Effect of a baby-friendly workplace support intervention on exclusive breastfeeding in Kenya

Research output: Contribution to journalArticlepeer-review

Standard

Effect of a baby-friendly workplace support intervention on exclusive breastfeeding in Kenya. / Kimani-Murage, Elizabeth W; Wilunda, Calistus; Macharia, Teresia Njoki; Kamande, Eva Watiri; Gatheru, Peter Muriuki; Zerfu, Tadesse; Donfouet, Hermann Pythagore Pierre; Kiige, Laura; Jabando, Susan; Dinga, Lynette Aoko; Samburu, Betty; Lilford, Richard; Griffiths, Paula; Jackson, Debra; Begin, France; Moloney, Grainne.

In: Maternal and Child Nutrition, 08.04.2021.

Research output: Contribution to journalArticlepeer-review

Harvard

Kimani-Murage, EW, Wilunda, C, Macharia, TN, Kamande, EW, Gatheru, PM, Zerfu, T, Donfouet, HPP, Kiige, L, Jabando, S, Dinga, LA, Samburu, B, Lilford, R, Griffiths, P, Jackson, D, Begin, F & Moloney, G 2021, 'Effect of a baby-friendly workplace support intervention on exclusive breastfeeding in Kenya', Maternal and Child Nutrition. https://doi.org/10.1111/mcn.13191

APA

Kimani-Murage, E. W., Wilunda, C., Macharia, T. N., Kamande, E. W., Gatheru, P. M., Zerfu, T., Donfouet, H. P. P., Kiige, L., Jabando, S., Dinga, L. A., Samburu, B., Lilford, R., Griffiths, P., Jackson, D., Begin, F., & Moloney, G. (2021). Effect of a baby-friendly workplace support intervention on exclusive breastfeeding in Kenya. Maternal and Child Nutrition, [e13191]. https://doi.org/10.1111/mcn.13191

Vancouver

Kimani-Murage EW, Wilunda C, Macharia TN, Kamande EW, Gatheru PM, Zerfu T et al. Effect of a baby-friendly workplace support intervention on exclusive breastfeeding in Kenya. Maternal and Child Nutrition. 2021 Apr 8. e13191. https://doi.org/10.1111/mcn.13191

Author

Kimani-Murage, Elizabeth W ; Wilunda, Calistus ; Macharia, Teresia Njoki ; Kamande, Eva Watiri ; Gatheru, Peter Muriuki ; Zerfu, Tadesse ; Donfouet, Hermann Pythagore Pierre ; Kiige, Laura ; Jabando, Susan ; Dinga, Lynette Aoko ; Samburu, Betty ; Lilford, Richard ; Griffiths, Paula ; Jackson, Debra ; Begin, France ; Moloney, Grainne. / Effect of a baby-friendly workplace support intervention on exclusive breastfeeding in Kenya. In: Maternal and Child Nutrition. 2021.

Bibtex

@article{3352841c832c41bb8482f4f2482279f2,
title = "Effect of a baby-friendly workplace support intervention on exclusive breastfeeding in Kenya",
abstract = "Exclusive breastfeeding (EBF) during the first 6 months of life is crucial for optimizing child growth, development and survival, as well as the mother's wellbeing. Mother's employment may hinder optimal breastfeeding, especially in the first 6 months. We assessed the effectiveness of a baby-friendly workplace support intervention on EBF in Kenya. This pre-post intervention study was conducted between 2016 and 2018 on an agricultural farm in Kericho County. The intervention targeted pregnant/breastfeeding women residing on the farm and consisted of workplace support policies and programme interventions including providing breastfeeding flexi-time and breaks for breastfeeding mothers; day-care centres (cr{\`e}ches) for babies near the workplace and lactation centres with facilities for breast milk expression and storage at the cr{\`e}ches; creating awareness on available workplace support for breastfeeding policies; and home-based nutritional counselling for pregnant and breastfeeding women. EBF was measured through 24-h recall. The effect of the intervention on EBF was estimated using propensity score weighting. The study included 270 and 146 mother-child dyads in the nontreated (preintervention) group and treated (intervention) group, respectively. The prevalence of EBF was higher in the treated group (80.8%) than in the nontreated group (20.2%); corresponding to a fourfold increased probability of EBF [risk ratio (RR) 3.90; 95% confidence interval (CI) 2.95-5.15]. The effect of the intervention was stronger among children aged 3-5 months (RR 8.13; 95% CI 4.23-15.64) than among those aged <3 months (RR 2.79; 95% CI 2.09-3.73). The baby-friendly workplace support intervention promoted EBF especially beyond 3 months in this setting.",
keywords = "baby-friendly workplace, breastfeeding support, infant feeding behaviour, mother-friendlyworkplace, propensity score weighting",
author = "Kimani-Murage, {Elizabeth W} and Calistus Wilunda and Macharia, {Teresia Njoki} and Kamande, {Eva Watiri} and Gatheru, {Peter Muriuki} and Tadesse Zerfu and Donfouet, {Hermann Pythagore Pierre} and Laura Kiige and Susan Jabando and Dinga, {Lynette Aoko} and Betty Samburu and Richard Lilford and Paula Griffiths and Debra Jackson and France Begin and Grainne Moloney",
note = "{\textcopyright} 2021 The Authors. Maternal & Child Nutrition published by John Wiley & Sons, Ltd.",
year = "2021",
month = apr,
day = "8",
doi = "10.1111/mcn.13191",
language = "English",
journal = "Maternal and Child Nutrition",
issn = "1740-8695",
publisher = "Wiley",

}

RIS

TY - JOUR

T1 - Effect of a baby-friendly workplace support intervention on exclusive breastfeeding in Kenya

AU - Kimani-Murage, Elizabeth W

AU - Wilunda, Calistus

AU - Macharia, Teresia Njoki

AU - Kamande, Eva Watiri

AU - Gatheru, Peter Muriuki

AU - Zerfu, Tadesse

AU - Donfouet, Hermann Pythagore Pierre

AU - Kiige, Laura

AU - Jabando, Susan

AU - Dinga, Lynette Aoko

AU - Samburu, Betty

AU - Lilford, Richard

AU - Griffiths, Paula

AU - Jackson, Debra

AU - Begin, France

AU - Moloney, Grainne

N1 - © 2021 The Authors. Maternal & Child Nutrition published by John Wiley & Sons, Ltd.

PY - 2021/4/8

Y1 - 2021/4/8

N2 - Exclusive breastfeeding (EBF) during the first 6 months of life is crucial for optimizing child growth, development and survival, as well as the mother's wellbeing. Mother's employment may hinder optimal breastfeeding, especially in the first 6 months. We assessed the effectiveness of a baby-friendly workplace support intervention on EBF in Kenya. This pre-post intervention study was conducted between 2016 and 2018 on an agricultural farm in Kericho County. The intervention targeted pregnant/breastfeeding women residing on the farm and consisted of workplace support policies and programme interventions including providing breastfeeding flexi-time and breaks for breastfeeding mothers; day-care centres (crèches) for babies near the workplace and lactation centres with facilities for breast milk expression and storage at the crèches; creating awareness on available workplace support for breastfeeding policies; and home-based nutritional counselling for pregnant and breastfeeding women. EBF was measured through 24-h recall. The effect of the intervention on EBF was estimated using propensity score weighting. The study included 270 and 146 mother-child dyads in the nontreated (preintervention) group and treated (intervention) group, respectively. The prevalence of EBF was higher in the treated group (80.8%) than in the nontreated group (20.2%); corresponding to a fourfold increased probability of EBF [risk ratio (RR) 3.90; 95% confidence interval (CI) 2.95-5.15]. The effect of the intervention was stronger among children aged 3-5 months (RR 8.13; 95% CI 4.23-15.64) than among those aged <3 months (RR 2.79; 95% CI 2.09-3.73). The baby-friendly workplace support intervention promoted EBF especially beyond 3 months in this setting.

AB - Exclusive breastfeeding (EBF) during the first 6 months of life is crucial for optimizing child growth, development and survival, as well as the mother's wellbeing. Mother's employment may hinder optimal breastfeeding, especially in the first 6 months. We assessed the effectiveness of a baby-friendly workplace support intervention on EBF in Kenya. This pre-post intervention study was conducted between 2016 and 2018 on an agricultural farm in Kericho County. The intervention targeted pregnant/breastfeeding women residing on the farm and consisted of workplace support policies and programme interventions including providing breastfeeding flexi-time and breaks for breastfeeding mothers; day-care centres (crèches) for babies near the workplace and lactation centres with facilities for breast milk expression and storage at the crèches; creating awareness on available workplace support for breastfeeding policies; and home-based nutritional counselling for pregnant and breastfeeding women. EBF was measured through 24-h recall. The effect of the intervention on EBF was estimated using propensity score weighting. The study included 270 and 146 mother-child dyads in the nontreated (preintervention) group and treated (intervention) group, respectively. The prevalence of EBF was higher in the treated group (80.8%) than in the nontreated group (20.2%); corresponding to a fourfold increased probability of EBF [risk ratio (RR) 3.90; 95% confidence interval (CI) 2.95-5.15]. The effect of the intervention was stronger among children aged 3-5 months (RR 8.13; 95% CI 4.23-15.64) than among those aged <3 months (RR 2.79; 95% CI 2.09-3.73). The baby-friendly workplace support intervention promoted EBF especially beyond 3 months in this setting.

KW - baby-friendly workplace

KW - breastfeeding support

KW - infant feeding behaviour

KW - mother-friendlyworkplace

KW - propensity score weighting

U2 - 10.1111/mcn.13191

DO - 10.1111/mcn.13191

M3 - Article

C2 - 33830636

JO - Maternal and Child Nutrition

JF - Maternal and Child Nutrition

SN - 1740-8695

M1 - e13191

ER -