ArticleBMC health services research2024
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.
Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed.
- Strengthening breastfeeding counseling through a two-phase training and implementation intervention in Ecuador's local healthcare system.International breastfeeding journal · 2026Article
- Breastfeeding self-efficacy status and determinant factors among postnatal women in public hospitals of the Gurage Zone, Central Ethiopia: a mixed study design.Primary health care research & development · 2026Article
- Exploring exclusive breastfeeding readiness: experiences of first-time mothers in Lusaka, Zambia.International journal of qualitative studies on health and well-being · 2025Article
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6 authors.
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Abstract
backgroundInadequate access to services for breastfeeding counseling results in poor breastfeeding practices and adverse health consequences. Although poor access to breastfeeding counseling services is a major challenge, its magnitude and determinantes are not well studied in developing countries. Therefore, this study assessed the magnitude and determinants of poor access to breastfeeding counseling services among lactating mothers who had optimal antenatal care follow-up in Sub-Saharan Africa.
methodsData from the recent Demographic and Health Surveys, involving a total of 289,929 women, were used for analysis. The determinants of poor access to breastfeeding counseling services were examined using a multilevel mixed-effects logistic regression model. Significant factors associated with poor access to breastfeeding counseling services were declared significant at p-values < 0.05. The adjusted odds ratio and confidence interval were used to interpret the results. A model with the lowest deviance and highest log likelihood ratio was selected as the best-fit model.
resultsIn Sub-Saharan Africa, nearly one in two women with optimal antenatal care follow-up had poor access to breastfeeding counseling services. Maternal age (AOR = 1.18, 95% CI: 1.02, 1.38), maternal education (AOR = 1.128, 95% CI: 1.22, 1.35), distance to health facility (AOR = 1.17, 95% CI: 1.13, 1.21), media exposure (AOR = 1.12, 95% CI: 1.08, 1.17), wealth index (AOR = 1.05, 95% CI: 1.00, 1.10), place of delivery (AOR = 4.31, 95% CI: 4.11, 4.52), PNC (AOR = 3.92, 95% CI: 3.78, 4.07), mode of delivery (AOR = 1.88, 95% CI: 1.76, 2.02), birth interval (AOR = 1.12, 95% CI: 1.07, 1.17), residence (AOR = 1.14, 95% CI: 1.09, 1.18), community poverty (AOR = 1.09, 95% CI: 1.03, 1.15), community institutional delivery (AOR = 1.06, 95% CI: 1.01, 1.12), country category (AOR = 2.23, 95% CI: 2.10, 2.37), had higher odds of poor access to breastfeeding counseling services.
conclusionsPoor access to breastfeeding counseling services among lactating mothers was found to be high. Both individual and community-level factors were determinants of poor access to breastfeeding counseling services. The Ministry of Health in Sub-Saharan Africa should give attention to those women who have not had a postnatal check-up and give birth at home while designing policies and strategies.
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