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Disparities in 6 Month Exclusive Breastfeeding in Ghana, Africa: A Scoping Review
Background: Exclusive breastfeeding practice for 6 months is a critical global public health goal. In 2020, only 44% of infants globally, 31% in Central and West Africa, and 43% in Ghana, were exclusively breastfed for the first 6 months of life. Research Aim: To critically evaluate disparities in e...
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Published in: | Journal of human lactation 2023-08, Vol.39 (3), p.456-467 |
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container_issue | 3 |
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container_title | Journal of human lactation |
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creator | Gyamfi, Adwoa Jefferson, Urmeka T. O’Neill, Barbara Lucas, Ruth Spatz, Diane Lynn Henderson, Wendy A. |
description | Background:
Exclusive breastfeeding practice for 6 months is a critical global public health goal. In 2020, only 44% of infants globally, 31% in Central and West Africa, and 43% in Ghana, were exclusively breastfed for the first 6 months of life.
Research Aim:
To critically evaluate disparities in exclusive breastfeeding practice for 6 months in Ghana.
Methods:
The scoping review was guided by Arksey and O’Malley’s (2005) six-stage scoping review process. The online databases of American Psychological Association PsychInfo (APA PsychInfo), Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, and Scopus were searched with keywords inclusive of Ghana, exclusive breastfeeding, breastfeeding, infant feeding, lactation, lactating, and exclusive. Eligibility criteria included full-text, peer-reviewed research articles written in the English language without limitation to specific years. Data were analyzed thematically.
Results:
Initially, 317 records were identified, and 15 full-text articles were eligible for the scoping review. Four main themes emerged as disparities in exclusive breastfeeding practice in Ghana. The themes were healthcare (prenatal clinic visits, delivery place, exclusive breastfeeding knowledge), personal (maternal age, Human Immunodeficiency Virus status, parity, type of delivery, breast problem), employment (unemployed, formal, or informal sector worker), and sociocultural (ethnicity/region, family support, religious beliefs, cultural practices).
Conclusion:
Disparities in exclusive breastfeeding in Ghana warrant the collaborative efforts of stakeholders for successful mitigation. Future researchers should explore the role of religion and sociocultural practices to protect, promote, and support 6 months of exclusive breastfeeding in Ghana. |
doi_str_mv | 10.1177/08903344221130988 |
format | article |
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Exclusive breastfeeding practice for 6 months is a critical global public health goal. In 2020, only 44% of infants globally, 31% in Central and West Africa, and 43% in Ghana, were exclusively breastfed for the first 6 months of life.
Research Aim:
To critically evaluate disparities in exclusive breastfeeding practice for 6 months in Ghana.
Methods:
The scoping review was guided by Arksey and O’Malley’s (2005) six-stage scoping review process. The online databases of American Psychological Association PsychInfo (APA PsychInfo), Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, and Scopus were searched with keywords inclusive of Ghana, exclusive breastfeeding, breastfeeding, infant feeding, lactation, lactating, and exclusive. Eligibility criteria included full-text, peer-reviewed research articles written in the English language without limitation to specific years. Data were analyzed thematically.
Results:
Initially, 317 records were identified, and 15 full-text articles were eligible for the scoping review. Four main themes emerged as disparities in exclusive breastfeeding practice in Ghana. The themes were healthcare (prenatal clinic visits, delivery place, exclusive breastfeeding knowledge), personal (maternal age, Human Immunodeficiency Virus status, parity, type of delivery, breast problem), employment (unemployed, formal, or informal sector worker), and sociocultural (ethnicity/region, family support, religious beliefs, cultural practices).
Conclusion:
Disparities in exclusive breastfeeding in Ghana warrant the collaborative efforts of stakeholders for successful mitigation. Future researchers should explore the role of religion and sociocultural practices to protect, promote, and support 6 months of exclusive breastfeeding in Ghana.</description><identifier>ISSN: 0890-3344</identifier><identifier>EISSN: 1552-5732</identifier><identifier>DOI: 10.1177/08903344221130988</identifier><identifier>PMID: 36305494</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Breast Feeding ; Employment ; Family Support ; Female ; Ghana ; Humans ; Infant ; Lactation ; Mothers - psychology ; Pregnancy</subject><ispartof>Journal of human lactation, 2023-08, Vol.39 (3), p.456-467</ispartof><rights>The Author(s) 2022</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c340t-c440198b3e6ea27204ef3cdb473192d0656fef52dca7128b6e98999baad0f6cf3</citedby><cites>FETCH-LOGICAL-c340t-c440198b3e6ea27204ef3cdb473192d0656fef52dca7128b6e98999baad0f6cf3</cites><orcidid>0000-0001-7855-6672 ; 0000-0001-9757-5668 ; 0000-0001-7316-6616</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904,79111</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36305494$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gyamfi, Adwoa</creatorcontrib><creatorcontrib>Jefferson, Urmeka T.</creatorcontrib><creatorcontrib>O’Neill, Barbara</creatorcontrib><creatorcontrib>Lucas, Ruth</creatorcontrib><creatorcontrib>Spatz, Diane Lynn</creatorcontrib><creatorcontrib>Henderson, Wendy A.</creatorcontrib><title>Disparities in 6 Month Exclusive Breastfeeding in Ghana, Africa: A Scoping Review</title><title>Journal of human lactation</title><addtitle>J Hum Lact</addtitle><description>Background:
Exclusive breastfeeding practice for 6 months is a critical global public health goal. In 2020, only 44% of infants globally, 31% in Central and West Africa, and 43% in Ghana, were exclusively breastfed for the first 6 months of life.
Research Aim:
To critically evaluate disparities in exclusive breastfeeding practice for 6 months in Ghana.
Methods:
The scoping review was guided by Arksey and O’Malley’s (2005) six-stage scoping review process. The online databases of American Psychological Association PsychInfo (APA PsychInfo), Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, and Scopus were searched with keywords inclusive of Ghana, exclusive breastfeeding, breastfeeding, infant feeding, lactation, lactating, and exclusive. Eligibility criteria included full-text, peer-reviewed research articles written in the English language without limitation to specific years. Data were analyzed thematically.
Results:
Initially, 317 records were identified, and 15 full-text articles were eligible for the scoping review. Four main themes emerged as disparities in exclusive breastfeeding practice in Ghana. The themes were healthcare (prenatal clinic visits, delivery place, exclusive breastfeeding knowledge), personal (maternal age, Human Immunodeficiency Virus status, parity, type of delivery, breast problem), employment (unemployed, formal, or informal sector worker), and sociocultural (ethnicity/region, family support, religious beliefs, cultural practices).
Conclusion:
Disparities in exclusive breastfeeding in Ghana warrant the collaborative efforts of stakeholders for successful mitigation. Future researchers should explore the role of religion and sociocultural practices to protect, promote, and support 6 months of exclusive breastfeeding in Ghana.</description><subject>Breast Feeding</subject><subject>Employment</subject><subject>Family Support</subject><subject>Female</subject><subject>Ghana</subject><subject>Humans</subject><subject>Infant</subject><subject>Lactation</subject><subject>Mothers - psychology</subject><subject>Pregnancy</subject><issn>0890-3344</issn><issn>1552-5732</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kMtOwzAQRS0EoqXwAWyQlyxI8SsPsyulFKQixGsdOc64dZUmxU4K_D2JWtggsZrFnHs0cxE6pWRIaRxfkkQSzoVgjFJOZJLsoT4NQxaEMWf7qN_tgw7ooSPvl4RQSWJ6iHo84iQUUvTR0431a-VsbcFjW-IIP1RlvcCTT1003m4AXztQvjYAuS3nHTJdqFJd4JFxVqsrPMIvulp3u2fYWPg4RgdGFR5OdnOA3m4nr-O7YPY4vR-PZoHmgtSBFqI9J8k4RKBYzIgAw3WeiZhTyXIShZEBE7Jcq5iyJItAJlLKTKmcmEgbPkDnW-_aVe8N-DpdWa-hKFQJVeNTFnPSqkLOW5RuUe0q7x2YdO3sSrmvlJK0azL902SbOdvpm2wF-W_ip7oWGG4Br-aQLqvGle27_xi_ARvCebw</recordid><startdate>202308</startdate><enddate>202308</enddate><creator>Gyamfi, Adwoa</creator><creator>Jefferson, Urmeka T.</creator><creator>O’Neill, Barbara</creator><creator>Lucas, Ruth</creator><creator>Spatz, Diane Lynn</creator><creator>Henderson, Wendy A.</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7855-6672</orcidid><orcidid>https://orcid.org/0000-0001-9757-5668</orcidid><orcidid>https://orcid.org/0000-0001-7316-6616</orcidid></search><sort><creationdate>202308</creationdate><title>Disparities in 6 Month Exclusive Breastfeeding in Ghana, Africa: A Scoping Review</title><author>Gyamfi, Adwoa ; Jefferson, Urmeka T. ; O’Neill, Barbara ; Lucas, Ruth ; Spatz, Diane Lynn ; Henderson, Wendy A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c340t-c440198b3e6ea27204ef3cdb473192d0656fef52dca7128b6e98999baad0f6cf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Breast Feeding</topic><topic>Employment</topic><topic>Family Support</topic><topic>Female</topic><topic>Ghana</topic><topic>Humans</topic><topic>Infant</topic><topic>Lactation</topic><topic>Mothers - psychology</topic><topic>Pregnancy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gyamfi, Adwoa</creatorcontrib><creatorcontrib>Jefferson, Urmeka T.</creatorcontrib><creatorcontrib>O’Neill, Barbara</creatorcontrib><creatorcontrib>Lucas, Ruth</creatorcontrib><creatorcontrib>Spatz, Diane Lynn</creatorcontrib><creatorcontrib>Henderson, Wendy A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of human lactation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gyamfi, Adwoa</au><au>Jefferson, Urmeka T.</au><au>O’Neill, Barbara</au><au>Lucas, Ruth</au><au>Spatz, Diane Lynn</au><au>Henderson, Wendy A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Disparities in 6 Month Exclusive Breastfeeding in Ghana, Africa: A Scoping Review</atitle><jtitle>Journal of human lactation</jtitle><addtitle>J Hum Lact</addtitle><date>2023-08</date><risdate>2023</risdate><volume>39</volume><issue>3</issue><spage>456</spage><epage>467</epage><pages>456-467</pages><issn>0890-3344</issn><eissn>1552-5732</eissn><abstract>Background:
Exclusive breastfeeding practice for 6 months is a critical global public health goal. In 2020, only 44% of infants globally, 31% in Central and West Africa, and 43% in Ghana, were exclusively breastfed for the first 6 months of life.
Research Aim:
To critically evaluate disparities in exclusive breastfeeding practice for 6 months in Ghana.
Methods:
The scoping review was guided by Arksey and O’Malley’s (2005) six-stage scoping review process. The online databases of American Psychological Association PsychInfo (APA PsychInfo), Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, and Scopus were searched with keywords inclusive of Ghana, exclusive breastfeeding, breastfeeding, infant feeding, lactation, lactating, and exclusive. Eligibility criteria included full-text, peer-reviewed research articles written in the English language without limitation to specific years. Data were analyzed thematically.
Results:
Initially, 317 records were identified, and 15 full-text articles were eligible for the scoping review. Four main themes emerged as disparities in exclusive breastfeeding practice in Ghana. The themes were healthcare (prenatal clinic visits, delivery place, exclusive breastfeeding knowledge), personal (maternal age, Human Immunodeficiency Virus status, parity, type of delivery, breast problem), employment (unemployed, formal, or informal sector worker), and sociocultural (ethnicity/region, family support, religious beliefs, cultural practices).
Conclusion:
Disparities in exclusive breastfeeding in Ghana warrant the collaborative efforts of stakeholders for successful mitigation. Future researchers should explore the role of religion and sociocultural practices to protect, promote, and support 6 months of exclusive breastfeeding in Ghana.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>36305494</pmid><doi>10.1177/08903344221130988</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-7855-6672</orcidid><orcidid>https://orcid.org/0000-0001-9757-5668</orcidid><orcidid>https://orcid.org/0000-0001-7316-6616</orcidid></addata></record> |
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subjects | Breast Feeding Employment Family Support Female Ghana Humans Infant Lactation Mothers - psychology Pregnancy |
title | Disparities in 6 Month Exclusive Breastfeeding in Ghana, Africa: A Scoping Review |
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