Early feeding practices and associated factors in Sudan: a cross-sectional analysis from multiple Indicator cluster survey

<h3>Background</h3><p dir="ltr">In efforts to reduce neonatal mortality, the World Health Organization (WHO) has included breastfeeding among its recommended packages of interventions. Early initiation of breastfeeding and avoidance of prelacteal feeding are key contribut...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Manar E. Abdel-Rahman (5593553) (author)
مؤلفون آخرون: Asmaa El-Heneidy (8844911) (author), Lenka Benova (168877) (author), Laura Oakley (3204312) (author)
منشور في: 2020
الموضوعات:
الوسوم: إضافة وسم
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author Manar E. Abdel-Rahman (5593553)
author2 Asmaa El-Heneidy (8844911)
Lenka Benova (168877)
Laura Oakley (3204312)
author2_role author
author
author
author_facet Manar E. Abdel-Rahman (5593553)
Asmaa El-Heneidy (8844911)
Lenka Benova (168877)
Laura Oakley (3204312)
author_role author
dc.creator.none.fl_str_mv Manar E. Abdel-Rahman (5593553)
Asmaa El-Heneidy (8844911)
Lenka Benova (168877)
Laura Oakley (3204312)
dc.date.none.fl_str_mv 2020-05-14T21:00:00Z
dc.identifier.none.fl_str_mv 10.1186/s13006-020-00288-7
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Early_feeding_practices_and_associated_factors_in_Sudan_a_cross-sectional_analysis_from_multiple_Indicator_cluster_survey/21598464
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Paediatrics
Reproductive medicine
Breastfeeding
Early initiation
Timely initiation
Prelacteal feeding
Associated factors
Determinants Sudan
dc.title.none.fl_str_mv Early feeding practices and associated factors in Sudan: a cross-sectional analysis from multiple Indicator cluster survey
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Background</h3><p dir="ltr">In efforts to reduce neonatal mortality, the World Health Organization (WHO) has included breastfeeding among its recommended packages of interventions. Early initiation of breastfeeding and avoidance of prelacteal feeding are key contributors to optimal feeding practices. This study aims to assess the prevalence and associated factors of early breastfeeding practices in Sudan.</p><h3>Methods</h3><p dir="ltr">This study utilises the cross-sectional nationally-representative Sudan Multiple Indicator Cluster Survey (MICS) conducted in 2014. The sample includes women who had a live birth in the two years before the survey and their self-report on early breastfeeding practices, namely early initiation and prelacteal feeding. Percentages of these early breastfeeding practices indicators were estimated accounting for the complex survey design. Multivariable logistic regression analyses were used to examine the factors associated with these outcomes.</p><h3>Results</h3><p dir="ltr">Of 5622 mothers, 69% initiated breastfeeding within one hour of birth, 72% avoided prelacteal feeding in the first three days after birth, and 51% met the criteria for both (i.e. practised optimal early feeding practice). Optimal early feeding varied across regions of Sudan. Birth by caesarean section (Adjusted Odds Ratio [AOR] 0.34; 95% CI 0.25, 0.47) and at a health facility (AOR 0.75; 95% CI 0.60, 0.94) were negatively associated with optimal early feeding practice. Mothers with secondary education (AOR 1.62; 95% CI 1.30, 2.02), those who desired their pregnancy at the time (AOR 1.31; 95% CI 1.08, 1.60), those who were assisted by a skilled birth attendant at birth (AOR 1.48; 95% CI 1.19, 1.83), and those who gave birth to female infants (AOR 1.16; 95% CI 1.02, 1.33) had higher odds of use optimal early feeding practice. Similarly, the odds of optimal early feeding increased with parity and maternal age.</p><h3>Conclusions</h3><p dir="ltr">Only half of Sudanese mothers practised optimal early feeding practice, with important differences between regions in the country. Early feeding practices in Sudan are associated with various maternal, child and community level factors. The findings suggest the need to develop breastfeeding promotion programs with consideration of regional variations and healthcare system interventions.</p><h2>Other Information</h2><p dir="ltr">Published in: International Breastfeeding Journal<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1186/s13006-020-00288-7" target="_blank">http://dx.doi.org/10.1186/s13006-020-00288-7</a></p>
eu_rights_str_mv openAccess
id Manara2_6904dfdb77db6561038457bb9b62d5ec
identifier_str_mv 10.1186/s13006-020-00288-7
network_acronym_str Manara2
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oai_identifier_str oai:figshare.com:article/21598464
publishDate 2020
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spelling Early feeding practices and associated factors in Sudan: a cross-sectional analysis from multiple Indicator cluster surveyManar E. Abdel-Rahman (5593553)Asmaa El-Heneidy (8844911)Lenka Benova (168877)Laura Oakley (3204312)Biomedical and clinical sciencesPaediatricsReproductive medicineBreastfeedingEarly initiationTimely initiationPrelacteal feedingAssociated factorsDeterminants Sudan<h3>Background</h3><p dir="ltr">In efforts to reduce neonatal mortality, the World Health Organization (WHO) has included breastfeeding among its recommended packages of interventions. Early initiation of breastfeeding and avoidance of prelacteal feeding are key contributors to optimal feeding practices. This study aims to assess the prevalence and associated factors of early breastfeeding practices in Sudan.</p><h3>Methods</h3><p dir="ltr">This study utilises the cross-sectional nationally-representative Sudan Multiple Indicator Cluster Survey (MICS) conducted in 2014. The sample includes women who had a live birth in the two years before the survey and their self-report on early breastfeeding practices, namely early initiation and prelacteal feeding. Percentages of these early breastfeeding practices indicators were estimated accounting for the complex survey design. Multivariable logistic regression analyses were used to examine the factors associated with these outcomes.</p><h3>Results</h3><p dir="ltr">Of 5622 mothers, 69% initiated breastfeeding within one hour of birth, 72% avoided prelacteal feeding in the first three days after birth, and 51% met the criteria for both (i.e. practised optimal early feeding practice). Optimal early feeding varied across regions of Sudan. Birth by caesarean section (Adjusted Odds Ratio [AOR] 0.34; 95% CI 0.25, 0.47) and at a health facility (AOR 0.75; 95% CI 0.60, 0.94) were negatively associated with optimal early feeding practice. Mothers with secondary education (AOR 1.62; 95% CI 1.30, 2.02), those who desired their pregnancy at the time (AOR 1.31; 95% CI 1.08, 1.60), those who were assisted by a skilled birth attendant at birth (AOR 1.48; 95% CI 1.19, 1.83), and those who gave birth to female infants (AOR 1.16; 95% CI 1.02, 1.33) had higher odds of use optimal early feeding practice. Similarly, the odds of optimal early feeding increased with parity and maternal age.</p><h3>Conclusions</h3><p dir="ltr">Only half of Sudanese mothers practised optimal early feeding practice, with important differences between regions in the country. Early feeding practices in Sudan are associated with various maternal, child and community level factors. The findings suggest the need to develop breastfeeding promotion programs with consideration of regional variations and healthcare system interventions.</p><h2>Other Information</h2><p dir="ltr">Published in: International Breastfeeding Journal<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1186/s13006-020-00288-7" target="_blank">http://dx.doi.org/10.1186/s13006-020-00288-7</a></p>2020-05-14T21:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1186/s13006-020-00288-7https://figshare.com/articles/journal_contribution/Early_feeding_practices_and_associated_factors_in_Sudan_a_cross-sectional_analysis_from_multiple_Indicator_cluster_survey/21598464CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/215984642020-05-14T21:00:00Z
spellingShingle Early feeding practices and associated factors in Sudan: a cross-sectional analysis from multiple Indicator cluster survey
Manar E. Abdel-Rahman (5593553)
Biomedical and clinical sciences
Paediatrics
Reproductive medicine
Breastfeeding
Early initiation
Timely initiation
Prelacteal feeding
Associated factors
Determinants Sudan
status_str publishedVersion
title Early feeding practices and associated factors in Sudan: a cross-sectional analysis from multiple Indicator cluster survey
title_full Early feeding practices and associated factors in Sudan: a cross-sectional analysis from multiple Indicator cluster survey
title_fullStr Early feeding practices and associated factors in Sudan: a cross-sectional analysis from multiple Indicator cluster survey
title_full_unstemmed Early feeding practices and associated factors in Sudan: a cross-sectional analysis from multiple Indicator cluster survey
title_short Early feeding practices and associated factors in Sudan: a cross-sectional analysis from multiple Indicator cluster survey
title_sort Early feeding practices and associated factors in Sudan: a cross-sectional analysis from multiple Indicator cluster survey
topic Biomedical and clinical sciences
Paediatrics
Reproductive medicine
Breastfeeding
Early initiation
Timely initiation
Prelacteal feeding
Associated factors
Determinants Sudan