Early initiation of breastfeeding in anglophone and francophone West African countries: Systematic review and meta-analysis of associated factors.

IF 3.2 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Pub Date : 2025-10-01 Epub Date: 2025-08-09 DOI:10.1016/j.puhe.2025.105900

Martha O Lewis-Koku, Catharine A K Fleming, Lucy N Pachuau, Nagwa F Elmighrabi, Kingsley E Agho

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引用次数: 0

Abstract

Objectives: Despite the benefits of early initiation of breastfeeding (EIBF) as a preventive medicine, the practice is suboptimal in West Africa (48.7 %), and there is limited systematic review evidence on the associated factors. This study aimed to aggregate the evidence on factors associated with EIBF in Anglophone and Francophone West African countries.

Study design: A systematic review and meta-analysis was conducted to explore the research objectives.

Methods: Six databases were searched for published studies that reported factors associated with EIBF in Anglophone and Francophone West African countries from January 1, 2008 to March 31, 2024. All relevant studies were reviewed, and odds ratios were extracted and meta-analysed.

Results: The pooled analysis showed that caesarean section delivery in both Anglophone (AOR: 0.74; 95 % CI: 0.69, 0.81) and Francophone (AOR: 0.25; 95 % CI: 0.21, 0.30) regions, and unskilled birth attendance (AOR: 0.79; 95 % CI: 0.75, 0.83), babies perceived to be small at birth (AOR: 0.93; 95 % CI: 0.88, 0.98), rural residence (AOR: 0.89; 95 % CI: 0.85, 0.94) and mothers who wanted pregnancy now or later (AOR: 0.89; 95 % CI: 0.85, 0.92) in Anglophone regions delayed initiation of breastfeeding (DIBF). All 17 studies included were classified as medium or high quality.

Conclusion: Future interventions and policies to improve EIBF should focus on addressing the factors associated with DIBF, with particular emphasis on babies delivered via caesarean section. This is crucial in reducing neonatal mortalities in the region to progress towards attaining Sustainable Development Goals 2 and 3 by 2030.

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西非英语国家和法语国家早期开始母乳喂养：相关因素的系统回顾和荟萃分析

目的：尽管早期开始母乳喂养（EIBF）作为一种预防医学有好处，但这种做法在西非并不理想（48.7%），而且有关相关因素的系统评价证据有限。本研究旨在收集西非英语国家和法语国家的EIBF相关因素的证据。研究设计：通过系统回顾和荟萃分析来探讨研究目标。方法：从2008年1月1日至2024年3月31日，在六个数据库中检索已发表的关于西非英语国家和法语国家EIBF相关因素的研究。回顾所有相关研究，提取优势比并进行荟萃分析。结果：合并分析显示，剖宫产在两种情况下均为英语国家(AOR: 0.74；95% CI: 0.69, 0.81)和法语国家(AOR: 0.25；95% CI: 0.21, 0.30)和非熟练接生员(AOR: 0.79；95% CI: 0.75, 0.83)，婴儿在出生时被认为是小的(AOR: 0.93；95% CI: 0.88, 0.98)，农村居民(AOR: 0.89；95% CI: 0.85, 0.94)和希望现在或以后怀孕的母亲(AOR: 0.89；95% CI: 0.85, 0.92)，在英语国家地区延迟开始母乳喂养（DIBF）。纳入的所有17项研究均被分类为中等或高质量。结论：未来改善EIBF的干预措施和政策应侧重于解决与DIBF相关的因素，特别是剖腹产分娩的婴儿。这对于降低该区域的新生儿死亡率，以在2030年之前实现可持续发展目标2和3至关重要。

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

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.