母乳喂养与科特迪瓦 0-5 岁儿童生存
Breastfeeding and child survival from 0 to 5 years in Côte d'Ivoire.
机构信息
Department of Economics and Management, Félix Houphouët Boigny University, 01 BP V43 Abidjan 01, Abidjan-Cocody, Côte d'Ivoire.
出版信息
J Health Popul Nutr. 2020 Mar 30;39(1):5. doi: 10.1186/s41043-020-0210-4.
BACKGROUND
One of the main objectives of health policy-makers is to promote children's growth, development, and survival. The current research evaluates the impact of breastfeeding on infant survival and highlights the major socio-economic determinants of child survival from 0 to 5 years old in Côte d'Ivoire.
METHODS
This study uses Probit estimation to evaluate the impact of the type of breastfeeding on the survival of children aged from 0 to 5 years old. The main socio-economic determinants of child survival were identified and analyzed. The sample of the study covers 7776 children under 5 years old drawn from the Côte d'Ivoire Demographic Health Surveys and the Multiple Indicators cluster survey of 2012.
RESULTS
A child is more likely to survive when immediate exclusive breastfeeding was practiced for up to 6 months. The probability of survival increases significantly when the mother lives in a healthy environment, when she has at least a primary school education, and when she plays a leading role in caring for the children. Likewise, when she better controls the market of some breast milk supplement and she chooses the best milk formula to complete feeding for her baby, the child's chances of survival increase significantly.
CONCLUSION
Health policy-makers must strengthen programs to promote exclusive breastfeeding up to 6 months through social campaigns. It should also strengthen the capacity of health workers (midwives, nurses, doctors, etc.) to better guide and provide training to mothers and young women about childbearing age to allow them to practice exclusive breastfeeding for up to 6 months. It is only after 6 months that they have to complete infant feeding by providing some semi-solid food rich in vitamins, proteins, and minerals. Taking into account the time constraint when they are engaged in economic activity, they must choose the best formula milk to supplement breastfeeding. It is also important to educate women to improve hygiene in their housing, in their neighborhood and in their community in order to promote the welfare and health of their children.
背景
卫生政策制定者的主要目标之一是促进儿童的生长、发育和生存。本研究评估了母乳喂养对婴儿生存的影响，并强调了科特迪瓦从 0 岁到 5 岁儿童生存的主要社会经济决定因素。
方法
本研究使用 Probit 估计来评估母乳喂养类型对 0 至 5 岁儿童生存的影响。确定并分析了儿童生存的主要社会经济决定因素。本研究的样本包括来自 2012 年科特迪瓦人口健康调查和多指标类集调查的 7776 名 5 岁以下儿童。
结果
当立即进行为期 6 个月的纯母乳喂养时，儿童更有可能存活。当母亲生活在健康的环境中、至少接受过小学教育、在照顾孩子方面发挥主导作用时，生存的可能性会显著增加。同样，当她更好地控制一些母乳补充剂的市场并选择最佳的配方奶粉来完成婴儿的喂养时，孩子生存的机会也会显著增加。
结论
卫生政策制定者必须通过社会宣传活动加强促进 6 个月内纯母乳喂养的计划。还应加强卫生工作者（助产士、护士、医生等）的能力，以更好地指导和培训母亲和年轻妇女有关生育的知识，使她们能够进行为期 6 个月的纯母乳喂养。只有在 6 个月之后，她们才需要通过提供一些富含维生素、蛋白质和矿物质的半固体食物来完成婴儿喂养。考虑到她们从事经济活动的时间限制，她们必须选择最佳的配方奶粉来补充母乳喂养。教育妇女改善住房、邻里和社区的卫生状况也很重要，以促进其子女的福利和健康。
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