Mapping exclusive breastfeeding in Africa between 2000 and 2017

被引：61

作者：

Bhattacharjee, Natalia V. ^{[1
]}

Schaeffer, Lauren E. ^{[1
]}

Marczak, Laurie B. ^{[1
]}

Ross, Jennifer M. ^{[1
,2
,3
]}

Swartz, Scott J. ^{[3
]}

Albright, James ^{[1
]}

Gardner, William M. ^{[1
]}

Shields, Chloe ^{[1
]}

Sligar, Amber ^{[1
]}

Schipp, Megan F. ^{[1
]}

Pickering, Brandon V. ^{[1
]}

Henry, Nathaniel J. ^{[1
]}

Johnson, Kimberly B. ^{[1
]}

Louie, Celia ^{[1
]}

Cork, Michael A. ^{[1
]}

Steuben, Krista M. ^{[1
]}

Lazzar-Atwood, Alice ^{[1
]}

Lu, Dan ^{[1
]}

Kinyoki, Damaris K. ^{[1
]}

Osgood-Zimmerman, Aaron ^{[1
]}

Earl, Lucas ^{[1
]}

Mosser, Jonathan F. ^{[1
,4
]}

Deshpande, Aniruddha ^{[1
]}

Burstein, Roy ^{[1
]}

Woyczynski, Lauren P. ^{[1
]}

Wilson, Katherine F. ^{[1
]}

VanderHeide, John D. ^{[1
]}

Wiens, Kirsten E. ^{[1
]}

Reiner, Robert C., Jr. ^{[1
,4
]}

Piwoz, Ellen G. ^{[5
]}

Rawat, Rahul ^{[5
]}

Sartorius, Benn ^{[4
,6
]}

Weaver, Nicole Davis ^{[1
]}

Nixon, Molly R. ^{[1
]}

Smith, David L. ^{[1
,4
]}

Kassebaum, Nicholas J. ^{[1
,7
]}

Gakidou, Emmanuela ^{[1
,4
]}

Lim, Stephen S. ^{[1
,4
]}

Mokdad, Ali H. ^{[1
,4
]}

Murray, Christopher J. L. ^{[1
,4
]}

Dwyer-Lindgren, Laura ^{[1
,4
]}

Hay, Simon I. ^{[1
,4
]}

机构：

[1] Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA 98195 USA

[2] Univ Washington, Dept Global Hlth, Seattle, WA 98195 USA

[3] Univ Washington, Dept Med, Seattle, WA 98195 USA

[4] Univ Washington, Dept Hlth Metr Sci, Seattle, WA 98195 USA

[5] Bill & Melinda Gates Fdn, Seattle, WA USA

[6] London Sch Hyg & Trop Med, Fac Infect & Trop Dis, London, England

[7] Univ Washington, Dept Anesthesiol & Pain Med, Seattle, WA 98195 USA

来源：

NATURE MEDICINE | 2019年 / 25卷 / 08期

基金：

比尔及梅琳达.盖茨基金会;

关键词：

TRANSMISSION; ATTAINMENT; MORTALITY; COUNTRIES;

D O I：

10.1038/s41591-019-0525-0

中图分类号：

Q5 [生物化学]; Q7 [分子生物学];

学科分类号：

071010 ; 081704 ;

摘要：

Exclusive breastfeeding (EBF)-giving infants only breast-milk (and medications, oral rehydration salts and vitamins as needed) with no additional food or drink for their first six months of life-is one of the most effective strategies for preventing child mortality(1-4). Despite these advantages, only 37% of infants under 6 months of age in Africa were exclusively breastfed in 2017(5), and the practice of EBF varies by population. Here, we present a fine-scale geospatial analysis of EBF prevalence and trends in 49 African countries from 2000-2017, providing policy-relevant administrative-and nationallevel estimates. Previous national-level analyses found that most countries will not meet the World Health Organization's Global Nutrition Target of 50% EBF prevalence by 2025(6). Our analyses show that even fewer will achieve this ambition in all subnational areas. Our estimates provide the ability to visualize subnational EBF variability and identify populations in need of additional breastfeeding support.

引用

页码：1205 / +

页数：22

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