State of the Art of Socio-demographic Approaches to Breastfeeding in Sub-Saharan Africa

  • Naoko Horii
Part of the Demographic Transformation and Socio-Economic Development book series (DTSD, volume 12)


This chapter illustrates what we already know about breastfeeding promotion in the developing world, more specifically in sub-Saharan Africa, and new directions explored by the recent research findings. We emphasized the importance of reviewing previous studies about behavior change in early initiation of breastfeeding. Systematic literature review identified risk and protective factors for early initiation of breastfeeding within the 1st hour of birth. This meta-analysis provided evidence-based findings which allowed us to develop further the framework of secondary analysis of the databases of household and community surveys in Niger. Looking at other previous studies and updating ourselves on the most recently published research work on the same subject is the first step to undertake in an original research work. Based on the findings of the previous studies, we built a list of variables likely to be determinants of and other influencing factors for early initiation of breastfeeding after birth in Niger. A theoretical framework of the present research was elaborated in behavioral analysis of neonatal feeding and healthcare from demographic perspectives. Besides, by restricting geographical zones of research to sub-Saharan Africa, the findings drew on the limited scientific research.


Chapter 3

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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Naoko Horii
    • 1
  1. 1.Independent consultant in SBCC-MCH & NutritionIssy les MoulineauxFrance

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