2023-09-28 14:46:10 +00:00
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abstract: 'Objective Despite numerous global initiatives on breast-feeding, trend
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data show exclusive breast-feeding (EBF) rates have stagnated over the
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last two decades. The purpose of the present systematic review was to
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determine barriers to exclusive breast-feeding in twenty-five low- and
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middle-income countries and discuss implications for programmes.
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Design A search of Scopus, MEDLINE, CINAHL and PsychINFO was conducted
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to retrieve studies from January 2000 to October 2015. Using inclusion
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criteria, we selected both qualitative and quantitative studies that
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described barriers to EBF.
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Setting Low- and middle-income countries.
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Subjects Following application of systematic review criteria,
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forty-eight articles from fourteen countries were included in the
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review.
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Results Sixteen barriers to EBF were identified in the review. There is
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moderate evidence of a negative association between maternal employment
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and EBF practices. Studies that examined EBF barriers at childbirth and
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the initial 24 h post-delivery found strong evidence that caesarean
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section can impede EBF. There is moderate evidence for early initiation
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of breast-feeding and likelihood of practising EBF. Breast-feeding
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problems were commonly reported from cross-sectional or observational
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studies. Counselling on EBF and the presence of family and/or community
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support have demonstrated improvements in EBF.
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Conclusions Improving the counselling skills of health workers to
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address breast-feeding problems and increasing community support for
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breast-feeding are critical components of infant and young child feeding
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programming, which will aid in attaining the 2025 World Health Assembly
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EBF targets. Legislation and regulations on marketing of breast-milk
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substitutes, paid maternity leave and breast-feeding breaks for working
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mothers require attention in low- and middle-income countries.'
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affiliation: 'Kavle, JA (Corresponding Author), MCSP, 1776 Massachusetts Ave NW,Suite
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300, Washington, DC 20036 USA.
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Kavle, JA (Corresponding Author), PATH, Maternal Newborn \& Child Hlth \& Nutr,
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Washington, DC 20001 USA.
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Kavle, JA (Corresponding Author), George Washington Univ, Milken Inst, Sch Publ
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Hlth, Washington, DC 20037 USA.
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Kavle, Justine A., MCSP, 1776 Massachusetts Ave NW,Suite 300, Washington, DC 20036
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USA.
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Kavle, Justine A.; LaCroix, Elizabeth; Dau, Hallie, PATH, Maternal Newborn \& Child
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Hlth \& Nutr, Washington, DC 20001 USA.
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Kavle, Justine A.; LaCroix, Elizabeth; Dau, Hallie, George Washington Univ, Milken
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Inst, Sch Publ Hlth, Washington, DC 20037 USA.
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Engmann, Cyril, PATH, Maternal Newborn \& Child Hlth \& Nutr, Seattle, WA USA.
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Engmann, Cyril, Univ Washington, Dept Pediat, Seattle, WA 98195 USA.
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Engmann, Cyril, Univ Washington, Dept Global Hlth, Seattle, WA 98195 USA.'
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author: Kavle, Justine A. and LaCroix, Elizabeth and Dau, Hallie and Engmann, Cyril
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author-email: jkavle@path.org
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author_list:
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- family: Kavle
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given: Justine A.
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- family: LaCroix
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given: Elizabeth
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- family: Dau
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given: Hallie
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- family: Engmann
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given: Cyril
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da: '2023-09-28'
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doi: 10.1017/S1368980017002531
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eissn: 1475-2727
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files: []
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issn: 1368-9800
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journal: PUBLIC HEALTH NUTRITION
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keywords: 'Breast-feeding; Exclusive breast-feeding; Barriers; Infant and young
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child feeding programmes; Infant and young child nutrition'
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keywords-plus: '1ST 6 MONTHS; CESAREAN DELIVERY; RURAL-POPULATION; MILK SUBSTITUTES;
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DONOR MILK; INFANT; MOTHERS; DETERMINANTS; PROMOTION; COMMUNITY'
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language: English
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month: DEC
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number: '17'
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number-of-cited-references: '98'
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orcid-numbers: 'Dau, Hallie/0000-0001-6193-4032
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Kavle, Justine/0000-0003-0439-6308'
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pages: 3120-3134
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papis_id: 78ce516e3445f609258aa219da9fa634
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ref: Kavle2017addressingbarriers
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researcherid-numbers: 'Dau, Hallie/ABC-8946-2021
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'
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tags:
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- review
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times-cited: '96'
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title: 'Addressing barriers to exclusive breast-feeding in low- and middle-income
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countries: a systematic review and programmatic implications'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000416056600013
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usage-count-last-180-days: '0'
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usage-count-since-2013: '24'
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volume: '20'
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web-of-science-categories: Public, Environmental \& Occupational Health; Nutrition
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\& Dietetics
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year: '2017'
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