Breastfeeding practices and child growth outcomes in Haiti: An analysis of data from Demographic and Health Surveys

Rebecca Anne Heidkamp, Mohamed Ag Ayoya, Ismael Ngnie Teta, Rebecca J. Stoltzfus, Joseline Pierre Marhone

Research output: Contribution to journalArticle

Abstract

Haiti's national nutrition policy prioritises breastfeeding, but limited data are available to inform strategy. We examined national trends in early initiation of breastfeeding (ErIBF) and exclusive breastfeeding (EBF) over a 10-year period using data from three Haitian Demographic and Health Surveys (1994-1995, 2000 and 2005-2006). We used multivariate regression methods to identify determinants of ErIBF and EBF in the 2005-2006 data set and to examine relationships to growth. There was no change in ErIBF across surveys [1994-1995: 36.6%, 95% confidence interval (CI) 29.9-43.9; 2000: 49.4%, 95% CI 44.1-54.8; 2005-2006: 43.8%, 95% CI 40.5-47.1]. EBF among 0-5-month-olds increased sharply (1994-18995: 1.1%, 95% CI 0.4-3.2; 2000: 22.4%, 95% CI 16.5-29.5; 2005-2006: 41.2%, 95% CI 35.4-47.2). The proportion of breastfeeding children 0-5 months who received soft, solid or semi-solid foods decreased (1994-1995: 68.5%, 95% CI 57.3-77.9; 2000: 46.3%, 95% CI 39.3-53.4; 2005-2006: 30.9%, 95% CI 25.9-36.5). Child age at time of survey [odds ratio (OR) 1.73; P=0.027], lower maternal education (OR=2.14, P=0.004) and residence in the Artibonite Department (OR 0.31; P=0.001) were associated with ErIBF among children 0-23 months. Age group and department were significant predictors of EBF among children 0-5 months. ErIBF was associated with higher weight-for-age z-scores [effect size (ES) 0.22; P=0.033] and height-for-age z-scores (ES 0.20; P=0.044). There was no statistically significant relationship between EBF and growth. The 10-year ErIBF and EBF trends in Haiti echo global and regional trends. ErIBF and EBF are related practices but with different determinants in the Haitian context. These differences have implications for intervention delivery.

Original languageEnglish (US)
Pages (from-to)737-748
Number of pages12
JournalMaternal and Child Nutrition
Volume11
Issue number4
DOIs
StatePublished - Oct 1 2015

Fingerprint

Haiti
Breast Feeding
Demography
Growth
Confidence Intervals
Odds Ratio
Nutrition Policy

Keywords

  • Breastfeeding
  • Breastfeeding initiation
  • Child growth
  • Health policy
  • Infant and child nutrition
  • Low-income countries

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health
  • Nutrition and Dietetics

Cite this

Breastfeeding practices and child growth outcomes in Haiti : An analysis of data from Demographic and Health Surveys. / Heidkamp, Rebecca Anne; Ayoya, Mohamed Ag; Teta, Ismael Ngnie; Stoltzfus, Rebecca J.; Marhone, Joseline Pierre.

In: Maternal and Child Nutrition, Vol. 11, No. 4, 01.10.2015, p. 737-748.

Research output: Contribution to journalArticle

Heidkamp, Rebecca Anne ; Ayoya, Mohamed Ag ; Teta, Ismael Ngnie ; Stoltzfus, Rebecca J. ; Marhone, Joseline Pierre. / Breastfeeding practices and child growth outcomes in Haiti : An analysis of data from Demographic and Health Surveys. In: Maternal and Child Nutrition. 2015 ; Vol. 11, No. 4. pp. 737-748.
@article{fecc3b9e736644ee8699d35128e55a68,
title = "Breastfeeding practices and child growth outcomes in Haiti: An analysis of data from Demographic and Health Surveys",
abstract = "Haiti's national nutrition policy prioritises breastfeeding, but limited data are available to inform strategy. We examined national trends in early initiation of breastfeeding (ErIBF) and exclusive breastfeeding (EBF) over a 10-year period using data from three Haitian Demographic and Health Surveys (1994-1995, 2000 and 2005-2006). We used multivariate regression methods to identify determinants of ErIBF and EBF in the 2005-2006 data set and to examine relationships to growth. There was no change in ErIBF across surveys [1994-1995: 36.6{\%}, 95{\%} confidence interval (CI) 29.9-43.9; 2000: 49.4{\%}, 95{\%} CI 44.1-54.8; 2005-2006: 43.8{\%}, 95{\%} CI 40.5-47.1]. EBF among 0-5-month-olds increased sharply (1994-18995: 1.1{\%}, 95{\%} CI 0.4-3.2; 2000: 22.4{\%}, 95{\%} CI 16.5-29.5; 2005-2006: 41.2{\%}, 95{\%} CI 35.4-47.2). The proportion of breastfeeding children 0-5 months who received soft, solid or semi-solid foods decreased (1994-1995: 68.5{\%}, 95{\%} CI 57.3-77.9; 2000: 46.3{\%}, 95{\%} CI 39.3-53.4; 2005-2006: 30.9{\%}, 95{\%} CI 25.9-36.5). Child age at time of survey [odds ratio (OR) 1.73; P=0.027], lower maternal education (OR=2.14, P=0.004) and residence in the Artibonite Department (OR 0.31; P=0.001) were associated with ErIBF among children 0-23 months. Age group and department were significant predictors of EBF among children 0-5 months. ErIBF was associated with higher weight-for-age z-scores [effect size (ES) 0.22; P=0.033] and height-for-age z-scores (ES 0.20; P=0.044). There was no statistically significant relationship between EBF and growth. The 10-year ErIBF and EBF trends in Haiti echo global and regional trends. ErIBF and EBF are related practices but with different determinants in the Haitian context. These differences have implications for intervention delivery.",
keywords = "Breastfeeding, Breastfeeding initiation, Child growth, Health policy, Infant and child nutrition, Low-income countries",
author = "Heidkamp, {Rebecca Anne} and Ayoya, {Mohamed Ag} and Teta, {Ismael Ngnie} and Stoltzfus, {Rebecca J.} and Marhone, {Joseline Pierre}",
year = "2015",
month = "10",
day = "1",
doi = "10.1111/mcn.12069",
language = "English (US)",
volume = "11",
pages = "737--748",
journal = "Maternal and Child Nutrition",
issn = "1740-8695",
publisher = "Wiley-Blackwell",
number = "4",

}

TY - JOUR

T1 - Breastfeeding practices and child growth outcomes in Haiti

T2 - An analysis of data from Demographic and Health Surveys

AU - Heidkamp, Rebecca Anne

AU - Ayoya, Mohamed Ag

AU - Teta, Ismael Ngnie

AU - Stoltzfus, Rebecca J.

AU - Marhone, Joseline Pierre

PY - 2015/10/1

Y1 - 2015/10/1

N2 - Haiti's national nutrition policy prioritises breastfeeding, but limited data are available to inform strategy. We examined national trends in early initiation of breastfeeding (ErIBF) and exclusive breastfeeding (EBF) over a 10-year period using data from three Haitian Demographic and Health Surveys (1994-1995, 2000 and 2005-2006). We used multivariate regression methods to identify determinants of ErIBF and EBF in the 2005-2006 data set and to examine relationships to growth. There was no change in ErIBF across surveys [1994-1995: 36.6%, 95% confidence interval (CI) 29.9-43.9; 2000: 49.4%, 95% CI 44.1-54.8; 2005-2006: 43.8%, 95% CI 40.5-47.1]. EBF among 0-5-month-olds increased sharply (1994-18995: 1.1%, 95% CI 0.4-3.2; 2000: 22.4%, 95% CI 16.5-29.5; 2005-2006: 41.2%, 95% CI 35.4-47.2). The proportion of breastfeeding children 0-5 months who received soft, solid or semi-solid foods decreased (1994-1995: 68.5%, 95% CI 57.3-77.9; 2000: 46.3%, 95% CI 39.3-53.4; 2005-2006: 30.9%, 95% CI 25.9-36.5). Child age at time of survey [odds ratio (OR) 1.73; P=0.027], lower maternal education (OR=2.14, P=0.004) and residence in the Artibonite Department (OR 0.31; P=0.001) were associated with ErIBF among children 0-23 months. Age group and department were significant predictors of EBF among children 0-5 months. ErIBF was associated with higher weight-for-age z-scores [effect size (ES) 0.22; P=0.033] and height-for-age z-scores (ES 0.20; P=0.044). There was no statistically significant relationship between EBF and growth. The 10-year ErIBF and EBF trends in Haiti echo global and regional trends. ErIBF and EBF are related practices but with different determinants in the Haitian context. These differences have implications for intervention delivery.

AB - Haiti's national nutrition policy prioritises breastfeeding, but limited data are available to inform strategy. We examined national trends in early initiation of breastfeeding (ErIBF) and exclusive breastfeeding (EBF) over a 10-year period using data from three Haitian Demographic and Health Surveys (1994-1995, 2000 and 2005-2006). We used multivariate regression methods to identify determinants of ErIBF and EBF in the 2005-2006 data set and to examine relationships to growth. There was no change in ErIBF across surveys [1994-1995: 36.6%, 95% confidence interval (CI) 29.9-43.9; 2000: 49.4%, 95% CI 44.1-54.8; 2005-2006: 43.8%, 95% CI 40.5-47.1]. EBF among 0-5-month-olds increased sharply (1994-18995: 1.1%, 95% CI 0.4-3.2; 2000: 22.4%, 95% CI 16.5-29.5; 2005-2006: 41.2%, 95% CI 35.4-47.2). The proportion of breastfeeding children 0-5 months who received soft, solid or semi-solid foods decreased (1994-1995: 68.5%, 95% CI 57.3-77.9; 2000: 46.3%, 95% CI 39.3-53.4; 2005-2006: 30.9%, 95% CI 25.9-36.5). Child age at time of survey [odds ratio (OR) 1.73; P=0.027], lower maternal education (OR=2.14, P=0.004) and residence in the Artibonite Department (OR 0.31; P=0.001) were associated with ErIBF among children 0-23 months. Age group and department were significant predictors of EBF among children 0-5 months. ErIBF was associated with higher weight-for-age z-scores [effect size (ES) 0.22; P=0.033] and height-for-age z-scores (ES 0.20; P=0.044). There was no statistically significant relationship between EBF and growth. The 10-year ErIBF and EBF trends in Haiti echo global and regional trends. ErIBF and EBF are related practices but with different determinants in the Haitian context. These differences have implications for intervention delivery.

KW - Breastfeeding

KW - Breastfeeding initiation

KW - Child growth

KW - Health policy

KW - Infant and child nutrition

KW - Low-income countries

UR - http://www.scopus.com/inward/record.url?scp=84942519826&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84942519826&partnerID=8YFLogxK

U2 - 10.1111/mcn.12069

DO - 10.1111/mcn.12069

M3 - Article

C2 - 23952968

AN - SCOPUS:84942519826

VL - 11

SP - 737

EP - 748

JO - Maternal and Child Nutrition

JF - Maternal and Child Nutrition

SN - 1740-8695

IS - 4

ER -