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

Bazzano, Alessandra N.; Kaji, Aiko; Felker-Kantor, Erica; Potts, Kaitlin S.

doi:10.20944/preprints201708.0032.v1

Cited by 7 publications

(1 citation statement)

References 23 publications

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“…To promote better child nutrition, it is crucial to consider the multidimensional aspects that in uence caregiver decisions and practices, rather than focusing solely on child feeding. These factors are experienced at various levels, including child, mother, family/household, and community/society (4). They not only encompass physiological factors, such as diet and disease (5), but also social factors, such as family support, instrumental factors, such as livelihoods (6), and psychological factors, such as women's agency and self-con dence (7).…”

Section: Introductionmentioning

confidence: 99%

Exploring the role of maternal routine and problem-solving actions in promoting child health and nutrition in Kenyan drylands: a qualitative study

Kiprono,

Hensel,

Kaufmann

2024

Preprint

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Background In the drylands of northern Kenya, mothers strive to promote the health and nutritional well-being of their children, but face many challenges. Most studies, especially those focusing on (agro-)pastoralists use a problem-lens, with recommended standard interventions to improve child nutrition that do not necessarily fit to the local conditions. This study aims to explore (agro-)pastoral women’s knowledge and their practical solutions in child nutrition and care, uncovering their routine and problem-solving actions. Methods The Activity Knowledge Analysis tool was used in 16 Focus Group Discussion sessions with caregivers of children below the age of five years from Rendille, Burji and Borana communities in Marsabit County, Kenya. The discussions were recorded, transcribed and thematically analysed using MAXQDA software. Results Mothers explained their routine actions which included age-appropriate feeding practices, maintaining hygiene, and facilitating the child’s developmental milestones to achieve their goal of having a healthy child. Some of the routine actions include providing special diets, responsive feeding; personal, food and environmental hygiene; massage, engagement in play and interaction to facilitate development. The challenges that mothers face include maintaining their own health, difficulties with feeding, and delayed developmental milestones. These challenges are further compounded by contextual factors; poverty, time constraints and lack of support. To overcome the challenges, mothers used a range of problem-solving actions, including enriching their children’s diets, diversifying their income sources, borrowing food or money, and seeking for social support from family members and the community. Conclusion Participatory approaches, such as the use of the Activity Knowledge Analysis tool, have proved useful in exploring caregivers' knowledge, challenges, routines and problem-solving actions that go unnoticed when using surveys, such as the knowledge, attitudes and practices survey. Interventions that take into account mothers’ knowledge and problem-solving activities are better adapted to the cultural, social, economic and environmental conditions and can therefore be more effective in improving the health and nutritional status of their children.

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Section: Introductionmentioning

confidence: 99%

Exploring the role of maternal routine and problem-solving actions in promoting child health and nutrition in Kenyan drylands: a qualitative study

Kiprono,

Hensel,

Kaufmann

2024

Preprint

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Health staff experiences with the implementation of early essential newborn care guidelines in Da Nang municipality and Quang Nam province in Viet Nam

Morseth

Nguyen²,

Skui

et al. 2020

BMC Health Serv Res

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Background: The World Health Organization (WHO) recommends early essential newborn care (EENC)-The First Embraceas a simple lifesaving procedure for newborns. The successful implementation of EENC at scale requires an understanding of health staff experiences, including facilitators, barriers, and local adaptations of EENC. This study aims to gain insight into health staff experiences with implementation of EENC guidelines after participation in training and coaching initiatives in Da Nang municipality and Quang Nam province in Viet Nam. Methods: In each province/municipality, we randomly selected one hospital from the following categories: public provincial/municipal hospital, public district hospital, and private hospital. We conducted in-depth interviews with 19 hospital staff (11 midwives, 5 doctors and 3 health managers) and two trainers during 7 days between September and October 2017. We used deductive/inductive thematic analysis to generate themes. Results: The health staff reported improved staff and mother satisfaction, and health benefits for both mothers and newborns after implementing EENC. Facilitators to successful implementation were management support for resource allocation and collaboration across departments, and creative demand generation. Barriers included staff shortage, skepticism about the new protocols and practices and challenges translating knowledge and skills from trainings and coaching into practice. Conclusions: After implementing EENC, through training and coaching using the WHO approach, health staff reported improved staff and mother satisfaction as well as health benefits for both mothers and newborns. An approach to develop competencies, with a focus on practical training and coaching, should be promoted to form, reinforce and sustain recommended EENC practices among health staff.

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Hidden Realities of Infant Feeding: Systematic Review of Qualitative Findings from Parents

Dattilo

Carvalho

Feferbaum

et al. 2020

Behavioral Sciences

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A growing, global conversation, regarding realities and challenges that parents experience today is ever-present. To understand recent parent’s attitudes, beliefs, and perceptions regarding infant feeding, we sought to systematically identify and synthesize original qualitative research findings. Following the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) framework, electronic databases were searched with a priori terms applied to title/abstract fields and limited to studies published in English from 2015 to 2019, inclusive. Study quality assessment was conducted using the Critical Appraisal Skills Programme (CASP) checklist, and thematic analyses performed. Of 73 studies meeting inclusion criteria, four major themes emerged. (1) Breastfeeding is best for an infant; (2) Distinct attitudes, beliefs, and perceptions of mothers that breastfeed, and those that could not or chose not to breastfeed, are evident; (3) Infant feeding behaviors are influenced by the socio-cultural environment of the family, and (4) Parent’s expectations of education and support addressing personal infant feeding choices from health care providers are not always met. This systematic review, guided by constructs within behavioral models and theories, provides updated findings to help inform the development of nutrition education curricula and public policy programs. Results can be applied within scale-up nutrition and behavioral education interventions that support parents during infant feeding.

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

Cited by 7 publications

References 23 publications

Exploring the role of maternal routine and problem-solving actions in promoting child health and nutrition in Kenyan drylands: a qualitative study

Exploring the role of maternal routine and problem-solving actions in promoting child health and nutrition in Kenyan drylands: a qualitative study

Health staff experiences with the implementation of early essential newborn care guidelines in Da Nang municipality and Quang Nam province in Viet Nam

Hidden Realities of Infant Feeding: Systematic Review of Qualitative Findings from Parents

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