Facilitators and challenges to exclusive breastfeeding in Belagavi District, Karnataka, India.
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ABSTRACT:
SUBMITTER: Charantimath U
PROVIDER: S-EPMC7197767 | biostudies-literature | 2020
REPOSITORIES: biostudies-literature
Publications
Facilitators and challenges to exclusive breastfeeding in Belagavi District, Karnataka, India.
Charantimath Umesh U Bellad Roopa R Majantashetti Niranjana N Washio Yukiko Y Derman Richard R Kelly Patricia J PJ Short Vanessa V Chung Esther E Goudar Shivaprasad S
PloS one 20200504 5
<h4>Objective</h4>A primary objective of this study was to identify specific facilitators and challenges around exclusive breastfeeding (EBF) in our community in India, from the perspective of breastfeeding mothers and their support networks.<h4>Methods</h4>We conducted eight focus groups incorporating 75 women and their support networks in the Belagavi District, Karnataka State, India. We used a directed content analysis to guide the analysis.<h4>Results</h4>The specific facilitator that emerge ...[more]
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Project description:BackgroundSub-Saharan Africa carries a disproportionate burden of under-five child deaths in the world and appropriate breastfeeding practices can support efforts to reduce child mortality rates. Health facilities are important in the promotion of early and exclusive breastfeeding. The purpose of this review was to examine facility-based barriers and facilitators to early and exclusive breastfeeding in Sub-Saharan Africa.MethodsA systematic search was conducted on Medline, Web of Science, CINAHL, African Journals Online and African Index Medicus from database inception to April 29, 2021 and primary research studies on breastfeeding practices in health facilities in Sub-Saharan Africa were included in the review. We assessed qualitative studies with the Critical Appraisal Skills Programme Qualitative Checklist and quantitative studies using the National Heart, Lung, and Blood Institute tool. The review protocol was registered to Prospero prior to conducting the review (CRD42020167414).ResultsOf the 56 included studies, relatively few described health facility infrastructure and supplies-related issues (5, 11%) while caregiver factors were frequently described (35, 74%). Facility-based breastfeeding policies and guidelines were frequently available but challenged by implementation gaps, especially at lower health service levels. Facilitators included positive caregiver and health worker attitudes, knowledge and support during the postpartum period. Current studies have focused on caregiver factors, particularly around their knowledge and attitudes, while health facility infrastructure and supplies factors appear to be growing concerns, such as overcrowding and lack of privacy during breastfeeding counselling that lowers the openness and comfort of mothers especially those HIV-positive.ConclusionThere has been a dramatic rise in rates of facility births in Sub-Saharan Africa, which must be taken into account when considering the capacities of health facilities to support breastfeeding practices. As the number of facility births rise in Sub-Saharan Africa, so does the responsibility of skilled healthcare workers to provide the necessary breastfeeding support and advice to caregivers. Our review highlighted that health facility infrastructure, supplies and staffing appears to be a neglected area in breastfeeding promotion and a need to strengthen respectful maternity care in the delivery of breastfeeding counselling, particularly in supporting HIV-positive mothers within the context of Sub-Saharan Africa.
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Project description:ObjectiveThis study aimed to gain an in-depth understanding of the experience of South African working mothers in the adherence to exclusive breastfeeding when returning from maternity leave.MethodsThe data of the study was collected using face-to-face semi-structured interviews. Eight breastfeeding mothers were purposefully selected from two primary health care clinics in Rustenburg, North West Province, South Africa. The data were coded, categorized, and clustered into themes using Giorgi's phenomenological analysis. Ethical considerations and measures of trustworthiness were adhered to throughout the study.ResultsThe findings revealed three themes: a desire for working mothers to continue the adherence to exclusive breastfeeding, workplace support for breastfeeding mothers in the adherence to exclusive breastfeeding, and an unsuitable workplace environment for the adherence to exclusive breastfeeding. Six sub-themes were identified: the need to return to the workplace soon after baby's birth, psychological responses in the adherence to exclusive breastfeeding, lack of support from employers and co-workers in the adherence to exclusive breastfeeding, lack of or partial implementation of breastfeeding policies in the workplace, the workplace not being supportive for mothers' having to express and the workplace not being supportive for mothers' having to store breastmilk.ConclusionBased on the findings, South African government should revisit employment policies to support working mothers who need to continue with exclusive breastfeeding after returning from maternity leave.
| S-EPMC8283702 | biostudies-literature