WHO 2010 infant feeding guidelines in resource-limited settings: attitudes of human immunodeficiency virus-infected women and other role players in Kampala, Uganda

Matovu, Joyce Namale; Onyango‐Makumbi, Carolyne; Namuli, Prossy Ethel; Tanga, Erasmus; Kagawa, Mike; Nalwadda, Gorrette; Motevalli, Mahnaz; Semitala, Fred C.; O'Gara, Ellen Townley; Fowler, Mary Glenn

doi:10.1080/16070658.2014.11734489

Cited by 6 publications

(12 citation statements)

References 15 publications

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“…They were then responsible for sharing that infant feeding advice with other caregivers in the family and navigating conflicts between that advice and advice from other sources ( 57 ). Our findings are also consonant with findings from other studies about breastfeeding in the context of HIV concerning mothers’ general fear of transmitting the virus to their infants through breast milk ( 54 , 60 ) and after 6 mo with complementary feeding ( 56 ). In sum, this study provides further evidence about the disconnect between culturally generated messages and health center messages.…”

Section: Discussionsupporting

confidence: 92%

Capturing Changes in HIV-Infected Breastfeeding Mothers’ Cognitive Processes from Before Delivery to 5 Months Postpartum: An Application of the Pile-Sorting Technique in Haiti

Fox

Pelto

Bar

et al. 2018

Current Developments in Nutrition

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BackgroundThe cognitive processes involved in individuals’ perceptions and prioritization of information, and how these change with experience or exposure to interventions, are rarely examined in the evaluation of nutrition interventions. Exclusive breastfeeding counseling is a common infant and young-child feeding intervention and is used to promote HIV-free survival in the prevention of mother-to-child transmission programs. However, it is often designed without adequate attention to the changes in mothers’ perceptions over the course of their early breastfeeding experiences.ObjectiveThe aim of this study was to identify HIV-infected breastfeeding mothers’ cognitive structure (their organization of messages and ideas) of infant feeding messages and to characterize whether their cognitive organization of infant feeding messages changed from pregnancy through the first 5 mo postpartum.MethodsWith the use of semistructured interviews and the cognitive mapping technique of pile sorting, we interviewed 30 HIV-infected breastfeeding mothers in Port-au-Prince, Haiti. We asked them to sort and rate 18 infant feeding messages 3 times (during pregnancy, 0- to 1-mo postpartum, and 3- to 5-mo postpartum). We analyzed their responses by using multidimensional scaling, property fitting, and partition analyses.ResultsAt all 3 visits, we found consistency in women's cognitive mapping of messages. For example, mothers consistently differentiated messages pertinent for exclusive breastfeeding compared with those that pertained to other practices. However, subtle variations in mothers’ cognition over time were also evident, particularly at 0- to 1-mo postpartum, when message proximity was tightly clustered compared with the earlier and later periods.ConclusionsWe conclude that mothers share a common cognitive organization of infant feeding messages and that this organization changes over time. Attention to variations in cognition can support context-sensitive, patient-centered counseling by practitioners and improve the effectiveness of nutrition interventions. Pile sorting is an efficient, systematic technique to examine cognitive processes related to health and nutrition.

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Section: Discussionsupporting

confidence: 92%

Capturing Changes in HIV-Infected Breastfeeding Mothers’ Cognitive Processes from Before Delivery to 5 Months Postpartum: An Application of the Pile-Sorting Technique in Haiti

Fox

Pelto

Bar

et al. 2018

Current Developments in Nutrition

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“…An HIV positive mother may succumb to such pressure from family members to give water to the baby. This was also confirmed in a quantitative study carried out among HIV positive women, grand mothers and fathers who saw the custom of giving of water to stranger (including newborn) as a sign of welcome to the household (6,8). Therefore, there is need to educate the society on the danger of giving new-born water.…”

Section: Discussionmentioning

confidence: 74%

“…One of the strong reasons given by participants in this study for practising mixed feeding is that it is a custom to give water to stranger (including new-borns) which is a sign of welcome to the household (6). It has been observed that social pressure and cultural norms may compel mothers in developing countries to maintain mixed feeding (8). Also, one of the greatest concern in the promotion of exclusive breastfeeding among HIV positive mothers is the belief that exclusive breastfeeding can cause maternal ill-health.…”

Section: Introductionmentioning

confidence: 97%

Determinants of Attitudinal Dispositions of Secondary Health Care Providers and HIV Positive Mothers towards Exclusive Breastfeeding Practice in Selected Healthcare Facilities in Akwa Ibom State, Nigeria

Essien¹

2017

TIJPH

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The World Health Organization has recommended that children of HIV positive mothers be exclusively breastfed for the first 6 months of life unless replacement feeding is acceptable, feasible, affordable, sustainable and safe. The main objective of the study was to identify factors influencing attitudes of secondary health care providers and HIV positive mothers towards exclusive breastfeeding. Focus Group Discussion was used to elicit information from the respondents. Approval to conduct the study at the health facilities was obtained from the Ethical Review Committee of the Akwa Ibom State Ministry of Health, Uyo. A purposive sampling technique was used to select three secondary health facilities (one per senatorial district) out of 34 secondary facilities that conduct focused antenatal care, deliveries and post-natal care services. There were 46 participants comprising of Nurse/Midwives, and Medical Doctors. A total of six FGD sessions were conducted. Five themes emerged from the FGD namely: Awareness of the exclusive breastfeeding concept; health care provider attitude towards EBF by HIV positive mothers; HIV positive mothers' perception towards HIV and exclusive breastfeeding; factors that can influence HIV positive mothers to breastfeed exclusively; and opinion on who will approve or disapprove HIV positive mother to breastfeed exclusively. The result showed that effective and adequate counselling was identified as a key factor that will influence HIV positive mothers to breastfeed exclusively. Poor knowledge and fear of transmission of the virus to baby were cited by most respondents as factors that will influence health care providers and HIV positive mothers' attitude towards exclusive breastfeeding. This study recommended the need for more breastfeeding education for health care providers that will take into consideration current policy and guidelines for feeding HIV exposed infants since health care providers are uniquely positioned to educate HIV positive mothers on infant feeding options.

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“…This could be explained by previous information disseminated to the public on the risk of HIV transmission through breastfeeding. In another study in Kampala, the fear of HIV infection from mothers to their babies as a result of breastfeeding was highlighted as a barrier to exclusive breastfeeding promotion [30]. It is important to note that whereas under the current option B plus guidelines being implemented in Uganda since 2012, exclusive breastfeeding for the first 6 months is promoted for HIV negative and positive women.…”

Section: Discussionmentioning

confidence: 99%

“If I have money, I cannot allow my baby to breastfeed only …” barriers and facilitators to scale-up of peer counselling for exclusive breastfeeding in Uganda

et al. 2020

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Background: Early initiation and exclusive breastfeeding for 6 months reduces infant morbidity and mortality and can positively impact on cognitive function. In Uganda, exclusive breastfeeding for 6 months is recommended but many women introduce alternative feeds early. Interventions to scale-up peer support provision for exclusive breastfeeding are limited. We explored the barriers, facilitators and solutions to scaling-up of peer counselling support for exclusive breastfeeding in Uganda. Methods: A qualitative study was conducted in Mbale District and Kampala City between April and July 2014. Data were collected through 15 key informant interviews with health workers and managers of organizations involved in child and maternal health as well as seven focus group discussions with peer counsellors who took part in the PROMISE EBF Trial (2006-2008), VHT members, mothers and fathers of children aged 1 year and below. Data were analysed using the content thematic approach. Results: The need for peer support for exclusive breastfeeding, especially for young and first-time mothers, was highlighted by most study participants. While mothers, mothers-in-law, friends and husbands were mentioned as major stakeholders regarding infant feeding, they were perceived to lack adequate information on breastfeeding. Health workers were mentioned as a key source of support, but their constraints of heavy workloads and lack of education materials on breastfeeding were highlighted. High community expectations of peer counsellors, the perceived inadequacy of breast milk, general acceptability of complimentary feeding, household food insecurity, heavy workload for women and unsupportive 'work-places' were key barriers to scaling-up of peer counselling support for breastfeeding. The peer counsellors who were part of the PROMISE EBF trial in Mbale, the village health team programme, health facilities, community groups, the media and professional associations emerged as potential facilitators that can aid the scaling-up of peer counselling support for breastfeeding.

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WHO 2010 infant feeding guidelines in resource-limited settings: attitudes of human immunodeficiency virus-infected women and other role players in Kampala, Uganda

Cited by 6 publications

References 15 publications

Capturing Changes in HIV-Infected Breastfeeding Mothers’ Cognitive Processes from Before Delivery to 5 Months Postpartum: An Application of the Pile-Sorting Technique in Haiti

Capturing Changes in HIV-Infected Breastfeeding Mothers’ Cognitive Processes from Before Delivery to 5 Months Postpartum: An Application of the Pile-Sorting Technique in Haiti

Determinants of Attitudinal Dispositions of Secondary Health Care Providers and HIV Positive Mothers towards Exclusive Breastfeeding Practice in Selected Healthcare Facilities in Akwa Ibom State, Nigeria

“If I have money, I cannot allow my baby to breastfeed only …” barriers and facilitators to scale-up of peer counselling for exclusive breastfeeding in Uganda

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