Low rates of exclusive breastfeeding are still evident in four South African provinces

Siziba, Linda P.; Jerling, Johann C.; Hanekom, Susanna M.; Wentzel-Viljoen, Edelweiss

doi:10.1080/16070658.2015.11734557

Cited by 47 publications

(57 citation statements)

References 38 publications

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“…The information received prior needed supplementary by practical, emotional and/or appraisal support. This is consistent with the ndings that even with the information given during antenatal care mothers still experience challenges leading to early breastfeeding cessation (4,9,25) hence a disjuncture between knowledge and practice of breastfeeding mothers (26). Lack of such practical support leads to frustration for rst-time mothers (27).…”

Section: Discussionsupporting

confidence: 87%

“The kind of support that matters to exclusive breastfeeding” a qualitative study

Dasheka

Rala

2020

Preprint

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Abstract Background Worldwide, only 41% of infants are exclusively breastfed for the first six months while South Africa has an alarming figure of only 12%. First-time mothers are inexperienced in the initiation and maintenance of exclusive breastfeeding, hence a need for support. Data on forms and quality of exclusive breastfeeding support as experienced by first-time mothers is minimal. The study explored the exclusive breastfeeding support available to the first time mothers in the Buffalo City Metro, South Africa. Methods A qualitative explorative, descriptive and contextual study, and a non-probability, purposive sampling was used with 10 first-time mothers within the first six months postpartum. The in-depth face-to-face semi-structured individual interviews for data collection and Creswell’s steps of thematic analysis was used. Results Two themes emerged; challenges, empowerment, support and resilience during initiation of exclusive breastfeeding, and diverse support and resilience during maintenance of exclusive breastfeeding. First-time mothers received practical support majorly from nurses and other mothers during the initiation; social support was from family members, friends, and community members for the maintenance of exclusive breastfeeding. Sometimes there was a disjuncture between practical support from nurses and that from family members and community. There were instances where the support was needed but not given or not supportive of exclusive breastfeeding. Conclusion These findings illustrate that professional, practical and social support for first-time mothers is crucial in the initiation and maintenance of exclusive breastfeeding for the first six months. Timing and the kind of support given to these mothers is crucial for successful exclusive breastfeeding.

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Section: Discussionsupporting

confidence: 87%

“The kind of support that matters to exclusive breastfeeding” a qualitative study

Dasheka

Rala

2020

Preprint

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“…Early introduction of complementary foods explains the low exclusive breast-feeding rates (5•9 %) observed in our study, which is similar to the 2012 SANHANES findings of 7•4 % exclusive breast-feeding (4) . Siziba et al reported 12 % exclusive breast-feeding in four of the nine provinces of South Africa (43) . The risk of mixed feeding over exclusive breast-feeding for infants younger than 6 months is an increased risk of infections, which in the long term may lead to stunting via the enteropathy mechanism (44) .…”

Section: Discussionmentioning

confidence: 99%

The prevalence and factors associated with stunting among infants aged 6 months in a peri-urban South African community

Matsungo

Kruger

Faber

et al. 2017

Public Health Nutr.

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“…(1) Initiation of breastfeeding Nine studies indicated that breastfeeding initiation rates were high in South Africa, ranging from 75% to 100% 13,[16][17][18]21,23,24,32,36 One national survey indicated 83% breastfeeding initiation 9 One study indicated 51.1% breastfeeding initiation in the first hour, which increased to 85.2% by 24 hours 28 Another study indicated 42% breastfeeding initiation in the HIV-positive group but 97% in the HIV negative group 23 Pre-lacteal feeds were being given and colostrum was not given by some mothers (3 studies) 19,28,32 (2) Exclusive breastfeeding Results for exclusive breastfeeding were mixed-but overall exclusive breastfeeding practices were suboptimal National studies reported 7.4%, and more recently 32%, of children younger than six months were exclusively breastfed) 1,9 Other studies:…”

Section: Criteria Findingmentioning

confidence: 99%

A review of complementary feeding practices in South Africa

Sayed

Schönfeldt

2018

South African Journal of Clinical Nutrition

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Infant health and nutrition in South Africa are a priority, as evidenced by the political commitment and policy development history of the last 25 years. Current efforts focus on improving breastfeeding rates, but the action plan for complementary feeding receives less attention and resourcing. A thorough analysis of the current infant feeding situation is required to assist with policy and targeted programmes associated with complementary feeding. Aim: The aim of this review was to identify and collate all published research in South Africa on the complementary feeding practices of infants and young children, aged 0-24 months. Methodology: Searches included English-language research published between 2006 and 2017, within PubMed, Scopus, Web of Science and Google Scholar. All papers included in the review had to meet defined eligibility criteria. Papers older than 11 years were excluded. In total 34 papers relevant to South Africa were identified and included in this review. Main findings: Early introduction of foods and liquids other than breast milk is a common practice. Maize porridge is a common first food for infants, but there is also a high reliance on commercial infant cereal. Water and other liquids (e.g. tea, herbal mixtures) are commonly given to infants younger than six months. There is little information on the number of meals per day. The diets of many older infants do not meet the criteria for a minimally acceptable diet. Few animal source foods are used in complementary feeding. There are indications that processed meats, soft drinks, sweets and salty crisps are given regularly to older infants between six months and one year. Conclusion: Complementary feeding practices in South Africa are suboptimal and appropriate action is needed to improve this situation. Further investigation is needed on whether older infants and young children can achieve their required dietary intakes from the food that is available to them. If a change in older infant and young child feeding behaviour is desired, then existing methods and approaches need to change.

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Low rates of exclusive breastfeeding are still evident in four South African provinces

Cited by 47 publications

References 38 publications

“The kind of support that matters to exclusive breastfeeding” a qualitative study

“The kind of support that matters to exclusive breastfeeding” a qualitative study

The prevalence and factors associated with stunting among infants aged 6 months in a peri-urban South African community

A review of complementary feeding practices in South Africa

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