Evidence map›Paper›PMID 38826579›Full record

ArticleFrontiers in nutrition2024

"I could not find the strength to resist the pressure of the medical staff, to refuse to give commercial milk formula": a qualitative study on effects of the war on Ukrainian women's infant feeding.

Alessandro Iellamo, Christina Misa Wong, Oleg Bilukha, Julie P Smith, Mija Ververs, Karleen Gribble, Bartłomiej Walczak, Aleksandra Wesolowska, Sura Al Samman, Michael O'Brien and 3 more

Abstract read
In one paragraph

Article in Frontiers in nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

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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

13 authors.

Alessandro IellamoNutrition Unit, FHI 360, Washington, DC, United States.
Christina Misa WongGlobal Health and Population Research, FHI 360, Durham, NC, United States.
Oleg BilukhaGlobal Public Health Emergency Branch, Global Health Center, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Julie P SmithNational Centre for Epidemiology and Population Health, The Australian National University, Canberra, NSW, Australia.
Mija VerversGlobal Public Health Emergency Branch, Global Health Center, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Karleen GribbleSchool of Nursing and Midwifery, Western Sydney University, Parramatta, NSW, Australia.
Bartłomiej WalczakInstitute of Applied Social Sciences, University of Warsaw, Warsaw, Poland.
Aleksandra WesolowskaLaboratory of Human Milk and Lactation Research, Department of Medical Biology, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland.
Sura Al SammanJordan Community Health and Nutrition Behavior Change Project, FHI 360 WAMERO, Amman, Jordan.
Michael O'BrienCrisis Response Unit, FHI 360, Washington, DC, United States.
Annette N BrownStrategy and Innovation with Evidence Unit, FHI 360, Washington, DC, United States.
Tobias StillmanNutrition Unit, FHI 360, Washington, DC, United States.
Blythe Thomas1000 Days Initiative, FHI Solutions, Washington, DC, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: During emergencies, breastfeeding protects infants by providing essential nutrients, food security, comfort, and protection and is a priority lifesaving intervention. On February 24, 2022, the war in Ukraine escalated, creating a humanitarian catastrophe. The war has resulted in death, injuries, and mass internal displacement of over 5 million people. A further 8.2 million people have taken refuge in neighboring countries, including Poland. Among those impacted are infants and young children and their mothers. We conducted a study to explore the infant feeding challenges and needs of Ukrainian women affected by the war. Methods: We conducted a qualitative descriptive study involving in-depth interviews (IDIs) with 75 war-affected Ukrainian mothers who had at least one infant aged less than 12 months at the time of the interview. Eligible mothers were either (1) living as Ukrainian refugees in Poland, having crossed the border from Ukraine on or after February 24, 2022, when the war started ( Results: Participants in Ukraine who wanted to initiate breastfeeding right after birth faced opposition from healthcare workers at maternity hospitals. Ukrainian refugees who gave birth in Poland faced language barriers when seeking breastfeeding support. Half of the participants in Ukraine received commercial milk formula (CMF) donations even if they said they did not need them. Most respondents stated that breastfeeding information and support were urgently needed. Conclusion: Our data suggests that healthcare workers in Ukrainian maternity hospitals require additional training and motivation on delivering breastfeeding support. In addition, lactation consultants in maternity ward are needed in Ukraine, and interpretation support is needed for refugees to overcome language barriers. There is a need to control the indiscriminate donations of commercial milk formula and to ensure that complementary foods and commercial milk formula are available to those that need it. This study confirms the need for actions to ensure infant and young child feeding (IYCF) support is provided during emergencies.

Indexed as

breastfeedingbreastfeeding in emergenciesemergency nutritioninfant feedinginfant feeding in emergenciesinfant formula feedingIYCFIYCF-E

Identifiers

PMID38826579
PMCPMC11140133

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.