‘[The pediatrician] said that maybe my milk, instead of doing good, no longer helped’: the ecology of infant formula in rural communities in Central Mexico

2021 ◽  
pp. 1-13
Author(s):  
Paulina Luna ◽  
Tania Valdes ◽  
Alberto Zelocuatecatl-Aguilar ◽  
Gerónimo Medrano-Loera ◽  
Bárbara Guerrero ◽  
...  
Keyword(s):  
Rural Communities ◽  
Infant Formula ◽  
Breast Feeding ◽  
Conflicts Of Interest ◽  
Healthcare Providers ◽  
Indigenous Communities ◽  
Central Mexico ◽  
Economic Changes ◽  
Cultural Traditions ◽  
Social And Cultural Factors

Abstract Objective: As Mexico continues to develop, an epidemiological and nutritional transition has led to an increase in infant formula use in its rural and indigenous communities. Our objective was to determine the social and cultural factors that influence the use of formula in such populations in Central Mexico. Design: Qualitative study using a data collection instrument based on the socio-ecological framework. Setting: Two rural and indigenous communities in Central Mexico. Participants: Mothers, fathers, grandparents and healthcare providers. Results: Breast-feeding was favoured in both communities; however, several cultural traditions hindered exclusive breast-feeding. As these communities became more developed, emerging ideas of modernity led to negative connotations about breast-feeding and many mothers began to view formula as a complement for breast-feeding. Formula was seen as a convenient solution for breast pain, insufficient milk and body image. Healthcare providers promoted the use of formula through their own beliefs, information, communication and conflicts of interest with formula industry representatives. The recent social and economic changes in these communities combined with the increased advertising and availability of breast milk substitutes have facilitated the preference for formula. Conclusions: Women in rural, indigenous communities in Central Mexico are increasingly using formula. Efforts at the policy and institutional levels are needed to protect mothers and their children from the detrimental consequences of unregulated formula promotion and the formula culture that it brings with it.

scholarly journals Effect of consumption of animal milk compared to infant formula for non-breastfed/mixed-fed infants 6–11 months of age: a systematic review (protocol)

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e046370
Author(s):  
Aamer Imdad ◽  
Julie Melissa Ehrlich ◽  
Joseph Catania ◽  
Emily Tanner-Smith ◽  
Abigail Smith ◽  
...  
Keyword(s):  
Systematic Review ◽  
Infant Formula ◽  
Breast Feeding ◽  
Meta Analysis ◽  
Risk Of Bias ◽  
World Health ◽  
Control Group ◽  
Breastfed Infants ◽  
Evaluation Approach ◽  
Animal Milk

IntroductionPrevalence rates of breastfeeding remain low even though the World Health Organization (WHO) and the American Academy of Pediatrics recommend exclusive breast feeding for the first 6 months of life in combination with appropriate complementary feeding beyond six 6 months of age. There have been several studies that address the implication of drinking animal milk and/or infant formula on children’s health and development when breast feeding is not offered during the first year of life. Vast improvements have been made in infant formula design, which may increase its benefits compared with animal’s milk. The objective of this review is therefore to synthesise the most recent evidence on the effects of the consumption of animal milk compared with infant formula in non-breastfed or mixed breastfed infants aged 6–11 months.Methods and analysisWe will conduct a systematic review and meta-analysis of studies that assessed the effect of animal milk compared with formula or mixed-fed (breastmilk and formula) on infants aged 6–11 months. The primary outcomes of interest include anaemia, gastrointestinal blood loss, weight for age, height for age and weight for height. We will include randomised and non-randomised studies with a control group. We will use the Cochrane risk of bias tools to assess the risk of bias. We will use meta-analysis to pool findings if the identified studies are conceptually homogenous and data are available from more than one study. We will assess the overall quality of evidence using the Grading of Recommendations Assessment, Development, and Evaluation approach.Ethics and disseminationThis is a systematic review, so no patients will be directly involved in the design or development of this study. The findings from this systematic review will be disseminated to relevant patient populations and caregivers and will guide the WHO’s recommendations on formula consumption versus animal milk in infants aged 6–11 months.Trial registration numberCRD42020210925.

scholarly journals Ethnobotanical biocultural diversity by rural communities in the Cuatrociénegas Valley, Coahuila; Mexico

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Eduardo Estrada-Castillón ◽  
José Ángel Villarreal-Quintanilla ◽  
Juan Antonio Encina-Domínguez ◽  
Enrique Jurado-Ybarra ◽  
Luis Gerardo Cuéllar-Rodríguez ◽  
...  
Keyword(s):  
Rural Communities ◽  
Exotic Species ◽  
Protected Area ◽  
Indigenous Communities ◽  
Larrea Tridentata ◽  
Biocultural Diversity ◽  
Ethnobotanical Knowledge ◽  
Structured Interviews ◽  
Biosphere Reserves ◽  
Rural Landscapes

Abstract Background Cuatrociénegas, part of the Chihuahuan Desert, is a region of unique biological, geological, geographical, and evolutionary importance. Its current population is mestizo; nevertheless, it has high national historical, cultural, and touristic relevance in Mexico. It has been cataloged as nationally significant for its flora and fauna by Mexican law, as well as being designated a High Protection site by the World Wildlife Fund and UNESCO. Because of its diverse and complex biological and sociocultural characteristics, we considered it important to determine, identify, and analyze various aspects of the traditional ethnobotanical knowledge and practices in this region. Methods Between 2016 and 2019, seven field trips were made to document the knowledge and use of flora. Cuatrociénegas is a protected area, collecting botanical material is regulated, so specimens were photographed and collected in neighboring communities, and in public and private gardens. Later permission was obtained to complete the collection of specimens (2019–2020). The plants were identified and entered into the flora database of the state of Coahuila, and deposited in the Herbarium of the Faculty of Forest Sciences, Autonomous University of Nuevo León, Mexico. One hundred ten local residents (50 men and 60 women), aged between 27 and 91 years, were interviewed (semi-structured interviews). The cultural importance of ethnobotanical resources (cultural significance index) and its significance with respect to ethnobotanical richness in other Biosphere Reserves in Mexico (Mann-Whitney test), and similarities in the diversity of exotic species (Sørensen index) were studied. Results and discussion The ethnobotanical information registers 158 species and 132 genera in 57 vascular and non-vascular families, documenting a greater knowledge and use of cultivated species (84) with respect to wild species (74). The diversity of plants reported is compared to other ethnobotanical studies carried out in Mexican Biosphere Reserves. These results are highly relevant, in spite of unique exotic species. The people local pay special attention to medicinal and ornamental plants. The species that presented the highest use values are Larrea tridentata, Jatropha dioica, and Machaeranthera pinnatifida, three species characteristic of the desert region. Conclusions The particular diversity of wild flora in Cuatrociénegas Valley, combined with the varied introduced flora, is an important multifunctional resource. Special attention to introduced species is associated with harvesting use restrictions in the protected area as well as the high value of ornamental species that are difficult to maintain in desert areas. The extensive use of ethnobotanical knowledge is an example that biocultural diversity (at the conceptual level) is also strongly associated with socio-ecological systems incorporating mestizo groups and semi-urban rural landscapes, thus ceasing to be an exclusive focus of indigenous communities and regions.

Breastmilk or infant formula? Content analysis of infant feeding advice on breastmilk substitute manufacturer websites

2021 ◽  
pp. 1-9
Author(s):  
Jennifer L Pomeranz ◽  
Xiangying Chu ◽  
Oana Groza ◽  
Madeline Cohodes ◽  
Jennifer L Harris
Keyword(s):  
Content Analysis ◽  
Infant Feeding ◽  
Infant Formula ◽  
Breast Feeding ◽  
Feeding Problems ◽  
The Us ◽  
Us Government ◽  
Breast Milk Substitutes ◽  
Breastmilk Substitute ◽  
Consumer Marketing

Abstract Objective: To evaluate messages about infant feeding on breastmilk substitute (BMS) manufacturer websites directed at US caregivers and compare information and portrayals of breast-feeding/breastmilk with that of infant formula (IF) feeding. Design: We conducted a content analysis of US BMS companies’ websites. A codebook was created through an iterative process to identify messages and images about breast-feeding/breastmilk and IF feeding, including benefits or issues associated with each, and direct-to-consumer marketing practices that could discourage breast-feeding. Setting: Data were collected in 2019–2020 and analysed in 2020–2021 for US websites of five IF manufacturers. Participants: The websites of Similac, Enfamil and Gerber, which collectively represent approximately 98 % of the US IF market, and two US organic brands, Earth’s Best and Happy Baby. Results: Websites contained more messages about breast-feeding/breastmilk than IF but were significantly more likely to mention benefits to baby of IF (44 %) than breast-feeding/breastmilk (<26 %), including significantly more statements that IF provides brain, neural and gastrointestinal benefits; 40 % of breast-feeding/breastmilk content was dedicated to breast-feeding problems (e.g. sore nipples). Twice as many screenshots compared IF brands favourably to breastmilk than as superior to other brands. Certain companies displayed images indicating ease of IF feeding and difficulty of breast-feeding. Conclusions: Substantial messaging on BMS manufacturer websites encouraged IF feeding and discouraged breast-feeding. Health professionals should discourage their patients from visiting these websites and the US government should regulate misleading claims. Companies should refrain from providing breast-feeding advice and align their US marketing with the International Code of Marketing of Breast-milk Substitutes.

scholarly journals Accessibility of maternal health information and its influence on maternal health preferences in rural Tanzania: A case study of Chamwino District

2021 ◽  
Vol 23 (1) ◽  
Author(s):  
Hilda A. Mwangakala
Keyword(s):  
Rural Communities ◽  
Maternal Health ◽  
Pregnant Women ◽  
Health Information ◽  
Phenomenological Study ◽  
Healthcare Providers ◽  
Primary Source ◽  
Healthcare Personnel ◽  
Health Providers ◽  
Leading Role

Background: The access to quality maternal health information amongst pregnant women plays an important role in determining woman’s health behaviour during pregnancy. Yet, access to maternal health information remains a major challenge in Tanzanian rural communities especially for pregnant women leading to low utilisation of skilled maternal health services.Objectives: The study aimed at examining the accessibility of maternal health information amongst pregnant women in rural Tanzania.Methods: A qualitative phenomenological study involving 25 pregnant women, 5 skilled healthcare providers (SHPs) and 5 traditional birth attendants (TBAs) was carried out in Chamwino District, Dodoma Region, Tanzania for a period of 6 months. Data were analysed thematically using the six-stage guide to thematic data analysis with NVivo Software.Results: The acute shortage of healthcare personnel and traditional beliefs influenced pregnant women’s access to quality maternal health information. The majority of women used mothers-in-law and TBAs as their primary source of maternal health information rather than skilled healthcare providers.Conclusion: Despite the acute shortage, healthcare providers need to play a leading role in providing maternal health information amongst the rural populations. Furthermore, skilled health providers need to work in collaboration with the TBAs to increase access to maternal health information and build a well-informed healthy society.

Protected areas and environmental conservation in KwaZulu-Natal, South Africa: on HEIs, livelihoods and sustainable development

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Inocent Moyo ◽  
Hlengiwe Marvelous Sweetness Cele
Keyword(s):  
South Africa ◽  
Sustainable Development ◽  
Rural Communities ◽  
Indigenous Communities ◽  
Environmental Conservation ◽  
Developmental Needs ◽  
Content Type ◽  
Research And Innovation ◽  
Kwazulu Natal ◽  
Micro Level

Purpose The paper aims to advocate for innovative approaches in terms of the involvement of higher education institutions (HEIs) in the conservation of the environment, which fully considers and includes the developmental needs of indigenous communities while at the same time protecting the environment. Design/methodology/approach Using a qualitative study of indigenous communities and protected area (PA) authorities in Okhahlamba-Drakensberg, KwaZulu-Natal, South Africa, this paper explores the potential of the engagement of HEIs in capacitating indigenous communities to unleash their development potential towards reducing poverty and, thus accelerating the implementation of sustainable development goal one (SDG 1). Findings The paper shows that the enforcement of stringently protectionist policies in environmental conservation in PAs does very little to address issues of poverty because it leads to the marginalisation of indigenous communities and thereby their exclusion from using resources, which should benefit them. This undermines sustainable development, particularly the attainment of SDGs such as Goal 1, which targets ending poverty in all its forms everywhere. Originality/value Using the case of environmental management and governance of a PA in KwaZulu-Natal, South Africa, this paper highlights the fact that the attainment of SDG 1 can start at a micro-level and HEIs have a role to play in terms of collaborating with and understanding the needs of the rural communities so that research and innovation are geared towards meeting such needs. In this way, the paper advances the case of how the HEI-rural community-SDG 1 nexus can be established.

Recruitment and Retention of Healthcare Professionals for the Changing Demographics, Culture, and Access in Canada

2011 ◽  
pp. 96-111
Author(s):  
Stéfane M. Kabene ◽  
Melody Wolfe ◽  
Raymond Leduc
Keyword(s):  
Rural Communities ◽  
Human Resources ◽  
Healthcare System ◽  
Access To Health Care ◽  
Healthcare Professionals ◽  
Human Resources Management ◽  
Healthcare Access ◽  
Healthcare Providers ◽  
Remote Access ◽  
Changing Demographics

The Canadian healthcare system strives to serve a population altered by ever-changing demographics, cultural shifts, and diverse societal populations, and to serve those in rural communities with remote access to health care. The following chapter examines Canada’s current healthcare system and the effects on demand for services and the supply of healthcare providers created by the need to service rural populations, by limited access to medical schools, and by the introduction of foreign medical/health professionals. More specifically, the chapter reviews the symptoms of a strained medical system plagued by “brain waste” due to the non-use of qualified immigrant healthcare professionals, long wait times as a result of inadequate staffing and resources, and a school system that hinders the development of aspiring medical care professionals from rural and international areas. If Canada is to face these challenges with efficacy and vigour, effective human resources management techniques and competent human resources professionals are a necessary prologue. Medical knowledge and skill must be valued; healthcare professionals should be utilized more efficiently to improve healthcare access and minimize brain waste.

Teatro del Murciélago [Theatre of the Bat]

2018 ◽  
Author(s):  
Sarah J. Townsend
Keyword(s):  
Mexico City ◽  
Urban Areas ◽  
Daily Life ◽  
Indigenous Communities ◽  
Central Mexico ◽  
Archaeological Excavation ◽  
Public Performance ◽  
Founding Father ◽  
Avant Garde ◽  
Anthropological Study

Teatro del Murciélago (Theatre of the Bat) was a group that gave what appears to have been its only public performance at the Teatro Olimpia in Mexico City on September 17, 1924. Inspired by La Chauve-Souris, a touring revue troupe formed by Parisian-based Russian émigrés, the Murciélago brought together figures linked to the avant-garde movement known as estridentismo and artist-ethnographers who had worked among indigenous communities in central Mexico. Although its existence was ephemeral, the group served as an inspiration for other artists over the following decade and is regarded as one of the most significant theatre experiments of the Mexican avant-garde. One of the roots of the Teatro del Murciélago grew out of a project led by Manuel Gamio, known as the founding father of modern anthropology in Mexico. In conjunction with his archaeological excavation of the ancient Toltec city of Teotihuacán, Gamio organized an anthropological study of the indigenous communities who lived in the surrounding valley and employed several artists whose task was to create pieces of ‘regional theatre’—stylized depictions of indigenous customs with the faint outlines of a plot, most often revolving around scenes of daily life and local fiestas. These short, simple plays were performed in an open-air theatre by indigenous actors for other members of the community as well as for tourists from urban areas as part of Gamio’s project to encourage an ‘ethnic’ or ‘cultural fusion’ among the nation’s diverse peoples.

scholarly journals Outbreak History, Biofilm Formation, and Preventive Measures for Control of Cronobacter sakazakii in Infant Formula and Infant Care Settings

2019 ◽  
Vol 7 (3) ◽  
pp. 77 ◽  
Author(s):  
Monica Henry ◽  
Aliyar Fouladkhah
Keyword(s):  
Infant Formula ◽  
Preventive Measures ◽  
Healthcare Providers ◽  
Age Groups ◽  
Powdered Infant Formula ◽  
Cronobacter Sakazakii ◽  
Healthcare Settings ◽  
Abiotic Surfaces ◽  
History Of ◽  
Domestic Environments

Previously known as Enterobacter sakazakii from 1980 to 2007, Cronobacter sakazakii is an opportunistic bacterium that survives and persists in dry and low-moisture environments, such as powdered infant formula. Although C. sakazakii causes disease in all age groups, infections caused by this pathogen are particularly fatal in infants born premature and those younger than two months. The pathogen has been isolated from various environments such as powdered infant formula manufacturing facilities, healthcare settings, and domestic environments, increasing the chance of infection through cross-contamination. The current study discusses the outbreak history of C. sakazakii and the ability of the microorganism to produce biofilms on biotic and abiotic surfaces. The study further discusses the fate of the pathogen in low-moisture environments, articulates preventive measures for healthcare providers and nursing parents, and delineates interventions that could be utilized in infant formula manufacturing to minimize the risk of contamination with Cronobacter sakazakii.

scholarly journals Establishing a digital health platform in an academic medical center supporting rural communities

2020 ◽  
Vol 4 (5) ◽  
pp. 384-388
Author(s):  
Anita Walden ◽  
Aaron S. Kemp ◽  
Linda J. Larson-Prior ◽  
Thomas Kim ◽  
Jennifer Gan ◽  
...  
Keyword(s):  
Rural Communities ◽  
Mobile Health ◽  
Medical Center ◽  
Digital Health ◽  
Academic Medical Center ◽  
Healthcare Providers ◽  
Training Models ◽  
Health Technologies ◽  
Regional Conference ◽  
Patient Advocates

AbstractThe University of Arkansas for Medical Sciences (UAMS), like many rural states, faces clinical and research obstacles to which digital innovation is seen as a promising solution. To implement digital technology, a mobile health interest group was established to lay the foundation for an enterprise-wide digital health innovation platform. To create a foundation, an interprofessional team was established, and a series of formal networking events was conducted. Three online digital health training models were developed, and a full-day regional conference was held featuring nationally recognized speakers and panel discussions with clinicians, researchers, and patient advocates involved in digital health programs at UAMS. Finally, an institution-wide survey exploring the interest in and knowledge of digital health technologies was distributed. The networking events averaged 35–45 attendees. About 100 individuals attended the regional conference with positive feedback from participants. To evaluate mHealth knowledge at the institution, a survey was completed by 257 UAMS clinicians, researchers, and staff. It revealed that there are opportunities to increase training, communication, and collaboration for digital health implementation. The inclusion of the mobile health working group in the newly formed Institute for Digital Health and Innovation provides a nexus for healthcare providers and researches to facilitate translational research.

scholarly journals Tracing livelihood trajectories: Patterns of livelihood adaptations in rural communities in eastern Nepal

2019 ◽  
Vol 12 ◽  
pp. 57-80
Author(s):  
Phu Doma Lama ◽  
Per Becker ◽  
Johan Bergström
Keyword(s):  
Climate Change ◽  
Rural Communities ◽  
Climatic Factors ◽  
Sustainable Livelihood ◽  
Economic Changes ◽  
Mountain Communities ◽  
Rural Livelihood ◽  
Starting Point ◽  
Political Economic

Mountain communities are adapting their livelihoods to a complex combination of social, political and economic changes and associated risks. Despite recognition of adaption in response to multiple changes in sustainable livelihood and critical climate change literature, risks attributed to biophysical effects of climate change have increasingly assumed importance. Consequently, diversification is promoted as an adaptive approach to reduce such risks. However, understanding livelihood adaptation from the vantage point of climate change alone might lead to a limited understanding of non-climatic factors also shaping it. This paper proposes understanding adaptation through analysing long-term livelihood changes and using society rather than climate change as a conceptual starting point. It argues that such an approach has better potential to highlight a broader range of dynamic drivers operating over decades and to inform contextually grounded rural livelihood adaptation policies. Changes are traced in the overall livelihood trajectories among four rural communities in Nepal, in living memory, to understand the role of adaptation in shaping it. Qualitative life narratives were collected and complemented by key informant interviews, field observations and the analysis of official documents. The findings suggest that livelihoods have shifted not only from subsistence towards income generation but also from engagement in diverse livelihood sectors towards specialisation; the opposite of the advocated diversification. The role of political, economic, social and cultural processes within and outside the community has been prominent in shaping this trajectory.

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