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Feeding practices in infants infected with human immunodeficiency virus in Ethiopia: a systematic review and meta-analysis

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Document pages: 12 pages

Abstract: Background, because of the risk of viral transmission through breastfeeding, it is a major challenge for infants and children to be infected with the mother of human immunodeficiency virus. In Ethiopia, a number of independent studies were conducted to assess the feeding pattern of infants exposed to HIV. However, there is no specific evidence of Ethiopia s national figures. Therefore, this review and meta analysis aim to estimate the overall prevalence of feeding patterns in infants infected with HIV in Ethiopia. method. Preferred reporting items following the systematic review and meta-analysis (PRISMA) guidelines. Articles are searched through PubMed, Cochran library, Google scholars and direct Google search search engines. Joanna Briggs Collegeysis of Statistics Assessment and Review Instrument adapted for cross-sectional study design was used for quality assessment. The random effects model was used to estimate the pooled prevalence of infant feeding practices. Heterogeneity and publication bias were assessed. Trim and fill analysis was performed. Additionally, meta-regression was also performed. Results. In this review, a total of 26, 22, and 22 studies and 7413, 6224, and 6222 study participants for exclusive breastfeeding, replacement feeding, and mixed feelings were included, respectively. The overall pooled prevalence of exclusive breastfeeding, replacement feeding, and mixed feeding of HIV exposed infant was 63.99 (95 Confidence Interval (CI): 52.32, 75.66), 16.13 (95 CI: 11.92, 20.32), and 20.95 (95 CI: 11.35, 30.58)) in Ethiopia, respectively. Conclusion and Recommendations. In Ethiopia, almost three in five HIV-exposed infants were exclusively breastfed. But still, mixed feeding during the period of first 6 months was practiced in almost one-fifth of the exposed infants in Ethiopia. Additionally, replacement feeding was also practiced even though not recommended for developing countries. Therefore, the government of Ethiopia should strengthen the health institutions to implement the existing infant feeding strategies and guidelines to increase exclusive breastfeeding for the first 6 months and to avoid mixed feeding during the periods of six months.

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