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Effectiveness of community-based peer support for mothers to improve their breastfeeding practices: A systematic review and meta-analysis

Author

Listed:
  • Prakash Shakya
  • Mika Kondo Kunieda
  • Momoko Koyama
  • Sarju Sing Rai
  • Moe Miyaguchi
  • Sumi Dhakal
  • Su Sandy
  • Bruno Fokas Sunguya
  • Masamine Jimba

Abstract

Methods: We searched for evidence regarding community-based peer support for mothers in databases, such as PubMed/MEDLINE, the Cochrane Library, CINAHL, Web of Science, SocINDEX, and PsycINFO. We selected three outcome variables for breastfeeding practices, namely, exclusive breastfeeding duration, breastfeeding within the first hour of life, and prelacteal feeding. We conducted meta-analyses of the included randomized controlled trials and quasi-experimental studies. Results: For our review, we selected 47 articles for synthesis out of 1,855 retrieved articles. In low- and middle-income countries, compared to usual care, community-based peer support increased exclusive breastfeeding at 3 months (RR: 1.90, 95% CI: 1.62–2.22), at 5 months (RR: 9.55, 95% CI: 6.65–13.70) and at 6 months (RR: 3.53, 95% CI: 2.49–5.00). In high-income countries, compared to usual care, peer support increased exclusive breastfeeding at 3 months (RR: 2.61, 95% CI: 1.15–5.95). In low- and middle-income countries, compared to usual care, peer support increased the initiation of breastfeeding within the first hour of life (RR: 1.51, 95% CI: 1.04–2.21) and decreased the risk of prelacteal feeding (RR: 0.38, 95% CI: 0.33–0.45). Conclusions: Community-based peer support for mothers is effective in increasing the duration of exclusive breastfeeding, particularly for infants aged 3–6 months in low- and middle-income countries. Such support also encourages mothers to initiate breastfeeding early and prevents newborn prelacteal feeding.

Suggested Citation

  • Prakash Shakya & Mika Kondo Kunieda & Momoko Koyama & Sarju Sing Rai & Moe Miyaguchi & Sumi Dhakal & Su Sandy & Bruno Fokas Sunguya & Masamine Jimba, 2017. "Effectiveness of community-based peer support for mothers to improve their breastfeeding practices: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-24, May.
    • Handle: RePEc:plo:pone00:0177434
    DOI: 10.1371/journal.pone.0177434
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    References listed on IDEAS

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    1. Desclaux, Alice & Alfieri, Chiara, 2009. "Counseling and choosing between infant-feeding options: Overall limits and local interpretations by health care providers and women living with HIV in resource-poor countries (Burkina Faso, Cambodia, ," Social Science & Medicine, Elsevier, vol. 69(6), pages 821-829, September.
    2. Christopher R Sudfeld & Wafaie W Fawzi & Chandrakant Lahariya, 2012. "Peer Support and Exclusive Breastfeeding Duration in Low and Middle-Income Countries: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-9, September.
    3. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    4. Neena Shah More & Ujwala Bapat & Sushmita Das & Glyn Alcock & Sarita Patil & Maya Porel & Leena Vaidya & Armida Fernandez & Wasundhara Joshi & David Osrin, 2012. "Community Mobilization in Mumbai Slums to Improve Perinatal Care and Outcomes: A Cluster Randomized Controlled Trial," Working Papers id:5098, eSocialSciences.
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    1. Isabel Rodríguez-Gallego & Fatima Leon-Larios & Isabel Corrales-Gutierrez & Juan Diego González-Sanz, 2021. "Impact and Effectiveness of Group Strategies for Supporting Breastfeeding after Birth: A Systematic Review," IJERPH, MDPI, vol. 18(5), pages 1-19, March.
    2. Anna Price & Siân de Bell & Naomi Shaw & Alison Bethel & Rob Anderson & Jo Thompson Coon, 2022. "What is the volume, diversity and nature of recent, robust evidence for the use of peer support in health and social care? An evidence and gap map," Campbell Systematic Reviews, John Wiley & Sons, vol. 18(3), September.
    3. López Bóo, Florencia & de la Paz Ferro, Maria & Carneiro, Pedro, 2024. "Impacts of Integrating Early Childhood with Health Services: Experimental Evidence from the Cresça Com Seu Filho Home Visiting Program," IZA Discussion Papers 17130, Institute of Labor Economics (IZA).

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