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dc.contributor.authorSinha, Bireshwaren_US
dc.contributor.authorChowdhury, Ranadipen_US
dc.contributor.authorSankar, Mari Jeevaen_US
dc.contributor.authorMartines, Jose Carlosen_US
dc.contributor.authorTaneja, Sunitaen_US
dc.contributor.authorMazumder, Sarmilaen_US
dc.contributor.authorRollins, Nigelen_US
dc.contributor.authorBahl, Rajiven_US
dc.contributor.authorBhandari, Nitaen_US
dc.date.accessioned2016-04-04T07:37:33Z
dc.date.available2016-04-04T07:37:33Z
dc.date.issued2015-11-04
dc.PublishedActa Paediatrica 2015, 104:114-135eng
dc.identifier.issn0803-5253
dc.identifier.urihttps://hdl.handle.net/1956/11819
dc.description.abstractAim. To provide comprehensive evidence of the effect of interventions on early initiation, exclusive, continued and any breastfeeding rates when delivered in five settings: (i) Health systems and services (ii) Home and family environment (iii) Community environment (iv) Work environment (v) Policy environment or a combination of any of above. Methods. Of 23977 titles identified through a systematic literature search in PUBMED, Cochrane and CABI, 195 articles relevant to our objective, were included. We reported the pooled relative risk and corresponding 95% confidence intervals as our outcome estimate. In cases of high heterogeneity, we explored its causes by subgroup analysis and meta-regression and applied random effects model. Results. Intervention delivery in combination of settings seemed to have higher improvements in breastfeeding rates. Greatest improvements in early initiation of breastfeeding, exclusive breastfeeding and continued breastfeeding rates, were seen when counselling or education were provided concurrently in home and community, health systems and community, health systems and home settings, respectively. Baby friendly hospital support at health system was the most effective intervention to improve rates of any breastfeeding. Conclusion. To promote breastfeeding, interventions should be delivered in a combination of settings by involving health systems, home and family and the community environment concurrently.en_US
dc.language.isoengeng
dc.publisherJohn Wiley & Sons Ltd on behalf of Foundation Acta Pædiatricaeng
dc.rightsAttribution CC BY 4.0eng
dc.rights.urihttp://creativecommons.org/licenses/by/4.0eng
dc.subjectBreastfeedingeng
dc.subjectInterventionseng
dc.subjectMeta Analysiseng
dc.titleInterventions to improve breastfeeding outcomes: A systematic review and meta-analysisen_US
dc.typePeer reviewed
dc.typeJournal article
dc.date.updated2016-02-04T12:15:52Z
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2015 The Authors
dc.identifier.doihttps://doi.org/10.1111/apa.13127
dc.identifier.cristin1312574
dc.subject.nsiVDP::Medisinske Fag: 700en_US


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