Qualitative evidence syntheses of attitudes and preferences to inform guidelines on infant feeding in the context of Ebola Virus Disease (EVD) transmission risk.
Journal
PLoS neglected tropical diseases
ISSN: 1935-2735
Titre abrégé: PLoS Negl Trop Dis
Pays: United States
ID NLM: 101291488
Informations de publication
Date de publication:
03 2022
03 2022
Historique:
received:
16
03
2021
accepted:
09
12
2021
revised:
28
03
2022
pubmed:
11
3
2022
medline:
5
4
2022
entrez:
10
3
2022
Statut:
epublish
Résumé
Breast-feeding holds considerable potential to reduce infant mortality. Feeding choices, already complex, take on additional complexity against a backdrop of the risk of transmissible Ebola Virus. This review describes the factors that influence infant feeding and attitudes of pregnant women, mothers, family members and health practitioners, policy makers and providers (midwives) concerning infant feeding when there is a risk of Mother-to-Child (MTC) transmission of Ebola Virus Disease (EVD). A systematic review of qualitative studies identified through rigorous searches of thirteen online databases and additional citation searches of included studies was undertaken. Search terms included breast-feeding, breast-feeding, infant feeding; Ebola; and qualitative, interview(s) and findings. Independent extraction of data by two reviewers using predefined extraction forms. Studies were assessed using the CASP Qualitative checklist. 5219 references were screened. 38 references related specifically to Ebola, and five papers met the inclusion criteria with data gathered from two settings: Guinea and Sierra Leone. The EVD outbreak had a significant impact on beliefs, attitudes, and resources to support infant feeding practices negatively affecting the nutritional status of children. The evidence from these studies highlight the need for guidance and appropriate psychosocial support need to be available to mothers who display symptoms and become infected and to front-line staff who are giving advice. Communities need to be engaged because stigma and fear may hinder uptake of appropriate interventions. The EVD outbreak caused multi-level system disruption akin to that seen following a natural disaster, meaning that logistics and coordination are critical and need adequate resourcing. Food production and distribution, and malnutrition screening are also disrupted and thereby compounding compromised nutritional status. The limited number of relevant studies highlights the need for further primary research, particularly in translation of messages to local settings. An EVD outbreak causes multi-level disruption that negatively impacts infant feeding and child care practices. Negative impacts have multiple causes and successful planning for Ebola outbreaks requires that nutrition of infants and young children is a priority. Lessons from the Ebola pandemic have wider applicability to other pandemic contexts including Covid-19.
Sections du résumé
BACKGROUND
Breast-feeding holds considerable potential to reduce infant mortality. Feeding choices, already complex, take on additional complexity against a backdrop of the risk of transmissible Ebola Virus. This review describes the factors that influence infant feeding and attitudes of pregnant women, mothers, family members and health practitioners, policy makers and providers (midwives) concerning infant feeding when there is a risk of Mother-to-Child (MTC) transmission of Ebola Virus Disease (EVD).
METHODOLOGY
A systematic review of qualitative studies identified through rigorous searches of thirteen online databases and additional citation searches of included studies was undertaken. Search terms included breast-feeding, breast-feeding, infant feeding; Ebola; and qualitative, interview(s) and findings. Independent extraction of data by two reviewers using predefined extraction forms. Studies were assessed using the CASP Qualitative checklist.
PRINCIPAL FINDINGS
5219 references were screened. 38 references related specifically to Ebola, and five papers met the inclusion criteria with data gathered from two settings: Guinea and Sierra Leone. The EVD outbreak had a significant impact on beliefs, attitudes, and resources to support infant feeding practices negatively affecting the nutritional status of children. The evidence from these studies highlight the need for guidance and appropriate psychosocial support need to be available to mothers who display symptoms and become infected and to front-line staff who are giving advice. Communities need to be engaged because stigma and fear may hinder uptake of appropriate interventions. The EVD outbreak caused multi-level system disruption akin to that seen following a natural disaster, meaning that logistics and coordination are critical and need adequate resourcing. Food production and distribution, and malnutrition screening are also disrupted and thereby compounding compromised nutritional status. The limited number of relevant studies highlights the need for further primary research, particularly in translation of messages to local settings.
CONCLUSIONS
An EVD outbreak causes multi-level disruption that negatively impacts infant feeding and child care practices. Negative impacts have multiple causes and successful planning for Ebola outbreaks requires that nutrition of infants and young children is a priority. Lessons from the Ebola pandemic have wider applicability to other pandemic contexts including Covid-19.
Identifiants
pubmed: 35271571
doi: 10.1371/journal.pntd.0010080
pii: PNTD-D-21-00383
pmc: PMC8959176
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0010080Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist
Références
Midwifery. 2017 Sep;52:19-26
pubmed: 28570857
Health Res Policy Syst. 2019 Aug 8;17(1):75
pubmed: 31391119
Health Res Policy Syst. 2019 Aug 8;17(1):76
pubmed: 31391057
Glob Health Sci Pract. 2017 Sep 28;5(3):507-515
pubmed: 28963177
PLoS Negl Trop Dis. 2019 Sep 10;13(9):e0007645
pubmed: 31504036
Health Policy Plan. 2019 Mar 1;34(2):83-91
pubmed: 30753437
PLoS Negl Trop Dis. 2016 Apr 08;10(4):e0004622
pubmed: 27058346
J Adv Nurs. 2007 Jan;57(1):95-100
pubmed: 17184378
BMJ Glob Health. 2016 Oct 7;1(3):e000065
pubmed: 28588954
PLoS Negl Trop Dis. 2020 Oct 21;14(10):e0008731
pubmed: 33085668
BMJ Glob Health. 2019 Jan 25;4(Suppl 1):e000882
pubmed: 30775015
Syst Rev. 2016 May 04;5:74
pubmed: 27145932
Public Health. 2017 Feb;143:60-70
pubmed: 28159028
BMJ Glob Health. 2019 Jan 25;4(Suppl 1):e000844
pubmed: 30775012
Int J Qual Health Care. 2007 Dec;19(6):349-57
pubmed: 17872937
PLoS Med. 2015 Oct 27;12(10):e1001895
pubmed: 26506244
J Public Health (Oxf). 2016 Dec 02;38(4):673-678
pubmed: 28158472
BMJ Glob Health. 2019 Jan 25;4(Suppl 1):e001107
pubmed: 30775019
PLoS One. 2020 Dec 1;15(12):e0242669
pubmed: 33259512
Lancet. 2015 Dec 5;386(10010):2275-86
pubmed: 26361942
PLoS One. 2018 Aug 23;13(8):e0202468
pubmed: 30138407
J Clin Epidemiol. 2018 May;97:39-48
pubmed: 29248725
Health Policy Plan. 2016 Nov;31(9):1232-9
pubmed: 27277598
MMWR Morb Mortal Wkly Rep. 2015 Jan 2;63(51):1226-7
pubmed: 25551595
PLoS Med. 2012;9(3):e1001185
pubmed: 22412356
Int J Equity Health. 2018 Sep 24;17(1):126
pubmed: 30244675
Health Res Policy Syst. 2019 Aug 8;17(1):74
pubmed: 31391071