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Mapping inequalities in exclusive breastfeeding in low- and middle-income countries, 2000–2018

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posted on 2022-04-01, 10:26 authored by NV Bhattacharjee, LE Schaeffer, SI Hay, D Lu, MF Schipp, A Lazzar-Atwood, KM Donkers, GG Abady, F Abd-Allah, A Abdelalim, ZH Abebo, AN Abejie, AE Abosetugn, LG Abreu, MRM Abrigo, E Abu-Gharbieh, AI Abushouk, AL Adamu, IA Adedeji, AE Adegbosin, V Adekanmbi, OO Adetokunboh, M Agudelo-Botero, B Aji, OO Akinyemi, AA Alamneh, FM Alanezi, TM Alanzi, J Albright, JE Alcalde-Rabanal, BW Alemu, RK Alhassan, BA Ali, S Ali, C Alinia, V Alipour, AML Amit, DA Amugsi, EW Anbesu, R Ancuceanu, M Anjomshoa, F Ansari, CAT Antonio, D Anvari, J Arabloo, A Arora, KD Artanti, MA Asemahagn, WN Asmare, MMW Atout, M Ausloos, N Awoke, BPA Quintanilla, MA Ayanore, YA Aynalem, MA Ayza, ZN Azene, BB Darshan, AD Badiye, AA Baig, SM Bakkannavar, M Banach, PC Banik, TW Bärnighausen, H Basaleem, M Bayati, BA Baye, N Bedi, SA Belay, AS Bhagavathula, D Bhandari, N Bhardwaj, P Bhardwaj, ZA Bhutta, A Bijani, TA Birhan, BM Birihane, ZW Bitew, S Bohlouli, M Bohluli, HA Bojia, A Boloor, OJ Brady, NL Bragazzi, AR Brunoni, SS Budhathoki, SB Nagaraja, ZA Butt, R Cárdenas, JM Castaldelli-Maia, F Castro, A Cernigliaro, J Charan, P Chatterjee, S Chatterjee, VK Chattu, S Chaturvedi, MAK Chowdhury, DT Chu, ML Collison
Exclusive breastfeeding (EBF)—giving infants only breast-milk for the first 6 months of life—is a component of optimal breastfeeding practices effective in preventing child morbidity and mortality. EBF practices are known to vary by population and comparable subnational estimates of prevalence and progress across low- and middle-income countries (LMICs) are required for planning policy and interventions. Here we present a geospatial analysis of EBF prevalence estimates from 2000 to 2018 across 94 LMICs mapped to policy-relevant administrative units (for example, districts), quantify subnational inequalities and their changes over time, and estimate probabilities of meeting the World Health Organization’s Global Nutrition Target (WHO GNT) of ≥70% EBF prevalence by 2030. While six LMICs are projected to meet the WHO GNT of ≥70% EBF prevalence at a national scale, only three are predicted to meet the target in all their district-level units by 2030.

Funding

This work was primarily supported by grant no. OPP1132415 from the Bill & Melinda Gates Foundation. Co-authors used by the Bill & Melinda Gates Foundation (E.G.P. and R.R.3) provided feedback on initial maps and drafts of this manuscript. L.G.A. has received support from Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, Brasil (CAPES), Código de Financiamento 001 and Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) (grant nos. 404710/2018-2 and 310797/2019-5). O.O.Adetokunboh acknowledges the National Research Foundation, Department of Science and Innovation and South African Centre for Epidemiological Modelling and Analysis. M.Ausloos, A.Pana and C.H. are partially supported by a grant from the Romanian National Authority for Scientific Research and Innovation, CNDS-UEFISCDI, project no. PN-III-P4-ID-PCCF-2016-0084. P.C.B. would like to acknowledge the support of F. Alam and A. Hussain. T.W.B. was supported by the Alexander von Humboldt Foundation through the Alexander von Humboldt Professor award, funded by the German Federal Ministry of Education and Research. K.Deribe is supported by the Wellcome Trust (grant no. 201900/Z/16/Z) as part of his international intermediate fellowship. C.H. and A.Pana are partially supported by a grant of the Romanian National Authority for Scientific Research and Innovation, CNDS-UEFISCDI, project no. PN-III-P2-2.1-SOL-2020-2-0351. B.Hwang is partially supported by China Medical University (CMU109-MF-63), Taichung, Taiwan. M.Khan acknowledges Jatiya Kabi Kazi Nazrul Islam University for their support. A.M.K. acknowledges the other collaborators and the corresponding author. Y.K. was supported by the Research Management Centre, Xiamen University Malaysia (grant no. XMUMRF/2020-C6/ITM/0004). K.Krishan is supported by a DST PURSE grant and UGC Centre of Advanced Study (CAS II) awarded to the Department of Anthropology, Panjab University, Chandigarh, India. M.Kumar would like to acknowledge FIC/NIH

History

Citation

Bhattacharjee, N.V., Schaeffer, L.E., Hay, S.I. et al. Mapping inequalities in exclusive breastfeeding in low- and middle-income countries, 2000–2018. Nat Hum Behav 5, 1027–1045 (2021). https://doi.org/10.1038/s41562-021-01108-6

Author affiliation

School of Business

Version

  • VoR (Version of Record)

Published in

Nature Human Behaviour

Volume

5

Pagination

1027 - 1045

Publisher

Nature Research

issn

2397-3374

eissn

2397-3374

Acceptance date

2021-03-31

Copyright date

2021

Available date

2021-06-03

Publisher DOI

Language

eng

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    University of Leicester Publications

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    Keywords

    Local Burden of Disease Exclusive Breastfeeding CollaboratorsHumansPrevalenceBreast FeedingGeographyDeveloping CountriesPublic PolicyPolicy MakingHealth Status DisparitiesSpatial Analysis

    Licence

    CC BY 4.0

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