----- Original Message ----- 
From: "Karleen Gribble" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, September 15, 2011 8:31 PM
Subject: Re: If you are REALLY poor, it doesn't matter! Really?


> Phyllis, I think that perhaps you are misinterpreting this...I'll have a 
> go at explaining my interpretation.
>
> "Infant mortality has tended to be highest among populations in which 
> breastfeeding was most common: the poor."
> Yes, infant mortality has been highest amongst the poorest populations. 
> However, high breastfeeding rates have assisted in protecting against even 
> worse infant mortality rates in these poor populations (keeping in mind 
> that exclusive breastfeeding rates are also low nearly everywhere).
>
> "The advent of primary health care for a large portion of a population may 
> explain decreased in infant mortality in the face of declines in 
> breastfeeding."
> Infant mortality rates in some populations have decreased in some 
> populations. Paradoxically, breastfeeding rates have decreased at the same 
> time. You would think that as breastfeeding rates decreased that mortality 
> rates would increase however, at the same time that breastfeeding rates 
> decreased the availability of primary health care increased which 
> compensated (and then some) for the decrease in breastfeeding rates. Had 
> breastfeeding rates not decreased there would have been an even bigger 
> decrease in infant mortality.
>
> Karleen Gribble
> Australia
>
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