Life course learning experiences and infant feeding practices in rural Rwanda

Ahishakiye, Jeanine; Vaandrager, L.; Brouwer, Inge D.; Koelen, M.A.

doi:10.1111/mcn.13126

Cited by 3 publications

(2 citation statements)

References 30 publications

(46 reference statements)

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“…This finding was supported by studies done in Ethiopia and Nigeria [ 20 , 21 , 28 , 29 ]. This could be explained by the fact that the mother who had IYCF counseling on EBF will have time to prepare herself on the appropriate type of infant feeding, which could be due to the awareness created by health professionals especially midwives who teach mothers about appropriate infant and young child feeding practices [ 34 ] during ANC follow-up. Mothers who were not advised on infant feeding during PNC service use were 4.3 times more likely than mothers who were counseled on infant feeding during PNC service use to interrupt exclusive breastfeeding.…”

Section: Discussionmentioning

confidence: 99%

Determinants of early interruption of exclusive breastfeeding at refugee camps of Dollo Ado district in Ethiopia

Getachew¹,

Haftu²,

Yosef³

2023

Pan Afr Med J

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Introduction nearly three-quarters of infants younger than six months were not exclusively breastfed globally. Despite some research indicating what factors influence early exclusive breastfeeding interruption in Ethiopia's stable population, there is little evidence indicating what factors influence exclusive breastfeeding interruption in vulnerable populations such as refugee camps. Therefore, this study aimed to determine the factors that contributed to the early termination of exclusive breastfeeding in Ethiopian refugee camps in the Dollo Ado district. Methods a case-control study was conducted at the Dollo Ado refugee camps from April 05 th to 25 th , 2017. The eligible 112 cases and 224 controls were identified using the 24-hour recall method. The information was gathered using an interviewer-administered questionnaire that was pretested and organized. Logistic regression analysis was computed to assess the effect of independent variables. Results the determinants for early interruption of exclusive breastfeeding were not counseled about infant feeding during antenatal care follow-up (adjusted odds ratio (AOR =5.87, 95% CI [2.61-13.1]), not counseled about infant feeding during postnatal care service use (AOR= 4.33, 95% CI [2.71-10.8), breastfeeding problem (AOR= 5.62, 95% CI [4.55-15.2]) and late initiation of breastfeeding (AOR= 4.79, 95% CI [28-10.1]). Conclusion in this study, early termination of exclusive breastfeeding was caused by breastfeeding problems and late commencement of breastfeeding, as well as not receiving infant feeding advice during antenatal care or postnatal care. The results of this study highlight the significance of concentrating on newborn and young child feeding counseling during prenatal and postnatal care services in order to promote exclusive breastfeeding. In addition, health providers should educate parents on the significance of starting exclusive breastfeeding on time and obtaining help right away if there is a problem, such as breast soreness or the infant refusing to eat due to oral trash, to avoid early exclusive breastfeeding interruption.

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Section: Discussionmentioning

confidence: 99%

Determinants of early interruption of exclusive breastfeeding at refugee camps of Dollo Ado district in Ethiopia

Getachew¹,

Haftu²,

Yosef³

2023

Pan Afr Med J

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“…It is widely understood that grandmothers tend to be influential in this context [72][73][74], but studies differ as to whether they improve or worsen children's outcomes. Several studies have associated grandmaternal advice with healthier feeding practices [10,75], while others have found negative effects [29] or that the effect depends on the adequacy of grandmaternal knowledge [32]. Likewise, some studies have associated grandmother support with better child growth and weight gain [26,76], whereas others have found adverse associations [30,31], and the associations may also vary by age of the child [77].…”

Section: Discussionmentioning

confidence: 99%

Does maternal grandmother's support improve maternal and child nutritional health outcomes? Evidence from Merida, Yucatan, Mexico

Vázquez‐Vázquez

Fewtrell

Chan‐García

et al. 2021

Phil. Trans. R. Soc. B

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In humans, high levels of investment are required to raise offspring, because of the prolonged developmental period and short interbirth intervals. The costs borne by individual mothers may be mitigated by obtaining social support from others. This strategy could be particularly valuable for first-time mothers, who lack first-hand experience and whose offspring have higher mortality risk than later-born siblings. As raising children is potentially stressful, mothers may gain from others sharing their experience, providing knowledge/information and emotional support. Being genetically related to both mother and grandchild, maternal grandmothers may be especially well placed to provide such support, while also gaining fitness benefits. We tested the over-arching hypothesis that first-time mothers and their young children supported by the maternal grandmother would have lower levels of stress and better health outcomes, compared to mother–infant dyads lacking such grandmaternal support. A cohort of 90 mother–infant dyads (52 with grandmaternal support, 38 without) was recruited in Merida, Mexico. We assessed anthropometry and body composition in both mother and child, along with maternally perceived stress and child temperament, and documented maternal social relationships. No differences were found in perceived stress/temperament or anthropometry of either mothers or children, according to the presence/absence of grandmaternal support. However, a composite score of whether grandmothers provided advice on infant feeding was positively associated with child nutritional status. Mothers without grandmaternal support reported seeking more informational and emotional support from other female relatives for childcare, potentially compensating for limited/absent grandmaternal support. Our findings may help develop interventions to improve maternal and child health by targeting the dynamics of maternal social networks. This article is part of the theme issue ‘Multidisciplinary perspectives on social support and maternal–child health’.

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Beneficiary and Local Stakeholder Participation in Community-Based Nutrition Interventions

Robert¹,

Feijoo²

2022

Current Developments in Nutrition

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Beneficiary and local stakeholder participation is an essential element to the success of community-based nutrition interventions. We sought to define active participation and review the available evidence on beneficiary and local stakeholder participation in community-based nutrition interventions in Africa. From reviewing the literature, we provide a reflective assessment on the process and findings. Participation falls on a continuum of community involvement from passive (no real involvement) to empowerment and community ownership (full active involvement). However, we found a clear gap in the research on defining active participation and identifying what constitutes active participation on behalf of beneficiaries and local stakeholders. However, progress was found; evidence included the use of participatory methods to engage beneficiaries and local stakeholders in the assessment and design phase. Beneficiary and local stakeholder participation in delivering interventions has moved forward with quantitative measures from process evaluation. Research has started on the extent of beneficiary engagement (as recipients) and connecting this to outcomes. Evaluation has benefited from qualitative inquiry with insights of participants on engagement itself, and the barriers and facilitators to engagement. Yet questions remain in each study phase around defining and quantifying active participation and in understanding the personal, social and motivational elements of active participation. We offer a simple framework to stimulate thought and commitment to research on participation in community-based nutrition interventions.

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Life course learning experiences and infant feeding practices in rural Rwanda

Cited by 3 publications

References 30 publications

Determinants of early interruption of exclusive breastfeeding at refugee camps of Dollo Ado district in Ethiopia

Determinants of early interruption of exclusive breastfeeding at refugee camps of Dollo Ado district in Ethiopia

Does maternal grandmother's support improve maternal and child nutritional health outcomes? Evidence from Merida, Yucatan, Mexico

Beneficiary and Local Stakeholder Participation in Community-Based Nutrition Interventions

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