Browsing by Author "Pereira, Catherine"
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Item Assessment of corporate compliance with guidance and regulations on labels of commercially produced complementary foods sold in Cambodia, Nepal, Senegal and Tanzania(John Wiley & Sons Ltd., 2016) Sweet, Lara; Pereira, Catherine; Ford, RosalynNational legislation and global guidance address labelling of complementary foods to ensure that labels support optimal infant and young child feeding practices. This cross-sectional study assessed the labels of commercially produced complementary foods (CPCF) sold in Phnom Penh (n = 70), Cambodia; Kathmandu Valley (n = 22), Nepal; Dakar Department (n = 84), Senegal; and Dar es Salaam (n = 26), Tanzania. Between 3.6% and 30% of products did not provide any age recommendation and 8.6 20.2% of products, from all sites, recommended an age of introduction of <6 months. Few CPCF products provided a daily ration (0.0 8.6%) and 14.5 55.6% of those that did exceeded the daily energy recommendation for complementary foods for a breastfed child from 6 to 8.9 months of age.Only 3.6 27.3%of labels provided accurate and completemessages in the required language encouraging exclusive breastfeeding, and almost none (0.0 2.9%) provided accurate and complete messages regarding the appropriate introduction of complementary foods together with continued breastfeeding. Between 34.3% and 70.2% of CPCF manufacturers also produced breastmilk substitutes and 41.7 78.0% of relevant CPCF products cross-promoted their breastmilk substitutes products. Labelling practices of CPCF included in this study do not fully comply with international guidance on their promotion and selected aspects of national legislation, and there is a need for more detailed normative guidance on certain promotion practices in order to protect and promote optimal infant and young child feeding.Item Factors influencing the protection, promotion and support of exclusive breastfeeding among health workers in Lagos state primary health care centres(University of Western Cape, 2019) Gbabe, Adedolapo Opeyemi; Pereira, Catherine; Kunneke, ErnestaGlobally, health workers play a critical role in the establishment and sustenance of breastfeeding due to their frequent contacts with mothers at the antenatal clinics, maternity/birthing units, Primary Health Care Centres (PHC) and postpartum clinics. Their knowledge and attitude regarding breastfeeding will affect the quality of information about infant and young child feeding practices passed along to mothers who visit their health facilities.Item Understanding fruit and vegetable consumption: A qualitative investigation in the Mitchells plain sub-district of Cape Town(2019) Pereira, Catherine; McLachlan, Milla; Battersby, JaneObjectives: Many South Africans do not consume enough fruit and vegetables. However, people are generally aware of the benefits of adequate consumption. To understand this gap between knowledge and practice, this study investigated underlying factors influencing consumption through a qualitative, cross-sectional, descriptive case study conducted in Mitchell’s Plain, Cape Town. Methods: Four focus groups to gain broad understanding and 15 interviews with strategically selected individuals influential in food preparation, distribution or consumption, to gain in-depth understanding of specific factors influencing fruit and vegetable consumption were conducted. Results: The study identified a number of drivers of fruit and vegetable consumption patterns. Barriers to consumption included perishability and affordability; that fruit/vegetables are not considered priority food items (inadequate time and effort is allocated to purchasing and preparation); reported negative side-effects of consumption, and that health benefits are not immediately apparent. Consumption was facilitated by personal preference, traditional dishes that include fruit/vegetables, increased availability of fruit/vegetables and discipline in children. Suggestions to improve consumption included providing practical advice to decrease preparation time and cost, and recipes to increase appeal of fruit/vegetable dishes. However, this needs to be understood in the context of the bigger structural issues that help or hinder fruit and vegetable consumption.