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dc.contributor.authorAhmed, Misra Abdulahi
dc.contributor.authorFretheim, Atle
dc.contributor.authorArgaw, Alemayehu
dc.contributor.authorMagnus, Jeanette H.
dc.date.accessioned2022-02-23T14:43:54Z
dc.date.available2022-02-23T14:43:54Z
dc.date.created2021-09-07T12:37:14Z
dc.date.issued2021-04-06
dc.identifier.citationNutrients. 2021, 13 (4), 1-15.en_US
dc.identifier.issn2072-6643
dc.identifier.urihttps://hdl.handle.net/11250/2981084
dc.description.abstractAlthough peer-led education and support may improve breastfeeding practices, there is a paucity of evidence on the effectiveness of such interventions in the Ethiopian context. We designed a cluster-randomized trial to evaluate the efficacy of a breastfeeding education and support intervention (BFESI) on infant growth, early initiation (EI), and exclusive breastfeeding (EBF) practices. We randomly assigned 36 clusters into either an intervention group (n = 249) receiving BFESI by trained Women’s Development Army (WDA) leaders or a control group (n = 219) receiving routine care. The intervention was provided from the third trimester of pregnancy until five months postpartum. Primary study outcomes were EI, EBF, and infant growth; secondary outcomes included maternal breastfeeding knowledge and attitude, and child morbidity. The intervention effect was analysed using linear regression models for the continuous outcomes, and linear probability or logistic regression models for the categorical outcomes. Compared to the control, BFESI significantly increased EI by 25.9% (95% CI: 14.5, 37.3%; p = 0.001) and EBF by 14.6% (95% CI: 3.77, 25.5%; p = 0.010). Similarly, the intervention gave higher breastfeeding attitude scores (Effect size (ES): 0.85SD; 95% CI: 0.70, 0.99SD; p < 0.001), but not higher knowledge scores (ES: 0.15SD; 95% CI: −0.10, 0.41SD; p = 0.173). From the several growth and morbidity outcomes evaluated, the only outcomes with significant intervention effect were a higher mid-upper arm circumference (ES: 0.25cm; 95% CI: 0.01, 0.49cm; p = 0.041) and a lower prevalence of respiratory infection (ES: −6.90%; 95% CI: −13.3, −0.61%; p = 0.033). Training WDA leaders to provide BFESI substantially improves EI and EBF practices and attitude towards breastfeedingen_US
dc.description.sponsorshipThis research was funded by Norad (Norwegian Agency for Development Cooperation) under the NORHED-Program, Agreement no. ETH-13/0024.en_US
dc.language.isoengen_US
dc.publisherMDPIen_US
dc.relation.ispartofseriesNutrients;Volume 13, Issue 4
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.subjectCommunity-based interventionsen_US
dc.subjectPeer supporten_US
dc.subjectBreastfeeding initiationsen_US
dc.subjectExclusive breastfeedingen_US
dc.subjectInfant growthen_US
dc.subjectBreastfeeding knowledgeen_US
dc.titleBreastfeeding Education and Support to Improve Early Initiation and Exclusive Breastfeeding Practices and Infant Growth: A Cluster Randomized Controlled Trial from a Rural Ethiopian Settingen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.rights.holder© 2021 by the authorsen_US
dc.source.articlenumber1204en_US
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1
dc.identifier.doihttps://doi.org/10.3390/nu13041204
dc.identifier.cristin1932026
dc.source.journalNutrientsen_US
dc.source.volume13en_US
dc.source.issue4en_US
dc.source.pagenumber1-15en_US
dc.relation.projectNORAD, direktoratet for utviklingssamarbeid: ETH-13/0024en_US


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Navngivelse 4.0 Internasjonal
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