Breast and complementary feeding in Ethiopia: new national evidence from systematic review and meta-analyses of studies in the past 10 years
Purpose The aim of this systematic review and meta-analysis was to provide a national estimate of breast and complementary feeding practices and its predictors in Ethiopia. Methods PubMed, SCOPUS, EMBASE, CINHAL, Web of Science and WHO Global Health Library electronic databases were searched for all...
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| Veröffentlicht in: | European journal of nutrition 2019-10, Vol.58 (7), p.2565-2595 |
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| creator | Habtewold, Tesfa Dejenie Mohammed, Shimels Hussien Endalamaw, Aklilu Akibu, Mohammed Sharew, Nigussie Tadesse Alemu, Yihun Mulugeta Beyene, Misrak Getnet Sisay, Tesfamichael Awoke Birhanu, Mulugeta Molla Islam, Md. Atiqul Tegegne, Balewgizie Sileshi |
| description | Purpose
The aim of this systematic review and meta-analysis was to provide a national estimate of breast and complementary feeding practices and its predictors in Ethiopia.
Methods
PubMed, SCOPUS, EMBASE, CINHAL, Web of Science and WHO Global Health Library electronic databases were searched for all available literature published until April 2018. Observational studies including cross-sectional, case–control and cohort studies were included. Newcastle–Ottawa Scale was used to assess the quality of studies. Heterogeneity of studies was quantified using Cochran’s
Q χ
2
statistic and Higgins’s method (
I
2
). A meta-analysis using a weighted inverse variance method was performed. Subgroup analysis was carried out based on region and study area.
Results
In total, 70 studies that involved > 55,000 women from nine regions and two chartered cities in Ethiopia were included. The pooled national prevalence for timely initiation of breastfeeding (TIBF), exclusive breastfeeding (EBF) and timely initiation of complementary feeding was 66.5%, 60.1% and 62.5%, respectively. Guidance and counselling on breastfeeding, vaginal delivery and health institution delivery significantly increased the odds of TIBF and EBF. In addition, TIBF significantly associated with high EBF practice. Maternal occupational status significantly associated with low EBF practice, but not TIBF.
Conclusions
Based on the WHO standard, the current breast and complementary feeding practice in Ethiopia is good and improving. Integrated intervention is still required for further improvement and minimizing the effect of occupational status. |
| doi_str_mv | 10.1007/s00394-018-1817-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2179214070</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2179214070</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-932f5b1ec43c18a41caa38f1b83f49379bfbb874ab9a93dd8592cc2fb83baffc3</originalsourceid><addsrcrecordid>eNp1kc1q3TAQhUVpadK0D5BNEHTTjVv9-FpSdukl_YFANulayPIoUbAlV5IT7kP0HfosfbLK3DSFQFYzcL45w8xB6JiSj5QQ8SkTwlXbECobKqlo5At0SFveNR2jm5ePPREH6E3Ot4QQxjv6Gh1wwpjiRB6iX58TmFywCQO2cZpHmCAUk3bYAQw-XGMf8Hm58XH25hQHuMfBFB-DGTHc-QGCBexSnHDe5QJT1SxOVang6jlBMY2p9C5DxtHhXJbB17balhvA87qckj-_d2BSfoteOTNmePdQj9CPL-dX22_NxeXX79uzi8ZywUqjOHObnoJtuaXStNQaw6WjveSuVVyo3vW9FK3plVF8GORGMWuZq3pvnLP8CH3Y-84p_lwgFz35bGEcTYC4ZM2oUIy2RJCKvn-C3sYl1YNWishOdaLrKkX3lE0x5wROz8lP9Y2aEr1mpfdZ6ZqVXrPSss6cPDgv_QTD48S_cCrA9kCuUriG9H_1865_ARKwoeE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2108696766</pqid></control><display><type>article</type><title>Breast and complementary feeding in Ethiopia: new national evidence from systematic review and meta-analyses of studies in the past 10 years</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Habtewold, Tesfa Dejenie ; Mohammed, Shimels Hussien ; Endalamaw, Aklilu ; Akibu, Mohammed ; Sharew, Nigussie Tadesse ; Alemu, Yihun Mulugeta ; Beyene, Misrak Getnet ; Sisay, Tesfamichael Awoke ; Birhanu, Mulugeta Molla ; Islam, Md. Atiqul ; Tegegne, Balewgizie Sileshi</creator><creatorcontrib>Habtewold, Tesfa Dejenie ; Mohammed, Shimels Hussien ; Endalamaw, Aklilu ; Akibu, Mohammed ; Sharew, Nigussie Tadesse ; Alemu, Yihun Mulugeta ; Beyene, Misrak Getnet ; Sisay, Tesfamichael Awoke ; Birhanu, Mulugeta Molla ; Islam, Md. Atiqul ; Tegegne, Balewgizie Sileshi</creatorcontrib><description>Purpose
The aim of this systematic review and meta-analysis was to provide a national estimate of breast and complementary feeding practices and its predictors in Ethiopia.
Methods
PubMed, SCOPUS, EMBASE, CINHAL, Web of Science and WHO Global Health Library electronic databases were searched for all available literature published until April 2018. Observational studies including cross-sectional, case–control and cohort studies were included. Newcastle–Ottawa Scale was used to assess the quality of studies. Heterogeneity of studies was quantified using Cochran’s
Q χ
2
statistic and Higgins’s method (
I
2
). A meta-analysis using a weighted inverse variance method was performed. Subgroup analysis was carried out based on region and study area.
Results
In total, 70 studies that involved > 55,000 women from nine regions and two chartered cities in Ethiopia were included. The pooled national prevalence for timely initiation of breastfeeding (TIBF), exclusive breastfeeding (EBF) and timely initiation of complementary feeding was 66.5%, 60.1% and 62.5%, respectively. Guidance and counselling on breastfeeding, vaginal delivery and health institution delivery significantly increased the odds of TIBF and EBF. In addition, TIBF significantly associated with high EBF practice. Maternal occupational status significantly associated with low EBF practice, but not TIBF.
Conclusions
Based on the WHO standard, the current breast and complementary feeding practice in Ethiopia is good and improving. Integrated intervention is still required for further improvement and minimizing the effect of occupational status.</description><identifier>ISSN: 1436-6207</identifier><identifier>EISSN: 1436-6215</identifier><identifier>DOI: 10.1007/s00394-018-1817-8</identifier><identifier>PMID: 30229308</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Baby foods ; Breast ; Breast feeding ; Breast Feeding - statistics & numerical data ; Breastfeeding & lactation ; Chemistry ; Chemistry and Materials Science ; Childrens health ; Developing Countries ; Ethiopia ; Evidence-based medicine ; Female ; Humans ; Infant ; Infant Nutritional Physiological Phenomena ; Infant, Newborn ; Meta-analysis ; Nutrition ; Physical growth ; Review ; Systematic review ; Vagina</subject><ispartof>European journal of nutrition, 2019-10, Vol.58 (7), p.2565-2595</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2018</rights><rights>European Journal of Nutrition is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-932f5b1ec43c18a41caa38f1b83f49379bfbb874ab9a93dd8592cc2fb83baffc3</citedby><cites>FETCH-LOGICAL-c372t-932f5b1ec43c18a41caa38f1b83f49379bfbb874ab9a93dd8592cc2fb83baffc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00394-018-1817-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00394-018-1817-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30229308$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Habtewold, Tesfa Dejenie</creatorcontrib><creatorcontrib>Mohammed, Shimels Hussien</creatorcontrib><creatorcontrib>Endalamaw, Aklilu</creatorcontrib><creatorcontrib>Akibu, Mohammed</creatorcontrib><creatorcontrib>Sharew, Nigussie Tadesse</creatorcontrib><creatorcontrib>Alemu, Yihun Mulugeta</creatorcontrib><creatorcontrib>Beyene, Misrak Getnet</creatorcontrib><creatorcontrib>Sisay, Tesfamichael Awoke</creatorcontrib><creatorcontrib>Birhanu, Mulugeta Molla</creatorcontrib><creatorcontrib>Islam, Md. Atiqul</creatorcontrib><creatorcontrib>Tegegne, Balewgizie Sileshi</creatorcontrib><title>Breast and complementary feeding in Ethiopia: new national evidence from systematic review and meta-analyses of studies in the past 10 years</title><title>European journal of nutrition</title><addtitle>Eur J Nutr</addtitle><addtitle>Eur J Nutr</addtitle><description>Purpose
The aim of this systematic review and meta-analysis was to provide a national estimate of breast and complementary feeding practices and its predictors in Ethiopia.
Methods
PubMed, SCOPUS, EMBASE, CINHAL, Web of Science and WHO Global Health Library electronic databases were searched for all available literature published until April 2018. Observational studies including cross-sectional, case–control and cohort studies were included. Newcastle–Ottawa Scale was used to assess the quality of studies. Heterogeneity of studies was quantified using Cochran’s
Q χ
2
statistic and Higgins’s method (
I
2
). A meta-analysis using a weighted inverse variance method was performed. Subgroup analysis was carried out based on region and study area.
Results
In total, 70 studies that involved > 55,000 women from nine regions and two chartered cities in Ethiopia were included. The pooled national prevalence for timely initiation of breastfeeding (TIBF), exclusive breastfeeding (EBF) and timely initiation of complementary feeding was 66.5%, 60.1% and 62.5%, respectively. Guidance and counselling on breastfeeding, vaginal delivery and health institution delivery significantly increased the odds of TIBF and EBF. In addition, TIBF significantly associated with high EBF practice. Maternal occupational status significantly associated with low EBF practice, but not TIBF.
Conclusions
Based on the WHO standard, the current breast and complementary feeding practice in Ethiopia is good and improving. Integrated intervention is still required for further improvement and minimizing the effect of occupational status.</description><subject>Baby foods</subject><subject>Breast</subject><subject>Breast feeding</subject><subject>Breast Feeding - statistics & numerical data</subject><subject>Breastfeeding & lactation</subject><subject>Chemistry</subject><subject>Chemistry and Materials Science</subject><subject>Childrens health</subject><subject>Developing Countries</subject><subject>Ethiopia</subject><subject>Evidence-based medicine</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant Nutritional Physiological Phenomena</subject><subject>Infant, Newborn</subject><subject>Meta-analysis</subject><subject>Nutrition</subject><subject>Physical growth</subject><subject>Review</subject><subject>Systematic review</subject><subject>Vagina</subject><issn>1436-6207</issn><issn>1436-6215</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1kc1q3TAQhUVpadK0D5BNEHTTjVv9-FpSdukl_YFANulayPIoUbAlV5IT7kP0HfosfbLK3DSFQFYzcL45w8xB6JiSj5QQ8SkTwlXbECobKqlo5At0SFveNR2jm5ePPREH6E3Ot4QQxjv6Gh1wwpjiRB6iX58TmFywCQO2cZpHmCAUk3bYAQw-XGMf8Hm58XH25hQHuMfBFB-DGTHc-QGCBexSnHDe5QJT1SxOVang6jlBMY2p9C5DxtHhXJbB17balhvA87qckj-_d2BSfoteOTNmePdQj9CPL-dX22_NxeXX79uzi8ZywUqjOHObnoJtuaXStNQaw6WjveSuVVyo3vW9FK3plVF8GORGMWuZq3pvnLP8CH3Y-84p_lwgFz35bGEcTYC4ZM2oUIy2RJCKvn-C3sYl1YNWishOdaLrKkX3lE0x5wROz8lP9Y2aEr1mpfdZ6ZqVXrPSss6cPDgv_QTD48S_cCrA9kCuUriG9H_1865_ARKwoeE</recordid><startdate>20191001</startdate><enddate>20191001</enddate><creator>Habtewold, Tesfa Dejenie</creator><creator>Mohammed, Shimels Hussien</creator><creator>Endalamaw, Aklilu</creator><creator>Akibu, Mohammed</creator><creator>Sharew, Nigussie Tadesse</creator><creator>Alemu, Yihun Mulugeta</creator><creator>Beyene, Misrak Getnet</creator><creator>Sisay, Tesfamichael Awoke</creator><creator>Birhanu, Mulugeta Molla</creator><creator>Islam, Md. Atiqul</creator><creator>Tegegne, Balewgizie Sileshi</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20191001</creationdate><title>Breast and complementary feeding in Ethiopia: new national evidence from systematic review and meta-analyses of studies in the past 10 years</title><author>Habtewold, Tesfa Dejenie ; Mohammed, Shimels Hussien ; Endalamaw, Aklilu ; Akibu, Mohammed ; Sharew, Nigussie Tadesse ; Alemu, Yihun Mulugeta ; Beyene, Misrak Getnet ; Sisay, Tesfamichael Awoke ; Birhanu, Mulugeta Molla ; Islam, Md. Atiqul ; Tegegne, Balewgizie Sileshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-932f5b1ec43c18a41caa38f1b83f49379bfbb874ab9a93dd8592cc2fb83baffc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Baby foods</topic><topic>Breast</topic><topic>Breast feeding</topic><topic>Breast Feeding - statistics & numerical data</topic><topic>Breastfeeding & lactation</topic><topic>Chemistry</topic><topic>Chemistry and Materials Science</topic><topic>Childrens health</topic><topic>Developing Countries</topic><topic>Ethiopia</topic><topic>Evidence-based medicine</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant Nutritional Physiological Phenomena</topic><topic>Infant, Newborn</topic><topic>Meta-analysis</topic><topic>Nutrition</topic><topic>Physical growth</topic><topic>Review</topic><topic>Systematic review</topic><topic>Vagina</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Habtewold, Tesfa Dejenie</creatorcontrib><creatorcontrib>Mohammed, Shimels Hussien</creatorcontrib><creatorcontrib>Endalamaw, Aklilu</creatorcontrib><creatorcontrib>Akibu, Mohammed</creatorcontrib><creatorcontrib>Sharew, Nigussie Tadesse</creatorcontrib><creatorcontrib>Alemu, Yihun Mulugeta</creatorcontrib><creatorcontrib>Beyene, Misrak Getnet</creatorcontrib><creatorcontrib>Sisay, Tesfamichael Awoke</creatorcontrib><creatorcontrib>Birhanu, Mulugeta Molla</creatorcontrib><creatorcontrib>Islam, Md. Atiqul</creatorcontrib><creatorcontrib>Tegegne, Balewgizie Sileshi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Habtewold, Tesfa Dejenie</au><au>Mohammed, Shimels Hussien</au><au>Endalamaw, Aklilu</au><au>Akibu, Mohammed</au><au>Sharew, Nigussie Tadesse</au><au>Alemu, Yihun Mulugeta</au><au>Beyene, Misrak Getnet</au><au>Sisay, Tesfamichael Awoke</au><au>Birhanu, Mulugeta Molla</au><au>Islam, Md. Atiqul</au><au>Tegegne, Balewgizie Sileshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Breast and complementary feeding in Ethiopia: new national evidence from systematic review and meta-analyses of studies in the past 10 years</atitle><jtitle>European journal of nutrition</jtitle><stitle>Eur J Nutr</stitle><addtitle>Eur J Nutr</addtitle><date>2019-10-01</date><risdate>2019</risdate><volume>58</volume><issue>7</issue><spage>2565</spage><epage>2595</epage><pages>2565-2595</pages><issn>1436-6207</issn><eissn>1436-6215</eissn><abstract>Purpose
The aim of this systematic review and meta-analysis was to provide a national estimate of breast and complementary feeding practices and its predictors in Ethiopia.
Methods
PubMed, SCOPUS, EMBASE, CINHAL, Web of Science and WHO Global Health Library electronic databases were searched for all available literature published until April 2018. Observational studies including cross-sectional, case–control and cohort studies were included. Newcastle–Ottawa Scale was used to assess the quality of studies. Heterogeneity of studies was quantified using Cochran’s
Q χ
2
statistic and Higgins’s method (
I
2
). A meta-analysis using a weighted inverse variance method was performed. Subgroup analysis was carried out based on region and study area.
Results
In total, 70 studies that involved > 55,000 women from nine regions and two chartered cities in Ethiopia were included. The pooled national prevalence for timely initiation of breastfeeding (TIBF), exclusive breastfeeding (EBF) and timely initiation of complementary feeding was 66.5%, 60.1% and 62.5%, respectively. Guidance and counselling on breastfeeding, vaginal delivery and health institution delivery significantly increased the odds of TIBF and EBF. In addition, TIBF significantly associated with high EBF practice. Maternal occupational status significantly associated with low EBF practice, but not TIBF.
Conclusions
Based on the WHO standard, the current breast and complementary feeding practice in Ethiopia is good and improving. Integrated intervention is still required for further improvement and minimizing the effect of occupational status.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30229308</pmid><doi>10.1007/s00394-018-1817-8</doi><tpages>31</tpages></addata></record> |
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| ispartof | European journal of nutrition, 2019-10, Vol.58 (7), p.2565-2595 |
| issn | 1436-6207 1436-6215 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Baby foods Breast Breast feeding Breast Feeding - statistics & numerical data Breastfeeding & lactation Chemistry Chemistry and Materials Science Childrens health Developing Countries Ethiopia Evidence-based medicine Female Humans Infant Infant Nutritional Physiological Phenomena Infant, Newborn Meta-analysis Nutrition Physical growth Review Systematic review Vagina |
| title | Breast and complementary feeding in Ethiopia: new national evidence from systematic review and meta-analyses of studies in the past 10 years |
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