ArticleBMC public health2022
Magnitude and determinants of breastfeeding initiation within one hour among reproductive women in Sub-Saharan Africa; evidence from demographic and health survey data: a multilevel study.
Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Determinants of early initiation of breastfeeding in Ethiopia: a systematic review and meta-analysis.BMC pediatrics · 2026Pooled it
- Prevalence and contributing factors of early initiation of breastfeeding (EIBF) in Ethiopia: a systematic review and meta-analysis.BMC public health · 2025Pooled it
- Prevalence of and factors influencing early initiation and exclusive breastfeeding for the first two days after birth in the mountainous regions of Karnali, Nepal.International breastfeeding journal · 2026Article
- Prevalence of Delayed Breastfeeding Initiation and Its Risk Factors Among Reproductive Aged Women in Somalia: A Cross-Sectional Study Using Somalia Health and Demographic Survey.Health science reports · 2026Article
- Knowledge, attitudes and practices of mothers of children aged 6 to 12 months on breastfeeding in the province of Sissili in Burkina Faso.BMC nutrition · 2025Article
- Progress and inequalities in early initiation of breastfeeding among women in Sierra Leone, 2008-2019.International breastfeeding journal · 2025Article
- Factors influencing early initiation of breastfeeding in Afghanistan: secondary analysis of the Afghanistan MICS 2022-23.International breastfeeding journal · 2025Article
- Factors associated with infant and young child feeding practices in Kaduna and Lagos States, Nigeria.PLOS global public health · 2025Article
- Socioeconomic pattern of breastfeeding in sub-Saharan Africa: an individual participant data meta-analysis of six longitudinal cohorts.BMJ public health · 2025Article
- Individual- and community-level factors associated with early initiation of breastfeeding in Mozambique: evidence from the 2022-2023 Demographic and Health Survey.International breastfeeding journal · 2024Article
- Poor access to breastfeeding counseling services and associated factors among lactating mothers who had optimal antenatal care follow-up in Sub-saharan Africa: a multilevel analysis of the recent Demographic and Health Survey.BMC health services research · 2024Article
- Timely initiation of breastfeeding and its associated factors among immediate postpartum mother-newborn pairs in Debre Tabor comprehensive specialized hospital, South Gondar Zone, North West, Ethiopia.BMC pregnancy and childbirth · 2024Article
- Measuring breastfeeding prevalence using demographic and health surveys.BMC public health · 2024Article
- Beyond Public Health and Private Choice: Breastfeeding, Embodiment and Public Health Ethics.Asian bioethics review · 2024Article
- Article
- 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
- Article
- Determinants of early initiation of breastfeeding in The Gambia: a population-based study using the 2019-2020 demographic and health survey data.International breastfeeding journal · 2023Article
- Health facility delivery and early initiation of breastfeeding: Cross-sectional survey of 11 sub-Saharan African countries.Health science reports · 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
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEarly initiation of breastfeeding is one of the most simple and essential intervention for child development and survival in the world. World Health Organization recommended to begin breast milk with one hour after delivery. The objective of this study was to determine the magnitude of early initiation of breastfeeding in Sub-Saharan Africa using DHS data set.
methodsThis study was carried out within 32 Sub-Saharan African countries from 2010-2020, a pooled study of early initiation of breastfeeding was performed. For assessing model fitness and contrast, intra-class correlation coefficient, median odds ratio, proportional change in variance, and deviance were used. In order to identify possible covariates associated with early initiation of breastfeeding in the study area, the multilevel multivariable logistic regression model was adapted. Adjusted Odds Ratio was used with 95% confidence interval to declare major breastfeeding factors.
resultThe pooled prevalence of early initiation of breastfeeding in Sub-Saharan Africa countries was 57% (95% CI; 56%-61%), the highest prevalence rate of early initiation of breastfeeding was found in Malawi while the lowest prevalence was found in Congo Brazzaville (24%). In multilevel multivariable logistic regression model; wealth index (AOR = 1.20; 95% CI 1.16 - 1.26), place of delivery (AOR = 1.97; 95% CI 1.89 - 2.05), skin-to-skin contact (AOR = 1.51; 95% CI 1.47 - 1.57), mode of delivery (AOR = 0.27; 95% CI 0.25 - 0.29), media exposure (AOR = 1.36; 95% CI 1.31 - 1.41) were significantly correlated with early initiation of breastfeeding in Sub-Saharan Africa.
conclusionThe magnitude of early initiation of breastfeeding rate was low in Sub-Saharan Africa. Covariates significantly associated with early initiation of breastfeeding was wealth index, place of delivery, mode of delivery, women educational status, and media exposure. Structural improvements are required for women with caesarean births to achieve optimal breastfeeding practice in Sub-Saharan Africa.
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