Exclusive breastfeeding (EBF)—giving infants only breastmilk (and medications, oral rehydration salts and vitamins as needed) with no additional food or drink for their first six months of life—is one of the most effective strategies for preventing child mortality1–4. Despite these advantages, only 37%of infants under 6 months of age in Africa were exclusively breastfed in 20175, and the practice of EBF varies by population. Here, we present a fine-scale geospatial analysis of EBF prevalence and trends in 49 African countries from 2000– 2017, providing policy-relevant administrative- and nationallevel estimates. Previous national-level analyses found that most countries will not meet the World Health Organization’s Global Nutrition Target of 50% EBF prevalence by 20256. Our analyses show that even fewer will achieve this ambition in all subnational areas. Our estimates provide the ability to visualize subnational EBF variability and identify populations in need of additional breastfeeding support.
Emily Haeuser, Laura Dwyer-Lindgren, Simon Hay, Audrey Serfes, Michael Cork, Mingyou Yang, Nicole Weaver, Samath D. Dharmaratne, Kimberly Johnson, Heidi Larson, Tomislav Mestrovic, Ali Mokdad, Jennifer Ross, Maitreyi Sahu
Bobby Reiner, Simon Hay, Katie Welgan, Chris Troeger, Mathew Baumann, Brigette Blacker, Molly Miller-Petrie, Lucas Earl, Daniel Casey, Aubrey Cook, Farah Daoud, Nicole Weaver, Samath D. Dharmaratne, Laura Dwyer-Lindgren, Valery Feigin, Joseph Frostad, Kimberly Johnson, Alice Lazzar-Atwood, Kate LeGrand, Stephen Lim, Paulina Lindstedt, Laurie Marczak, Benjamin Mayala, Tomislav Mestrovic, Ali Mokdad, Jon Mosser, Christopher J.L. Murray, QuynhAnh Nguyen, David Pigott, Puja Rao, David Smith, Emma Spurlock
Joseph Frostad, Bobby Reiner, Simon Hay, Michael Brauer, QuynhAnh Nguyen, Mathew Baumann, Brigette Blacker, Laurie Marczak, Kate LeGrand, Kimberly Johnson, Lalit Dandona, Rakhi Dandona, Samath D. Dharmaratne, Benjamin Mayala, Tomislav Mestrovic, Ali Mokdad, Christopher J.L. Murray, Mohsen Naghavi, Emma Spurlock, Katie Welgan