Effectiveness of Breastfeeding Support Packages in Low- And Middle-Income Countries for Infants Under Six Months: A Systematic Review

Authors

J. Nelson Zenegbain

Department of Public Health, Nimba University Sanniquellie City, Nimba County Liberia (Liberia)

Article Information

DOI: 10.51584/IJRIAS.2026.11090023

Subject Category: Education

Volume/Issue: 11/9 | Page No: 267-276

Publication Timeline

Submitted: 2026-09-12

Accepted: 2026-09-17

Published: 2026-10-03

Abstract

INTRODUCTION:
Breastfeeding is crucial for improving infant health and survival, particularly in low- and middle-income countries (LMICs) where malnutrition and infectious diseases are prevalent. The World Health Organization (WHO) recommends exclusive breastfeeding throughout the first six months of a baby's life, but many mothers in low- and middle-income countries (LMICs) faced challenges. This systematic analysis aimed to evaluate the effectiveness of breastfeeding assistance programs in low- and middle-income countries (LMICs) in promoting exclusive breastfeeding of infants younger than six months.
METHOD:
In compliance with the PRISMA (preferred reporting items for systematic review and meta-analysis protocols) statement, we created and adhered to a standard systematic review protocol (PROSPERO 2018, CRD42018102795).

Result-PRISMA FLOW DIAGRAM:
The search results and the selection process were shown. The search turned up 15,256 records. After duplicates were removed and titles and abstracts were reviewed, 16 of the 155 entries that were available in "abstract only" form could be read in full. Out of the 139 remaining records, 98 did not meet the inclusion criteria. The last 41 studies were included in the primary analysis. (Iwasaki and others, 2021)

Conclusion:
Future feeding decisions for young, nutritionally vulnerable infants under six months are not well-informed. Nonetheless, a lot of the knowledge gained from treatments that target a broader spectrum of newborns and infants under six meters can be applied. It has been demonstrated that the breastfeeding counseling, education, training, promotion, and peer support packages improve breastfeeding outcomes.
. All infants under six months old can use the packages in our review as "primary prevention" therapy. It is possible that the same packets, with only minor modifications, can also sustain small/at-risk infants under 6 m, albeit formal research is needed to validate their effectiveness for this demographic. Future research of this kind ought to concentrate on results that have clinical significance.(Spiga and others, 2024)
Key Words:
Breastfeeding, Breastfeeding exclusively, baby health, peer support, .

Keywords

Breastfeeding, Breastfeeding exclusively, baby health, peer support, .

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References

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