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01-10-2019 | Review

Breast and complementary feeding in Ethiopia: new national evidence from systematic review and meta-analyses of studies in the past 10 years

Authors: Tesfa Dejenie Habtewold, Shimels Hussien Mohammed, Aklilu Endalamaw, Mohammed Akibu, Nigussie Tadesse Sharew, Yihun Mulugeta Alemu, Misrak Getnet Beyene, Tesfamichael Awoke Sisay, Mulugeta Molla Birhanu, Md. Atiqul Islam, Balewgizie Sileshi Tegegne

Published in: European Journal of Nutrition | Issue 7/2019

Abstract

Purpose

The aim of this systematic review and meta-analysis was to provide a national estimate of breast and complementary feeding practices and its predictors in Ethiopia.

Methods

PubMed, SCOPUS, EMBASE, CINHAL, Web of Science and WHO Global Health Library electronic databases were searched for all available literature published until April 2018. Observational studies including cross-sectional, case–control and cohort studies were included. Newcastle–Ottawa Scale was used to assess the quality of studies. Heterogeneity of studies was quantified using Cochran’s Q χ² statistic and Higgins’s method (I²). A meta-analysis using a weighted inverse variance method was performed. Subgroup analysis was carried out based on region and study area.

Results

In total, 70 studies that involved > 55,000 women from nine regions and two chartered cities in Ethiopia were included. The pooled national prevalence for timely initiation of breastfeeding (TIBF), exclusive breastfeeding (EBF) and timely initiation of complementary feeding was 66.5%, 60.1% and 62.5%, respectively. Guidance and counselling on breastfeeding, vaginal delivery and health institution delivery significantly increased the odds of TIBF and EBF. In addition, TIBF significantly associated with high EBF practice. Maternal occupational status significantly associated with low EBF practice, but not TIBF.

Conclusions

Based on the WHO standard, the current breast and complementary feeding practice in Ethiopia is good and improving. Integrated intervention is still required for further improvement and minimizing the effect of occupational status.

Available only for authorised users

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Title: Breast and complementary feeding in Ethiopia: new national evidence from systematic review and meta-analyses of studies in the past 10 years
Authors: Tesfa Dejenie Habtewold
Shimels Hussien Mohammed
Aklilu Endalamaw
Mohammed Akibu
Nigussie Tadesse Sharew
Yihun Mulugeta Alemu
Misrak Getnet Beyene
Tesfamichael Awoke Sisay
Mulugeta Molla Birhanu
Md. Atiqul Islam
Balewgizie Sileshi Tegegne
Publication date: 01-10-2019
Publisher: Springer Berlin Heidelberg
Published in: European Journal of Nutrition / Issue 7/2019
Print ISSN: 1436-6207
Electronic ISSN: 1436-6215
DOI: https://doi.org/10.1007/s00394-018-1817-8

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Breast and complementary feeding in Ethiopia: new national evidence from systematic review and meta-analyses of studies in the past 10 years

Abstract

Purpose

Methods

Results

Conclusions

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At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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