@article{fdi:010071221,
  title = {{D}eterminants of early initiation of breastfeeding in rural {N}iger : cross-sectional study of community based child healthcare promotion},
  author = {{H}orii, {N}. and {A}llman, {J}. and {M}artin-{P}r{\'e}vel, {Y}ves and {W}altisperger, {D}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {M}ost child deaths are preventable and caused by behaviorally modifiable factors. {B}y promoting optimal breastfeeding, we can reduce neonatal and child mortality risks by 45%. {T}his paper provides new family and community based perspectives to identify factors interfering with the program impact on promoting early initiation of breastfeeding among the most vulnerable populations in rural {N}iger. {M}ethods: {A} secondary analysis of a retrospective cross-sectional study evaluated a {UNICEF} behavior change program on child healthcare. {T}he study sample is based on a post-hoc constitution of two groups exposed and unexposed to the program. {A}ll women (n = 1026) aged 14-49 years having at least one child below 24 months of age were included. {W}e measured crude and adjusted odds ratios with chi-square and multivariate logistic regression models. {R}esults: {I}ndependent variables shown to be associated with early breastfeeding include sales activities compared to household work with no direct income ({AOR} 7.7; 95% {CI} 1.3, 47.8) and mutual decision for harvest use ({AOR} 8.6; 95% {CI} 2.0, 36.8). {A}ntenatal care did not modify the timing of breastfeeding initiation. {C}onclusions: {A} high risk group of mothers with social and economic vulnerability are prone to suboptimal breastfeeding within the first hour of birth. {S}upport from family and neighbors positively influenced early breastfeeding. {T}hose who had no direct income and limited access to health services were a high-risk group, prone to delayed initiation of breastfeeding.},
  keywords = {{D}eterminants ; {B}reastfeeding ; {B}ehavior change ; {C}ommunity health ; {NIGER}},
  booktitle = {},
  journal = {{I}nternational {B}reastfeeding {J}ournal},
  volume = {12},
  numero = {},
  pages = {art. 41 [10 p.]},
  ISSN = {1746-4358},
  year = {2017},
  DOI = {10.1186/s13006-017-0134-9},
  URL = {https://www.documentation.ird.fr/hor/fdi:010071221},
}