A Qualitative Analysis of Barriers and Facilitators to Optimal Breastfeeding and Complementary Feeding Practices in South Kivu, Democratic Republic of Congo

Burns, Jennifer L.; Emerson, Jillian; Amundson, Kimberly; Doocy, Shannon; Caulfield, Laura E.; Klemm, Rolf

doi:10.1177/0379572116637947

Cited by 45 publications

(86 citation statements)

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“…"Avoids giving water to the infant (100110)" could be changed to "Avoids offering water and other liquids to the newborn or infant," since not only water, but other liquids, such as teas and juices, can also interfere with the Breastfeeding establishment (52)(53)65) .…”

Section: Discussionmentioning

confidence: 99%

“…Operational definition: Upon inspection or palpation, observe whether the breasts contain milk before the baby is positioned to start sucking (27,(45)(46)53,55,57,59,74) . before and during breastfeeding (21,(28)(29)33,49,60,63,65) . in the oropharynx (38)(39)(44)(45)52,61,65,68,(70)(71) .…”

Section: Breast Fullness Prior To Feeding (100103) -mentioning

confidence: 99%

“…Operational definition: Observe, when talking to the mother, if she offers only the maternal breast to feed her child, who she nurtures without using artificial nipples, holding the infant on her lap or offering the breast instead (2,30,35,39,44,(67)(68)73) . crying (20,35,38,44,52,61,65,68,71) . primitive reflexes (20,35,38,44,52,61,65,68,71) .…”

Section: Avoidance Of Artificial Nipple Use With Infantmentioning

confidence: 99%

“…crying (20,35,38,44,52,61,65,68,71) . primitive reflexes (20,35,38,44,52,61,65,68,71) . the period when the baby is being breastfed (44,52,(64)(65)68,71) .…”

Section: Avoidance Of Artificial Nipple Use With Infantmentioning

confidence: 99%

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Conceptual and operational definition of nursing outcomes regarding the breastfeeding establishment

Emídio

Dias

Moorhead

et al. 2020

Rev. Latino-Am. Enfermagem

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Objective: to construct conceptual and operational definitions of Nursing Outcomes “Breastfeeding establishment: infant (1000)” and “Breastfeeding establishment: maternal (1001)”. Method: integrative literature review in the following databases: PUBMED (United States National Library of Medicine); LILACS (Latin American and Caribbean Health Sciences Literature); CINAHL (Cumulative Index to Nursing and Allied Health Literature); SciVerse SCOPUS; Web of Science; BDENF (Brazilian Nursing Database) and EMBASE (Excerpta Medica Database). The gray literature was explored to elucidate topics not covered by the articles. Of 3242 articles, 96 were selected to be read in full, and 43 were used for constructing the definitions. Five theses, three dissertations, three books and two manuals were selected. Results: all the results were reviewed. The definitions facilitated the improvement of the content proposed by the Nursing Outcomes Classification, favoring its application in clinical practice and supporting the development of research and teaching. Conclusion: it was proposed to change the definition of the two outcomes, as well as to change the title of one of them to “Breastfeeding establishment: newborn & infant” (1000), modifying seven of its indicators and excluding one. For the outcome related to the mother, it was proposed to modify two indicators and exclude one.

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Section: Discussionmentioning

confidence: 99%

Section: Breast Fullness Prior To Feeding (100103) -mentioning

confidence: 99%

Section: Avoidance Of Artificial Nipple Use With Infantmentioning

confidence: 99%

“…crying (20,35,38,44,52,61,65,68,71) . primitive reflexes (20,35,38,44,52,61,65,68,71) . the period when the baby is being breastfed (44,52,(64)(65)68,71) .…”

Section: Avoidance Of Artificial Nipple Use With Infantmentioning

confidence: 99%

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Conceptual and operational definition of nursing outcomes regarding the breastfeeding establishment

Emídio

Dias

Moorhead

et al. 2020

Rev. Latino-Am. Enfermagem

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“…Over the last decade, numerous studies on improvement of nutrition-related behaviors for infants and young children have relied on qualitative research methods, well-suited to exploring complex behaviors and their underlying psychosocial and cultural drivers, to investigate IYCF practices. [14][15][16][17][18] This body of research is likely to contain useful information to further understanding of behavioral approaches to improve child nutrition. A comprehensive summary of qualitative data on IYCF from lower-income settings, including a synthesis of barriers and facilitators to recommended practices, is currently lacking in the biomedical literature.…”

Section: Introductionmentioning

confidence: 99%

Qualitative Studies of Infant and Young Child Feeding in Lower-Income Countries: A Systematic Review and Synthesis of Dietary Patterns and Their Determinants

Bazzano¹,

Kaji²,

Felker-Kantor³

et al. 2017

Preprint

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Continued high rates of both under-and over-nutrition in low-and low-middle-income countries highlight the importance of understanding dietary practices such as early and exclusive breastfeeding, and dietary patterns such as timely, appropriate complementary feeding-these behaviors that are rooted in complex cultural ecologies. A systematic review and synthesis of available qualitative research related to infant and young child dietary patterns and practices from the perspective of parents and families in low income settings is presented, with a focus on barriers and facilitators to achieving international recommendations. Data from both published and grey literature from 2006-2016 was included in the review. Quality assessment consisted of two phases (CASP guidelines and assessment using GRADE-CERQual), followed by synthesis of the studies identified, and subsequent thematic analysis and interpretation. The findings indicated several categories of both barriers and facilitators, spanning individual and system level factors. The review informs efforts aimed at improving child health and nutrition, and represents the first such comprehensive review of the qualitative literature, uniquely suited to understanding complex behaviors leading to infant and young child dietary patterns.

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Maasai mother's knowledge on complementary feeding practices and nutritional status of children aged 6–24 months in Monduli District, Arusha, Tanzania: A case study of Naitolia village

Binamungu,

Kimera,

Mkojera

2023

Food Science & Nutrition

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Despite Tanzania's achievement in reducing childhood problems, undernutrition is still a problem. Little is known about how mothers' knowledge on complementary feeding practice affects their children nutritional status. Therefore, the study determined how nutritional status of Maasai children aged 6–24 months is related to their mothers or caregivers' knowledge on complementary feeding. A semistructured questionnaire was used in analytical cross‐sectional study including 286 Maasai mothers and their 6–24‐month‐old children. A convenient and snowball sampling were employed in choosing households and mothers. Using SPSS version 20 and ENA for SMART software, demographic variables, mother's complementary feeding knowledge and practices, and anthropometric data were examined. Respondents were mostly young female aged 29 ± 9.5 years, married (89.2%), housewives (88.8%), with no formal education (39.1%). Maasai mothers (51.1%) introduced complementary foods at 4 months. Of all children, 75.2% did not attain minimum acceptable diet, whereas 66.1% and 57.3% did not meet minimum number of meals per day and recommended variety of foods, respectively. Based on complementary feeding practices, underweight was associated with timely introduction of complementary foods (p = .000), minimum dietary diversity (p = .001), and minimum acceptable diet (p = .001). Stunting was associated with minimum acceptable diet (p = .0027). Regarding mother's knowledge, underweight was associated with breastfeeding duration (p = .000) and meals adequacy (p = .014). Wasting was associated with breastfeeding duration (p = .027). Maasai mothers' weaning practices were unsatisfactory and children's nutritional status was poor. Children's nutritional status was significantly associated with mother's understanding on complementary feeding, which was only somewhat adequate.

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A Qualitative Analysis of Barriers and Facilitators to Optimal Breastfeeding and Complementary Feeding Practices in South Kivu, Democratic Republic of Congo

Cited by 45 publications

References 10 publications

Conceptual and operational definition of nursing outcomes regarding the breastfeeding establishment

Conceptual and operational definition of nursing outcomes regarding the breastfeeding establishment

Qualitative Studies of Infant and Young Child Feeding in Lower-Income Countries: A Systematic Review and Synthesis of Dietary Patterns and Their Determinants

Maasai mother's knowledge on complementary feeding practices and nutritional status of children aged 6–24 months in Monduli District, Arusha, Tanzania: A case study of Naitolia village

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