scholarly journals Experıenced Dıffıcultıes Of Mothers In Complementary Feedıng Process: A Qualıtatıve Study

Author(s):  
Ayşe Şener Taplak ◽  
Sevinç Polat ◽  
Emine Erdem
Author(s):  
Christiana Naa Atsreh Nsiah-Asamoah

Aim: This study sought to explore the cultural factors that are associated with complementary feeding from the reports of Community Health Workers (CHWs) and Volunteers (CHVs) in two rural districts in Ghana. Study Design: This was a cross-sectional qualitative study that assessed cultural beliefs, norms, superstitions and practices that influence complementary feeding practices of young children under two years in two rural farming districts in Ghana Study Area: The study was conducted at Kwahu Afram Plains North and South Districts in the Eastern Region of Ghana. Methodology: The study employed qualitative methods which entailed conducting 9 focus group discussions among CHWs and CHVs working at two rural districts in Ghana. The focus group discussions were conducted with the aid of a validated, interview guide, after obtaining informed consent (written) from the health workers. Ethical clearance for the study was obtained from the Institutional Review Boards of the Dodowa Health Research Centre and the University of Cape Coast. Thematic content analytical procedures were applied to analyze the transcripts, interpret and present findings as a narrative account. Results: The reports of the health workers indicate a common practice of early introduction of solid foods to infants before they attain six(6) months of age. Cultural beliefs, superstitions, beliefs, food taboos and prohibitions influence mothers’ complementary-feeding practices and result in limiting the food scope and dietary diversity of their young children. Conclusions: Interventions designed to promote appropriate complementary feeding practices should incorporate an understanding of social context, family, and cultural factors in developing nutrition promotion messages that are tailored to meet the needs of rural populations. More community interventions that draw on the support of key influential persons in the community and fathers are needed to address cultural barriers to appropriate complementary feeding practices.


2021 ◽  
Author(s):  
Luz E Vera-Becerra ◽  
Ana I Rodriguez-Guerra ◽  
CLAUDIA MARTINEZ-CORDERO

Abstract Breast feeding and complementary feeding practices are crucial for health across the life. The purpose of the study was to know some infant feeding practices in a Mexican indigenous population. Twenty Mexican indigenous mothers with children under two-year age answered a semi-structured interview. Most of the mothers reported to feed their children with breast milk during the first months, although exclusive breastfeeding did not meet the recommended time mainly due to cultural factors. We conclude the mothers followed the preferences and signals of the child for complementary feeding, and instinctively determined how and when to offer different foods to breast milk.


2016 ◽  
Vol 4 (1) ◽  
pp. 48-53 ◽  
Author(s):  
Quazi Zahiruddin ◽  
Abhay Gaidhane ◽  
Priti Kogade ◽  
Umesh Kawalkar ◽  
Nazli Khatib ◽  
...  

Timely initiation of complementary feeding and pattern of complementary feeding is suboptimal in India. Women in employment faces challenges for following optimum Infant and Young Child Feeding practices, which have a significant impact on growth and development of child under 2 years of age. Objective was to study challenges faced by women in employment for complementary feeding and pattern of complementary feeding in rural area. Qualitative study was conducted in rural area of Wardha district, India. Six FGDs were conducted and participants (total 39) were women in employment having child between 6-23 months and community level service providers. Women in rural area resume work early, could not practice exclusive breast feeding for six months. They initiate complementary feeding early and had inadequate awareness regarding complementary feeding. Women initiate semisolid and soft food at 4-6 months, smashed solid food at 7-9 months. Women leave their babies at mercy of the elders or sometime neighbours when they are at work. Villages do not have child care facilities or creches. All these determinants compromises complementary feeding with regards to timely and adequacy, recommended dietary diversity, safe feeding. Challenges for practicing exclusive breast feeding for 6 month, early initiation and inadequate complementary feeding adversely affect growth and development of children in rural area which may have undesired long term implication on the cognitive development. Strengthening Anganwadi program in India with more focus on children under 2 years, community baby care rooms / creches services would be useful strategy for supporting the women in employment to practice the optimum IYCF recommendations. India needs a conducive workplace policies and adequate protection by law for women in employment.


2020 ◽  
Vol 49 (1) ◽  
pp. 8
Author(s):  
U W N K Dharmasoma ◽  
S S Senevirathne ◽  
N Karunamuni ◽  
R M M Rathnayaka ◽  
P W P W K. Pallewatta ◽  
...  

2021 ◽  
Vol 10 ◽  
Author(s):  
Maryse Umugwaneza ◽  
Lize Havemann-Nel ◽  
Hester H. Vorster ◽  
Edelweiss Wentzel-Viljoen

Abstract The aim of the present study was to identify and describe the factors influencing feeding practices of children aged 6–23 months in Rwanda. This is a cross-sectional descriptive qualitative study. A total of ten focus group discussions were conducted separately with mothers, fathers, grandmothers and community health workers (CHWs) from five different districts in Rwanda. The discussions were recorded, transcribed verbatim, and thematically analysed using qualitative data analysis software, Atlas.ti. The study participants were mothers, fathers and grandmothers of children aged 6–23 months and CHWs in charge of child health. Caregivers’ knowledge and beliefs about the benefits of breast-feeding and timely introduction of complementary food were found to be the primary individual factors facilitating good infant and young child feeding practices. The common belief of caregivers that infants should be given liquids (thin gruel, fruit juices and meat broth) as first foods instead of semi-solid foods was a barrier to good feeding practices. The community-based nutrition education and counselling programmes were facilitators of good complementary practices at the group level. At the society level, poverty in rural agrarian households was a barrier to optimal feeding practices. The study shows that there is a need to empower caregivers with more specific guidelines, especially on complementary feeding.


2020 ◽  
Vol 8 (3) ◽  
pp. 118-126
Author(s):  
Miranda Spooner

When babies are introduced to solid food before the age of 6 months there is some evidence to suggest an association with being overweight, particularly in babies who are formula fed. However, the most recent Infant Feeding Survey, carried out in 2010, found that 30% of mothers had started the complementary feeding process by 4 months and that these parents were more likely to introduce their baby to processed baby foods. The aim of this study was to better understand the relationship between milk type in the first 6 months and complementary feeding methods. By identifying characteristics associated with low compliance, it is hoped that the results of this study will enable health visitors to target their advice, providing additional support to those who are most likely to need it, with the aim of improving compliance with current recommendations for starting solid food.


2019 ◽  
Vol 38 (1) ◽  
Author(s):  
Mihretab M. Salasibew ◽  
Cami Moss ◽  
Girmay Ayana ◽  
Desalegn Kuche ◽  
Solomon Eshetu ◽  
...  

Abstract Background In Ethiopia, 38% of children under 5 years of age are stunted (low height for age). A novel government-led intervention called the Sustainable Undernutrition Reduction in Ethiopia (SURE) aims to tackle the burden of stunting by improving complementary feeding and dietary diversity among young children. The SURE programme design applies a transtheoretical model of behaviour change, whereby exposure to recommended infant and young child feeding (IYCF) and nutrition-sensitive agriculture messages is a first stage to adopting key behaviours. This qualitative study explored the fidelity and dose of the IYCF and nutrition-sensitive agriculture messages delivered by extension workers. Methods A qualitative study was conducted across four regions in Ethiopia (Oromiya, Amhara, SNNP and Tigray) between April and October 2017. Across the four regions, 81 key informant interviews, 90 FGDs and 81 observations were conducted with 180 extension workers, 18 development agents and 54 mother-father pairs. Digitally recorded audio files were transcribed verbatim, and the data were analysed based on a framework analysis approach using NVivo (version 12) by coding and categorising texts into major themes and sub-themes. Results SURE target households had the intended exposure to messages about exclusive breastfeeding, timing of initiation of complementary feeding, food groups, diversified food consumption, irrigation, rearing small animals and vegetables. Few households reported receiving messages on the content or frequency of complementary feeding of a child beyond 6 months of age. Frequency of household visits and hence exposure to SURE messages was also variable. Agricultural messages delivered during household visits focussed on improving standard agricultural practices and rarely covered the importance of nutrition-sensitive agriculture to improve household or child nutrition. Conclusion Despite variability observed in the breadth and depth of messages delivered, large-scale behaviour change communication programmes can achieve moderate to good message exposure among target groups. Qualitative data provide an in-depth insight into fidelity and may supplement our understanding of programme roll-out and implementation. Further research is required to understand longer-term message saturation including frequency and reach.


2021 ◽  
Vol 50 (1) ◽  
pp. 63
Author(s):  
Cecep Triwibowo ◽  
Rusdi Rangkuti ◽  
. Ridesman ◽  
Niniek Lely Pratiwi ◽  
. Tinah ◽  
...  

Author(s):  
Afolabi Kolade Afolayan ◽  
Afolabi Adebukunola Olajumoke

Background: Malnutrition resulting from inappropriate and ineffective childhood feeding remains a significant public health concern especially in developing countries, where poor child feeding practices exert serious negative impact on health outcomes. This qualitative study explored mothers’ perception about complementary feeding, mothers’ hygiene and food safety measures, food storage, and preparation and food handling practices. Methods: This study was a descriptive cross-sectional survey, conducted in selected Local Government Areas (LGAs), Southwestern Nigeria in November, 2019. Four sessions of Focus Group Discussion (FGD) were conducted in each of four selected LGAs giving a total of sixteen sessions with eight discussants selected for each session of FGD giving a total of 128 discussants. The discussants were selected by multistage sampling technique. FGD guide was used to explore mothers’ perception about complementary feeding, complementary feeding practices, and associated factors. Responses were recorded, transcribed, and thematically analyzed using Nvivo 11 software. Results: Five themes were developed from FGD responses, including mothers’ perception about complementary feeding, hygiene practices, food storage, safety, food preparation, and food handling. Mothers’ age, parity, educational status, employment status, family income, and food availability and affordability affected mothers’ perception about complementary feeding and complementary feeding practices. Conclusion: Advocacy on infants’ feeding must take cognizance of the finding factors towards appropriate, effective childhood feeding in addition to reduction in malnutrition and related burden.


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