Effective community-based interventions to improve exclusive breast feeding at four to six months in low- and low–middle-income countries

Added March 9, 2018

Citation: Hall J. Effective community-based interventions to improve exclusive breast feeding at four to six months in low- and low-middle-income countries: a systematic review of randomised controlled trials. Midwifery, 2011;27(4):497-502

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The findings of this review show the positive effect that community-based interventions can have on improving the levels of exclusive breast feeding at four to five months in low- and low– middle-income countries. Community-based interventions can therefore be seen as a viable way of improving exclusive breast feeding in settings where hospital births are less common.

Infants in developing countries may be at greater risk to infections and infant mortality. Around 25% of infants are exclusively breast fed up to six months. This review aimed to assess the effectiveness of community based interventions on improving rates of breast feeding in low to middle income countries. Four studies from four different countries were included in this review, assessed for bias and graded low, medium or high quality. Each study evaluated a different form of intervention, but all showed an increase in rates of exclusive breast feeding, with community-based interventions. The results of this review showed the effectiveness of community based interventions, whilst also identifying the need for further research to obtain the most effective form of intervention.


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