Mapping exclusive breastfeeding in Africa between 2000 and 2017
Natalia V Bhattacharjee1, Lauren E Schaeffer1, Laurie B Marczak1
1Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Insights
Exclusive breastfeeding (EBF) is vital for infant survival, yet African EBF rates remain low. Geospatial analysis reveals significant subnational variations, highlighting areas needing targeted support to meet global nutrition targets.
Area of Science:
- Global Health
- Pediatrics
- Nutrition Science
Background:
- Exclusive breastfeeding (EBF) is a cornerstone of infant survival, significantly reducing child mortality.
- Despite its benefits, EBF prevalence in Africa was only 37% in 2017, with considerable population-level variation.
- Most African nations are unlikely to achieve the 50% EBF target by 2025.
Purpose of the Study:
- To conduct a fine-scale geospatial analysis of EBF prevalence and trends across 49 African countries from 2000-2017.
- To provide policy-relevant national and subnational estimates of EBF.
- To identify specific populations and geographic areas requiring enhanced breastfeeding support.
Main Methods:
- Fine-scale geospatial analysis.
- Estimation of EBF prevalence and trends at national and subnational levels.
- Data analysis covering 49 African countries between 2000 and 2017.
Main Results:
- The study presents detailed geospatial estimates of EBF prevalence and trends.
- Analysis indicates that achieving the 50% EBF target by 2025 is improbable for many countries, even at subnational levels.
- Significant subnational variability in EBF prevalence was identified, underscoring the need for localized interventions.
Conclusions:
- Subnational EBF variability is substantial across African countries.
- Targeted interventions are crucial to support populations with low EBF rates.
- Achieving global EBF targets requires a nuanced, geographically informed approach.
Abstract:
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 mortality1-4. Despite these advantages, only 37% of infants under 6 months of age in Africa were exclusively breastfed in 20175, 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 national-level 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 20256. 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.
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