Health facility delivery and early initiation of breastfeeding: Cross-sectional survey of 11 sub-Saharan African countries
- Ameyaw, Edward K, Adde, Kenneth S, Paintsil, Jones A, Dickson, Kwamena S, Oladimeji, Olanrewaju, Yaya, Sanni
- Authors: Ameyaw, Edward K , Adde, Kenneth S , Paintsil, Jones A , Dickson, Kwamena S , Oladimeji, Olanrewaju , Yaya, Sanni
- Date: 2023/05
- Subjects: Early initiation of breastfeeding , Newborn , Neonatal health , Global health , sub-Saharan Africa
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/11260/13253 , vital:78414 , DOI: https://doi.org/10.1002/hsr2.1263
- Description: Background and Aims: Early initiation of breastfeeding (EIB) remains one of the promising interventions for preventing neonatal and child deaths. EIB is positively associated with healthcare delivery or childbirth. Meanwhile, no study in sub‐ Saharan Africa (SSA) appears to have investigated the relationship between health facility delivery and EIB; thus, we assessed the correlation between health facility delivery and EIB. Methods: We used data from the Demographic and Health Survey (DHS) of 64,506 women from 11 SSA countries. The outcome variable was whether the respondent had early breastfeeding or not. Two logistic regression models were used in the inferential analysis. With a 95% confidence interval (CI), the adjusted odds ratios (aORs) for each variable were calculated. The data set was stored, managed, and analyzed using Stata version 13. Results: The overall percentage of women who initiated early breastfeeding was 59.22%. Rwanda recorded the highest percentage of early initiation of breastfeeding (86.34%), while Gambia recorded the lowest (39.44%). The adjusted model revealed a significant association between health facility delivery and EIB (aOR = 1.80, CI = 1.73–1.87). Compared with urban women, rural women had higher likelihood of initiating early breastfeeding (aOR = 1.22, CI = 1.16–1.27). Women with a primary education (aOR = 1.26, CI = 1.20–1.32), secondary education (aOR = 1.12, CI = 1.06–1.17), and higher (aOR = 1.13, CI = 1.02–1.25), all had higher odds of initiating early breastfeeding. Women with the richest wealth status had the highest odds of initiating early breastfeeding as compared to the poorest women (aOR = 1.33, CI = 1.23–1.43). Conclusion: Based on our findings, we strongly advocate for the integration of EIB policies and initiatives with healthcare delivery advocacy. Integration of these efforts can result in drastic reduction in infant and child mortality. Essentially, Gambia and other countries with a lower proclivity for EIB must reconsider their current breastfeeding interventions and conduct the necessary reviews and modifications that can lead to an increase in EIB.
- Full Text:
- Date Issued: 2023/05
- Authors: Ameyaw, Edward K , Adde, Kenneth S , Paintsil, Jones A , Dickson, Kwamena S , Oladimeji, Olanrewaju , Yaya, Sanni
- Date: 2023/05
- Subjects: Early initiation of breastfeeding , Newborn , Neonatal health , Global health , sub-Saharan Africa
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/11260/13253 , vital:78414 , DOI: https://doi.org/10.1002/hsr2.1263
- Description: Background and Aims: Early initiation of breastfeeding (EIB) remains one of the promising interventions for preventing neonatal and child deaths. EIB is positively associated with healthcare delivery or childbirth. Meanwhile, no study in sub‐ Saharan Africa (SSA) appears to have investigated the relationship between health facility delivery and EIB; thus, we assessed the correlation between health facility delivery and EIB. Methods: We used data from the Demographic and Health Survey (DHS) of 64,506 women from 11 SSA countries. The outcome variable was whether the respondent had early breastfeeding or not. Two logistic regression models were used in the inferential analysis. With a 95% confidence interval (CI), the adjusted odds ratios (aORs) for each variable were calculated. The data set was stored, managed, and analyzed using Stata version 13. Results: The overall percentage of women who initiated early breastfeeding was 59.22%. Rwanda recorded the highest percentage of early initiation of breastfeeding (86.34%), while Gambia recorded the lowest (39.44%). The adjusted model revealed a significant association between health facility delivery and EIB (aOR = 1.80, CI = 1.73–1.87). Compared with urban women, rural women had higher likelihood of initiating early breastfeeding (aOR = 1.22, CI = 1.16–1.27). Women with a primary education (aOR = 1.26, CI = 1.20–1.32), secondary education (aOR = 1.12, CI = 1.06–1.17), and higher (aOR = 1.13, CI = 1.02–1.25), all had higher odds of initiating early breastfeeding. Women with the richest wealth status had the highest odds of initiating early breastfeeding as compared to the poorest women (aOR = 1.33, CI = 1.23–1.43). Conclusion: Based on our findings, we strongly advocate for the integration of EIB policies and initiatives with healthcare delivery advocacy. Integration of these efforts can result in drastic reduction in infant and child mortality. Essentially, Gambia and other countries with a lower proclivity for EIB must reconsider their current breastfeeding interventions and conduct the necessary reviews and modifications that can lead to an increase in EIB.
- Full Text:
- Date Issued: 2023/05
Prevalence and Antibiotic Resistance Pattern of Streptococcus, Staphylococcus, Neisseria meningitidis and Enterobacteriaceae in Two Reference Hospitals of Yaoundé: An Overview before and during COVID-19 Pandemic Era
- Djuikoue, Ingrid Cecile, Djonkouh, Yamdeu Willy, Bekolo, Epie Cavin, Wouambo, Kamga Rodrigue, Fonou, Carrel Raspail, Djoulako, Djouela Dana Paule, Temgoua, Tonfak Gilder, Pokam, Thumamamo Benjamin D., Antoine-Moussiaux, Nicolas, Apalata, Teke R.
- Authors: Djuikoue, Ingrid Cecile , Djonkouh, Yamdeu Willy , Bekolo, Epie Cavin , Wouambo, Kamga Rodrigue , Fonou, Carrel Raspail , Djoulako, Djouela Dana Paule , Temgoua, Tonfak Gilder , Pokam, Thumamamo Benjamin D. , Antoine-Moussiaux, Nicolas , Apalata, Teke R.
- Date: 2023/05
- Subjects: Resistant bacteria , Covid-19 pandemis era , Antibiotics
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/11260/13358 , vital:78660 , DOI: https://doi.org/10.3390/antibiotics12050929
- Description: The COVID-19 pandemic led to tremendously use of antimicrobial due to the lack of proper treatment strategies, raising concerns about emergence of antimicrobial resistance (AMR). This study aimed at determining the prevalence and antibiotic resistance pattern of selected bacteria isolates in 02 referral health facilities in Yaoundé before and during the COVID-19 pandemic era. We conducted a retrospective study over a period of 03 years (from 1 January 2019 to 31 December 2021) in the bacteriology units of the Central and General Hospitals of Yaoundé, Cameroon. Data on bacteria genera (Streptococcus, Staphylococcus, Neisseria meningitidis and Enterobacteriaceae) as well as their corresponding specifics antibiotics: Cefixime, azythromycin and erythromycin were obtained from laboratory records. The global resistance rate of bacteria as well as their correlation with antibiotics according to COVID-19 pandemic era was determined and compared. For p 0.05, the difference was statistically significant. In all, 426 bacterial strains were included. It appeared that the highest number of bacteria isolates and lowest rate of bacterial resistance were recorded during the pre-COVID-19 period in 2019 (160 isolates vs. 58.8% resistance rate). Conversely, lower bacteria strains but greater resistance burden were recorded during the pandemic era (2020 and 2021) with the lowest bacteria amount and peak of bacteria resistance registered in 2020, the year of COVID-19 onset (120 isolates vs. 70% resistance in 2020 and 146 isolates vs. 58.9% resistance in 2021)…
- Full Text:
- Date Issued: 2023/05
- Authors: Djuikoue, Ingrid Cecile , Djonkouh, Yamdeu Willy , Bekolo, Epie Cavin , Wouambo, Kamga Rodrigue , Fonou, Carrel Raspail , Djoulako, Djouela Dana Paule , Temgoua, Tonfak Gilder , Pokam, Thumamamo Benjamin D. , Antoine-Moussiaux, Nicolas , Apalata, Teke R.
- Date: 2023/05
- Subjects: Resistant bacteria , Covid-19 pandemis era , Antibiotics
- Language: English
- Type: Article
- Identifier: http://hdl.handle.net/11260/13358 , vital:78660 , DOI: https://doi.org/10.3390/antibiotics12050929
- Description: The COVID-19 pandemic led to tremendously use of antimicrobial due to the lack of proper treatment strategies, raising concerns about emergence of antimicrobial resistance (AMR). This study aimed at determining the prevalence and antibiotic resistance pattern of selected bacteria isolates in 02 referral health facilities in Yaoundé before and during the COVID-19 pandemic era. We conducted a retrospective study over a period of 03 years (from 1 January 2019 to 31 December 2021) in the bacteriology units of the Central and General Hospitals of Yaoundé, Cameroon. Data on bacteria genera (Streptococcus, Staphylococcus, Neisseria meningitidis and Enterobacteriaceae) as well as their corresponding specifics antibiotics: Cefixime, azythromycin and erythromycin were obtained from laboratory records. The global resistance rate of bacteria as well as their correlation with antibiotics according to COVID-19 pandemic era was determined and compared. For p 0.05, the difference was statistically significant. In all, 426 bacterial strains were included. It appeared that the highest number of bacteria isolates and lowest rate of bacterial resistance were recorded during the pre-COVID-19 period in 2019 (160 isolates vs. 58.8% resistance rate). Conversely, lower bacteria strains but greater resistance burden were recorded during the pandemic era (2020 and 2021) with the lowest bacteria amount and peak of bacteria resistance registered in 2020, the year of COVID-19 onset (120 isolates vs. 70% resistance in 2020 and 146 isolates vs. 58.9% resistance in 2021)…
- Full Text:
- Date Issued: 2023/05
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