| Peer-Reviewed

Behavior Change Communication and Breastfeeding Practices Measured by Deuterium-Oxide Turnover Method Among Infants Aged 4-5 Months in Rural Senegal

Received: 19 January 2023     Accepted: 14 February 2023     Published: 24 February 2023
Views:       Downloads:
Abstract

Breastfeeding promotion is widely recognized as one of the most cost-effective investments in promoting optimal child health, growth, and development. Several studies have shown that breastfeeding education and counseling interventions have a significant impact on improving breastfeeding practices, including exclusive breastfeeding (EBF) rates. However, very few studies have evaluated the association between breastfeeding education and infant breast milk intake. The objective of this study was to assess the contribution of behavior change communication provided by the Nutrition Enhancement Program (NEP) on improving infant breast milk intake and breastfeeding practices. A comparative cross-sectional study was conducted in 12 Local Communities in rural Senegal, of which 6 were located in the NEP intervention area and the remaining, in the non-intervention area. Breast milk intake and EBF were measured using the deuterium dose-to-mother isotope dilution (DTM) in 140 mother-infant (4-5 mo.) pairs. Breastfeeding and complementary feeding practices were also assessed by questionnaire. Student's t-test, ANOVA, chi-square test and McNemar test were used to compare means and percentages. A mixed model linear regression was performed to identify the associated factors of breast milk intake, measured by DTM. Breast milk intake was significantly higher in infants from the NEP area (994.7 ±197.3 g/d), compared to those from the non-NEP area (913.6 ± 222.8) g/d), p=0.023. Consumption of water from sources other than breast milk was not different between the groups. EBF rates measured by DTM were 37.0% and 28.4% in the NEP area and the non-NEP area, respectively. There was no difference on exclusive breastfeeding rate between the two areas regardless of evaluation method. Stunting and wasting were associated with lower milk intake of 107.1 g/d and 211.9 g/d, respectively. Mothers' participation in behavior change communication activities improved infants' breast milk intake, but not EBF rates. Lower breast milk consumption was associated with stunting and wasting.

Published in International Journal of Nutrition and Food Sciences (Volume 12, Issue 1)
DOI 10.11648/j.ijnfs.20231201.12
Page(s) 10-20
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Breast Milk Intake, Exclusive Breastfeeding, Deuterium Dilution, Communication Intervention, Rural Senegal

References
[1] United Nations International Children’s Emergency Fund (UNICEF). (2013). Améliorer la nutrition de l’enfant. Un objectif impératif et réalisable pour le progrès mondial. New York.
[2] Fewtrell MS. (2004). The long-term benefits of having been breastfed. Current Pediatrics (14). doi: 10.1016/j.cupe.2003.11.010.
[3] World Health Organization (WHO). Evidence on the long-term effects of breastfeeding: systematic reviews and meta-analyses. Geneva: World Health Organization; 2007.
[4] Cesar G Victora, Rajiv Bahl, Aluísio J D Barros, Giovanny V A França, Susan Horton, Julia Krasevec, Simon Murch, Mari Jeeva Sankar, Neff Walker & Nigel C Rollins; Lancet Breastfeeding Series Group. (2016). Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. (387). doi: 10.1016/S0140-6736(15)01024-7.
[5] Rajiv Bahl, Chris Frost, Betty R Kirkwood, Karen Edmond, Jose Martines, Nita Bhandari & Paul Arthur. (2005). Infant feeding patterns and risks of death and hospitalization in the first half of infancy: multicentre cohort study. Bulletin of the World Health Organization (6).
[6] Laura M Lamberti, Christa L Fischer Walker, Adi Noiman, Cesar Victora & Robert E Black. (2011). Breastfeeding and the risk for diarrhea morbidity and mortality. BMC Public Health (3). S15.
[7] Chowdhury R, Sinha B, Sankar MJ, Taneja S, Bhandari N, Rollins N, et al. (2015). Breastfeeding and maternal health outcomes: a systematic review and meta-analysis. Acta Paediatrica (467). doi: 10.1111/apa.13102.
[8] World Health Organization (WHO). (2001). Global strategy for infant and young child feeding: The optimal duration of exclusive breastfeeding, Fifty-fourth World Health Assembly. Geneva: World Health Organization.
[9] World Health Organization (WHO). 2008. Indicators for assessing infant and young child feeding practices: Part 1: Definitions. Geneva: World Health Organization.
[10] World Health Organization (WHO)/United Nations Children’s Fund (UNICEF). (2021). Indicators for assessing infant and young child feeding practices: definitions and measurement methods. Geneva: World Health Organization and the United Nations Children’s Fund (UNICEF).
[11] Feachem RG & Koblinsky MA. (1984). Interventions for the control of diarrhoeal diseases among young children: promotion of breast-feeding. Bulletin of the World Health Organization (2).
[12] Bernardo L Horta, Christian Loret de Mola, Cesar G Victora. (2015). Breastfeeding and intelligence: a systematic review and meta-analysis. Acta Paediatrica (467) doi: 10.1111/apa.13139.
[13] Tamsen J Rochat, Brian Houle, Alan Stein, Hoosen Coovadia, Anna Coutsoudis, Chris Desmond, Marie-Louise Newell & Ruth M Bland. (2016). Exclusive Breastfeeding and Cognition, Executive Function, and Behavioural Disorders in Primary School-Aged Children in Rural South Africa: A Cohort Analysis. PLoS Medecine. (6). doi: e1002044. doi: 10.1371/journal.pmed.1002044.
[14] Felix Akpojene Ogbo, Hillary Nguyen, Sabrina Naz, Kingsley E Agho & Andrew Page. (2018). The association between infant and young child feeding practices and diarrhoea in Tanzanian children. Tropical Medicine and Health (2). doi: 10.1186/s41182-018-0084-y.
[15] Dewey KG, Cohen RJ, Brown KH and Rivera LL. (2001). Effects of Exclusive Breastfeeding for Four versus Six Months on Maternal Nutritional Status and Infant Motor Development: Results of Two Randomized Trials in Honduras. The Journal of. Nutrition (2). doi: 10.1093/jn/131.2.262.
[16] R H Gray, O M Campbell, R Apelo, S S Eslami, H Zacur, R M Ramos, J C Gehret & M H Labbok. (1990). Risk of ovulation during lactation. Lancet. doi: 10.1016/0140-6736(90)90147-w.
[17] World Health Organization. (2012). Comprehensive implementation plan on maternal, infant and young child nutrition. In: Sixty-fifth World Health Assembly Geneva, 21–26 May 2012. Resolutions and decisions, annexes. Geneva: World Health Organization.
[18] Global Nutrition Report. (2021). The state of global nutrition. Bristol, UK: Development Initiatives.
[19] Agence Nationale de la Statistique et de la Démographie (ANSD). (2019). Enquête Démographique et de Santé Continue (EDS-Continue). Rapport sur le Indicateurs Clés.
[20] Bridget A Aidam, Rafael Pérez-Escamilla & Anna Lartey (2005). Lactation counseling increases exclusive breast-feeding rates in Ghana. The Journal of Nutrition (7). doi: 10.1093/jn/135.7.1691.
[21] Donna J Chapman, Katherine Morel, Alex Kojo Anderson, Grace Damio & Rafael Pérez-Escamilla. (2010). Breastfeeding Peer Counseling: From Efficacy Through Scale-Up. Journal of Human Lactation (3). doi: 10.1177/0890334410369481.
[22] Aamer Imdad, Mohammad Yawar Yakoob & Zulfiqar A Bhutta. (2011). Effect of breastfeeding promotion interventions on breastfeeding rates, with special focus on developing countries. BMC Public Health (3). doi: 10.1186/1471-2458-11-S3-S24.
[23] Gabriel Nama Medoua, Estelle C Sajo Nana, Anne Christine A Ndzana, Caroline S Makamto, Lucien S Etame, Honorine A Rikong & Jean Louis E Oyono. (2012). Breastfeeding practices of Cameroonian mothers determined by dietary recall since birth and the dose-to-the-mother deuterium-oxide turnover technique: Breastfeeding practices of Cameroonian mothers. Maternal & Child Nutrition (3). doi: 10.1111/j.1740-8709.2011.00293.x..
[24] Monica Mazariegos, Christine Slater & Manuel Ramirez-Zea. (2016). Validity of Guatemalan Mother’s Self-Reported Breast-Feeding Practices of 3-Month-Old Infants. Food Nutrition Bulletin (4). doi: 10.1177/0379572116654644.
[25] Chong Guey Yong, Nik Shanita Safii, Noor Zahila Mat Isa & Norimah A. Karim. (2019). Comparison of Breastfeeding Practice Using Deuterium Oxide Dose to Mother Technique with Maternal Recall Breastfeeding Practice Among Mothers in Klang Valley. Jurnal Sains Kesihatan Malaysia (1). doi: 10.17576/JSKM-2019-1701-14.
[26] W A Coward, M B Sawyer, R G Whitehead, A M Prentice & J Evans. (1979). New method for measuring milk intakes in breast-fed babies. Lancet. doi: 10.1016/s0140-6736(79)90177-6.
[27] Aïta Sarr Cissé, Leslie Bluck, Babou Diaham, Nicole Dossou, Amadou Tidiane Guiro & Salimata Wade. (2002). Use of Fourier transformed infrared spectrophotometer (FTIR) for determination of breast milk output by the deuterium dilution method among Senegalese women. Food and Nutrition Bulletin (3).
[28] Sophie E Moore 1, Andrew M Prentice, W Andy Coward, Antony Wright, Edward A Frongillo, Anthony Jc Fulford, Adrian P Mander, Lars-Ake Persson, Shams E Arifeen & Iqbal Kabir. (2007). Use of stable-isotope techniques to validate infant feeding practices reported by Bangladeshi women receiving breastfeeding counseling. American Journal of Clinical Nutrition (4). doi: 10.1093/ajcn/85.4.1075.
[29] International Atomic Energy Agency (IAEA). (2010). Stable isotope technique to assess Intake of human milk in breastfed infants, Human Health Series No. 7, Vienna.
[30] Aïta Sarr Cissé, Nicole Dossou, Mamadou Ndiaye, Amadou Lamine Guèye, El Hadji Issakha Diop, Babou Diaham, Amadou Tidiane Guiro, Djibril Cissé, Cheikh Saad Bouh Sarr & Salimata Wade. (2002). Stable isotope aided evaluation of Community Nutrition Program: effect of food supplementation schemes on maternal and infant nutritional status. Food and Nutrition Bulletin (3).
[31] Anta Agne-Djigo, Komlan M Kwadjode, Nicole Idohou-Dossou, Adama Diouf, Amadou T Guiro & Salimata Wade. (2013). Energy intake from human milk covers the requirement of 6-month-old Senegalese exclusively breast-fed infants. The British Journal of Nutrition (10). doi: 10.1017/S0007114513001074.
[32] Elaine Albernaz, Cesar G Victora, Hinke Haisma, Antony Wright & William A Coward. (2003). Lactation counseling increases breast-feeding duration but not breast milk intake as measured by isotopic methods. The Journal of Nutrition (1). doi: 10.1093/jn/133.1.205.
[33] Agence Nationale de la Statistique et de la Démographie (ANSD). (2018). Enquête Démographique et de Santé Continue (EDS-Continue). ANSD et ICF International.
[34] Machin D, Campell MJ, Tan SB, Tn SH. (2018). Sample sizes for clinical, laboratory and epidemiology studies. 4th ed. Oxford: John Wiley & Sons Ltd.
[35] W A Coward, T J Cole, M B Sawyer, A M Prentice. (1982). Breast-milk intake measurement in mixed-fed infants by administration of deuterium oxide to their mothers. Human Nutrition, Clinical Nutrition (2).
[36] Jones PJ, Leatherdale ST. (1991). Stable isotopes in clinical research: safety reaffirmed. Clinical Science (London, England) (4). doi: 10.1042/cs0800277.
[37] Fjeld CR, Brown KH, Scholler DA. (1988). Validation of the deuterium oxide method for measuring average daily milk intake for infants. American Journal of Clinical Nutrition (3). doi: 10.1093/ajcn/48.3.671.
[38] Wells JCK, Davies PSW, Coward WA. (2000). Simultaneous measurement of milk intake and total energy expenditure in mixed-fed infants: methodological approach and prediction of total body water. In: International Atomic Energy agency, NAHRES-55. Co-ordinated research project on isotopic evaluations in infant growth monitoring, a collaboration with WHO (partly report).
[39] Zheng Liu, Aly Diana, Christine Slater, Thomas Preston, Rosalind S Gibson, Lisa Houghton & Stephen B Duffull. (2019). Development of a nonlinear hierarchical model to describe the disposition of deuterium in mother–infant pairs to assess exclusive breastfeeding practice. Journal of Pharmacokinetics Pharmcodynamics (1) doi: 10.1007/s10928-018-9613-x.
[40] Organisation Mondiale de la Santé (OMS). (1996). Utilisation et interprétation de l'anthropométrie. Rapport d'un comité OMS d'experts. Genève: OMS.
[41] World Health Organization/Multicentre Growth Reference Study Group. (2006). WHO Child Growth Standards: Length/height-for-age, weight- for-age, weight-for-length, weight-for-height and body mass index- for-age: Methods and development. Geneva.
[42] World Health Organization. (2008). Indicators for Assessing Infant and Young Child Feeding Practices: Part I Definitions. Geneva, Switzerland: World Health Organization.
[43] WHO/UNICEF. (2021). Indicators for assessing infant and young child feeding practices: definitions and measurement methods. Geneva: World Health Organization and the United Nations Children’s Fund (UNICEF).
[44] Seema Vyas 1, Lilani Kumaranayake. (2006). Constructing socioeconomic status indices: how to use principal components analysis. Health Policy Planning (6). doi: 10.1093/heapol/czl029.
[45] Coates, Jennifer, Anne Swindale and Paula Bilinsky. (2007). Household Food Insecurity Access Scale (HFIAS) for Measurement of Household Food Access: Indicator Guide (v.3). Washington, DC: FHI 360/FANTA.
[46] Lokonon JHF, Hounkpatin WA, Idohou-Dossou N. (2020). Participation in the “nutrition at the Centre” project through women’s group improved exclusive breastfeeding practices, as measured by the deuterium oxide dose-to- mother technique. International Breastfeed. Journal. doi: org/10.1186/s13006-020-00302-y.
[47] World Health Organization. (2002). Nutrient adequacy of exclusive breastfeeding for the term infant during the first six months of life. Geneva: World Health Organization.
[48] Crawford MA. The role of essential fatty-acids in neural development: implications for perinatal nutrition. American Journal of Clinical Nutrition (3). doi: 10.1093/ajcn/57.5.703S.
[49] N F Butte, C Garza, J E Stuff, E O Smith, B L Nichols. (1984). Effect of maternal diet and body composition on lactational performance. American Journal of Clinical Nutrition (2). doi: 10.1093/ajcn/39.2.296.
[50] Rattigan, S.; Ghisalberti AV and Hartmann PE. Breast-milk production in Australian women. British Journal of Nutrition (2). doi: 10.1079/bjn19810100.
[51] Michael S Kramer, Tong Guo, Robert W Platt, Zinaida Sevkovskaya, Irina Dzikovich, Jean-Paul Collet, Stanley Shapiro, Beverley Chalmers, Ellen Hodnett, Irina Vanilovich, Irina Mezen, Thierry Ducruet, George Shishko, Natalia Bogdanovich. (2003). Infant growth and health outcomes associated with 3 compared with 6 mo of exclusive breastfeeding. American Journal of Clinical Nutrition (2). doi: 10.1093/ajcn/78.2.291.
[52] Kamudoni P, Maleta K, Shi Z & Holmboe-Ottesen G. Exclusive breastfeeding duration during the first 6 months of life is positively associated with length-for-age among infants 6-12 months old, in Mangochi district, Malawi. European Journal of Clinical Nutrition (1). doi: 10.1038/ejcn.2014.148.
[53] Alison McFadden, Lindsay Siebelt, Joyce L Marshall, Anna Gavine, Lisa-Christine Girard, Andrew Symon & Stephen MacGillivray. (2019). Counselling interventions to enable women to initiate and continue breastfeeding: a systematic review and meta-analysis. International Breastfeeding Journal. doi: org/10.1186/s13006-019-0235-8.
[54] Prakash Shakya, Mika Kondo Kunieda, Momoko Koyama, Sarju Sing Rai, Moe Miyaguchi, Sumi Dhakal, Su Sandy, Bruno Fokas Sunguya, Masamine Jimba. (2017). Effectiveness of community-based peer support for mothers to improve their breastfeeding practices: A systematic review and meta-analysis. PLoS ONE (5). doi: 10.1371/journal. pone.0177434.
[55] Alive and Thrive/ United Nations Children’s Fund (UNICEF). (2019). Allaitement Exclusif en Afrique de l’ouest et du centre. https://www.aliveandthrive.org/sites/default/files/ecowas_swbo_research_brief_french_november_2019_1_0.pdf. Accessed 24 July 2022.
[56] Raisler J. (2000). Against the odds: breastfeeding experiences of low income mothers. Journal of Midwifery Womens Health (3). doi: 10.1016/s1526-9523(00)00019-2.
[57] World Health Organization. (2018) 0. Guideline: counselling of women to improve breastfeeding practices. Geneva: World Health Organization.
[58] Ghizlane Choua, Khalid El Kari, Noureddine El Haloui, Christine Slater, Hassan Aguenaou, and Najat Mokhtar. (2013). Quantitative Assessment of Breastfeeding Practices and Maternal Body Composition in Moroccan Lactating Women during Six Months after Birth Using Stable Isotopic Dilution Technique. International Journal of Maternal and Child Health (3). doi: 10.12966/ijmch.09.01.2013.
[59] Motswagole BS, Matenge STP, Mongwaketse T, Bogopa J, Kobue-Lekalake R, Mosetlha K, et al. (2015) Application of the deuterium-oxide dose-to-mother technique to determine the exclusivity of breastfeeding in women in Kanye, Botswana. South African Journal of Clinical Nutrition.
Cite This Article
  • APA Style

    Ousmane Diongue, Adama Diouf, Pape Sitor Ndour, Mane Hélène Faye, Abdou Badiane, et al. (2023). Behavior Change Communication and Breastfeeding Practices Measured by Deuterium-Oxide Turnover Method Among Infants Aged 4-5 Months in Rural Senegal. International Journal of Nutrition and Food Sciences, 12(1), 10-20. https://doi.org/10.11648/j.ijnfs.20231201.12

    Copy | Download

    ACS Style

    Ousmane Diongue; Adama Diouf; Pape Sitor Ndour; Mane Hélène Faye; Abdou Badiane, et al. Behavior Change Communication and Breastfeeding Practices Measured by Deuterium-Oxide Turnover Method Among Infants Aged 4-5 Months in Rural Senegal. Int. J. Nutr. Food Sci. 2023, 12(1), 10-20. doi: 10.11648/j.ijnfs.20231201.12

    Copy | Download

    AMA Style

    Ousmane Diongue, Adama Diouf, Pape Sitor Ndour, Mane Hélène Faye, Abdou Badiane, et al. Behavior Change Communication and Breastfeeding Practices Measured by Deuterium-Oxide Turnover Method Among Infants Aged 4-5 Months in Rural Senegal. Int J Nutr Food Sci. 2023;12(1):10-20. doi: 10.11648/j.ijnfs.20231201.12

    Copy | Download

  • @article{10.11648/j.ijnfs.20231201.12,
      author = {Ousmane Diongue and Adama Diouf and Pape Sitor Ndour and Mane Hélène Faye and Abdou Badiane and Mbeugué Thiam and Olouwafemi Mistourath Mama and El Hadji Momar Thiam and Nicole Idohou Dossou},
      title = {Behavior Change Communication and Breastfeeding Practices Measured by Deuterium-Oxide Turnover Method Among Infants Aged 4-5 Months in Rural Senegal},
      journal = {International Journal of Nutrition and Food Sciences},
      volume = {12},
      number = {1},
      pages = {10-20},
      doi = {10.11648/j.ijnfs.20231201.12},
      url = {https://doi.org/10.11648/j.ijnfs.20231201.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijnfs.20231201.12},
      abstract = {Breastfeeding promotion is widely recognized as one of the most cost-effective investments in promoting optimal child health, growth, and development. Several studies have shown that breastfeeding education and counseling interventions have a significant impact on improving breastfeeding practices, including exclusive breastfeeding (EBF) rates. However, very few studies have evaluated the association between breastfeeding education and infant breast milk intake. The objective of this study was to assess the contribution of behavior change communication provided by the Nutrition Enhancement Program (NEP) on improving infant breast milk intake and breastfeeding practices. A comparative cross-sectional study was conducted in 12 Local Communities in rural Senegal, of which 6 were located in the NEP intervention area and the remaining, in the non-intervention area. Breast milk intake and EBF were measured using the deuterium dose-to-mother isotope dilution (DTM) in 140 mother-infant (4-5 mo.) pairs. Breastfeeding and complementary feeding practices were also assessed by questionnaire. Student's t-test, ANOVA, chi-square test and McNemar test were used to compare means and percentages. A mixed model linear regression was performed to identify the associated factors of breast milk intake, measured by DTM. Breast milk intake was significantly higher in infants from the NEP area (994.7 ±197.3 g/d), compared to those from the non-NEP area (913.6 ± 222.8) g/d), p=0.023. Consumption of water from sources other than breast milk was not different between the groups. EBF rates measured by DTM were 37.0% and 28.4% in the NEP area and the non-NEP area, respectively. There was no difference on exclusive breastfeeding rate between the two areas regardless of evaluation method. Stunting and wasting were associated with lower milk intake of 107.1 g/d and 211.9 g/d, respectively. Mothers' participation in behavior change communication activities improved infants' breast milk intake, but not EBF rates. Lower breast milk consumption was associated with stunting and wasting.},
     year = {2023}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Behavior Change Communication and Breastfeeding Practices Measured by Deuterium-Oxide Turnover Method Among Infants Aged 4-5 Months in Rural Senegal
    AU  - Ousmane Diongue
    AU  - Adama Diouf
    AU  - Pape Sitor Ndour
    AU  - Mane Hélène Faye
    AU  - Abdou Badiane
    AU  - Mbeugué Thiam
    AU  - Olouwafemi Mistourath Mama
    AU  - El Hadji Momar Thiam
    AU  - Nicole Idohou Dossou
    Y1  - 2023/02/24
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ijnfs.20231201.12
    DO  - 10.11648/j.ijnfs.20231201.12
    T2  - International Journal of Nutrition and Food Sciences
    JF  - International Journal of Nutrition and Food Sciences
    JO  - International Journal of Nutrition and Food Sciences
    SP  - 10
    EP  - 20
    PB  - Science Publishing Group
    SN  - 2327-2716
    UR  - https://doi.org/10.11648/j.ijnfs.20231201.12
    AB  - Breastfeeding promotion is widely recognized as one of the most cost-effective investments in promoting optimal child health, growth, and development. Several studies have shown that breastfeeding education and counseling interventions have a significant impact on improving breastfeeding practices, including exclusive breastfeeding (EBF) rates. However, very few studies have evaluated the association between breastfeeding education and infant breast milk intake. The objective of this study was to assess the contribution of behavior change communication provided by the Nutrition Enhancement Program (NEP) on improving infant breast milk intake and breastfeeding practices. A comparative cross-sectional study was conducted in 12 Local Communities in rural Senegal, of which 6 were located in the NEP intervention area and the remaining, in the non-intervention area. Breast milk intake and EBF were measured using the deuterium dose-to-mother isotope dilution (DTM) in 140 mother-infant (4-5 mo.) pairs. Breastfeeding and complementary feeding practices were also assessed by questionnaire. Student's t-test, ANOVA, chi-square test and McNemar test were used to compare means and percentages. A mixed model linear regression was performed to identify the associated factors of breast milk intake, measured by DTM. Breast milk intake was significantly higher in infants from the NEP area (994.7 ±197.3 g/d), compared to those from the non-NEP area (913.6 ± 222.8) g/d), p=0.023. Consumption of water from sources other than breast milk was not different between the groups. EBF rates measured by DTM were 37.0% and 28.4% in the NEP area and the non-NEP area, respectively. There was no difference on exclusive breastfeeding rate between the two areas regardless of evaluation method. Stunting and wasting were associated with lower milk intake of 107.1 g/d and 211.9 g/d, respectively. Mothers' participation in behavior change communication activities improved infants' breast milk intake, but not EBF rates. Lower breast milk consumption was associated with stunting and wasting.
    VL  - 12
    IS  - 1
    ER  - 

    Copy | Download

Author Information
  • Laboratoire de Recherche en Nutrition et Alimentation Humaine, Departement de Biologie Animale, Faculte des Sciences et Techniques, Universite Cheikh Anta Diop (UCAD), Dakar, Senegal

  • Laboratoire de Recherche en Nutrition et Alimentation Humaine, Departement de Biologie Animale, Faculte des Sciences et Techniques, Universite Cheikh Anta Diop (UCAD), Dakar, Senegal

  • Laboratoire de Recherche en Nutrition et Alimentation Humaine, Departement de Biologie Animale, Faculte des Sciences et Techniques, Universite Cheikh Anta Diop (UCAD), Dakar, Senegal

  • Laboratoire de Recherche en Nutrition et Alimentation Humaine, Departement de Biologie Animale, Faculte des Sciences et Techniques, Universite Cheikh Anta Diop (UCAD), Dakar, Senegal

  • Laboratoire de Recherche en Nutrition et Alimentation Humaine, Departement de Biologie Animale, Faculte des Sciences et Techniques, Universite Cheikh Anta Diop (UCAD), Dakar, Senegal

  • Laboratoire de Recherche en Nutrition et Alimentation Humaine, Departement de Biologie Animale, Faculte des Sciences et Techniques, Universite Cheikh Anta Diop (UCAD), Dakar, Senegal

  • Laboratoire de Recherche en Nutrition et Alimentation Humaine, Departement de Biologie Animale, Faculte des Sciences et Techniques, Universite Cheikh Anta Diop (UCAD), Dakar, Senegal

  • Conseil National de Developpement de la Nutrition, Rue 7 - Point E, Dakar, Senegal

  • Laboratoire de Recherche en Nutrition et Alimentation Humaine, Departement de Biologie Animale, Faculte des Sciences et Techniques, Universite Cheikh Anta Diop (UCAD), Dakar, Senegal

  • Sections