DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20213568

Effects of community-based interventions on exclusive breastfeeding among lactating women: a systematic review

Harshita Misra, C. Shivani, Barkha Sirwani, Ritu Rana

Abstract


Improvement in the exclusive breastfeeding (EBF) rates until 6 months have been proved to be a major contributor in the improvement of child survival over last two decades because EBF provides optimal nutrition for early life. However, most of the low-income countries (LIC) and low-middle income countries (LMIC) are below the 90% benchmark set by World Health Organization. Evidence regarding CBIs for EBF among lactating women with infants <6 m was searched in PubMed and Cochrane library. Studies from LICs and LMICs that reported EBF until 6 months as outcomes were included and their results were analysed. Data extraction included characteristics of the studies and full summary that involved the effect of interventions on the outcomes. Of 5,530 studies initially identified, 25 studies were included for the systematic review. The interventions were community-based that focused on breastfeeding practices among lactating women with infants <6 m. The studies were geographically diverse-involved LICs (n=7) and LMICs (n=11). The population ranged from n=12 to 26,262. Of 25 studies, five types of interventions reported- counselling interventions (n=14), training to peer counsellors (n=2), mass media interventions (n=5), mobile phone Interventions (n=1), and EBF promotion and education (n=3). CBIs could substantially increase the rates of EBF. The review identified five types of CBIs, indicating that there are different ways through which high EBF rates could be achieved. Counselling intervention was more effective but other interventions have also shown significant results in improving BF practices.


Keywords


Community based interventions, Infants under 6 months, Lactating women, EBF practices

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References


UNICEF. Nutrition: Breastfeeding. Available at: https://www.unicef.org/nutrition/index_24824.html. Accessed on 5 December 2020.

Kelechi-Ebisike Vivian O SMD, Jaryum Kiri H, Ebisike Kelechi J, Danjin Mela. Prevalence of Early Initiation of Breastfeeding (EIBF) and Exclusive Breastfeeding (EBF) ACTA scientific nutritional health. 2020;4(1):130-5.

UNICEF W. Global breastfeeding scorecard, 2018: enabling women to breastfeed through better policies and programmes. Global Breastfeeding Collective July 2018:1-4. Available at: https://www.who.int/nutrition/publications/infantfeeding/global-bf-scorecard-2018.pdf?ua=1#:~:text=BREASTFEEDING%20RATES&text=41%25%20of%20infants%20le ss%20than,breastfeeding%20rates%20drop%20to%2045%25. Accessed on 5 December 2020.

UNICEF W. Global breastfeeding scorecard, 2019: increasing commitment to breastfeeding through funding and improved policies and programmes. Global Breastfeeding Collective. July 2019:3-4. Available at: https://apps.who.int/iris/bitstream/handle/10665/326049/WHO-NMH-NHD-19.22-eng.pdf?ua=1. Accessed on 6 December 2020.

WHO. Global nutrition policy review: What does it take to scale up nutrition action? World Health Organization. 2013:7-111. Available at: https://www. who.int/nutrition/publications/policies/global_nutrition_policyreview.pdf. Accessed on 7 December 2020.

Shrimpton R. Early initiation of breastfeeding June 2017. Available at: https://www.who.int/ elena/titles/commentary/early_breastfeeding/en/. Accessed on 2020.

UNICEF. Executive Summary: Breastfeeding on The Worldwide Agenda. UNICEF.3-11. Available at: https://www.unicef.org/breastfeeding-worldwide-Executive- Summary.pdf. Accessed on 7 December 2020.

Shiffman J. Generating political priority for maternal mortality reduction in 5 developing countries. Am J Public Health. 2007;97(5):796-803.

Food GPJL, UK. Euromonitor International. Market Opportunities for Baby Food to 2013. 2008. Accessed on 7 December 2020.

Children ST. Newborn Health: Save The Children, Federation. Available at: https://www.savethe children.org/us/what-we-do/global-programs/health/newborn-health. Accessed on 7 December 2020.

The L. Breastfeeding: achieving the new normal. The Lancet. 2016;387(10017).

UNICEF. Improving Exclusive Breastfeeding Practices by using Communication for Development in Infant and Young Child Feeding Programmes. UNICEF C4D orientation webinar series 2011-2012. 2010;3-40. Available at: https://www.unicef.org/nutrition/files/C4D_in_EBF_manual 6_15_2010_final.pdf. Accessed on 5 December 2020.

Buskens I, Jaffe A, Mkhatshwa H. Infant feeding practices: Realities and mind sets of mothers in southern Africa, AIDS Care. AIDS Care. 2007;19:9:1101-9.

Shankar AV, Sastry J, Erande A, Joshi A, Suryawanshi N, Phadke MA et al. Making the Choice: The Translation of Global HIV and Infant Feeding Policy to Local Practice among Mothers in Pune, India. J Nutrition. 2005;135(4):960-5.

Butte NF, Lopez-Alarcon MG, Garza C. Nutrient adequacy of exclusive breastfeeding for the term infant during the first six months of life: World Health Organization; 2002. Accessed on 7 December 2020.

WHO. Community Based Strategies for Breastfeeding Promotion and Support in Developing Countries. Department Of Child and Adolescent Health and Development 2003:1-28. Available at: https://apps.who.int/iris/bitstream/handle/10665/42859/9241591218.pdf;jsessionid=3C484E8 52DC3B09C372152E02D43A5F4?sequence=1. Accessed on 5 December 2020.

WHO SOWHA. Infant and young child nutrition: Global strategy on infant young child feeding. 2002. Available at: https://www.who.int/nutrition/topics/global_strategy/en/#:~:text=The%20Global%20Strategy%20for%20Infant,infant%20and%20young%20child%20feeding. Accessed on 5 December 2020.

Victora CG, Bahl R, Barros AJ, Fran├ža GV, Krasevec J et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. The Lancet 2016;387(10017):475-90.

Kavle JA, LaCroix E, Dau H, Engmann C. Addressing barriers to exclusive breast- feeding in low- and middle-income countries: a systematic review and programmatic implications. Public Health Nutr. 2017;20(17):3120-34.

UNICEF. From the First Hour of Life: Making the Case for Improved Infant and Young Child Feeding Everywhere. Part I: Focus on Breastfeeding. UNICEF. 2016. Available at: https://data.unicef.org/resources/first-hour-life-new-report-breastfeeding-practices/. Accessed on 5 December 2020.

Balogun OO, Dagvadorj A, Anigo KM, Ota E, Sasaki S. Factors influencing breastfeeding exclusivity during the first 6 months of life in developing countries: a quantitative and qualitative systematic review. 2015;11(4):433-51.

Krishnendu M, Devaki G. Knowledge, Attitude and Practice Towards Breasfeeding among Lactating Mothers in Rural Areas of Thrissur District of Kerala, India: A Cross- Sectional Study. Biomed Pharmacol J. 2017;10(02):683-90.

Huffman SL. Determinants of breastfeeding in developing countries: overview and policy implications. Studies in family planning. 1984;15(4):170-83.

Moher DLA, Tetzlaff J, Altman DG. The PRISMA Group. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med. 2009;6(7):e1000097:1-2.

Bnak TW. World Bank Country and Lending Groups 2019-2020. Available at: https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-bank-country-and-lending-groups. Accessed on 5 December 2020.

EPPI-Reviewer. EPPI-Reviewer 4-Software for research synthesis. User Manual EPPI-Reviewer 4.5.0.0 8-121. Available at: https://eppi.ioe.ac.uk/cms/er4/Manuals/tabid/2933/Default.aspx. Accessed on 5 December 2020.

Bashour HN, Kharouf MH, Abdulsalam AA, El Asmar K, Tabbaa MA, Cheikha SA. Effect of postnatal home visits on maternal/infant outcomes in Syria: a randomized controlled trial. Public Health Nurs. 2008;25(2):115-25.

Yourkavitch JM, Alvey JL, Prosnitz DM, Thomas JC. Engaging men to promote and support exclusive breastfeeding: a descriptive review of 28 projects in 20 low- and middle- income countries from 2003 to 2013. J Health Popul Nutr. 2017;36(1):43.

Balaluka GBNP, Mitangala PN, Cobohwa NB, Schirvel C, Dramaix MW et al. Community volunteers can improve breastfeeding among children under six months of age in the Democratic Republic of Congo crisis. Int Breastfeeding J. 2012;7(1):2.

Gupta N, Katende C, Bessinger R. An evaluation of post-campaign knowledge and practices of exclusive breastfeeding in Uganda. J Health, Population Nutri. 2004;22(4) 429-39.

Chanani S, Waingankar A, Shah More N, Pantvaidya S, Fernandez A, Jayaraman A. Participation of pregnant women in a community-based nutrition program in Mumbai's informal settlements: Effect on exclusive breastfeeding practices. PLoS One. 2018;13(4):e0195619.

Nankunda J, Tumwine JK, Soltvedt A, Semiyaga N, Ndeezi G, Tylleskar T. Community based peer counsellors for support of exclusive breastfeeding: experiences from rural Uganda. Int Breastfeed J. 2006;1:19.

Haider R, Saha KK. Breastfeeding and infant growth outcomes in the context of intensive peer counselling support in two communities in Bangladesh. Int Breastfeed J. 2016;11:18.

Haider R, Thorley V. Supporting Exclusive Breastfeeding Among Factory Workers and Their Unemployed Neighbors: Peer Counselling in Bangladesh. J Hum Lact. 2019:890334419871229.

Flax VL, Ibrahim AU, Negerie M, Yakubu D, Leatherman S, Bentley ME. Group cell phones are feasible and acceptable for promoting optimal breastfeeding practices in a women's microcredit program in Nigeria. Matern Child Nutr. 2017;13(1).

Thet MM, Aung T, Diamond-Smith N, Sudhinaraset M. The influence of a community- level breast-feeding promotion intervention programme on breast-feeding practices in Myanmar. Public Health Nutr. 2018;21(16):3091-100.

Reinsma K, Bolima N, Fonteh F, Okwen P, Siapco G, Yota D et al. Bobbi Be Best: the development and evaluation of an audio program and discussion guide to promote exclusive breastfeeding in Cameroon, Central Africa. Glob Health Promot. 2016;23(3):14-26.

Menon P, Nguyen PH, Saha KK, Khaled A, Kennedy A, Tran LM et al. Impacts on Breastfeeding Practices of At-Scale Strategies That Combine Intensive Interpersonal Counselling, Mass Media, and Community Mobilization: Results of Cluster-Randomized Program Evaluations in Bangladesh and Viet Nam. PLoS Med. 2016;13(10):e1002159.

Nankunda J, Tylleskar T, Ndeezi G, Semiyaga N, Tumwine JK, Group P-ES. Establishing individual peer counselling for exclusive breastfeeding in Uganda: implications for scaling-up. Matern Child Nutr. 2010;6(1):53-66.

Bich TH, Cuong NM. Changes in knowledge, attitude and involvement of fathers in supporting exclusive breastfeeding: a community-based intervention study in a rural area of Vietnam. Int J Public Health. 2017;62(1):17-26.

Bich TH, Long TK, Hoa DP. Community-based father education intervention on breastfeeding practice-Results of a quasi-experimental study. Matern Child Nutr. 2019;15(1):e12705.

Lewycka S, Mwansambo C, Rosato M, Kazembe P, Phiri T, Mganga A et al. Effect of women's groups and volunteer peer counselling on rates of mortality, morbidity, and health behaviours in mothers and children in rural Malawi (MaiMwana): a factorial, cluster- randomised controlled trial. Lancet. 2013;381(9879):1721-35.

Aidam BA P-ER, Lartey A. Lactation counselling increases exclusive breast-feeding rates in Ghana. J nutr Community Int Nutri. 2005;135(7):1691-5.

Ara G, Khanam M, Papri N, Nahar B, Haque MA, Kabir I et al. Peer counselling improves breastfeeding practices: A cluster randomized controlled trial in urban Bangladesh. Matern Child Nutr. 2018;14(3):e12605.

Chola L, Fadnes LT, Engebretsen IM, Nkonki L, Nankabirwa V, Sommerfelt H et al. Cost-Effectiveness of Peer Counselling for the Promotion of Exclusive Breastfeeding in Uganda. PLoS One. 2015;10(11):e0142718.

Gupta ADJ, Ali SM, Thakur N. Skilled counselling in enhancing early and exclusive breastfeeding rates: an experimental study in an urban population in India. Indian Pediatrics. 2019;56(2):114-8.

Haider R, Ashworth A, Kabir I, Huttly SRA. Effect of community-based peer counsellors on exclusive breastfeeding practices in Dhaka, Bangladesh: a randomised controlled trial. Lancet. 2000;356(9242):1643-7.

Kimani-Murage EW, Griffiths PL, Wekesah FM, Wanjohi M, Muhia N, Muriuki P et al. Effectiveness of home-based nutritional counselling and support on exclusive breastfeeding in urban poor settings in Nairobi: a cluster randomized controlled trial. Global Health. 2017;13(1):90.

Ochola SA, Labadarios D, Nduati RW. Impact of counselling on exclusive breast- feeding practices in a poor urban setting in Kenya: a randomized controlled trial. Public Health Nutr. 2013;16(10):1732-40.