Lewis-Koku Martha Osekua, Fleming Catharine A K, Pachuau Lucy Ngaihbanglovi, Elmighrabi Nagwa Farag, Agho Kingsley Emwinyore
School of Health Science, Western Sydney University, NSW, Australia.
School of Health Science, Western Sydney University, Campbelltown, NSW, Australia.
Matern Child Nutr. 2025 Apr;21(2):e13792. doi: 10.1111/mcn.13792. Epub 2025 Jan 7.
Early initiation of breastfeeding (EIBF) and exclusive breastfeeding (EBF) are highly effective forms of preventive medicine in many low- and middle-income countries, including Anglophone and Francophone West African countries. Despite the proven benefits of EIBF and EBF in reducing mortality and morbidity, there is limited systematic evidence from West African countries. Hence, the aim of this systematic review and meta-analysis was to estimate the pooled prevalence of EIBF and EBF in Anglophone and Francophone West African countries. Six databases were searched for eligible studies based on inclusion criteria and a systematic review and a further meta-analysis were done. The weighted prevalence of EIBF was 51.7% (95% CI: 48.8, 54.6) in Anglophone West African countries and 45.5% (95% CI: 42.0, 48.9) in Francophone West African countries. The pooled prevalence of EBF was 41.2% (95% CI: 36.9, 45.5) in Anglophone West African countries and 30.1% (95% CI: 26.7, 33.5) in Francophone West African countries. Our study showed that the weighted average EIBF and EBF prevalence tended to be higher from studies in Anglophone West African countries than in Francophone West African countries. Despite these findings, EIBF and EBF rates overall in West African countries were suboptimal. A substantial improvement is necessary in promoting EIBF and EBF in West African countries. Programmes should target all mothers in the region no matter their colonial allegiance to achieve Sustainable Development Goals 2 and 3 by 2030.
在包括西非英语国家和法语国家在内的许多低收入和中等收入国家，尽早开始母乳喂养（EIBF）和纯母乳喂养（EBF）是非常有效的预防医学形式。尽管EIBF和EBF在降低死亡率和发病率方面的益处已得到证实，但来自西非国家的系统性证据有限。因此，本系统评价和荟萃分析的目的是估计西非英语国家和法语国家EIBF和EBF的合并患病率。根据纳入标准在六个数据库中检索符合条件的研究，并进行了系统评价和进一步的荟萃分析。在西非英语国家，EIBF的加权患病率为51.7%（95%CI：48.8，54.6），在西非法语国家为45.5%（95%CI：42.0，48.9）。在西非英语国家，EBF的合并患病率为41.2%（95%CI：36.9，45.5），在西非法语国家为30.1%（95%CI：26.7，33.5）。我们的研究表明，西非英语国家研究中的EIBF和EBF加权平均患病率往往高于西非法语国家。尽管有这些发现，但西非国家总体上的EIBF和EBF率仍未达到最佳水平。在西非国家促进EIBF和EBF方面有必要取得实质性改善。各项计划应针对该地区所有母亲，无论其所属殖民地情况如何，以便到2030年实现可持续发展目标2和3。
