Becoming Breastfeeding Friendly Index: Development and application for scaling ‐up breastfeeding programmes globally
Abstract Global efforts to further improve exclusive breastfeeding rates have not been successful, in part because effective scaling‐up frameworks and roadmaps have not been developed. The Becoming Breastfeeding Friendly (BBF) toolbox includes an evidence‐based index, the BBF Index (BBFI), to guide the development and tracking of large scale, well‐coordinated, multisector national breastfeeding promotion programmes. This paper describes the development of the BBFI, which is grounded in the Breastfeeding Gear Model complex adaptive systems framework. The BBFI was developed by the BBF Steering Committee in collaboratio...
Source: Maternal and Child Nutrition - January 1, 2018 Category: Nutrition Authors: Rafael P érez‐Escamilla, Amber J. Hromi‐Fiedler, Muriel Bauermann Gubert, Katie Doucet, Sara Meyers, Gabriela Buccini Tags: ORIGINAL ARTICLE Source Type: research

Trends of child undernutrition in rural Ecuadorian communities with differential access to roads, 2004 –2013
We examined the influence of socio‐economic characteristics on the pathway between remoteness and nutrition by comparing model results with and without household‐level socio‐economic covariates. Remoteness was associated with stunting (OR = 0.43, 95% CI [0.30, 0.63]) and anaemia (OR = 0.56, 95% CI [0.44, 0.70]). Over time, the prevalence of stunting was generally decreasing but remained higher in villages closer to the road compared to those farther away. Obesity increased (0.5% to 3%) over time; wasting was high (6%) but stable during the study period. Wealth and education partially explained the better nutritio...
Source: Maternal and Child Nutrition - January 1, 2018 Category: Nutrition Authors: Velma K. Lopez, Carolyn Dombecki, James Trostle, Patricia Mogrovejo, Nancy Castro Morillo, William Cevallos, Jason Goldstick, Andrew D. Jones, Joseph N. S. Eisenberg Tags: ORIGINAL ARTICLE Source Type: research

Early childhood growth and cognitive outcomes: Findings from the MAL ‐ED study
In this study, head circumference measurements, compared with length, was more closely linked to cognitive scores at 24 months. Notably, all studies between growth and cognitive outcomes exhibited low r2 values (0.001–0.049). Anthropometric measures, particularly head circumference, were related to cognitive development, although explaining a low percent of variance. When feasible, direct measures of child development may be more useful. (Source: Maternal and Child Nutrition)
Source: Maternal and Child Nutrition - January 1, 2018 Category: Nutrition Authors: Rebecca J. Scharf, Elizabeth T. Rogawski, Laura E. Murray ‐Kolb, Angelina Maphula, Erling Svensen, Fahmida Tofail, Muneera Rasheed, Claudia Abreu, Angel Orbe Vasquez, Rita Shrestha, Laura Pendergast, Estomih Mduma, Beena Koshy, Mark R. Conaway, James A. Tags: ORIGINAL ARTICLE Source Type: research

Baby ‐friendly hospital practices are associated with duration of full breastfeeding in primiparous but not multiparous Iranian women
This study investigated the impact of BFHI practices on duration of full breastfeeding in a cohort of 700 Iranian mothers recruited between June 2014 and March 2015 from maternity hospitals in Shiraz and followed‐up prospectively for 6 months. At baseline, mothers self‐reported exposure to 7 of the BFHI Ten Steps to Successful Breastfeeding (Steps 3 to 9). Data on breastfeeding outcomes were collected at baseline, 1, 3, 4, and 6 months postpartum. Cox regression analysis was conducted to determine the impact of individual and cumulative BFHI Steps on the duration of full breastfeeding, defined as the number of weeks ...
Source: Maternal and Child Nutrition - January 1, 2018 Category: Nutrition Authors: Mahnaz Zarshenas, Yun Zhao, Colin W. Binns, Jane A. Scott Tags: ORIGINAL ARTICLE Source Type: research

Measuring exclusive breastfeeding social support: Scale development and validation in Uganda
Abstract The World Health Organization recommends exclusive breastfeeding (EBF) for 6 months and continued breastfeeding for at least 2 years. Social support has been widely recognized to influence breastfeeding practices. However, existing scales do not measure exclusive breastfeeding social support (EBFSS), rather they assess social support for any breastfeeding. Further, they are tailored towards high‐income settings. Therefore, our objectives were to develop and validate a tool to measure EBFSS in low‐income settings. To develop the scale, local and international breastfeeding experts were consulted on modificati...
Source: Maternal and Child Nutrition - January 1, 2018 Category: Nutrition Authors: Godfred O. Boateng, Stephanie L. Martin, Shalean M. Collins, Barnabas K. Natamba, Sera L. Young Tags: ORIGINAL ARTICLE Source Type: research

Men's views and experiences of infant feeding: A qualitative systematic review
Abstract Although the advantages of breastfeeding are well documented, rates for breastfeeding often fall short of international and national targets. Increasing attention has been paid to the role of men in infant feeding, but a lot of the research about men has been elicited from women, rather than from men themselves. To explore these issues further, a systematic review of the qualitative research on infant feeding was carried out, focusing specifically on men's own views and experiences. Evidence was identified by searching electronic databases (CINAL, Cochrane, PubMed, and Scopus), manually searching citations, and by...
Source: Maternal and Child Nutrition - January 1, 2018 Category: Nutrition Authors: Sarah Earle, Robin Hadley Tags: ORIGINAL ARTICLE Source Type: research

Co ‐causation of reduced newborn size by maternal undernutrition, infections, and inflammation
Abstract More than 20 million babies are born with low birthweight annually. Small newborns have an increased risk for mortality, growth failure, and other adverse outcomes. Numerous antenatal risk factors for small newborn size have been identified, but individual interventions addressing them have not markedly improved the health outcomes of interest. We tested a hypothesis that in low‐income settings, newborn size is influenced jointly by multiple maternal exposures and characterized pathways associating these exposures with newborn size. This was a prospective cohort study of pregnant women and their offspring nested...
Source: Maternal and Child Nutrition - January 1, 2018 Category: Nutrition Authors: Per Ashorn, Lotta Hallamaa, Lindsay H. Allen, Ulla Ashorn, Upeksha Chandrasiri, Megan Deitchler, Ronan Doyle, Ulla Harjunmaa, Josh M. Jorgensen, Steve Kamiza, Nigel Klein, Kenneth Maleta, Minyanga Nkhoma, Brietta M. Oaks, Basho Poelman, Stephen J. Rogerso Tags: ORIGINAL ARTICLE Source Type: research

Effect of enhanced homestead food production and aquaculture on dietary intakes of women and children in rural Cambodia: A cluster randomized controlled trial
This study examined the effect of EHFP with or without aquaculture on dietary intake and prevalence of inadequate intake of select nutrients among women and children living in rural Cambodia, compared to controls. In a registered, cluster randomized controlled trial in Prey Veng, Cambodia, 10 households in each of 90 villages (n = 900) were randomized by village to receive EHFP, EHFP plus aquaculture, or control. After 22‐month intervention, 24‐hr dietary recalls (24HRs) were collected from mothers aged 18–50 years (n = 429) and their children aged 6 months–7 years (n = 421), reported by their mothers. Usu...
Source: Maternal and Child Nutrition - January 1, 2018 Category: Nutrition Authors: Vashti Verbowski, Zaman Talukder, Kroeun Hou, Ly Sok Hoing, Kristina Michaux, Victoria Anderson, Rosalind Gibson, Kathy H. Li, Larry D. Lynd, Judy McLean, Tim J. Green, Susan I. Barr Tags: ORIGINAL ARTICLE Source Type: research

Situation analysis of procurement and production of multiple micronutrient supplements in 12 lower and upper middle ‐income countries
Abstract Globally, there are few vitamin and mineral ingredient manufacturers. To support local, in‐country or regional procurement and production of multiple micronutrient supplements (MMS), the following production scenarios are possible: (a) straight ingredients of vitamins and minerals forms imported or locally produced that are mixed, tableted, or encapsulated and packaged by a local manufacturer; (b) import or local production of a vitamin and minerals premix that is tableted or encapsulated and packaged locally; (c) import of a bulk, finished product (tablets or capsules) that is packaged and branded; and (d) or i...
Source: Maternal and Child Nutrition - December 27, 2017 Category: Nutrition Authors: Eva C. Monterrosa, Kalpana Beesabathuni, Kesso G. Zutphen, Georg Steiger, Roland Kupka, Alison Fleet, Klaus Kraemer Tags: SUPPLEMENT ARTICLE Source Type: research

Process evaluation improves delivery of a nutrition ‐sensitive agriculture programme in Burkina Faso
Abstract Evidence is emerging from rigorous evaluations about the effectiveness of nutrition‐sensitive agriculture programmes in improving nutritional outcomes. Additional evidence can elucidate how different programme components and pathways contribute and can be optimized for impact. The International Food Policy Research Institute, with Helen Keller International, designed a comprehensive framework to evaluate the delivery, utilization, and impact of Helen Keller International's enhanced homestead food production programme in Burkina Faso. After 18 months of implementation, a process evaluation was conducted to exami...
Source: Maternal and Child Nutrition - December 26, 2017 Category: Nutrition Authors: Jennifer N. Nielsen, Deanna K. Olney, Marcellin Ouedraogo, Abdoulaye Pedehombga, Hippolyte Rouamba, Fanny Yago ‐Wienne Tags: ORIGINAL ARTICLE Source Type: research

Situation analysis of procurement and production of multiple micronutrient supplements in 12 lower and upper middle ‐income countries
Maternal&Child Nutrition, EarlyView. (Source: Maternal and Child Nutrition)
Source: Maternal and Child Nutrition - December 26, 2017 Category: Nutrition Source Type: research

Process evaluation improves delivery of a nutrition ‐sensitive agriculture programme in Burkina Faso
Maternal&Child Nutrition, EarlyView. (Source: Maternal and Child Nutrition)
Source: Maternal and Child Nutrition - December 26, 2017 Category: Nutrition Source Type: research

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Maternal&Child Nutrition, Ahead of Print. (Source: Maternal and Child Nutrition)
Source: Maternal and Child Nutrition - December 26, 2017 Category: Nutrition Source Type: research

Multiple ‐micronutrient supplementation: Evidence from large‐scale prenatal programmes on coverage, compliance and impact
Abstract Micronutrient deficiencies during pregnancy pose important challenges for public‐health, given the potential adverse outcomes not only during pregnancy but across the life‐course. Provision of iron‐folic acid (IFA) supplements is the strategy most commonly practiced and recommended globally. How to successfully implement IFA and multiple micronutrient supplementation interventions among pregnant women and to achieve sustainable/permanent solutions to prenatal micronutrient deficiencies remain unresolved issues in many countries. This paper aims to analyse available experiences of prenatal IFA and multiple mi...
Source: Maternal and Child Nutrition - December 22, 2017 Category: Nutrition Authors: Cristiana Berti, Michelle F. Gaffey, Zulfiqar A. Bhutta, Irene Cetin Tags: SUPPLEMENT ARTICLE Source Type: research