Dataset Information

Core and optional infant and young child feeding indicators in Sub-Saharan Africa: a cross-sectional study.

ABSTRACT: OBJECTIVE:The objective of the study is to determine the status of infant and young child feeding (IYCF) in Sub-Saharan Africa (SSA) based on multiple indicators. DESIGN:Secondary data analysis of 32 Demographic and Health Surveys conducted in SSA since 2010. SETTING:Thirty-two countries in SSA. PARTICIPANTS:151 575 infants and young children born in the preceding 2 years of the surveys. INDICATORS DETERMINED:Eight core and six optional IYCF indicators. RESULTS:Majority (95.8%) of the children born in the preceding 24 months were ever breastfed, and 50.5% initiated breastfeeding within the first hour of birth. Among infants 0-5 months of age, 72.3% were predominantly breastfed and 41.0% were exclusively breastfed. Continued breastfeeding at 1 year (89.5%) was reasonably high, but only 53.7% continued breastfeeding at 2 years and 60.4% had age-appropriate breastfeeding. About two-thirds (69.3%) of infants 6-8 months of age received solid, semisolid or soft food over the previous day across the countries. Among children 6-23 months of age, 41.9% met the minimum recommended meal frequency, while smaller proportions satisfied the minimum dietary diversity (21.0%) and acceptable diet (9.8%). About one-third (37.6%) of children 6-23 months of age consumed iron-rich or iron-fortified food over the previous day. Among non-breastfed children, only 15.0% received the recommended two or more milk feedings. Thirteen per cent were fed with a bottle with a nipple in the previous day. Country-level estimates for most indicators showed remarkable variations. Yet the minimum dietary diversity and acceptable diet indicators were consistently low. CONCLUSION:Most breastfeeding-related indicators, except exclusive and early initiation of breastfeeding, are in an acceptable level in SSA. However, complementary feeding indicators are generally low.

SUBMITTER: Gebremedhin S

PROVIDER: S-EPMC6377519 | biostudies-other | 2019 Feb

REPOSITORIES: biostudies-other

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Core and optional infant and young child feeding indicators in Sub-Saharan Africa: a cross-sectional study.

Gebremedhin Samson S

BMJ open 20190219 2

<h4>Objective</h4>The objective of the study is to determine the status of infant and young child feeding (IYCF) in Sub-Saharan Africa (SSA) based on multiple indicators.<h4>Design</h4>Secondary data analysis of 32 Demographic and Health Surveys conducted in SSA since 2010.<h4>Setting</h4>Thirty-two countries in SSA.<h4>Participants</h4>151 575 infants and young children born in the preceding 2 years of the surveys.<h4>Indicators determined</h4>Eight core and six optional IYCF indicators.<h4>Res ...[more]

PMID: 30782876

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Project description:Sub-Saharan Africa represents 69% of the total number of individuals living with HIV infection worldwide and 72% of AIDS deaths globally. Pulmonary infection is a common and frequently fatal complication, though little is known regarding the lower airway microbiome composition of this population. Our objectives were to characterize the lower airway microbiome of Ugandan HIV-infected patients with pneumonia, to determine relationships with demographic, clinical, immunological, and microbiological variables and to compare the composition and predicted metagenome of these communities to a comparable cohort of patients in the US (San Francisco). Bronchoalveolar lavage samples from a cohort of 60 Ugandan HIV-infected patients with acute pneumonia were collected. Amplified 16S ribosomal RNA was profiled and aforementioned relationships examined. Ugandan airway microbiome composition and predicted metagenomic function were compared to US HIV-infected pneumonia patients. Among the most common bacterial pulmonary pathogens, Pseudomonas aeruginosa was most prevalent in the Ugandan cohort. Patients with a richer and more diverse airway microbiome exhibited lower bacterial burden, enrichment of members of the Lachnospiraceae and sulfur-reducing bacteria and reduced expression of TNF-alpha and matrix metalloproteinase-9. Compared to San Franciscan patients, Ugandan airway microbiome were significantly richer, and compositionally distinct with predicted metagenomes that encoded a multitude of distinct pathogenic pathways e.g secretion systems. Ugandan pneumonia-associated airway microbiome is compositionally and functionally distinct from those detected in comparable patients in developed countries, a feature which may contribute to adverse outcomes in this population. Please note that the data from the comparable cohort of patients in the USUS data was published as supplemental material of PMID: 22760045 but not submitted to GEO The 'patient_info.txt' contains 12 clinical, 7 immunological and 3 microbiological variables for each patient.

Dataset Information

Core and optional infant and young child feeding indicators in Sub-Saharan Africa: a cross-sectional study.

Publications

Core and optional infant and young child feeding indicators in Sub-Saharan Africa: a cross-sectional study.

Similar Datasets

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