Autonomy and infant feeding decision-making among teenage mothers in a rural and urban setting in KwaZulu-Natal, South Africa

Jama, Ngcwalisa Amanda; Wilford, Aurene; Haskins, Lyn; Coutsoudis, Anna; Spies, Lenore; Horwood, Christiane

doi:10.1186/s12884-018-1675-7

Cited by 21 publications

(23 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This was evidenced from mothers' accounts of hiding their feeding methods (when not exclusively breastfeeding) from health workers for fear of reproach. A similar finding was reported by a qualitative longitudinal study among adolescent mothers in two different districts of KwaZulu‐Natal, where participants reported not revealing how they were truly feeding their infants to avoid conflict with health workers (Jama et al, ). These situations can also lead to incorrect recording of feeding practices in routine health information, thus underestimating the need for health worker training and supervision.…”

Section: Discussionsupporting

confidence: 79%

Breastfeeding advice for reality: Women's perspectives on primary care support in South Africa

Doherty

Horwood

Haskins

et al. 2019

Maternal & Child Nutrition

Self Cite

View full text Add to dashboard Cite

Breastfeeding education and support are critical health worker skills. Confusion surrounding infant feeding advice linked to the HIV epidemic has reduced the confidence of health workers to support breastfeeding. High antiretroviral therapy coverage of breastfeeding women living with HIV, and an Infant Feeding policy supportive of breastfeeding, now provides an opportunity to improve breastfeeding practices. Challenges remain in restoring health worker confidence to support breastfeeding. This qualitative study presents findings from focus group discussions with mothers of young infants, exploring their experiences of health worker breastfeeding counselling and support. Analysis followed the thematic framework approach. Six researchers reviewed the transcripts, coded them independently, then jointly reviewed the codes, and agreed on a working analytical framework. Although mothers received antenatal breastfeeding messages, these appeared to focus rigidly on the importance of exclusivity. Mothers described receiving some practical support ---This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

show abstract

Section: Discussionsupporting

confidence: 79%

Breastfeeding advice for reality: Women's perspectives on primary care support in South Africa

Doherty

Horwood

Haskins

et al. 2019

Maternal & Child Nutrition

Self Cite

View full text Add to dashboard Cite

show abstract

“…We report findings from HIV‐positive women who formed a part of a larger qualitative cohort study (Jama et al, ; Jama et al, ). Pregnant women were eligible to participate if they were aged 15 years or older, planned to give birth in the local hospital and reside in the area with the baby for 6 months postdelivery.…”

Section: Methodsmentioning

confidence: 99%

A qualitative study exploring infant feeding decision‐making between birth and 6 months among HIV‐positive mothers

Horwood

Jama

Haskins

et al. 2018

Maternal & Child Nutrition

Self Cite

View full text Add to dashboard Cite

Despite efforts to support breastfeeding for HIV-positive mothers in South Africa, being HIV-positive remains a barrier to initiating and sustaining breastfeeding. The aim was to explore decision-making about infant feeding practices among HIV-positive mothers in a rural and urban settings in KwaZulu-Natal, South Africa.HIV-positive pregnant women were purposively sampled from one antenatal clinic in each setting. A qualitative longitudinal cohort design was employed, with monthly in-depth interviews conducted over 6 months postdelivery. Data were analysed using framework analysis. We report findings from 11 HIV-positive women within a larger cohort. Participants were aged between 15 and 41 years and were all on antiretroviral therapy. Before delivery, nine mothers intended to exclusively breastfeed (EBF) for 6 months, and two intended to exclusively formula feed (EFF). Three mothers successfully EBF for 6 months, whereas four had stopped breastfeeding, and two were mixed breastfeeding by 6 months. Mothers reported receiving strong advice from health workers (HWs) to EBF and made decisions based primarily on HWs advice, resisting contrary pressure from family or friends. The main motivation for EBF was to protect the child from HIV acquisition, but sometimes fear of mixed feeding led to mothers stopping breastfeeding entirely. Infant feeding messages from HWs advice were frequently inadequate and out of date, and failed to address mothers' challenges. Minimal support was provided for EFF. In conclusion, HWs play a pivotal role in providing infant feeding support to HIV infected mothers, but need regular updates to ensure if advice is correct and appropriate.

show abstract

“…Lower SES may also affect adolescent mothers' ability to provide nutrients for their child's healthy development. Adolescent mothers, including those living with HIV, report conflicting sources of information about breastfeeding, in particular, whether to take breastfeeding advice from home or clinic (Jama et al, 2018). Adolescent pregnancy has been found to be associated with low birth weight (Mombo-Ngoma et al, 2016), which is linked to delayed development and growth milestones.…”

Section: Health and Well-being Of Adolescent Mothers Affected By Hiv mentioning

confidence: 99%

Adolescent mothers affected by HIV and their children: A scoping review of evidence and experiences from sub-Saharan Africa

Toska

Laurenzi

Roberts

et al. 2020

Global Public Health

View full text Add to dashboard Cite

While adolescents have received increasing attention in the global HIV response and international strategies and commitments, adolescent mothers and their children remain largely overlooked in research, funding and, programming for health-related outcomes. We conducted an extensive scoping review of current evidence on the experiences of adolescent mothers affected by HIV and their children in this region. We included published literature and conference abstracts, complemented by consultations with key stakeholders, and a review of documents through grey literature searching. First, we summarise the experiences of adolescent mothers and their children related to HIV and key health and development indicators. The syndemic of early motherhood and HIV in sub-Saharan Africa increases the vulnerability of adolescent mothers and their children. We then highlight lessons from a series of promising programmes focused on supporting adolescent mothers through novel approaches. In sub-Saharan Africa, supporting adolescent mothers living in high HIV-risk communities is critical not only to eliminate HIV/AIDS, but also to attain the Sustainable Development Goals. While research on and programming for adolescent mothers and their children is growing, the complex needs for this vulnerable group remain unmet. We conclude with evidence gaps and programming priorities for adolescent mothers affected by HIV and their children.

show abstract

Autonomy and infant feeding decision-making among teenage mothers in a rural and urban setting in KwaZulu-Natal, South Africa

Cited by 21 publications

References 30 publications

Breastfeeding advice for reality: Women's perspectives on primary care support in South Africa

Breastfeeding advice for reality: Women's perspectives on primary care support in South Africa

A qualitative study exploring infant feeding decision‐making between birth and 6 months among HIV‐positive mothers

Adolescent mothers affected by HIV and their children: A scoping review of evidence and experiences from sub-Saharan Africa

Contact Info

Product

Resources

About