Mapping inequalities in exclusive breastfeeding in low- and middle-income countries, 2000–2018

Natalia V. Bhattacharjee; Lauren E. Schaeffer; Local Burden of Disease Exclusive Breastfeeding Collaborators

doi:10.1038/s41562-021-01108-6

Mapping inequalities in exclusive breastfeeding in low- and middle-income countries, 2000–2018

Natalia V. Bhattacharjee, Lauren E. Schaeffer, Local Burden of Disease Exclusive Breastfeeding Collaborators

Research output: Contribution to journal › Article › peer-review

13 Citations (Scopus)

Abstract

Exclusive breastfeeding (EBF)—giving infants only breast-milk for the first 6 months of life—is a component of optimal breastfeeding practices effective in preventing child morbidity and mortality. EBF practices are known to vary by population and comparable subnational estimates of prevalence and progress across low- and middle-income countries (LMICs) are required for planning policy and interventions. Here we present a geospatial analysis of EBF prevalence estimates from 2000 to 2018 across 94 LMICs mapped to policy-relevant administrative units (for example, districts), quantify subnational inequalities and their changes over time, and estimate probabilities of meeting the World Health Organization’s Global Nutrition Target (WHO GNT) of ≥70% EBF prevalence by 2030. While six LMICs are projected to meet the WHO GNT of ≥70% EBF prevalence at a national scale, only three are predicted to meet the target in all their district-level units by 2030.

Original language	English
Pages (from-to)	1027-1045
Number of pages	24
Journal	Nature Human Behaviour
Volume	5
Issue number	8
DOIs	https://doi.org/10.1038/s41562-021-01108-6
Publication status	Published - Aug 2021
Externally published	Yes

Bibliographical note

Copyright the Author(s) 2021. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Access to Document

10.1038/s41562-021-01108-6Licence: CC BY

Publisher version (open access)Final published version, 1.47 MBLicence: CC BY

Cite this

@article{edbabc5d4e7749429361483066addbad,

title = "Mapping inequalities in exclusive breastfeeding in low- and middle-income countries, 2000–2018",

abstract = "Exclusive breastfeeding (EBF)—giving infants only breast-milk for the first 6 months of life—is a component of optimal breastfeeding practices effective in preventing child morbidity and mortality. EBF practices are known to vary by population and comparable subnational estimates of prevalence and progress across low- and middle-income countries (LMICs) are required for planning policy and interventions. Here we present a geospatial analysis of EBF prevalence estimates from 2000 to 2018 across 94 LMICs mapped to policy-relevant administrative units (for example, districts), quantify subnational inequalities and their changes over time, and estimate probabilities of meeting the World Health Organization{\textquoteright}s Global Nutrition Target (WHO GNT) of ≥70% EBF prevalence by 2030. While six LMICs are projected to meet the WHO GNT of ≥70% EBF prevalence at a national scale, only three are predicted to meet the target in all their district-level units by 2030.",

author = "Bhattacharjee, {Natalia V.} and Schaeffer, {Lauren E.} and Hay, {Simon I.} and {Local Burden of Disease Exclusive Breastfeeding Collaborators} and Dan Lu and Schipp, {Megan F.} and Alice Lazzar-Atwood and Donkers, {Katie M.} and Abady, {Gdiom Gebreheat} and Foad Abd-Allah and Ahmed Abdelalim and Abebo, {Zeleke Hailemariam} and Abejie, {Ayenew Negesse} and Abosetugn, {Akine Eshete} and Abreu, {Lucas Guimar{\~a}es} and Abrigo, {Michael R. M.} and Eman Abu-Gharbieh and Abushouk, {Abdelrahman I.} and Adamu, {Aishatu L.} and Adedeji, {Isaac Akinkunmi} and Adegbosin, {Adeyinka Emmanuel} and Victor Adekanmbi and Adetokunboh, {Olatunji O.} and Marcela Agudelo-Botero and Budi Aji and Akinyemi, {Oluwaseun Oladapo} and Alamneh, {Alehegn Aderaw} and Alanezi, {Fahad Mashhour} and Alanzi, {Turki M.} and James Albright and Alcalde-Rabanal, {Jacqueline Elizabeth} and Alemu, {Biresaw Wassihun} and Alhassan, {Robert Kaba} and Ali, {Beriwan Abdulqadir} and Saqib Ali and Cyrus Alinia and Vahid Alipour and Amit, {Arianna Maever L.} and Amugsi, {Dickson A.} and Anbesu, {Etsay Woldu} and Robert Ancuceanu and Mina Anjomshoa and Fereshteh Ansari and Antonio, {Carl Abelardo T.} and Davood Anvari and Jalal Arabloo and Amit Arora and Artanti, {Kurnia Dwi} and Asemahagn, {Mulusew A.} and Asmare, {Wondwossen Niguse} and Atout, {Maha Moh'd Wahbi} and Marcel Ausloos and Nefsu Awoke and Quintanilla, {Beatriz Paulina Ayala} and Ayanore, {Martin Amogre} and Aynalem, {Yared Asmare} and Ayza, {Muluken Altaye} and Azene, {Zelalem Nigussie} and Darshan, {B. B.} and Badiye, {Ashish D.} and Baig, {Atif Amin} and Bakkannavar, {Shankar M.} and Maciej Banach and Banik, {Palash Chandra} and B{\"a}rnighausen, {Till Winfried} and Huda Basaleem and Mohsen Bayati and Baye, {Bayisa Abdissa} and Neeraj Bedi and Belay, {Sefealem Assefa} and Bhagavathula, {Akshaya Srikanth} and Dinesh Bhandari and Nikha Bhardwaj and Pankaj Bhardwaj and Bhutta, {Zulfiqar A.} and Ali Bijani and Birhan, {Tsegaye Adane} and Birihane, {Binyam Minuye} and Bitew, {Zebenay Workneh} and Somayeh Bohlouli and Mahdi Bohluli and Bojia, {Hunduma Amensisa} and Archith Boloor and Brady, {Oliver J.} and Bragazzi, {Nicola Luigi} and Brunoni, {Andre R.} and Budhathoki, {Shyam S.} and Nagaraja, {Sharath Burugina} and Butt, {Zahid A.} and Rosario C{\'a}rdenas and Castaldelli-Maia, {Joao Mauricio} and Franz Castro and Achille Cernigliaro and Jaykaran Charan and Pranab Chatterjee and Souranshu Chatterjee and Chattu, {Vijay Kumar} and Sarika Chaturvedi and Chowdhury, {Mohiuddin Ahsanul Kabir} and Dinh-Toi Chu and Collison, {Michael L.} and Cook, {Aubrey J.} and Cork, {Michael A.} and Couto, {Rosa A. S.} and Baye Dagnew and Haijiang Dai and Lalit Dandona and Rakhi Dandona and Parnaz Daneshpajouhnejad and Darwesh, {Aso Mohammad} and Darwish, {Amira Hamed} and Ahmad Daryani and Das, {Jai K.} and Gupta, {Rajat Das} and D{\'a}vila-Cervantes, {Claudio Alberto} and Davis, {Adrian Charles} and Weaver, {Nicole Davis} and Edgar Denova-Guti{\'e}rrez and Kebede Deribe and Assefa Desalew and Aniruddha Deshpande and Awrajaw Dessie and Keshab Deuba and Dharmaratne, {Samath Dhamminda} and Meghnath Dhimal and Dhungana, {Govinda Prasad} and Daniel Diaz and Alireza Didarloo and Dipeolu, {Isaac Oluwafemi} and Doan, {Linh Phuong} and Bereket Duko and Duraes, {Andre Rodrigues} and Laura Dwyer-Lindgren and Lucas Earl and Zaki, {Maysaa El Sayed} and Tantawi, {Maha El} and Elema, {Teshome Bekele} and Elhabashy, {Hala Rashad} and El-Jaafary, {Shaimaa I.} and Faris, {Pawan Sirwan} and Andre Faro and Farshad Farzadfar and Feigin, {Valery L.} and Feleke, {Berhanu Elfu} and Ferede, {Tomas Y.} and Florian Fischer and Foigt, {Nataliya A.} and Folayan, {Morenike Oluwatoyin} and Franklin, {Richard Charles} and Gad, {Mohamed M.} and Shilpa Gaidhane and Gardner, {William M.} and Geberemariyam, {Biniyam Sahiledengle} and Gebregiorgis, {Birhan Gebresillassie} and Gebremedhin, {Ketema Bizuwork} and Berhe Gebremichael and Fariborz Ghaffarpasand and Gilani, {Syed Amir} and Ginindza, {Themba G.} and Mustefa Glagn and Mahaveer Golechha and Gonfa, {Kebebe Bekele} and Goulart, {B{\'a}rbara Niegia Garcia} and Nachiket Gudi and Davide Guido and Guled, {Rashid Abdi} and Yuming Guo and Samer Hamidi and Handiso, {Demelash Woldeyohannes} and Hasaballah, {Ahmed I.} and Amr Hassan and Khezar Hayat and Hegazy, {Mohamed I.} and Behnam Heidari and Henry, {Nathaniel J.} and Claudiu Herteliu and {de Hidru}, {Hagos Degefa} and Ho, {Hung Chak} and Hoang, {Chi Linh} and Ramesh Holla and Julia Hon and Mostafa Hosseini and Mehdi Hosseinzadeh and Mowafa Househ and Mohamed Hsairi and Guoqing Hu and Huda, {Tanvir M.} and Bing-Fang Hwang and Ibitoye, {Segun Emmanuel} and Ilesanmi, {Olayinka Stephen} and Ilic, {Irena M.} and Ilic, {Milena D.} and Inbaraj, {Leeberk Raja} and Usman Iqbal and Irvani, {Seyed Sina Naghibi} and Islam, {M. 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note = "Copyright the Author(s) 2021. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.",

year = "2021",

month = aug,

doi = "10.1038/s41562-021-01108-6",

language = "English",

volume = "5",

pages = "1027--1045",

journal = "Nature Human Behaviour",

issn = "2397-3374",

publisher = "Springer, Springer Nature",

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T1 - Mapping inequalities in exclusive breastfeeding in low- and middle-income countries, 2000–2018

AU - Bhattacharjee, Natalia V.

AU - Schaeffer, Lauren E.

AU - Hay, Simon I.

AU - Local Burden of Disease Exclusive Breastfeeding Collaborators

AU - Lu, Dan

AU - Schipp, Megan F.

AU - Lazzar-Atwood, Alice

AU - Donkers, Katie M.

AU - Abady, Gdiom Gebreheat

AU - Abd-Allah, Foad

AU - Abdelalim, Ahmed

AU - Abebo, Zeleke Hailemariam

AU - Abejie, Ayenew Negesse

AU - Abosetugn, Akine Eshete

AU - Abreu, Lucas Guimarães

AU - Abrigo, Michael R. M.

AU - Abu-Gharbieh, Eman

AU - Abushouk, Abdelrahman I.

AU - Adamu, Aishatu L.

AU - Adedeji, Isaac Akinkunmi

AU - Adegbosin, Adeyinka Emmanuel

AU - Adekanmbi, Victor

AU - Adetokunboh, Olatunji O.

AU - Agudelo-Botero, Marcela

AU - Aji, Budi

AU - Akinyemi, Oluwaseun Oladapo

AU - Alamneh, Alehegn Aderaw

AU - Alanezi, Fahad Mashhour

AU - Alanzi, Turki M.

AU - Albright, James

AU - Alcalde-Rabanal, Jacqueline Elizabeth

AU - Alemu, Biresaw Wassihun

AU - Alhassan, Robert Kaba

AU - Ali, Beriwan Abdulqadir

AU - Ali, Saqib

AU - Alinia, Cyrus

AU - Alipour, Vahid

AU - Amit, Arianna Maever L.

AU - Amugsi, Dickson A.

AU - Anbesu, Etsay Woldu

AU - Ancuceanu, Robert

AU - Anjomshoa, Mina

AU - Ansari, Fereshteh

AU - Antonio, Carl Abelardo T.

AU - Anvari, Davood

AU - Arabloo, Jalal

AU - Arora, Amit

AU - Artanti, Kurnia Dwi

AU - Asemahagn, Mulusew A.

AU - Asmare, Wondwossen Niguse

AU - Atout, Maha Moh'd Wahbi

AU - Ausloos, Marcel

AU - Awoke, Nefsu

AU - Quintanilla, Beatriz Paulina Ayala

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AU - Bhagavathula, Akshaya Srikanth

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AU - Bhardwaj, Pankaj

AU - Bhutta, Zulfiqar A.

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AU - Birihane, Binyam Minuye

AU - Bitew, Zebenay Workneh

AU - Bohlouli, Somayeh

AU - Bohluli, Mahdi

AU - Bojia, Hunduma Amensisa

AU - Boloor, Archith

AU - Brady, Oliver J.

AU - Bragazzi, Nicola Luigi

AU - Brunoni, Andre R.

AU - Budhathoki, Shyam S.

AU - Nagaraja, Sharath Burugina

AU - Butt, Zahid A.

AU - Cárdenas, Rosario

AU - Castaldelli-Maia, Joao Mauricio

AU - Castro, Franz

AU - Cernigliaro, Achille

AU - Charan, Jaykaran

AU - Chatterjee, Pranab

AU - Chatterjee, Souranshu

AU - Chattu, Vijay Kumar

AU - Chaturvedi, Sarika

AU - Chowdhury, Mohiuddin Ahsanul Kabir

AU - Chu, Dinh-Toi

AU - Collison, Michael L.

AU - Cook, Aubrey J.

AU - Cork, Michael A.

AU - Couto, Rosa A. S.

AU - Dagnew, Baye

AU - Dai, Haijiang

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AU - Daneshpajouhnejad, Parnaz

AU - Darwesh, Aso Mohammad

AU - Darwish, Amira Hamed

AU - Daryani, Ahmad

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AU - Gupta, Rajat Das

AU - Dávila-Cervantes, Claudio Alberto

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AU - Dhungana, Govinda Prasad

AU - Diaz, Daniel

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AU - Househ, Mowafa

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AU - Huda, Tanvir M.

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AU - Ilic, Irena M.

AU - Ilic, Milena D.

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AU - Iwu, Chinwe Juliana

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AU - Johnson, Kimberly B.

AU - Joukar, Farahnaz

AU - Jozwiak, Jacek Jerzy

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AU - Kalhor, Rohollah

AU - Kamath, Ashwin

AU - Kamyari, Naser

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AU - Matin, Behzad Karami

AU - Karimi, Salah Eddin

AU - Kasaye, Habtamu Kebebe

AU - Kassahun, Getinet

AU - Kassebaum, Nicholas J.

AU - Kayode, Gbenga A.

AU - Karyani, Ali Kazemi

AU - Keiyoro, Peter Njenga

AU - Kelkay, Bayew

AU - Khalid, Nauman

AU - Khan, Md. Nuruzzaman

AU - Khatab, Khaled

AU - Khater, Amir M.

AU - Khater, Mona M.

AU - Khatib, Mahalaqua Nazli

AU - Kim, Yun Jin

AU - Kimokoti, Ruth W.

AU - Kinyoki, Damaris K.

AU - Kisa, Adnan

AU - Kisa, Sezer

AU - Kosen, Soewarta

AU - Krishan, Kewal

AU - Kulkarni, Vaman

AU - Kumar, G. Anil

AU - Kumar, Manasi

AU - Kumar, Nithin

AU - Kumar, Pushpendra

AU - Kurmi, Om P.

AU - Kusuma, Dian

AU - La Vecchia, Carlo

AU - Lad, Sheetal D.

AU - Lami, Faris Hasan

AU - Landires, Iván

AU - Lansingh, Van Charles

AU - Lasrado, Savita

AU - Lee, Paul H.

AU - LeGrand, Kate E.

AU - Letourneau, Ian D.

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AU - Li, Bingyu

AU - Li, Ming-Chieh

AU - Li, Shanshan

AU - Liu, Xuefeng

AU - Lodha, Rakesh

AU - Lopez, Jaifred Christian F.

AU - Louie, Celia

AU - Machado, Daiane Borges

AU - Maled, Venkatesh

AU - Maleki, Shokofeh

AU - Malta, Deborah Carvalho

AU - Mamun, Abdullah A.

AU - Manafi, Navid

AU - Mansournia, Mohammad Ali

AU - Mapoma, Chabila Christopher

AU - Marczak, Laurie B.

AU - Martins-Melo, Francisco Rogerlândio

AU - Mehndiratta, Man Mohan

AU - Mejia-Rodriguez, Fabiola

AU - Mekonnen, Tefera Chane

AU - Mendoza, Walter

AU - Menezes, Ritesh G.

AU - Mengesha, Endalkachew Worku

AU - Mersha, Abera M.

AU - Miller, Ted R.

AU - Mini, G. K.

AU - Mirrakhimov, Erkin M.

AU - Misra, Sanjeev

AU - Moghadaszadeh, Masoud

AU - Mohammad, Dara K.

AU - Mohammadian-Hafshejani, Abdollah

AU - Mohammed, Jemal Abdu

AU - Mohammed, Shafiu

AU - Mokdad, Ali H.

AU - Montero-Zamora, Pablo A.

AU - Moradi, Masoud

AU - Moradzadeh, Rahmatollah

AU - Moraga, Paula

AU - Mosser, Jonathan F.

AU - Mousavi, Seyyed Meysam

AU - Khaneghah, Amin Mousavi

AU - Munro, Sandra B.

AU - Muriithi, Moses K.

AU - Mustafa, Ghulam

AU - Muthupandian, Saravanan

AU - Nagarajan, Ahamarshan Jayaraman

AU - Naik, Gurudatta

AU - Naimzada, Mukhammad David

AU - Nangia, Vinay

AU - Nascimento, Bruno Ramos

AU - Nayak, Vinod C.

AU - Ndejjo, Rawlance

AU - Ndwandwe, Duduzile Edith

AU - Negoi, Ionut

AU - Nguefack-Tsague, Georges

AU - Ngunjiri, Josephine W.

AU - Cuong Tat Nguyen,

AU - Nguyen, Diep Ngoc

AU - Huong Lan Thi Nguyen,

AU - Nigussie, Samuel Negash

AU - Nigussie, Tadesse T. N.

AU - Nikbakhsh, Rajan

AU - Nnaji, Chukwudi A.

AU - Nuñez-Samudio, Virginia

AU - Oancea, Bogdan

AU - Oghenetega, Onome Bright

AU - Olagunju, Andrew T.

AU - Olusanya, Bolajoko Olubukunola

AU - Olusanya, Jacob Olusegun

AU - Omer, Muktar Omer

AU - Onwujekwe, Obinna E.

AU - Ortega-Altamirano, Doris V.

AU - Osgood-Zimmerman, Aaron E.

AU - Otstavnov, Nikita

AU - Otstavnov, Stanislav S.

AU - Owolabi, Mayowa O.

AU - Mahesh, P. A.

AU - Padubidri, Jagadish Rao

AU - Pana, Adrian

AU - Pandey, Anamika

AU - Pandi-Perumal, Seithikurippu R.

AU - Pangaribuan, Helena Ullyartha

AU - Parsekar, Shradha S.

AU - Pasupula, Deepak Kumar

AU - Patel, Urvish K.

AU - Pathak, Ashish

AU - Pathak, Mona

AU - Pattanshetty, Sanjay M.

AU - Patton, George C.

AU - Paulos, Kebreab

AU - Pepito, Veincent Christian Filipino

AU - Pickering, Brandon V.

AU - Pinheiro, Marina

AU - Piwoz, Ellen G.

AU - Pokhrel, Khem Narayan

AU - Pourjafar, Hadi

AU - Prada, Sergio I.

AU - Pribadi, Dimas Ria Angga

AU - Syed, Zahiruddin Quazi

AU - Rabiee, Mohammad

AU - Rabiee, Navid

N1 - Copyright the Author(s) 2021. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

PY - 2021/8

Y1 - 2021/8

N2 - Exclusive breastfeeding (EBF)—giving infants only breast-milk for the first 6 months of life—is a component of optimal breastfeeding practices effective in preventing child morbidity and mortality. EBF practices are known to vary by population and comparable subnational estimates of prevalence and progress across low- and middle-income countries (LMICs) are required for planning policy and interventions. Here we present a geospatial analysis of EBF prevalence estimates from 2000 to 2018 across 94 LMICs mapped to policy-relevant administrative units (for example, districts), quantify subnational inequalities and their changes over time, and estimate probabilities of meeting the World Health Organization’s Global Nutrition Target (WHO GNT) of ≥70% EBF prevalence by 2030. While six LMICs are projected to meet the WHO GNT of ≥70% EBF prevalence at a national scale, only three are predicted to meet the target in all their district-level units by 2030.

AB - Exclusive breastfeeding (EBF)—giving infants only breast-milk for the first 6 months of life—is a component of optimal breastfeeding practices effective in preventing child morbidity and mortality. EBF practices are known to vary by population and comparable subnational estimates of prevalence and progress across low- and middle-income countries (LMICs) are required for planning policy and interventions. Here we present a geospatial analysis of EBF prevalence estimates from 2000 to 2018 across 94 LMICs mapped to policy-relevant administrative units (for example, districts), quantify subnational inequalities and their changes over time, and estimate probabilities of meeting the World Health Organization’s Global Nutrition Target (WHO GNT) of ≥70% EBF prevalence by 2030. While six LMICs are projected to meet the WHO GNT of ≥70% EBF prevalence at a national scale, only three are predicted to meet the target in all their district-level units by 2030.

UR - http://www.scopus.com/inward/record.url?scp=85107815293&partnerID=8YFLogxK

U2 - 10.1038/s41562-021-01108-6

DO - 10.1038/s41562-021-01108-6

M3 - Article

C2 - 34083753

AN - SCOPUS:85107815293

VL - 5

SP - 1027

EP - 1045

JO - Nature Human Behaviour

JF - Nature Human Behaviour

SN - 2397-3374

IS - 8

ER -

Mapping inequalities in exclusive breastfeeding in low- and middle-income countries, 2000–2018

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