Evidence map›Paper›PMID 39753250›Full record

ArticleBMJ open2025

Geographical equity in Ethiopian infant feeding practices: a secondary analysis of a birth cohort study.

Amare Tariku, Lars Persson, Joanna Schellenberg, Tanya Marchant, Della Berhanu, Seblewengel Lemma, Atkure Defar, Theodros Getachew Zemedu, Zewditu Abdissa Denu, Tadesse Guadu Delele and 4 more

Abstract read
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Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

14 authors.

Amare TarikuInstitute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia amaretariku15@gmail.com.
Lars PerssonDepartment of Disease Control, London School of Hygiene & Tropical Medicine, London, UK.ORCID http://orcid.org/0000-0003-0710-7954
Joanna SchellenbergDepartment of Disease Control, London School of Hygiene & Tropical Medicine, London, UK.
Tanya MarchantDepartment of Disease Control, London School of Hygiene & Tropical Medicine, London, UK.ORCID http://orcid.org/0000-0002-4228-4334
Della BerhanuDepartment of Disease Control, London School of Hygiene & Tropical Medicine, London, UK.ORCID http://orcid.org/0000-0002-4984-893X
Seblewengel LemmaDepartment of Disease Control, London School of Hygiene & Tropical Medicine, London, UK.ORCID http://orcid.org/0000-0001-5910-3723
Atkure DefarDepartment of Disease Control, London School of Hygiene & Tropical Medicine, London, UK.ORCID http://orcid.org/0000-0001-9435-2135
Theodros Getachew ZemeduHealth System and Reproductive Health Research Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia.ORCID http://orcid.org/0000-0002-6486-0531
Zewditu Abdissa DenuInstitute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.ORCID http://orcid.org/0000-0003-0221-4101
Tadesse Guadu DeleleInstitute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.ORCID http://orcid.org/0000-0002-7024-185X
Solomon ShiferawSchool of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.
Girum Taye ZelekeHealth System and Reproductive Health Research Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia.ORCID http://orcid.org/0000-0003-3734-7705
Meseret ZelalemMaternal, Child & Adolescent Health Service Lead Executive Office, Ethiopia Ministry of Health, Addis Ababa, Ethiopia.
Kassahun Alemu GelayeInstitute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Funding

Gates Foundation INV-009691Gates Foundation INV-010320
6 · The paper itself

Abstract

objectivesTo assess the geographical equity in Ethiopian infants' exclusive breastfeeding at 5 months and dietary diversity at 12 months and whether social factors explained the spatial inequities.

designSecondary analysis of a birth cohort study.

settingAnalysis of data from the Ethiopian Performance Monitoring for Action panel study conducted from July 2020 to August 2021 in five regions (ie, Oromia, Amhara, Afar and Southern Nations, Nationalities and Peoples regions and the Addis Ababa City administration). We analysed geographical autocorrelation to assess geographical variations in exclusive breastfeeding and dietary diversity. Areas with higher and lower coverage of appropriate infant feeding outcomes were analysed using hotspot analyses. We performed geographically weighted regression to investigate whether sociodemographic factors explained the geographical feeding differences.

participants1850 infants were prospectively followed from birth to 12 months. OUTCOME MEASURES: Exclusive breastfeeding at 5 months and minimum-level dietary diversity at 12 months.

resultsSixty-nine percent (95% CI 67 to 71) of infants were exclusively breastfed at 5 months, while at 12 months, only 16% (95% CI 13 to 19) had complementary feeding from five or more food groups. There were geographical variations in the coverage of exclusive breastfeeding and minimum dietary diversity. Higher proportions of infants were exclusively breastfed at 5 months in northern areas, and more 12-month-old infants in central parts of the country had complementary feeding from at least five food groups. Sociodemographic factors explained a quarter of the geographical variation in dietary diversity.

conclusionMost Ethiopian infants were exclusively breastfed, which was in line with global recommendations but with some geographical differences. There was prominent geographical variation in dietary diversity, partly explained by social factors, but overall, very few 12-month-old infants were fed from at least five food groups. This low dietary quality could impair Ethiopian children's physical growth, development and health.

Indexed as

Breast FeedingInfant Nutritional Physiological PhenomenaAdultCohort StudiesDietEthiopiaFemaleHumansInfantInfant, NewbornMaleProspective StudiesSocioeconomic FactorsChildNUTRITION & DIETETICSPUBLIC HEALTH

Identifiers

PMID39753250
PMCPMC11749732

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.