Conclusion
The PROMISE-EBF trial showed that breastfeeding counselling by peers was associated with less prelacteal feeding in Burkina Faso and Uganda. More children re- ceived colostrum and started breastfeeding early in Uganda which means that in Uganda, mothers might have perceived the “exclusive” and “immediate” mes- sage to a large extent. There were substantial country variations, while no clear behaviour change was seen in South Africa. There is a need to understand safe and efficient ways to improve early infant feeding practices and how to create efficient and sustainable strategies