Uncovering the Barriers to Exclusive Breast Feeding for Mothers in a Rural Setting in Southern India

Venkatachalapathi, Supriya; Mannu, Alexander; Subramaniyam, Kathir; Vasudevan, Jaishree; Umadevi, L

doi:10.4274/jpr.galenos.2020.20438

Cited by 2 publications

(9 citation statements)

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“…Furthermore, lack of counselling on proper breastfeeding practice and its bene ts were major barriers towards delay in breastfeeding initiation or exclusive breastfeeding [20,21,43,52]. Additionally, due to increased domestic workload, mothers did not have proper time to adhere to early breastfeeding [24]. Previous study also revealed a link between inadequate support from family members with poor pregnancy outcomes in terms of low birth weight, preterm labour, low maternal weight gain, etc.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…Consequently, home delivery or using a traditional birth attendant (TBA) who was receptive to herbs became a preferred choice [1,57]. Many studies revealed that the culture of discarding rst milk (colostrum) was a major barrier to exclusive breastfeeding and newborn health [24,27,47,50,51,62]. In the tribal community in Kalahandi district, Odisha, India, one traditional midwife explained that:…”

Section: Social and Cultural Barriersmentioning

confidence: 99%

“…Long distance health facilities [3][4]6,8,9,11,13,24,25,30,32,[38][39]42,46,58] and lack of transport facilities [7,10,12,22,24,29,30,38,40,42,48,55,60] were major barrier in accessing the OCS. Speci cally, this type of barriers occurs frequently for people who live in rural areas and in geographically isolated regions [13,32,38].…”

Section: Logistical Barriersmentioning

confidence: 99%

“…In 2019, World Health Organization (WHO) identi ed ve major OCS-related barriers, i.e., (i) poverty, (ii) lack of information, (iii) distance to health facilities, (iv) inadequate and poor OCS, and (v) cultural beliefs and practices [6]. Likewise, many previous studies in India have identi ed similar barriers to utilizing the ANC [2,5,9,[11][12][13][14][15][16], child delivery and breastfeeding [17][18][19][20][21][22][23][24][25], and PNC services [26][27][28][29][30]. Alongside the above barriers, it is pertinent to highlight recent National Family Health Survey data which depicts that 49% of mothers are still not receiving full ANC services and 38% of mothers have not delivered in public facilities [31].…”

Section: Introductionmentioning

confidence: 99%

“…Note: N.A: Not available; NFHS: National Family Health Survey; DLHS: District Level Health Survey; CNSG: Comprehensive Nutrition Survey in Gujarat; FGD: Focus group discussion; IDI: In-depth interviewIndividual and interpersonal barriersA total of 30 studies, including seventeen quantitative[2,4,5,9,11,18,21,22,24,[28][29][30]40,[43][44][45][46], ten qualitative[1,8,23,26,35,50,52,53,57,58] and three mix-method studies…”

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confidence: 99%

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Addressing barriers in utilization and provisioning of obstetric care services (OCS) in India: A mixed method systematic review

Singh

Rajak²

2022

Preprint

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Background: Despite the reduction in the maternal mortality ratio, Obstetric care service (OCS) barriers remain the significant risk factor for adverse maternal and perinatal outcomes in India. This review is relevant because it covers all three obstetric care components (ANC, child delivery, and PNC services) and identifies multiple barriers from provisioning to utilization of OCS in India. We conducted a systematic review to address the barriers in utilization and provisioning of OCS in India using a mixed-method review. Methods: PubMed, Scopus, Web of Science, Google scholar, and Science direct databases were searched from 1st January 2000 to 30th June 2022. The methodological quality of included studies was assessed using appropriate tools. We have included 56 studies (33 quantitative, 18 qualitative, and 5 mixed method studies) after 164 full texts review. All the barriers are classified into five major themes, i.e. (i) individual and interpersonal barriers, (ii) social and cultural barriers, (iii) structural barriers, (iv) logistical barriers, and (v) organization barriers. Thematic synthesis approach was used to present the findings from included studies. Results: Lack of knowledge and awareness, and less family support in availing the required OCS were key individual and interpersonal barriers. Negative social and cultural practices such as belief in traditional herbs/healers, dietary restrictions, and discarding colostrum were frequently reported barriers especially in rural settings. Poor economic status and high health service costs were the most reported barriers to low institutional delivery and delayed ANC services. Additionally, long distances to health facilities and poor road conditions were the most frequent logistical barriers. On the provisioning side, poor quality of treatment, shortage of drugs and equipment and non-cooperative attitude of health professionals were the most significant barriers. Conclusion: Governments should take necessary steps to tackle the mentioned barriers and encourage women to make their own health decisions. Keywords: Obstetric care service; Barriers; Maternal Health; Systematic Review; India

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Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Section: Social and Cultural Barriersmentioning

confidence: 99%

Section: Logistical Barriersmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Addressing barriers in utilization and provisioning of obstetric care services (OCS) in India: A mixed method systematic review

Singh

Rajak²

2022

Preprint

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Barriers in utilization and provisioning of obstetric care services (OCS) in India: a mixed-methods systematic review

Singh,

Rajak

2024

BMC Pregnancy Childbirth

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Background Despite the reduction in the maternal mortality ratio, barriers in obstetric care services (OCS) remain a significant risk factor for adverse maternal and perinatal outcomes in India. This review covers the ‘continuum of care’ (ANC, child delivery, and PNC services) and identifies multiple barriers in provisioning as well as utilization of OCS in India. We conducted a systematic review to understand the barriers using a mixed-methods approach. Methods PubMed, Scopus, Web of Science, Google Scholar, and Science Direct databases were searched from 1 January 2000 to 30 June 2022. The methodological quality of the included studies was assessed using appropriate tools. After a full-text review of 164 studies, total of 56 studies (33 quantitative, 18 qualitative, and 5 mixed-methods studies) were finally included in the review. All the barriers were classified into five major themes: (i) individual and interpersonal barriers, (ii) social and cultural barriers, (iii) structural barriers, (iv) logistical barriers, and (v) organizational barriers. A thematic synthesis approach was used to present the findings of the included studies. Results Lack of knowledge and awareness and less family support in availing the required OCS were key individual and interpersonal barriers. Negative social and cultural practices, such as belief in traditional herbs/healers, dietary restrictions, and discarding colostrum were frequently reported barriers, especially in rural settings. Poor economic status and high health service costs were the most often cited barriers to low institutional delivery and delayed ANC services. Long distances to health facilities and poor road conditions were the most frequently reported logistical barriers. On the provisioning side, poor quality of treatment, shortage of drugs and equipment, and non-cooperative attitude of health professionals were the most significant barriers. Conclusion This review identified several important barriers ranging from individual and cultural to structural, logistical, and organizational, which are prevalent in India. To mitigate the barriers, the governments need to develop strategies at the individual and organizational levels. Innovative interventions and program implementation at the community and village levels could also be contributory steps towards improving OCS utilization in India.

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Uncovering the Barriers to Exclusive Breast Feeding for Mothers in a Rural Setting in Southern India

Cited by 2 publications

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Addressing barriers in utilization and provisioning of obstetric care services (OCS) in India: A mixed method systematic review

Addressing barriers in utilization and provisioning of obstetric care services (OCS) in India: A mixed method systematic review

Barriers in utilization and provisioning of obstetric care services (OCS) in India: a mixed-methods systematic review

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