{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:16:47Z","timestamp":1790727407347,"version":"4.1.0"},"reference-count":50,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,4,16]],"date-time":"2018-04-16T00:00:00Z","timestamp":1523836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Stars in Global Health, Grand Challenge Canada","award":["0610-01-10"],"award-info":[{"award-number":["0610-01-10"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This study aimed to evaluate the impact of peer counselling on early initiation of breastfeeding (EIBF) and exclusive breastfeeding (EBF) rates for mother\u2013infant pairs living in urban slums, Dhaka, Bangladesh. This randomized controlled trial enrolled 350 mother\u2013infant pairs from selected slums between September 2014 and July 2016. The women assigned to intervention group received peer counselling from locally recruited, trained community female volunteers starting in third trimester of pregnancy until 6\u00a0months after delivery; control group received no intervention. EIBF, any liquids given after birth, and EBF were compared between groups. Follow\u2010up was scheduled at enrolment, following childbirth, and every 2\u00a0months up to 6\u00a0months after delivery. Multiple logistic regressions were used to assess the effect peer counselling and other associated factors on EIBF and EBF practices. EIBF rate was higher in the intervention group than in the control group (89.1% vs. 77.4%, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.005). More mothers in intervention group were exclusively breastfeeding at 5\u00a0months than mothers in the control group (73% vs. 27%, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.005). Control mothers were twice as likely to not practice EIBF compared with intervention mothers (adjusted odds risk [aOR]: 2.53, CI [1.29, 4.97], <jats:italic>p<\/jats:italic> = .007). Overall, caesarean section was associated with an 8.9\u2010fold higher risk of not achieving EIBF (aOR: 8.90, CI [4.05, 19.55], <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.001). Intervention mothers were 5.10\u2010fold more likely to practice EBF compared with control mothers (aOR: 5.10, CI [2.89, 9.01], <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.001) at 5\u00a0months. This study demonstrates peer counselling can positively influence both EIBF and EBF among mothers living in urban area.<\/jats:p>","DOI":"10.1111\/mcn.12605","type":"journal-article","created":{"date-parts":[[2018,4,16]],"date-time":"2018-04-16T23:59:07Z","timestamp":1523923147000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":41,"title":["Peer counselling improves breastfeeding practices: A cluster randomized controlled trial in urban Bangladesh"],"prefix":"10.1111","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3745-5952","authenticated-orcid":false,"given":"Gulshan","family":"Ara","sequence":"first","affiliation":[{"name":"ICDDR, B  Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mansura","family":"Khanam","sequence":"additional","affiliation":[{"name":"ICDDR, B  Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nowshin","family":"Papri","sequence":"additional","affiliation":[{"name":"ICDDR, B  Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baitun","family":"Nahar","sequence":"additional","affiliation":[{"name":"ICDDR, B  Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Md Ahshanul","family":"Haque","sequence":"additional","affiliation":[{"name":"ICDDR, B  Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iqbal","family":"Kabir","sequence":"additional","affiliation":[{"name":"Bangladesh Breastfeeding Foundation (BBF)  Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Dibley","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, Edward Ford Building (A27) University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,4,16]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Abul Barkat M. M. Mahiyuddin G. Poddar A. Hossain K. T. &Ahmed F. M.(2015).Report on survey for project areas in urban slums of Mirpur and Karail Dhaka. United Nations Children Fund (UNICEF) Dhaka Bangladesh."},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-015-2405-y"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13006-014-0021-6"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.3329\/jssmc.v4i1.11994"},{"key":"e_1_2_11_6_1","unstructured":"Bangladesh Demographic and Health Survey(2007).Dhaka Bangladesh and Calverton Maryland USA:National Institute of Population Research and Training Mitra and Associates and Macro International."},{"key":"e_1_2_11_7_1","unstructured":"Bangladesh Demographic and Health Survey(2011).Dhaka Bangladesh and Calverton Maryland USA:National Institute of Population Research and Training Mitra and Associates and Macro International."},{"key":"e_1_2_11_8_1","unstructured":"Bangladesh Demographic and Health Survey(2014).Dhaka Bangladesh and Calverton Maryland USA:National Institute of Population Research and Training Mitra and Associates and Macro 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