Early Initiation of Breastfeeding and Exclusive Breastfeeding in Anglophone and Francophone West African Countries: Systematic Review and Meta‐Analysis of Prevalence

ABSTRACT Early initiation of breastfeeding (EIBF) and exclusive breastfeeding (EBF) are highly effective forms of preventive medicine in many low‐ and middle‐income countries, including Anglophone and Francophone West African countries. Despite the proven benefits of EIBF and EBF in reducing mortali...

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Main Authors: Martha Osekua Lewis‐Koku, Catharine A. K. Fleming, Lucy Ngaihbanglovi Pachuau, Nagwa Farag Elmighrabi, Kingsley Emwinyore Agho
Format: Article
Language:English
Published: Wiley 2025-04-01
Series:Maternal and Child Nutrition
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Online Access:https://doi.org/10.1111/mcn.13792
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author Martha Osekua Lewis‐Koku
Catharine A. K. Fleming
Lucy Ngaihbanglovi Pachuau
Nagwa Farag Elmighrabi
Kingsley Emwinyore Agho
author_facet Martha Osekua Lewis‐Koku
Catharine A. K. Fleming
Lucy Ngaihbanglovi Pachuau
Nagwa Farag Elmighrabi
Kingsley Emwinyore Agho
author_sort Martha Osekua Lewis‐Koku
collection DOAJ
description ABSTRACT Early initiation of breastfeeding (EIBF) and exclusive breastfeeding (EBF) are highly effective forms of preventive medicine in many low‐ and middle‐income countries, including Anglophone and Francophone West African countries. Despite the proven benefits of EIBF and EBF in reducing mortality and morbidity, there is limited systematic evidence from West African countries. Hence, the aim of this systematic review and meta‐analysis was to estimate the pooled prevalence of EIBF and EBF in Anglophone and Francophone West African countries. Six databases were searched for eligible studies based on inclusion criteria and a systematic review and a further meta‐analysis were done. The weighted prevalence of EIBF was 51.7% (95% CI: 48.8, 54.6) in Anglophone West African countries and 45.5% (95% CI: 42.0, 48.9) in Francophone West African countries. The pooled prevalence of EBF was 41.2% (95% CI: 36.9, 45.5) in Anglophone West African countries and 30.1% (95% CI: 26.7, 33.5) in Francophone West African countries. Our study showed that the weighted average EIBF and EBF prevalence tended to be higher from studies in Anglophone West African countries than in Francophone West African countries. Despite these findings, EIBF and EBF rates overall in West African countries were suboptimal. A substantial improvement is necessary in promoting EIBF and EBF in West African countries. Programmes should target all mothers in the region no matter their colonial allegiance to achieve Sustainable Development Goals 2 and 3 by 2030.
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spelling doaj-art-81efb1b9a6ab43fb8dee0dc62bdf7f602025-08-20T03:06:32ZengWileyMaternal and Child Nutrition1740-86951740-87092025-04-01212n/an/a10.1111/mcn.13792Early Initiation of Breastfeeding and Exclusive Breastfeeding in Anglophone and Francophone West African Countries: Systematic Review and Meta‐Analysis of PrevalenceMartha Osekua Lewis‐Koku0Catharine A. K. Fleming1Lucy Ngaihbanglovi Pachuau2Nagwa Farag Elmighrabi3Kingsley Emwinyore Agho4School of Health Science Western Sydney University NSW AustraliaSchool of Health Science Western Sydney University Campbelltown NSW AustraliaSchool of Health Science Western Sydney University Campbelltown NSW AustraliaSchool of Health Science Western Sydney University Campbelltown NSW AustraliaSchool of Health Science Western Sydney University Campbelltown NSW AustraliaABSTRACT Early initiation of breastfeeding (EIBF) and exclusive breastfeeding (EBF) are highly effective forms of preventive medicine in many low‐ and middle‐income countries, including Anglophone and Francophone West African countries. Despite the proven benefits of EIBF and EBF in reducing mortality and morbidity, there is limited systematic evidence from West African countries. Hence, the aim of this systematic review and meta‐analysis was to estimate the pooled prevalence of EIBF and EBF in Anglophone and Francophone West African countries. Six databases were searched for eligible studies based on inclusion criteria and a systematic review and a further meta‐analysis were done. The weighted prevalence of EIBF was 51.7% (95% CI: 48.8, 54.6) in Anglophone West African countries and 45.5% (95% CI: 42.0, 48.9) in Francophone West African countries. The pooled prevalence of EBF was 41.2% (95% CI: 36.9, 45.5) in Anglophone West African countries and 30.1% (95% CI: 26.7, 33.5) in Francophone West African countries. Our study showed that the weighted average EIBF and EBF prevalence tended to be higher from studies in Anglophone West African countries than in Francophone West African countries. Despite these findings, EIBF and EBF rates overall in West African countries were suboptimal. A substantial improvement is necessary in promoting EIBF and EBF in West African countries. Programmes should target all mothers in the region no matter their colonial allegiance to achieve Sustainable Development Goals 2 and 3 by 2030.https://doi.org/10.1111/mcn.13792Anglophoneearly initiationexclusive breastfeedingFrancophoneindicatorsprevalence
spellingShingle Martha Osekua Lewis‐Koku
Catharine A. K. Fleming
Lucy Ngaihbanglovi Pachuau
Nagwa Farag Elmighrabi
Kingsley Emwinyore Agho
Early Initiation of Breastfeeding and Exclusive Breastfeeding in Anglophone and Francophone West African Countries: Systematic Review and Meta‐Analysis of Prevalence
Maternal and Child Nutrition
Anglophone
early initiation
exclusive breastfeeding
Francophone
indicators
prevalence
title Early Initiation of Breastfeeding and Exclusive Breastfeeding in Anglophone and Francophone West African Countries: Systematic Review and Meta‐Analysis of Prevalence
title_full Early Initiation of Breastfeeding and Exclusive Breastfeeding in Anglophone and Francophone West African Countries: Systematic Review and Meta‐Analysis of Prevalence
title_fullStr Early Initiation of Breastfeeding and Exclusive Breastfeeding in Anglophone and Francophone West African Countries: Systematic Review and Meta‐Analysis of Prevalence
title_full_unstemmed Early Initiation of Breastfeeding and Exclusive Breastfeeding in Anglophone and Francophone West African Countries: Systematic Review and Meta‐Analysis of Prevalence
title_short Early Initiation of Breastfeeding and Exclusive Breastfeeding in Anglophone and Francophone West African Countries: Systematic Review and Meta‐Analysis of Prevalence
title_sort early initiation of breastfeeding and exclusive breastfeeding in anglophone and francophone west african countries systematic review and meta analysis of prevalence
topic Anglophone
early initiation
exclusive breastfeeding
Francophone
indicators
prevalence
url https://doi.org/10.1111/mcn.13792
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