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Social circumstances that drive early introduction of formula milk: an exploratory qualitative study in a peri-urban South African community.
Matern Child Nutr 2014; 10(1):102-11MC

Abstract

Breastfeeding is widely endorsed as the optimal strategy for feeding newborns and young infants, as well as improving child survival and achieving Millennium Development Goal 4. Exclusive breastfeeding (EBF) for the first 6 months of life is rarely practised in South Africa. Following the 2010 World Health Organization (WHO) infant feeding recommendations (EBF for HIV-positive mothers with maternal or infant antiretroviral treatment), South Africa adopted breastfeeding promotion as a National Infant Feeding Strategy and removed free formula milk from the Prevention of Mother-to-Child Transmission of HIV programme. This study aimed to explore the perceptions of mothers and household members at community level regarding the value they placed on formula feeding and circumstances that drive the practice in a peri-urban community. We conducted in-depth interviews with HIV-positive and HIV-negative mothers in a community-randomised trial (Good Start III). Focus group discussions were held with grandmothers, fathers and teenage mothers. Data were analysed using thematic analysis. The following themes were identified; inadequate involvement of teenage mothers; grandmothers who become replacement mothers; fear of failing to practise EBF for 6 months; partners as formula providers and costly formula milk leading to risky feeding practices. The new South African Infant Feeding Strategy needs to address the gaps in key health messages and develop community-orientated programmes with a focus on teenage mothers. These should encourage the involvement of grandmothers and fathers in decision-making about infant feeding so that they can support EBF for optimal child survival.

Authors+Show Affiliations

Health Systems Research Unit, Medical Research Council, Durban, South Africa; International Maternal and Child Health (IMCH), Department of Women's and Children's Health, Uppsala, Sweden.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23230962

Citation

Ijumba, Petrida, et al. "Social Circumstances That Drive Early Introduction of Formula Milk: an Exploratory Qualitative Study in a Peri-urban South African Community." Maternal & Child Nutrition, vol. 10, no. 1, 2014, pp. 102-11.
Ijumba P, Doherty T, Jackson D, et al. Social circumstances that drive early introduction of formula milk: an exploratory qualitative study in a peri-urban South African community. Matern Child Nutr. 2014;10(1):102-11.
Ijumba, P., Doherty, T., Jackson, D., Tomlinson, M., Sanders, D., & Persson, L. Å. (2014). Social circumstances that drive early introduction of formula milk: an exploratory qualitative study in a peri-urban South African community. Maternal & Child Nutrition, 10(1), pp. 102-11. doi:10.1111/mcn.12012.
Ijumba P, et al. Social Circumstances That Drive Early Introduction of Formula Milk: an Exploratory Qualitative Study in a Peri-urban South African Community. Matern Child Nutr. 2014;10(1):102-11. PubMed PMID: 23230962.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Social circumstances that drive early introduction of formula milk: an exploratory qualitative study in a peri-urban South African community. AU - Ijumba,Petrida, AU - Doherty,Tanya, AU - Jackson,Debra, AU - Tomlinson,Mark, AU - Sanders,David, AU - Persson,Lars-Åke, Y1 - 2012/12/11/ PY - 2012/12/13/entrez PY - 2012/12/13/pubmed PY - 2014/8/6/medline KW - HIV KW - community perceptions KW - focus group discussion KW - formula feeding KW - qualitative research KW - social circumstances SP - 102 EP - 11 JF - Maternal & child nutrition JO - Matern Child Nutr VL - 10 IS - 1 N2 - Breastfeeding is widely endorsed as the optimal strategy for feeding newborns and young infants, as well as improving child survival and achieving Millennium Development Goal 4. Exclusive breastfeeding (EBF) for the first 6 months of life is rarely practised in South Africa. Following the 2010 World Health Organization (WHO) infant feeding recommendations (EBF for HIV-positive mothers with maternal or infant antiretroviral treatment), South Africa adopted breastfeeding promotion as a National Infant Feeding Strategy and removed free formula milk from the Prevention of Mother-to-Child Transmission of HIV programme. This study aimed to explore the perceptions of mothers and household members at community level regarding the value they placed on formula feeding and circumstances that drive the practice in a peri-urban community. We conducted in-depth interviews with HIV-positive and HIV-negative mothers in a community-randomised trial (Good Start III). Focus group discussions were held with grandmothers, fathers and teenage mothers. Data were analysed using thematic analysis. The following themes were identified; inadequate involvement of teenage mothers; grandmothers who become replacement mothers; fear of failing to practise EBF for 6 months; partners as formula providers and costly formula milk leading to risky feeding practices. The new South African Infant Feeding Strategy needs to address the gaps in key health messages and develop community-orientated programmes with a focus on teenage mothers. These should encourage the involvement of grandmothers and fathers in decision-making about infant feeding so that they can support EBF for optimal child survival. SN - 1740-8709 UR - https://www.unboundmedicine.com/medline/citation/23230962/Social_circumstances_that_drive_early_introduction_of_formula_milk:_an_exploratory_qualitative_study_in_a_peri_urban_South_African_community_ L2 - https://doi.org/10.1111/mcn.12012 DB - PRIME DP - Unbound Medicine ER -