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Exclusive breastfee...
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Tylleskär, ThorkildCentre for International Health, University of Bergen, Norway
(författare)
Exclusive breastfeeding promotion by peer counsellors in sub-Saharan Africa (PROMISE-EBF) : a cluster-randomised trial
- Artikel/kapitelEngelska2011
Förlag, utgivningsår, omfång ...
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:uu-158213
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-158213URI
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https://doi.org/10.1016/S0140-6736(11)60738-1DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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BackgroundExclusive breastfeeding (EBF) is reported to be a life-saving intervention in low-income settings. The effect of breastfeeding counselling by peer counsellors was assessed in Africa.Methods24 communities in Burkina Faso, 24 in Uganda, and 34 in South Africa were assigned in a 1:1 ratio, by use of a computer-generated randomisation sequence, to the control or intervention clusters. In the intervention group, we scheduled one antenatal breastfeeding peer counselling visit and four post-delivery visits by trained peers. The data gathering team were masked to the intervention allocation. The primary outcomes were prevalance of EBF and diarrhoea reported by mothers for infants aged 12 weeks and 24 weeks. Country-specific prevalence ratios were adjusted for cluster effects and sites. Analysis was by intention to treat. This study is registered withClinicalTrials.gov, numberNCT00397150.Findings2579 mother–infant pairs were assigned to the intervention or control clusters in Burkina Faso (n=392 and n=402, respectively), Uganda (n=396 and n=369, respectively), and South Africa (n=535 and 485, respectively). The EBF prevalences based on 24-h recall at 12 weeks in the intervention and control clusters were 310 (79%) of 392 and 139 (35%) of 402, respectively, in Burkina Faso (prevalence ratio 2·29, 95% CI 1·33–3·92); 323 (82%) of 396 and 161 (44%) of 369, respectively, in Uganda (1·89, 1·70–2·11); and 56 (10%) of 535 and 30 (6%) of 485, respectively, in South Africa (1·72, 1·12–2·63). The EBF prevalences based on 7-day recall in the intervention and control clusters were 300 (77%) and 94 (23%), respectively, in Burkina Faso (3·27, 2·13–5·03); 305 (77%) and 125 (34%), respectively, in Uganda (2·30, 2·00–2·65); and 41 (8%) and 19 (4%), respectively, in South Africa (1·98, 1·30–3·02). At 24 weeks, the prevalences based on 24-h recall were 286 (73%) in the intervention cluster and 88 (22%) in the control cluster in Burkina Faso (3·33, 1·74–6·38); 232 (59%) and 57 (15%), respectively, in Uganda (3·83, 2·97–4·95); and 12 (2%) and two (<1%), respectively, in South Africa (5·70, 1·33–24·26). The prevalences based on 7-day recall were 279 (71%) in the intervention cluster and 38 (9%) in the control cluster in Burkina Faso (7·53, 4·42–12·82); 203 (51%) and 41 (11%), respectively, in Uganda (4·66, 3·35–6·49); and ten (2%) and one (<1%), respectively, in South Africa (9·83, 1·40–69·14). Diarrhoea prevalence at age 12 weeks in the intervention and control clusters was 20 (5%) and 36 (9%), respectively, in Burkina Faso (0·57, 0·27–1·22); 39 (10%) and 32 (9%), respectively, in Uganda (1·13, 0·81–1·59); and 45 (8%) and 33 (7%), respectively, in South Africa (1·16, 0·78–1·75). The prevalence at age 24 weeks in the intervention and control clusters was 26 (7%) and 32 (8%), respectively, in Burkina Faso (0·83, 0·45–1·54); 52 (13%) and 59 (16%), respectively, in Uganda (0·82, 0·58–1·15); and 54 (10%) and 33 (7%), respectively, in South Africa (1·31, 0·89–1·93).InterpretationLow-intensity individual breastfeeding peer counselling is achievable and, although it does not affect the diarrhoea prevalence, can be used to effectively increase EBF prevalence in many sub-Saharan African settings.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Jackson, DebraSchool of Public Health, University of Western Cape, South Africa
(författare)
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Meda, NicolasCentre MURAZ, Ministry of Health, Bobo-Dioulasso, Burkina Faso
(författare)
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Engebretsen, Ingunn Marie SCentre for International Health, University of Bergen, Norway
(författare)
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Chopra, MickeyUNICEF, UN Plaza, New York, NY, USA
(författare)
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Diallo, Abdoulaye HamaCentre for International Health, University of Bergen, Norway
(författare)
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Doherty, TanyaSchool of Public Health, University of Western Cape, South Africa
(författare)
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Ekström, Eva-CharlotteUppsala universitet,Institutionen för kvinnors och barns hälsa,Internationell kvinno- & mödrahälsovård/Essén(Swepub:uu)loeks254
(författare)
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Fadnes, Lars TCentre for International Health, University of Bergen, Norway
(författare)
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Goga, AmeenaMedical Research Council, Cape Town, South Africa
(författare)
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Kankasa, ChipepoDepartment of Paediatrics and Child Health, School of Medicine, University of Zambia, Lusaka, Zambia
(författare)
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Klungsøyr, Jørn ICentre for International Health, University of Bergen, Norway
(författare)
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Lombard, CarlMedical Research Council, Cape Town, South Africa
(författare)
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Nankabirwa, VictoriaCentre for International Health, University of Bergen, Norway
(författare)
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Nankunda, Jolly KCentre for International Health, University of Bergen, Norway
(författare)
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Van de Perre, PhilippeINSERM U1058, Montpellier, France
(författare)
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Sanders, DavidSchool of Public Health, University of Western Cape, South Africa
(författare)
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Shanmugam, RebeccaMedical Research Council, Durban, South Africa
(författare)
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Sommerfelt, HalvorCentre for International Health, University of Bergen, Norway
(författare)
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Wamani, HenrySchool of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda
(författare)
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Tumwine, James KDepartment of Paediatrics and Child Health, College of Health Sciences, Makerere University, Kampala, Uganda
(författare)
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Centre for International Health, University of Bergen, NorwaySchool of Public Health, University of Western Cape, South Africa
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:The Lancet378:9789, s. 420-4270140-67361474-547X
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Tylleskär, Thork ...
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Jackson, Debra
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Meda, Nicolas
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Engebretsen, Ing ...
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Chopra, Mickey
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Diallo, Abdoulay ...
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Doherty, Tanya
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Ekström, Eva-Cha ...
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Fadnes, Lars T
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Goga, Ameena
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Kankasa, Chipepo
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Klungsøyr, Jørn ...
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Lombard, Carl
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Nankabirwa, Vict ...
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Nankunda, Jolly ...
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Van de Perre, Ph ...
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Sanders, David
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Shanmugam, Rebec ...
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Sommerfelt, Halv ...
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Wamani, Henry
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Tumwine, James K
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