Breastfeeding and complementary feeding practices in Madagascar: results of a secondary analysis of the freeBily trial
Rattachement africain : de, Madagascar, nl. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Breastfeeding and complementary feeding are key public health practices for child development and attainment of optimal nutritional status, with additional beneficial effects on maternal health. In Madagascar, we conducted a secondary analysis of a cluster randomised clinical trial data (Pan-African Clinical Trial Register PACTR201905784271304) to assess the practice of delayed complementary feeding (DCF) at nine months postpartum (T3 visit) and continued breastfeeding (CB) at 24 months (T4). Factors associated with the prevalence of DCF were investigated using a generalized estimating equation (GEE) for binomial outcome with logarithmic link function to account for clustering, prevalence ratio (PR) with 95% confidence intervals (CIs) were estimated. A Cox proportional hazards model was used to assess factors associated with breastfeeding termination (BT). A total of 1863 women were evaluated at T3, 2332 at T4. At T3, 1848 (98.8%) were breastfeeding and 479 (25.7%) were delaying complementary feeding. At T4, 1269 (54.4%) were breastfeeding. Median time for BT was 21 months (range 2-25). Secondary education (PR = 0.67, CI 0.49-0.93) and anaemia (PR = 0.75, CI 0.65-0.88) were associated with lower prevalence of DCF at T3, being a farmer with a higher prevalence (PR = 3.45, CI 1.90-6.28). Older age was associated with longer CB (hazard ratio 0.68, CI 0.49-0.96 for 30-50 years). The association between being farmer mothers and DCF at nine months requires further investigations. Two main lines of public health actions are identified: health education, with intergenerational mentoring initiatives from older to younger women, and integrating maternal and child health programmes to improve both maternal anaemia and child development in a life-cycle approach.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Breastfeeding and complementary feeding practices in Madagascar: results of a secondary analysis of the freeBily trial
- Date Crossref
- 12/06/2026
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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German Center for Infection Research pays non établi dans la noticeStructure de recherche
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Bernhard Nocht Institute for Tropical Medicine Research Group: Implementation Research pays non établi dans la noticeStructure de recherche
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University of Antananarivo University of Antananarivo, Madagascar (code pays fourni par la source)Université ou école supérieure
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Université de Fianarantsoa Université de Fianarantsoa, Madagascar (code pays fourni par la source)Université ou école supérieure
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Leiden University Medical Center pays non établi dans la noticeOrganisme public
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Centre d'Infectiolologie Charles Mérieux (CICM) Antananarivo, Madagascar (pays nommé en fin d’affiliation)Institution
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University Hospital Tambohobe Infectious Diseases Service Fianarantsoa, Madagascar (pays nommé en fin d’affiliation)Université ou école supérieure
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Leiden University Center for Infectious Diseases pays non établi dans la noticeUniversité ou école supérieure
German Center for Infection Research, Research Group: Implementation Research — Bernhard Nocht Institute for Tropical Medicine et University of Antananarivo (University of Antananarivo, Madagascar), avec 5 autres affiliations. Pays d’affiliation : Madagascar.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.