Facilitators and challenges to exclusive breastfeeding in Belagavi District, Karnataka, India

Umesh Charantimath, Roopa Bellad, Niranjana Majantashetti, Yukiko Washio, Richard Derman, Patricia J Kelly, Vanessa Short, Esther Chung, Shivaprasad Goudar, Umesh Charantimath, Roopa Bellad, Niranjana Majantashetti, Yukiko Washio, Richard Derman, Patricia J Kelly, Vanessa Short, Esther Chung, Shivaprasad Goudar

Abstract

Objective: 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.

Methods: 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.

Results: The specific facilitator that emerged as a theme, broad support for and knowledge about breastfeeding on the individual, family and community levels, was a seeming contraction to the identified specific challenge, the paradox of the common practice of supplemental feeds.

Conclusions: Despite voicing strong support for and knowledge about EBF, participants were familiar with a variety of supplemental feeding practices in their communities. In place of universal condemnation of all supplemental feeding, policy makers might consider strategies to address the most potentially dangerous of these practices.

Conflict of interest statement

The authors have declared that no competing interests exist.

References

    1. World Health Organization (WHO-a) (nd). Breastfeeding. . Accessed November 29, 2018.
    1. Ip S, Chung M, Raman G, et al. Breastfeeding and Maternal and Infant Health Outcomes in Developed Countries: Evidence Report/Technology Assessment, No. 153. 2007.
    1. Patel DV, Bansal SC, Nimbalkar AS, Phatak AG, Nimbalkar SM, Desai RG. Breastfeeding Practices, Demographic Variables, and Their Association with Morbidities in Children. Adv Prev Med. 2015;2015:892825 10.1155/2015/892825
    1. World Health Organization (WHO-b) (nd). WHO Global Databank on Infant and Child Feeding.
    1. Global Breastfeeding Investment Case, (2017). The Investment Case for Breastfeeding: Nurturing the Health and Wealth of Nations. . Accessed November 20, 2018.
    1. World Health Organization (WHO-c) (nd). Enabling women to breastfeed through better policies and programmes: Global breastfeeding scorecard 2018. . Accessed November 28, 2018.
    1. Muloi H. & Coutsoudis A. (2018). Limitations of maternal recall for measuring exclusive breastfeeding rates in South African mothers. International Breastfeeding Journal 2018. 13:19
    1. Zhang Z, Zhu Y, Zhang L, Wan H. (2018). What factors influence exclusivce breastfeeding based on the theory of planned behavior. Midwifery 62: 177–182. 10.1016/j.midw.2018.04.006
    1. Hsieh S & Shannon S (2005). Three Approaches to Qualitative Content Analysis. Qual Health Res. 2005. November;15(9):1277–88. 10.1177/1049732305276687
    1. Huberman A, Miles M. (2014). Qualitative data analysis: A methods sourcebook. Newbury Park, CA: Sage Publications.
    1. Al Kebti MI, Al Noman S, Al Ali A, Darwish E, Al Fahim M, Rajah J. (2018). Knowledge, attitudes, and practices of breastfeeding among women visiting primary healthcare clinics on the island of Abu Dhabi, United Arab Emirates. International Breastfeeding Journal, 13:26 10.1186/s13006-018-0165-x
    1. Nishimura H, et al. (2018). Determinants of exclusive breastfeeding in rural South India, International Breastfeeding Journal. 13:40 10.1186/s13006-018-0178-5
    1. Alamirew M, Bayu N, Tebeje N, Kassa S. (2017). Knowledge and Attitude towards Exclusive Breast Feeding among Mothers Attending Antenatal and Immunization Clinic at Dabat Health Center, Northwest Ethiopia: A Cross-Sectional Institution Based Study. Nursing Research and Practice Volume 2017, Article ID 6561028. 10.1155/2017/6561028
    1. Legesse M, Demena M, Mesfin F, Haile D. (2015). Factors associated with colostrum avoidance among mothers of children aged less than 24 months in Raya Kobo district, North-eastern Ethiopia: Community-based Cross-sectional Study. J Trop Pediatr. 2015. October;61(5):357–63. 10.1093/tropej/fmv039
    1. Dallazen C. et al. (2018). Introduction of inappropriate complementary feeding in the first year of life and associated factors in children with low socioeconomic status. Cad. Saúde Pública [online], 34, 2, e00202816 Epub Feb 19, 2018. ISSN 1678-4464. 10.1590/0102-311x00202816.
    1. Desai A, Mbuya NNM, Chigumira A, Chasekwa B, Humphrey HJ, Moulton HL, et al. (2014) Traditional oral remedies and perceived breast milk insufficiency are major barriers to exclusive breastfeeding in rural Zimbabwe. J Nutr 144: 1113–1119. 10.3945/jn.113.188714
    1. Kayle JA, LaCroix E, Dau H, Engmann C. (2017). Addressing barriers to exclusive breast-feeding in low- and middle-income countries: a systematic review and programmatic implications. Public Health Nutr. 2017. December;20(17):3120–3134. 10.1017/S1368980017002531
    1. Radwan H (2013) Patterns and determinants of breastfeeding and complementary feeding practices of Emirati Mothers in the United Arab Emirates. BMC Public Health 13: 1–11.
    1. Chapman DJ, Morel K, Anderson AK, Damio G, Pérez-Escamilla R. (2010). Review: Breastfeeding Peer Counseling: From Efficacy Through Scale-Up. J Hum Lact. 26(3):314–326. 10.1177/0890334410369481
    1. Grant KA, McLauchlin J, Amar C. (2013). Infant botulism: Advice on avoiding feeding honey to babies and other possible risk factors. Community Pract. 2013. July;86(7):44–6.
    1. Prüss-Ustün A, Bartram J, Clasen T, Colford JM et al. (2014). Burden of disease from inadequate water, sanitation and hygiene in low- and middle-income settings: A retrospective analysis of data from 145 countries. Trop Med Int Health. 2014. August;19(8):894–905. Epub 2014 Apr 30. 10.1111/tmi.12329

Source: PubMed

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