Determinants of early initiation of breastfeeding in rural Niger: cross-sectional study of community based child healthcare promotion
Abstract Background Most child deaths are preventable and caused by behaviorally modifiable factors. By promoting optimal breastfeeding, we can reduce neonatal and child mortality risks by 45%. This paper provides new family and community based perspectives to identify factors interfering with the p...
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doaj-a5a8782275a049b88ba857f0fc82ce802020-11-25T02:25:07ZengBMCInternational Breastfeeding Journal1746-43582017-09-0112111010.1186/s13006-017-0134-9Determinants of early initiation of breastfeeding in rural Niger: cross-sectional study of community based child healthcare promotionNaoko Horii0James Allman1Yves Martin-Prével2Dominique Waltisperger3Independent Consultant in Behavior Change Communication, Maternal Child Health and NutritionPopulation and Development Center (CEPED), Université Paris DescartesNutripass Research Unit, Institute of Research for Development (IRD)National Institute of Demographic Studies (INED)Abstract Background Most child deaths are preventable and caused by behaviorally modifiable factors. By promoting optimal breastfeeding, we can reduce neonatal and child mortality risks by 45%. This paper provides new family and community based perspectives to identify factors interfering with the program impact on promoting early initiation of breastfeeding among the most vulnerable populations in rural Niger. Methods A secondary analysis of a retrospective cross-sectional study evaluated a UNICEF behavior change program on child healthcare. The study sample is based on a post-hoc constitution of two groups exposed and unexposed to the program. All women (n = 1026) aged 14–49 years having at least one child below 24 months of age were included. We measured crude and adjusted odds ratios with chi-square and multivariate logistic regression models. Results Independent variables shown to be associated with early breastfeeding include sales activities compared to household work with no direct income (AOR 7.7; 95% CI 1.3, 47.8) and mutual decision for harvest use (AOR 8.6; 95% CI 2.0, 36.8). Antenatal care did not modify the timing of breastfeeding initiation. Conclusions A high risk group of mothers with social and economic vulnerability are prone to suboptimal breastfeeding within the first hour of birth. Support from family and neighbors positively influenced early breastfeeding. Those who had no direct income and limited access to health services were a high-risk group, prone to delayed initiation of breastfeeding.http://link.springer.com/article/10.1186/s13006-017-0134-9DeterminantsBreastfeedingBehavior changeCommunity health |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Naoko Horii James Allman Yves Martin-Prével Dominique Waltisperger |
spellingShingle |
Naoko Horii James Allman Yves Martin-Prével Dominique Waltisperger Determinants of early initiation of breastfeeding in rural Niger: cross-sectional study of community based child healthcare promotion International Breastfeeding Journal Determinants Breastfeeding Behavior change Community health |
author_facet |
Naoko Horii James Allman Yves Martin-Prével Dominique Waltisperger |
author_sort |
Naoko Horii |
title |
Determinants of early initiation of breastfeeding in rural Niger: cross-sectional study of community based child healthcare promotion |
title_short |
Determinants of early initiation of breastfeeding in rural Niger: cross-sectional study of community based child healthcare promotion |
title_full |
Determinants of early initiation of breastfeeding in rural Niger: cross-sectional study of community based child healthcare promotion |
title_fullStr |
Determinants of early initiation of breastfeeding in rural Niger: cross-sectional study of community based child healthcare promotion |
title_full_unstemmed |
Determinants of early initiation of breastfeeding in rural Niger: cross-sectional study of community based child healthcare promotion |
title_sort |
determinants of early initiation of breastfeeding in rural niger: cross-sectional study of community based child healthcare promotion |
publisher |
BMC |
series |
International Breastfeeding Journal |
issn |
1746-4358 |
publishDate |
2017-09-01 |
description |
Abstract Background Most child deaths are preventable and caused by behaviorally modifiable factors. By promoting optimal breastfeeding, we can reduce neonatal and child mortality risks by 45%. This paper provides new family and community based perspectives to identify factors interfering with the program impact on promoting early initiation of breastfeeding among the most vulnerable populations in rural Niger. Methods A secondary analysis of a retrospective cross-sectional study evaluated a UNICEF behavior change program on child healthcare. The study sample is based on a post-hoc constitution of two groups exposed and unexposed to the program. All women (n = 1026) aged 14–49 years having at least one child below 24 months of age were included. We measured crude and adjusted odds ratios with chi-square and multivariate logistic regression models. Results Independent variables shown to be associated with early breastfeeding include sales activities compared to household work with no direct income (AOR 7.7; 95% CI 1.3, 47.8) and mutual decision for harvest use (AOR 8.6; 95% CI 2.0, 36.8). Antenatal care did not modify the timing of breastfeeding initiation. Conclusions A high risk group of mothers with social and economic vulnerability are prone to suboptimal breastfeeding within the first hour of birth. Support from family and neighbors positively influenced early breastfeeding. Those who had no direct income and limited access to health services were a high-risk group, prone to delayed initiation of breastfeeding. |
topic |
Determinants Breastfeeding Behavior change Community health |
url |
http://link.springer.com/article/10.1186/s13006-017-0134-9 |
work_keys_str_mv |
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