Kimani-Murage, Elizabeth W; Wilunda, Calistus; Macharia, Teresia Njoki; Kamande, Eva Watiri; Gatheru, Peter Muriuki; Zerfu, Tadesse; Donfouet, Hermann Pythagore Pierre; Kiige, Laura; Jabando, Susan; Dinga, Lynette Aoko; +6 more... Samburu, Betty; Lilford, Richard; Griffiths, Paula; Jackson, Debra; Begin, France; Moloney, Grainne; (2021) Effect of a baby-friendly workplace support intervention on exclusive breastfeeding in Kenya. Maternal & child nutrition, 17 (4). e13191-. ISSN 1740-8695 DOI: https://doi.org/10.1111/mcn.13191
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Abstract
Exclusive breastfeeding (EBF) during the first 6 months of life is crucial for optimizing child growth, development and survival, as well as the mother's wellbeing. Mother's employment may hinder optimal breastfeeding, especially in the first 6 months. We assessed the effectiveness of a baby-friendly workplace support intervention on EBF in Kenya. This pre-post intervention study was conducted between 2016 and 2018 on an agricultural farm in Kericho County. The intervention targeted pregnant/breastfeeding women residing on the farm and consisted of workplace support policies and programme interventions including providing breastfeeding flexi-time and breaks for breastfeeding mothers; day-care centres (crèches) for babies near the workplace and lactation centres with facilities for breast milk expression and storage at the crèches; creating awareness on available workplace support for breastfeeding policies; and home-based nutritional counselling for pregnant and breastfeeding women. EBF was measured through 24-h recall. The effect of the intervention on EBF was estimated using propensity score weighting. The study included 270 and 146 mother-child dyads in the nontreated (preintervention) group and treated (intervention) group, respectively. The prevalence of EBF was higher in the treated group (80.8%) than in the nontreated group (20.2%); corresponding to a fourfold increased probability of EBF [risk ratio (RR) 3.90; 95% confidence interval (CI) 2.95-5.15]. The effect of the intervention was stronger among children aged 3-5 months (RR 8.13; 95% CI 4.23-15.64) than among those aged <3 months (RR 2.79; 95% CI 2.09-3.73). The baby-friendly workplace support intervention promoted EBF especially beyond 3 months in this setting.
Item Type | Article |
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Faculty and Department | Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology & International Health (2023-) |
Research Centre |
Maternal and Newborn Health Group Centre for Maternal, Reproductive and Child Health (MARCH) |
PubMed ID | 33830636 |
Elements ID | 159056 |
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Filename: Kimani MCN 2021.pdf
Licence: Creative Commons: Attribution-Noncommercial-No Derivative Works 3.0
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