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Public health
Protocol
SystEmatic review and meta-aNAlysis of infanT and young child feeding Practices (ENAT-P) in Ethiopia: protocol
  1. Tesfa Dejenie Habtewold1,2,
  2. Md. Atiqul Islam2,
  3. Nigussie Tadesse Sharew1,
  4. Shimels Hussien Mohammed3,
  5. Mulugeta Molla Birhanu4,
  6. Balewgizie Sileshi Tegegne4
  1. 1 Department of Nursing, Debre Berhan University, Debre Berhan, Ethiopia
  2. 2 Department of Epidemiology and Rob Giel Research Centre, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands
  3. 3 Department of Community Nutrition, Tehran University of Medical Sciences, Tehran, The Islamic Republic of Iran
  4. 4 Department of Epidemiology, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands
  1. Correspondence to Mr. Tesfa Dejenie Habtewold; tesfadej2003{at}gmail.com

Abstract

Introduction Infant and young child feeding (IYCF) is the cornerstone of infant and child survival, healthy growth and development, healthy future generations and national development. In spite of the importance of optimal nutrition in low- and middle-income countries, there has been no review conducted in Ethiopia. Thus, the aim of this systematic review and meta-analysis is to estimate the national coverage and identify the associated factors of IYCF practices in Ethiopia.

Methods PubMed, Scopus, EMBASE, CINHAL, EBSCO, Web of Science and WHO Global Health Library databases will be searched for all available publications from 1 January 2000 to 30 September 2017. All published studies on the timely initiation of breast feeding, exclusive breast feeding and timely initiation of complementary feeding practice in Ethiopia will be screened, selected and reviewed. Bibliographies of identified articles and grey literature will be hand-searched as well. Heterogeneity of studies will be quantified using Higgins's method where I2 ⇓ statistic >80% indicates substantial heterogeneity. Funnel plots and Egger's regression test will be used to assess potential publication bias. The Newcastle–Ottawa Scale (NOS) will be used to assess the quality of evidence and risk of bias. Meta-analysis and meta-regression will be carried out to estimate the pooled national prevalence rate and an OR of each associated factor of IYCF practices. Narrative synthesis will be performed if meta-analysis is not feasible due to the substantial heterogeneity of studies.

Ethics and dissemination Ethical clearance is not required for this study because primary data will not be collected. The results of this systematic review and meta-analysis will be published in a peer-reviewed journal and presented at an (inter)national research symposium.

Systematic review registration This systematic review and meta-analysis has been registered with the International Prospective Register of Systematic Reviews (PROSPERO), registration number CRD42017056768.

  • infant nutritional physiological phenomena
  • feeding behaviour

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

https://doi.org/10.1136/bmjopen-2017-017437

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    Footnotes

    • Contributors TDH conceived and designed the study. TDH and BST developed the search strategy. TDH, M.AI, NTS, SHM, MMB and BST wrote the protocol. All the authors read the manuscript and have given the final approval for publication.

    • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Ethics approval Ethical clearance is not required for this review because primary data will not be collected. The results of this systematic review and meta-analysis will be published in a peer-reviewed journal and presented in (inter)national research symposium.

    • Provenance and peer review Not commissioned; externally peer reviewed.