2018
DOI: 10.1136/bmjopen-2017-019380
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Family networks and infant health promotion: a mixed-methods evaluation from a cluster randomised controlled trial in rural Malawi

Abstract: ObjectiveParents may rely on information provided by extended family members when making decisions concerning the health of their children. We evaluate whether extended family members affected the success of an information intervention promoting infant health.MethodsThis is a secondary, sequential mixed-methods study based on a cluster randomised controlled trial of a peer-led home-education intervention conducted in Mchinji District, Malawi. We used linear multivariate regression to test whether the intervent… Show more

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Cited by 11 publications
(19 citation statements)
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“…Others thought formula feeding could cause behavioural concerns for the baby [64,72], and was for 'the rich' [87]. Few partners thought they were knowledgeable about breastfeeding [43,78], and many partners had limited knowledge on specific benefits and technical aspects of breastfeeding, and wanted to know more [25,63,84,88].…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…Others thought formula feeding could cause behavioural concerns for the baby [64,72], and was for 'the rich' [87]. Few partners thought they were knowledgeable about breastfeeding [43,78], and many partners had limited knowledge on specific benefits and technical aspects of breastfeeding, and wanted to know more [25,63,84,88].…”
Section: Resultsmentioning
confidence: 99%
“…Contrastingly, in high-income settings, when insufficiency of EBF was discussed, this raised concerns about an infant's poor weight gain, and uncertainty over the quantity of milk the infant took. In some cases, family members had positive views on EBF including the frequency and duration of EBF[15,25,27,56,73,78,89].…”
mentioning
confidence: 99%
“…Research from South Asia has shown that living with a mother‐in‐law is associated with diminished woman's autonomy (Balk, 1994 ; Bloom et al, 2001 ; Jejeebhoy & Sathar, 2001 ) and increased risk of low body mass index (BMI) (Barker et al, 2006 ; Madjdian & Bras, 2016 ). Research from Malawi has shown that grandmothers may be more reluctant to dismiss traditionally held practices and adopt messages promoted by a peer‐led home education intervention (Scott et al, 2018 ). More research is needed on how to optimise the engagement of mothers‐in‐law for maternal and child health, considering their household position in this patriarchal society where they may be forced to prioritise the needs of earners and those more powerful in the household as opposed to pregnant women (Gram et al, 2018 ).…”
Section: Discussionmentioning
confidence: 99%
“…14 28 With few exceptions, [29][30][31][32][33] the majority of quantitative studies in LMIC of grandmother caregiving on child outcomes operationalise grandmother involvement crudely as household coresidence with the grandchild 13 14 21 22 26 34 35 or use proxies such as whether the grandmother is still alive. 25 36 37 Though studies have illuminated the impacts of grandmother presence [36][37][38] these crude measures do not operationalise the type, frequency or temporality of a grandmother's involvement with child caregiving activities. Moreover, the current literature focuses on early life survival and early child and adolescent nutritional outcomes 24 25 27 28 36-40 or educational participation 26 41-44 ; however, with some exceptions, 31 33 35 early child development from 0 to 2 years has rarely been investigated as a primary outcome.…”
Section: Bmj Global Healthmentioning
confidence: 99%