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

Local Burden of Disease Exclusive Breastfeeding Collaborators; Natalia V. Bhattacharjee; Lauren E. Schaeffer; Simon I. Hay; Azizur Rahman

doi:10.1038/s41562-021-01108-6

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

Local Burden of Disease Exclusive Breastfeeding Collaborators, Natalia V. Bhattacharjee, Lauren E. Schaeffer, Simon I. Hay, Azizur Rahman

Research output: Contribution to journal › Article › peer-review

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Abstract

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.

Original language	English
Pages (from-to)	1027-1045
Number of pages	24
Journal	Nature Human Behaviour
Volume	5
DOIs	https://doi.org/10.1038/s41562-021-01108-6
Publication status	Published - 03 Jun 2021

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10.1038/s41562-021-01108-6

141953765 Published articleFinal published version, 10.5 MBLicence: CC BY

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

abstract = "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{\textquoteright}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.",

keywords = "Breastfeeding, Global Burden of Disease, WHO, infant, Geographic inequalities",

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note = "Publisher Copyright: {\textcopyright} 2021, The Author(s).",

year = "2021",

month = jun,

day = "3",

doi = "10.1038/s41562-021-01108-6",

language = "English",

volume = "5",

pages = "1027--1045",

journal = "Nature Human Behaviour",

issn = "2397-3374",

publisher = "Nature Publishing Group",

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T1 - Mapping inequalities in exclusive breastfeeding in low- and middle-income countries, 2000–2018

AU - Local Burden of Disease Exclusive Breastfeeding Collaborators

AU - Bhattacharjee, Natalia V.

AU - Schaeffer, Lauren E.

AU - Hay, Simon I.

AU - Lu, Dan

AU - Schipp, Megan F.

AU - Lazzar-Atwood, Alice

AU - Donkers, Katie M.

AU - Abady, Gdiom Gebreheat

AU - Abd-Allah, Foad

AU - Abdelalim, Ahmed

AU - Abebo, Zeleke Hailemariam

AU - Abejie, Ayenew Negesse

AU - Abosetugn, Akine Eshete

AU - Abreu, Lucas Guimarães

AU - Abrigo, Michael R.M.

AU - Abu-Gharbieh, Eman

AU - Abushouk, Abdelrahman I.

AU - Adamu, Aishatu L.

AU - Adedeji, Isaac Akinkunmi

AU - Adegbosin, Adeyinka Emmanuel

AU - Adekanmbi, Victor

AU - Adetokunboh, Olatunji O.

AU - Agudelo-Botero, Marcela

AU - Aji, Budi

AU - Akinyemi, Oluwaseun Oladapo

AU - Alamneh, Alehegn Aderaw

AU - Alanezi, Fahad Mashhour

AU - Alanzi, Turki M.

AU - Albright, James

AU - Alcalde-Rabanal, Jacqueline Elizabeth

AU - Alemu, Biresaw Wassihun

AU - Alhassan, Robert Kaba

AU - Ali, Beriwan Abdulqadir

AU - Ali, Saqib

AU - Alinia, Cyrus

AU - Alipour, Vahid

AU - Amit, Arianna Maever L.

AU - Amugsi, Dickson A.

AU - Anbesu, Etsay Woldu

AU - Ancuceanu, Robert

AU - Anjomshoa, Mina

AU - Ansari, Fereshteh

AU - Antonio, Carl Abelardo T.

AU - Anvari, Davood

AU - Arabloo, Jalal

AU - Arora, Amit

AU - Artanti, Kurnia Dwi

AU - Asemahagn, Mulusew A.

AU - Asmare, Wondwossen Niguse

AU - Atout, Maha Moh’d Wahbi

AU - Ausloos, Marcel

AU - Awoke, Nefsu

AU - Quintanilla, Beatriz Paulina Ayala

AU - Ayanore, Martin Amogre

AU - Aynalem, Yared Asmare

AU - Ayza, Muluken Altaye

AU - Azene, Zelalem Nigussie

AU - Darshan, B. B.

AU - Badiye, Ashish D.

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AU - Banik, Palash Chandra

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AU - Boloor, Archith

AU - Brady, Oliver J.

AU - Bragazzi, Nicola Luigi

AU - Brunoni, Andre R.

AU - Budhathoki, Shyam S.

AU - Nagaraja, Sharath Burugina

AU - Butt, Zahid A.

AU - Cárdenas, Rosario

AU - Castaldelli-Maia, Joao Mauricio

AU - Castro, Franz

AU - Cernigliaro, Achille

AU - Charan, Jaykaran

AU - Chatterjee, Pranab

AU - Chatterjee, Souranshu

AU - Chattu, Vijay Kumar

AU - Chaturvedi, Sarika

AU - Chowdhury, Mohiuddin Ahsanul Kabir

AU - Chu, Dinh Toi

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AU - Cork, Michael A.

AU - Couto, Rosa A.S.

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AU - Dai, Haijiang

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AU - Dandona, Rakhi

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AU - Darwesh, Aso Mohammad

AU - Darwish, Amira Hamed

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AU - Das, Jai K.

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AU - Dávila-Cervantes, Claudio Alberto

AU - Davis, Adrian Charles

AU - Weaver, Nicole Davis

AU - Denova-Gutiérrez, Edgar

AU - Deribe, Kebede

AU - Desalew, Assefa

AU - Deshpande, Aniruddha

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AU - Dhimal, Meghnath

AU - Dhungana, Govinda Prasad

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AU - Dipeolu, Isaac Oluwafemi

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AU - Tantawi, Maha El

AU - Elema, Teshome Bekele

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AU - Faris, Pawan Sirwan

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AU - Gad, Mohamed M.

AU - Gaidhane, Shilpa

AU - Gardner, William M.

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AU - Gebremichael, Berhe

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AU - Gilani, Syed Amir

AU - Ginindza, Themba G.

AU - Glagn, Mustefa

AU - Golechha, Mahaveer

AU - Gonfa, Kebebe Bekele

AU - Goulart, Bárbara Niegia Garcia

AU - Gudi, Nachiket

AU - Guido, Davide

AU - Guled, Rashid Abdi

AU - Guo, Yuming

AU - Hamidi, Samer

AU - Handiso, Demelash Woldeyohannes

AU - Hasaballah, Ahmed I.

AU - Hassan, Amr

AU - Hayat, Khezar

AU - Hegazy, Mohamed I.

AU - Heidari, Behnam

AU - Henry, Nathaniel J.

AU - Herteliu, Claudiu

AU - de Hidru, Hagos Degefa

AU - Ho, Hung Chak

AU - Hoang, Chi Linh

AU - Holla, Ramesh

AU - Hon, Julia

AU - Hosseini, Mostafa

AU - Hosseinzadeh, Mehdi

AU - Househ, Mowafa

AU - Hsairi, Mohamed

AU - Hu, Guoqing

AU - Huda, Tanvir M.

AU - Hwang, Bing Fang

AU - Ibitoye, Segun Emmanuel

AU - Ilesanmi, Olayinka Stephen

AU - Ilic, Irena M.

AU - Ilic, Milena D.

AU - Inbaraj, Leeberk Raja

AU - Iqbal, Usman

AU - Irvani, Seyed Sina Naghibi

AU - Islam, M. Mofizul

AU - Iwu, Chidozie C.D.

AU - Iwu, Chinwe Juliana

AU - Jain, Animesh

AU - Janodia, Manthan Dilipkumar

AU - Javaheri, Tahereh

AU - John-Akinola, Yetunde O.

AU - Johnson, Kimberly B.

AU - Joukar, Farahnaz

AU - Jozwiak, Jacek Jerzy

AU - Kabir, Ali

AU - Kalankesh, Leila R.

AU - Kalhor, Rohollah

AU - Kamath, Ashwin

AU - Kamyari, Naser

AU - Kanchan, Other Tanuj

AU - Kapoor, Neeti

AU - Matin, Behzad Karami

AU - Karimi, Salah Eddin

AU - Kasaye, Habtamu Kebebe

AU - Kassahun, Getinet

AU - Kassebaum, Nicholas J.

AU - Kayode, Gbenga A.

AU - Karyani, Ali Kazemi

AU - Keiyoro, Peter Njenga

AU - Kelkay, Bayew

AU - Khalid, Nauman

AU - Khan, Md Nuruzzaman

AU - Khatab, Khaled

AU - Khater, Amir M.

AU - Khater, Mona M.

AU - Khatib, Mahalaqua Nazli

AU - Kim, Yun Jin

AU - Kimokoti, Ruth W.

AU - Kinyoki, Damaris K.

AU - Kisa, Adnan

AU - Kisa, Sezer

AU - Kosen, Soewarta

AU - Krishan, Kewal

AU - Kulkarni, Vaman

AU - Kumar, G. Anil

AU - Kumar, Manasi

AU - Kumar, Nithin

AU - Kumar, Pushpendra

AU - Kurmi, Om P.

AU - Kusuma, Dian

AU - Vecchia, Carlo La

AU - Lad, Sheetal D.

AU - Lami, Faris Hasan

AU - Landires, Iván

AU - Lansingh, Van Charles

AU - Lasrado, Savita

AU - Lee, Paul H.

AU - LeGrand, Kate E.

AU - Letourneau, Ian D.

AU - Rahman, Azizur

PY - 2021/6/3

Y1 - 2021/6/3

N2 - 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.

AB - 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.

KW - Breastfeeding

KW - Global Burden of Disease

KW - WHO

KW - infant

KW - Geographic inequalities

UR - http://www.scopus.com/inward/record.url?scp=85107815293&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85107815293&partnerID=8YFLogxK

U2 - 10.1038/s41562-021-01108-6

DO - 10.1038/s41562-021-01108-6

M3 - Article

C2 - 34083753

AN - SCOPUS:85107815293

SN - 2397-3374

VL - 5

SP - 1027

EP - 1045

JO - Nature Human Behaviour

JF - Nature Human Behaviour

ER -

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

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