Breast-feeding in a complex emergency

Four linked cross-sectional studies during the Bosnian conflict

Dados Bibliográficos

ID15090579
AutoresNeil Andersson (0000-0002-5220-2136, Universidad Autónoma de Guerrero), Sergio Paredes‐solí (0000-0002-3015-3038, Universidad Autónoma de Guerrero), Sergio Paredes-Solís, José Legorreta-Soberanis (0000-0001-5192-843X, Universidad Autónoma de Guerrero), Anne Cockcroft (0000-0002-1558-1106, autor correspondente), Lorraine Sherr (0000-0002-5902-8011, University College London)
Ano2010
Volume13
Fascículo12
Páginas2097-2104
Data de publicação2010-12-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoPublic Health Nutrition (JOURNAL)
Identificadores do periódicoISSN: 1368-9800 • E-ISSN: 1475-2727
EditoraCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980010001667
PMID20576196
OpenAlexW2170277472
IdiomaEN
Citações recebidas9
Referências citadas22

Objective To examine changes in breast-feeding and impacts on child health during the Bosnian conflict. Design Four linked representative cross-sectional household surveys, 1994 to 1997. Setting The countries of former Yugoslavia largely missed the international wave of enthusiasm for breast-feeding of the 1980s and early 1990s. The concern is that breast-feeding deteriorates during humanitarian emergencies, when children need it most. Subjects The four surveys visited a random sample of clusters from population registers in the Federation of Bosnia and Herzegovina (BiH) and the Republica Srpska (RS). Interviewers asked about breast-feeding and other factors related to child health, and measured mid upper-arm circumference in 1123 infants aged 1–12 months. Results One-fifth of infants were not breast-fed at all (220/1087). Muslim and displaced children were less likely to breast-feed; 59 % of Muslim displaced children never breast-fed. Among infants in sites visited by all four surveys, there was no change in the proportion ever breast-fed and a significant increase in duration of breast-feeding and exclusive breast-feeding between 1994 and 1997. Children were breast-fed for shorter durations in male absent households, in frontline communities, the RS, and households that did not receive remittances from abroad. Non-breast-fed children and those who breast-fed for less than 4 months were more likely to be malnourished, as were those with complementary foods added either before or after their sixth month of life. Conclusions If relief agencies had promoted and supported breast-feeding, this might have avoided some of the increased malnutrition that occurred during the conflict

Bosnian · Cross-sectional study · Environmental health · Pathology · Breastfeeding Practices and Influences · Food Security and Health in Diverse Populations · Medicine · Migration, Health and Trauma