Early infant feeding practices in three African countries: the PROMISE-EBF trial promoting exclusive breastfeeding by peer counsellors

International Breastfeeding Journal
Ingunn Marie Stadskleiv EngebretsenPROMISE-EBF Study Group

Abstract

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. 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. 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 th...Continue Reading

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Citations

Oct 9, 2018·Global Health Action·Justin Bruno TongunJames K Tumwine
Dec 16, 2017·Global Health Action·David MukunyaThorkild Tylleskar
Mar 1, 2017·The Cochrane Database of Systematic Reviews·Alison McFaddenStephen MacGillivray
Nov 9, 2016·The Cochrane Database of Systematic Reviews·Olukunmi O BalogunStephen MacGillivray
Dec 7, 2018·International Breastfeeding Journal·Habtamu TemesgenMolla Yigizaw
Jul 14, 2018·International Breastfeeding Journal·Justin Bruno TongunJames K Tumwine
Jan 17, 2019·Italian Journal of Pediatrics·Esayas Aydiko AmeleEmebet Berhane Woldemariam
Jun 15, 2019·International Journal of Public Health·Lai Yin ChengPhoenix Kit-Han Mo
Mar 18, 2021·Archives of public health = Archives belges de santé publique·Nigatu Regassa GedaSusan J Whiting
May 6, 2021·International Journal for Equity in Health·Debbie VitalisRafael Pérez-Escamilla

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Clinical Trials Mentioned

NCT00397150

Software Mentioned

STATA

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