A descriptive analysis of the relationship between place of birth and type of birth attendant with breastfeeding feeding practices among children in Kenya
Keywords:Birth attendant, Breastfeeding, Place of birth
Background: According to the World Health Organization (WHO), all infants should be breastfed immediately after birth, exclusively for 6 months, and for a minimum of two years thereafter. This study determined the relationship between place of birth and type birth attendant with breastfeeding practices in Kenya.
Methods: Data from 21,773 households participating in the 2015/2016 Kenya integrated household budget survey (KIHBS) were analysed. Respondents provided information on duration and exclusivity of breastfeeding practices as well as place of birth, and the type of birth attendant.
Results: 99.4% of the children 0-59 months had been breastfed with about 62.8 % exclusively breastfed for 6 months. 54% of the children were born in a hospital or health care center. 49% of all the births were attended by a nurse/midwife and 27% by traditional birth attendants (TBA). Those born at home were less likely to EB (Z2=24.6; p<0.001) than those born in the hospital. Those whose birth was attended by a TBA were less likely to EB for 6 months (Z2=28.6, p<0.001).
Conclusions: These findings suggest that interventions could focus on identifying factors that hinder women from giving birth in hospitals or health care facilities which are able to provide resources on infant feeding practices.
UNICEF W. Capture the moment- early initiation of breastfeeding: The best start for every newborn. New York: UNICEF; 2018.
Victora CG, Bahl R, Barros AJ, França GV, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016;387(10017):475-90.
Katsinde SM, Srinivas SC. Breastfeeding and the sustainable development agenda. Indian J Pharm Pract. 2016;9(3):144-6.
The World Health Organization. The best start in life: breastfeeding for the prevention of noncommunicable diseases and the achievement of the Sustainable Development Goals in the WHO European Region. World Health Organization. Regional Office for Europe; 2020.
Wu H, Zhao M, Magnussen CG, Xi B. Global prevalence of WHO infant feeding practices in 57 LMICs in 2010-2018 and time trends since 2000 for 44 LMICs. EClinMed. 2021;37:100971.
Kenya National Bureau of Statistics, Ministry of Health/Kenya. Kenya Demographic and Health Survey 2014. Available from: https://dhsprogram.com/pubs/pdf/fr308/fr308.pdf. Accessed on 2 June 20216.
Balogun OO, O’Sullivan EJ, McFadden A, Ota E, Gavine A, Garner CD, et al. Interventions for promoting the initiation of breastfeeding. Cochrane Database Syst Rev. 2016(11).
World Health Organization and United Nations Children's Fund (UNICEF). Baby-friendly hospital initiative: revised, updated and expanded for integrated care. World Health Organization. 2009. Available from: https://apps.who.int/iris/handle/ 10665/43593. Accessed on 2 June 20216.
Martens PJ. What do Kramer’s Baby-Friendly Hospital Initiative PROBIT studies tell us? A review of a decade of research. J Hum Lact. 2012;28(3):335-42.
Fair FJ, Morrison A, Soltani H. The impact of baby friendly initiative accreditation: an overview of systematic reviews. Matern Child Nutr. 2021;17(4):e13216.
Kurniawan DW, Chertok IR, Haile ZT. The relationship between place of birth and early breastfeeding initiation in Indonesia. J Hum Lact. 2021;37(2):357-69.
Raihana S, Alam A, Chad N, Huda TM, Dibley MJ. Delayed initiation of breastfeeding and role of mode and place of childbirth: Evidence from health surveys in 58 low-and middle-income countries (2012–2017). Int J Environ Res Public Health. 2021 Jun 2;18(11):5976.
Harriott RM, Haile ZT, Chertok IR, Haider MR. Association between place of birth and timely breastfeeding initiation among Cambodian women: a population-based study. Int Breastfeed J. 2022;17(1):1-3.
Kim SK, Park S, Oh J. Interventions promoting exclusive breastfeeding up to six months after birth: a systematic review and meta-analysis of randomized controlled trials. Int J Nurs Stud. 2018;80:94-105.
Kavle JA, Ahoya B, Kiige L. Baby-Friendly Community Initiative-From national guidelines to implementation: A multisectoral platform for improving infant and young child feeding practices and integrated health services. Matern Child Nutr. 2019;15(1):e12747.
Pérez-Escamilla R, Martinez JL, Segura-Pérez S. Impact of the baby-friendly hospital initiative on breastfeeding and child health outcomes: a systematic review. Matern Child Nutr. 2016;12(3):402-17.
Kimani‐Murage EW, Kimiywe J, Mutoro AN, Wilunda C, Wekesah FM, Muriuki P, et al. Effectiveness of the baby‐friendly community initiative on exclusive breastfeeding in Kenya. Matern Child Nutr. 2021;17(3):e13142.
Ickes SB, Sanders H, Denno DM, Myhre JA, Kinyua J, Singa B, et al. Exclusive breastfeeding among working mothers in Kenya: Perspectives from women, families and employers. Matern Child Nutr. 2021;17(4):e13194.
Scott J, Ahwong E, Devenish G, Ha D, Do L. Determinants of continued breastfeeding at 12 and 24 months: results of an Australian cohort study. Int J Environ Res Public Health. 2019;16(20):3980..
Kitui J, Lewis S, Davey G. Factors influencing place of delivery for women in Kenya: an analysis of the Kenya demographic and health survey, 2008/2009. BMC Pregnancy Childbirth. 2013;13(1):40.