Early infant feeding practices in three African countries: the PROMISE-EBF trial promoting exclusive breastfeeding by peer counsellors
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- 作者：Ingunn Marie S Engebretsen (1)
Victoria Nankabirwa (2)
Tanya Doherty (3) (4)
Abdoulaye Hama Diallo (5)
Jolly Nankunda (6)
Lars Thore Fadnes (1) (7)
Eva-Charlotte Ekstr枚m (8)
Vundli Ramokolo (3)
Nicolas Meda (5)
Halvor Sommerfelt (1) (10)
Debra Jackson (4) (9)
Thorkild Tyllesk盲r (1)
James K Tumwine (6)
For the PROMISE-EBF study group
1. Centre for International Health ; Department of Global Public Health and Primary Health Care ; University of Bergen ; Bergen ; Norway
2. School of Public Health ; College of Health Sciences ; Makerere University ; Kampala ; Uganda
3. Health Systems Research Unit ; Medical Research Council ; Cape Town ; South Africa
4. School of Public Health ; University of the Western Cape ; Cape Town ; South Africa
5. Centre MURAZ ; Ministry of Health ; Bobo-Dioulasso ; Burkina Faso
6. Department of Paediatrics and Child Health ; College of Health Sciences ; Makerere University ; Kampala ; Uganda
7. Department of Clinical Dentistry ; University of Bergen ; Bergen ; Norway
8. Department Women鈥檚 and Children鈥檚 Health ; Uppsala University ; Uppsala ; Sweden
10. Department of Global Public Health ; Norwegian Institute of Public Health ; Kragujevac ; Norway
9. UNICEF ; New York ; USA - 关键词：Trial ; Exclusive breastfeeding ; Peer ; counselling ; Colostrum ; Prelacteal feeding
- 刊名：International Breastfeeding Journal
- 出版年：2014
- 出版时间：December 2014
- 年：2014
- 卷：9
- 期：1
- 全文大小：347 KB
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- 出版者：BioMed Central
- ISSN：1746-4358
文摘
Background Immediate and exclusive initiation of breastfeeding after delivery has been associated with better neonatal survival and child health and are recommended by the WHO. We report its impact on early infant feeding practices from the PROMISE-EBF trial. Methods PROMISE-EBF was a cluster randomised behaviour change intervention trial of exclusive breastfeeding (EBF) promotion by peer counsellors in Burkina Faso, Uganda and South Africa implemented during 2006-2008 among 2579 mother-infant pairs. Counselling started in the last pregnancy trimester and mothers were offered at least five postnatal visits. Early infant feeding practices: use of prelacteal feeds (any foods or drinks other than breast milk given within the first 3 days), expressing and discarding colostrum, and timing of initiation of breastfeeding are presented by trial arm in each country. Prevalence ratios (PR) with 95% confidence intervals (95%CI) are given. Results The proportion of women who gave prelacteal feeds in the intervention and control arms were, respectively: 11% and 36%, PR 0.3 (95% CI 0.2, 0.6) in Burkina Faso, 13% and 44%, PR 0.3 (95% CI 0.2, 0.5) in Uganda and 30% and 33%, PR 0.9 (95% CI 0.6, 1.3) in South Africa. While the majority gave colostrum, the proportion of those who expressed and discarded it in the intervention and control arms were: 8% and 12%, PR 0.7 (95% CI 0.3, 1.6) in Burkina Faso, 3% and 10%, PR 0.3 (95% CI 0.1, 0.6) in Uganda and 17% and 16%, PR 1.1 (95% CI 0.6, 2.1) in South Africa. Only a minority in Burkina Faso ( Conclusions The PROMISE-EBF trial showed that the intervention led to less prelacteal feeding in Burkina Faso and Uganda. More children received colostrum and started breastfeeding early in the intervention arm in Uganda. Late breastfeeding initiation continues to be a challenge. No clear behaviour change was seen in South Africa. Trial registration NCT00397150.