Individual- and system-level determinants of breastfeeding in a low-resource setting.

IF 3 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Frontiers in Public Health Pub Date : 2024-11-06 eCollection Date: 2024-01-01 DOI:10.3389/fpubh.2024.1471252

Miranda G Loutet

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Abstract

The benefits of breastfeeding are widely established and therefore the World Health Organization recommends that every child be exclusively breastfed for the first 6 months of life and continue breastfeeding up to 2 years of age or beyond. However, the rate of exclusive breastfeeding is low globally and has declined in Bangladesh in recent years. In this review, Bangladesh is used as an example to demonstrate the complex individual- and system-level determinants of breastfeeding in a low-resource setting. Mothers face barriers to breastfeeding within the context of marketing by commercial milk formula companies, limited safe alternatives to breastfeeding directly from the breast, and insufficient resources to support breastfeeding in the hospital, community, and workplace setting. Future research and implementation science is required to investigate the overlapping effects between breastfeeding and the high antibiotic use and Caesarean section rates in Bangladesh, along with public health efforts to promote breastfeeding based on robust evidence.

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在资源匮乏的环境中，母乳喂养在个人和系统层面的决定因素。

母乳喂养的益处已得到广泛认可，因此，世界卫生组织建议在每个婴儿出生后的头 6 个月内进行纯母乳喂养，并将母乳喂养持续到 2 岁或更大。然而，在全球范围内，纯母乳喂养率很低，而且近年来在孟加拉国有所下降。本综述以孟加拉国为例，说明在资源匮乏的环境下，母乳喂养在个人和系统层面的复杂决定因素。母亲们在商业奶粉公司的营销背景下面临着母乳喂养的障碍，直接从乳房进行母乳喂养的安全替代品有限，医院、社区和工作场所支持母乳喂养的资源不足。未来的研究和实施科学需要调查母乳喂养与孟加拉国高抗生素使用率和剖腹产率之间的重叠效应，以及基于可靠证据促进母乳喂养的公共卫生工作。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Public Health Medicine-Public Health, Environmental and Occupational Health

CiteScore

4.80

自引率

7.70%

发文量

4469

审稿时长

14 weeks

期刊介绍： Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice. Frontiers in Public Health is organized into Specialty Sections that cover different areas of research in the field. Please refer to the author guidelines for details on article types and the submission process.