埃塞俄比亚婴幼儿喂养实践和不母乳喂养的成本:综述

Alehegn Ma, Ayal Dy, Dagnew Ab
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摘要

婴儿和幼儿生存、健康成长和发展、健康后代和国家发展的基石是婴儿和幼儿喂养(IYCF)。婴儿和幼儿的不当喂养做法及其影响是长期社会经济发展和减贫的重大障碍,对个人健康产生急性和慢性影响。在婴儿生命的前六个月完全母乳喂养是最安全、最健康的喂养方法。文章使用关键术语进行搜索和访问,如“婴儿喂养实践”、“独家喂养”、“非独家喂养”,“配方喂养实践”,“非母乳喂养的成本”,“母乳喂养的经济效益”。本次审查包括38篇已发表的文章、7项全球标准和指南、4份EDHS结果报告和一个网站。从2000年到2016年,在一小时内开始哺乳的母亲比例从51%攀升至73%,而纯母乳喂养的母亲数量从2000年增加到2016年。儿童营养不良是由于缺乏有效的母乳喂养和补充喂养造成的,世界上许多国家的营养不良率急剧上升,造成营养不良的三重负担。在埃塞俄比亚,母乳喂养不足导致14000名不必要的儿童死亡,500万例腹泻和肺炎,1.9亿美元的家庭费用和200万美元的医疗费用。配方奶粉每年的人工喂养费用高达1200美元,是母乳喂养费用的四倍,母乳喂养每年为哺乳期母亲提供额外食物的费用约为300美元。父母识字率、在卫生机构分娩、自然阴道分娩、ANC就诊次数增加、PNC就诊、怀孕期间的产妇咨询和儿童性别为女性是与纯母乳喂养呈正相关的一些因素,而母亲的全职工作、城市居住、婴儿体重高、剖腹产、低财富指数,在与纯母乳喂养呈负相关的因素中,母亲年龄较小和儿童性别为男性的因素很少提及。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Infant and Young Child Feeding Practice in Ethiopia and the Cost of Not Breastfeeding: Review
The cornerstone of baby and young child survival, healthy growth and development, healthy future generations, and national development is infancy and young child feeding (IYCF). Inappropriate feeding practices in infants and early children, as well as their repercussions, are substantial roadblocks to longterm socioeconomic development and poverty reduction, with acute and chronic health effects for individuals. Breastfeeding exclusively for the first six months of a baby’s life is the safest and healthiest method for feeding. Articles were searched and accessed using key terms, like “Infant feeding practice”, “Exclusive feeding”, “Non-exclusive feeding”, “Formula feeding Practice”, “Cost of not breast feeding”, “Economic benefit of breast feeding”. 38 published articles, 7 global standards and guidelines, 4 EDHS result reports and one website were included in this review. From 2000 to 2016, the percentage of mothers who started nursing within one hour climbed from 51% to 73 percent, while the number of mothers who exclusively breastfed increased from 2000 to 2016. Child malnutrition is caused by a lack of effective breast feeding and complementary feeding, and many nations throughout the world are seeing a dramatic increase in the prevalence of malnutrition, resulting in the triple burden of malnutrition. In Ethiopia, inadequate breastfeeding causes 14,000 unnecessary child deaths, 5 million instances of diarrhea and pneumonia, $190 million in household costs, and $2 million in health-care costs. Artificial feeding can cost up to $1,200 per year for powdered formula, which is four times the expense of breastfeeding, which costs about $300 per year for additional food for a lactating mom. Parental literacy, delivery in the health Institutions, spontaneous vaginal delivery, higher number of ANC visits, PNC attendance, maternal counseling during pregnancy and child sex being female are some factors among positively associated with exclusive breast feeding, whereas, full-time employment of mothers, urban residency, high weight of baby, caesarean-delivery, low wealth index, younger maternal age and child sex being male are few to mention among negatively associated factors with exclusive breast feeding.
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