Trends and Predictors of Prelacteal Feeding Practices in Nigeria (2003-2013)

Area of Science:

• Public Health
• Pediatrics
• Maternal Health

Background:

• Prelacteal feeding, the practice of giving substances other than breast milk to newborns before breastfeeding initiation, is linked to increased risks of diarrhea and early-life diseases.
• Understanding the prevalence and determinants of prelacteal feeding is crucial for developing targeted public health interventions in Nigeria.

Purpose of the Study:

• To examine the trends and identify predictors of prelacteal feeding practices among infants aged 0-6 months in Nigeria.
• To inform evidence-based strategies for reducing prelacteal feeding and improving infant health outcomes.

Main Methods:

• Analysis of data from 6416 infants (0-6 months) using the Nigeria Demographic and Health Survey (2003-2013).
• Employed trend analysis and multilevel logistic regression to identify significant predictors of prelacteal feeding.

Main Results:

• Prelacteal feeding rates fluctuated between 55% and 66% from 2003 to 2013.
• Lower rates were observed among mothers with secondary/higher education, those delivering in health facilities, from affluent households, and in urban areas.
• Multivariable analysis indicated higher likelihood of prelacteal feeding in mothers with no schooling, younger mothers (15-24 years), those delivering at home, or via cesarean section.

Conclusions:

• Prelacteal feeding remains a significant public health concern in Nigeria, with notable disparities.
• Younger mothers, those with no formal education, and home delivery are key risk factors.
• Community health volunteer interventions are recommended to promote optimal infant feeding practices.