Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Department of Global Health, University of Washington, Seattle, WA, USA.
Nat Med. 2019 Aug;25(8):1205-1212. doi: 10.1038/s41591-019-0525-0. Epub 2019 Jul 22.
Exclusive breastfeeding (EBF)-giving infants only breast-milk (and medications, oral rehydration salts and vitamins as needed) with no additional food or drink for their first six months of life-is one of the most effective strategies for preventing child mortality. Despite these advantages, only 37% of infants under 6 months of age in Africa were exclusively breastfed in 2017, and the practice of EBF varies by population. Here, we present a fine-scale geospatial analysis of EBF prevalence and trends in 49 African countries from 2000-2017, providing policy-relevant administrative- and national-level estimates. Previous national-level analyses found that most countries will not meet the World Health Organization's Global Nutrition Target of 50% EBF prevalence by 2025. Our analyses show that even fewer will achieve this ambition in all subnational areas. Our estimates provide the ability to visualize subnational EBF variability and identify populations in need of additional breastfeeding support.
纯母乳喂养（EBF）——在婴儿生命的头 6 个月内仅给予母乳（以及根据需要的药物、口服补液盐和维生素），不添加其他食物或饮料——是预防儿童死亡的最有效策略之一。尽管有这些优势，但 2017 年非洲只有 37%的 6 个月以下婴儿接受纯母乳喂养，而且 EBF 的做法因人群而异。在这里，我们对 2000-2017 年 49 个非洲国家的 EBF 流行率和趋势进行了精细的地理空间分析，提供了与政策相关的行政和国家级估计。之前的国家级分析发现，到 2025 年，大多数国家将无法达到世界卫生组织 50% EBF 流行率的全球营养目标。我们的分析表明，在所有次国家级地区，实现这一目标的国家将更少。我们的估计提供了可视化次国家级 EBF 可变性和确定需要额外母乳喂养支持的人群的能力。
