Effectiveness of the Baby-Friendly Community Initiative on Exclusive Breastfeeding in Kenya

dc.contributor.authorKimani-Murage, Elizabeth W.
dc.contributor.authorKimiywe, Judith
dc.contributor.authorMutoro, Antonina N.
dc.contributor.authorWilunda, Calistus
dc.contributor.authorWekesah, Frederick Murunga
dc.contributor.authorMuriuki, Peter
dc.contributor.authorMwangi, Bonaventure M.
dc.contributor.authorSamburu, Betty Mogesi
dc.contributor.authorNyovani, Janet Madise
dc.contributor.authorMcGarvey, Stephen T.
dc.contributor.authorGriffiths, Paula L.
dc.date.accessioned2023-07-17T12:55:45Z
dc.date.available2023-07-17T12:55:45Z
dc.date.issued2021
dc.descriptionarticleen_US
dc.description.abstractThe baby-friendly hospital initiative (BFHI) promotes exclusive breastfeeding (EBF) in hospitals, but this is not accessible in rural settings where mothers give birth at home, hence the need for a community intervention. We tested the effectiveness of the baby-friendly community initiative (BFCI) on EBF in rural Kenya. This cluster randomized study was conducted in 13 community units in Koibatek sub-county. Pregnant women aged 15–49 years were recruited and followed up until their children were 6 months old. Mothers in the intervention group received standard maternal, infant and young child nutrition counselling, support from trained community health volunteers, health professionals and community and mother support groups, whereas those in the control group received standard counselling only. Data on breastfeeding practices were collected longitudinally. The probability of EBF up to 6 months of age and the restricted mean survival time difference were estimated. A total of 823 (intervention group n = 351) pregnant women were recruited. Compared with children in the control group, children in the intervention group were more likely to exclusively breastfeed for 6 months (79.2% vs. 54.5%; P < .05). Children in the intervention group were also exclusively breastfed for a longer time, mean difference (95% confidence interval [CI]) 0.62 months (0.38, 0.85; P < .001). The BFCI implemented within the existing health system and including community and mother support groups led to a significant increase in EBF in a rural Kenyan setting. This intervention has the potential to improve EBF rates in similar settings.en_US
dc.description.sponsorshipBritish Academy National Institutes of Health (NIH) United States Agency for Internatinal Development(USAID)en_US
dc.identifier.citationOnyango, S., Kimani-Murage, E., Kitsao-Wekulo, P., Langat, N. K., Okelo, K., Obong’o, C., ... & Fink, G. (2022). Associations between exclusive breastfeeding duration and children’s developmental outcomes: Evidence from Siaya county, Kenya. Plos one, 17(3), e0265366.en_US
dc.identifier.otherDOI: 10.1111/mcn.13142
dc.identifier.urihttp://ir-library.ku.ac.ke/handle/123456789/26264
dc.language.isoenen_US
dc.subjectbaby-friendly community initiativeen_US
dc.subjectchild nutritionen_US
dc.subjectcluster randomized trialen_US
dc.subjectexclusive breastfeedingen_US
dc.subjectinfant feeding practicesen_US
dc.subjectKenyaen_US
dc.subjectruralen_US
dc.titleEffectiveness of the Baby-Friendly Community Initiative on Exclusive Breastfeeding in Kenyaen_US
dc.typeArticleen_US
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