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Prevalence and determinants of pre-lacteal feeding in South Sudan: a community-based survey

Justin Bruno Tongun1,2, Mohamedi Boy Sebit3, Grace Ndeezi4

  • 1a Centre for International Health , University of Bergen , Bergen , Norway.

Global Health Action
|October 9, 2018
PubMed

Insights

Pre-lacteal feeding is common in South Sudan, affecting over half of infants. Lack of breastfeeding counseling and discarding colostrum are key predictors, highlighting the need for improved infant feeding education.

Area of Science:

  • Public Health
  • Pediatrics
  • Maternal and Child Health

Background:

  • Pre-lacteal feeding (PLF) poses a significant barrier to optimal breastfeeding practices.
  • It is associated with increased infant risks of diarrhea and acute respiratory infections.
  • Understanding PLF prevalence and predictors is vital for improving exclusive breastfeeding (EBF) rates in South Sudan.

Purpose of the Study:

  • To determine the prevalence of pre-lacteal feeding (PLF) in Jubek State, South Sudan.
  • To identify the socio-demographic and birth-related factors associated with PLF.

Main Methods:

  • A community-based cross-sectional study was conducted with 810 mothers of children under two years.
  • Data on PLF, socio-demographics, and birth characteristics were collected via home interviews using semi-structured questionnaires.
  • Multivariable analysis identified independent predictors of PLF.

Main Results:

  • The prevalence of PLF was 53% (95% CI [48%, 59%]).
  • Common pre-lacteal feeds included glucose solution (54%), water (26%), and infant formula (14%).
  • Antenatal breastfeeding counseling reduced PLF odds (AOR 0.60), while discarding colostrum increased PLF (AOR 1.57).

Conclusions:

  • Pre-lacteal feeding is highly prevalent in South Sudan.
  • Key predictors of PLF include insufficient breastfeeding counseling and the practice of discarding colostrum.
  • Targeted infant feeding counseling, emphasizing colostrum's benefits, is recommended for all pregnant women.
Abstract

Keywords:
conflictinfantnewbornpre-lacteal feeding (PLF)predictors

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