Evidence map›Paper›PMID 34425848›Full record

ReviewInternational breastfeeding journal2021

Barriers and challenges of infant feeding in disasters in middle- and high-income countries.

Cindy H Hwang, Alessandro Iellamo, Mija Ververs

Open access · goldAbstract readReview
In one paragraph

Review 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 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
6.8field-weighted citation impact, top 2% of its field
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

30 citing papers in PubMed, 64 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
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  5. Article
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  8. Supporting NICU Mothers' Breastfeeding Goals During Climate-Related Disasters Using Kumpfer's Resilience Framework and CMIST.Advances in neonatal care : official journal of the National Association of Neonatal Nurses · 2026
    Article
  9. Article
  10. Article
  11. Article
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  14. Article
  15. Article
  16. Article
  17. Article
  18. Observational
  19. Review
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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

3 authors at 2 institutions in 2 countries.

Cindy H HwangJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.ORCID 0000-0003-3253-9468
Alessandro IellamoSave the Children, London, England.
Mija VerversJohns Hopkins Bloomberg School of Public Health, Center for Humanitarian Health, Baltimore, MD, USA. mververs@jhu.edu.
Johns Hopkins University · USSave the Children · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobal evidence from the past 35 years confirmed the protective effect of breastfeeding and supported the guidance to protect, promote, and support breastfeeding practices, particularly in natural disaster and conflict settings. This study aimed to summarize the difficulties faced by disaster responders and mothers for optimal infant feeding during disasters in middle and high-income countries.

methodsA scoping literature review was conducted by searching databases for peer-reviewed literature and grey literature published between January 2010 and December 2018 that focused on infant feeding in the aftermath of disasters. Only disasters that occurred in middle or high-income countries as defined by the World Bank for the 2018 fiscal year were included.

resultsThe study found that a major challenge faced by organizations establishing infant feeding in emergencies (IFE) programs is the violation of The International Code of Marketing of Breastmilk Substitutes by other aid organizations and governments, such as acceptance of donated infant formula and untargeted distribution of formula. Additionally, many disaster responders were unfamiliar with IFE protocols. Mothers faced other barriers to breastfeed their infants during disasters. They often lacked privacy or spaces conducive to breastfeeding. Limited fluid and energy intake, stress, and exhaustion also deterred mothers from breastfeeding. Many challenges for responders and barriers mothers face for optimal infant feeding practices persist despite existing guidelines.

conclusionsThe findings of this study reveal the lack of IFE preparedness and response capacity in middle and high-income countries, and the need for governments and aid organizations to adapt guidelines and establish policies and programs to support infant feeding in emergencies.

Indexed as

Breast FeedingDisastersDeveloped CountriesFemaleHumansInfantInfant FormulaMothersBreastfeedingDisaster planningEmergency preparednessInfant feedingNutrition in emergencies

Identifiers

PMID34425848
PMCPMC8383418
OpenAlexW3195905136

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.