CI 0.85, 0.98); working women compared to non-working women (aOR 0.90; 95% CI 0.87, 0.93); women who watched television at least once a week, compared to those who never watched television (aOR 0.74; 95% CI 0.70, 0.78); women who delivered through caesarean section, compared to vaginal birth (aOR 0.30; 95% CI 0.27, 0.32); and those with multiple births, compared to those with single births (aOR 0.67; 95% CI 0.59, 0.76). Women who lived in Central Africa were less likely to initiate breastfeeding timely compared to those who lived in West Africa (aOR 0.80; 95% CI 0.75, 0.84).
conclusionsThe findings call for the need for a behavioural change communication programmes, targeted at timely initiation of breastfeeding, to reverse and close the timely initiation of breastfeeding gaps stratified by the maternal and child factors. Prioritising policies to enhance timely initiation of breastfeeding is needed, particularly among Cental African countries where timely initiation of breastfeeding remains a challenge. Sufficient supportive care, especially for mothers with multiple births and those who undergo caesarean section, is needed to resolve timely initiation of breastfeeding inequalities.
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