Effectiveness of the baby‐friendly community initiative on exclusive breastfeeding in Kenya

Dados Bibliográficos

ID15537299
AutoresElizabeth Kimani‐Murage (0000-0001-5272-616X, Brown University), Judith Kimiywe (0000-0001-7884-659X, Kenyatta University), Antonina Mutoro (0000-0003-1849-4961, African Population and Health Research Center, autor correspondente), Calistus Wilunda (0000-0002-6606-6534, African Population and Health Research Center), Frederick Murunga Wekesah (0000-0003-2333-3054, African Population and Health Research Center), Peter Muriuki (African Population and Health Research Center), Peter Muriuki Gatheru (0000-0002-6676-9600, Maternal and Child Wellbeing Unit African Population and Health Research Center Nairobi Kenya), Bonventure Mwangi (0000-0002-4491-538X, African Population and Health Research Center), Bonaventure M Mwangi (Maternal and Child Wellbeing Unit African Population and Health Research Center Nairobi Kenya), Betty Samburu (0000-0003-2678-5187, United Nations Children's Fund), Nyovani Madise (0000-0002-2813-5295, African Institute for Development Policy), Stephen T Mcgarvey (0000-0003-1233-6970, Brown University), P Griffiths (0000-0002-0591-9724, Loughborough University)
Ano2021
Volume17
Fascículo3
Páginase13142-e13142
Data de publicação2021-02-02
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoMaternal and Child Nutrition (JOURNAL)
Identificadores do periódicoISSN: 1740-8695 • E-ISSN: 1740-8709
EditoraWiley (PUBLISHER • GB)
DOI10.1111/mcn.13142
PMID33528102
OpenAlexW3127985507
IdiomaEN
Citações recebidas7
Referências citadas13

The baby-friendly hospital initiative (BFHI) promotes exclusive breastfeeding (EBF) in hospitals, but this is not accessible in rural settings where mothers give birth at home, hence the need for a community intervention. We tested the effectiveness of the baby-friendly community initiative (BFCI) on EBF in rural Kenya. This cluster randomized study was conducted in 13 community units in Koibatek sub-county. Pregnant women aged 15-49 years were recruited and followed up until their children were 6 months old. Mothers in the intervention group received standard maternal, infant and young child nutrition counselling, support from trained community health volunteers, health professionals and community and mother support groups, whereas those in the control group received standard counselling only. Data on breastfeeding practices were collected longitudinally. The probability of EBF up to 6 months of age and the restricted mean survival time difference were estimated. A total of 823 (intervention group n = 351) pregnant women were recruited. Compared with children in the control group, children in the intervention group were more likely to exclusively breastfeed for 6 months (79.2% vs. 54.5%; P < .05). Children in the intervention group were also exclusively breastfed for a longer time, mean difference (95% confidence interval [CI]) 0.62 months (0.38, 0.85; P < .001). The BFCI implemented within the existing health system and including community and mother support groups led to a significant increase in EBF in a rural Kenyan setting. This intervention has the potential to improve EBF rates in similar settings

Breast feeding · Breastfeeding · Community health · Confidence interval · Family medicine · Intervention (counseling · Kenya · Public health · Randomized controlled trial · Breastfeeding Practices and Influences · Child Nutrition and Feeding Issues · Child Nutrition and Water Access · Demography · Medicine · Nursing · Pediatrics