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This is a pre-recorded presentation that is a part of 4th Student and Staff Research Conference: 'Small Steps Matters - Research towards a better world' organised by London Metropolitan University between 4th and 5th July 2023. Predictors of early initiation of breastfeeding and duration of breastfeeding among South African women by Ntuthuko Khanyile. Malnutrition is responsible for almost half the mortality rate in children aged five and younger, in Low-and Middle-Income Countries (LMICs). A key strategy in the fight against malnutrition is breastfeeding, as recommended by the World Health Organisation (WHO) and is estimated to save approximately 850 000 children’s lives annually in LMICs 2. Furthermore, continued breastfeeding, of up to two years, is a WHO indicator for optimal breastfeeding. Attaining this, however, remains a challenge worldwide. We have identified some of the key factors that are associated with the duration of breastfeeding SA mothers. Methods: Using Demographic and Health Survey (DHS) data. We investigated the association between the age of the mother, wealth, education level, number of Antenatal care (ANC) visits, and facility birthplace with early breastfeeding duration. A generalised linear model methodology was utilised to predict the association of the predictors on the duration of breastfeeding (using SPSS version 28). Results: Data were available for 1641 mother and child pairs, 1221 (75%) of them initiating breastfeeding within 1 hour of birth. Findings of different predictors with their marginal effect (ME) and p-value (P) are presented below. Duration of any breastfeeding was 10.4 (+/-7.9) months. Late breastfeeding (more than 1 hour) Initiation (ME: -0.078; P:0.006), being from an urban area (ME: -0.01; P:0.435) and attendance of less than 4 months (ME: -0.078; P:0.006) increased breastfeeding duration. In contrast, multiple births (ME: 0.228: P: more than 0.001), increasing wealth (ME: -0.077; P: less than0.001) and ANC after 4 months (ME: -0.086; P:0.032) visits were associated with a decrease in breastfeeding duration. Conclusions: Increasing household wealth, urban residency and multiple births was associated with shorter breastfeeding duration. To increase early initiation, focus should be on the less educated, less wealthy and those outside urban areas. However, initiatives aimed at increasing duration should focus on urban, educated, and wealthy mothers. #londonmetresearch #LMUSmallStepsMatter #malnutrition #breastfeeding londonmet.ac.uk/research https://www.eventbrite.co.uk/e/studen...