ArticleInternational breastfeeding journal2025
Factors influencing early initiation of breastfeeding in Afghanistan: secondary analysis of the Afghanistan MICS 2022-23.
Article in International breastfeeding journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Coverage and factors associated with receipt of early newborn postnatal care components in Afghanistan: findings from the 2022-2023 multiple indicator cluster survey.Global health action · 2026Article
- Adequate tetanus toxoid immunization and its correlates among married women with a recent live birth in Afghanistan: Insights from a national survey.Human vaccines & immunotherapeutics · 2026Article
- Menstrual hygiene management and social exclusion among women in Afghanistan: insights from a national survey.BMC women's health · 2026Article
- Prevalence and factors associated with institutional delivery in rural Afghanistan: secondary analysis of the 2022-2023 multiple indicator cluster survey.Reproductive health · 2026Article
- Prelacteal feeding practice and its associated factors in Afghanistan: insights from the 2022-2023 multiple indicator cluster survey.BMC nutrition · 2026Article
- Factors associated with delayed neonatal bathing in Afghanistan: insights from the 2022-2023 multiple indicator cluster survey.BMC research notes · 2025Article
- Advancing breastfeeding research in Afghanistan: opportunities for policy and practice.International breastfeeding journal · 2025Article
- Investigating the Success Rate of Vaginal Delivery After Cesarean Section and Its Associated Factors in Afghan Women: Insights from a Maternity Hospital in Kabul.International journal of women's health · 2025Article
- Prevalence and factors associated with mother and newborn skin-to-skin contact in Afghanistan.PloS one · 2025Article
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6 authors.
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Abstract
backgroundInitiating breastfeeding immediately within the first hour following birth has positive effects on the mother's and newborn's health and wellbeing. Little is known about the early initiation of breastfeeding and associated factors in Afghanistan. In this study, we addressed this research gap.
methodsWe used data from the Afghanistan Multiple Indicator Cluster Survey (MICS) 2022-23. Data were analysed from 11,992 ever-married women, aged 15-49 years, who delivered a live child in the last 2 years before the survey. The outcome was early initiation of breastfeeding and defined as initiating breastfeeding within the first hour of birth. A logistic regression model was used to identify factors associated with early initiation of breastfeeding.
resultsOut of 11,992 women, 46.9% initiated breastfeeding within the first hour of birth. The likelihood of early initiation of breastfeeding was greater in women with secondary or higher education (AOR 1.44 [95% CI 1.26, 1.63]), in women belonging to the second wealth quintile (AOR 1.17 [95% CI 1.04, 1.31]), in women who had access to media (AOR 1.15 [95% CI 1.03, 1.29]), and in women who had mobile phones (AOR 1.25 [95% CI 1.15, 1.37]). The likelihood was lower in women who gave birth at home (AOR 0.60 [95% CI 0.55, 0.66]), at private hospitals or clinics (AOR 0.65 [95% CI 0.56, 0.76]), as compared to women who gave birth at public clinics or hospitals, and in women living in rural areas (AOR 0.88 [95% CI 0.78, 0.95]). Women who had C-section for their latest live birth (AOR 0.26 [95% CI 0.21, 0.32]), and women who had very small-sized babies (AOR 0.89 [95% CI 0.79, 0.99]) were less likely to report early initiation of breastfeeding.
conclusionWith nearly half of Afghan women delaying breastfeeding beyond the first hour of birth, targeted health policies and interventions are crucial. Addressing key socioeconomic and healthcare disparities through education, equitable access to maternal care, and community-based awareness programs can promote early breastfeeding practices and improve neonatal health outcomes in Afghanistan.
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