Breastfeeding advice for reality: Women's perspectives on primary care support in South Africa

dc.contributor.authorDoherty, Tanya M.
dc.contributor.authorHorwood, Christiane M.
dc.contributor.authorHaskins, Lyn J.
dc.date.accessioned2021-01-20T08:52:09Z
dc.date.available2021-01-20T08:52:09Z
dc.date.issued2020
dc.description.abstractBreastfeeding education and support are critical health worker skills. Confusion surrounding infant feeding advice linked to the HIV epidemic has reduced the confidence of health workers to support breastfeeding. High antiretroviral therapy coverage of breastfeeding women living with HIV, and an Infant Feeding policy supportive of breastfeeding, now provides an opportunity to improve breastfeeding practices. Challenges remain in restoring health worker confidence to support breastfeeding. This qualitative study presents findings from focus group discussions with mothers of young infants, exploring their experiences of health worker breastfeeding counselling and support. Analysis followed the thematic framework approach. Six researchers reviewed the transcripts, coded them independently, then jointly reviewed the codes, and agreed on a working analytical framework. Although mothers received antenatal breastfeeding messages, these appeared to focus rigidly on the importance of exclusivity. Mothers described receiving some practical support with initiation of breastfeeding after delivery, but support and advice for post-natal breastfeeding challenges were often incorrect or absent. The support also ignored the context in which women make infant feeding decisions, including returning to work and pressures from family members.en_US
dc.identifier.citationDoherty, T. M. et al. (2020). Breastfeeding advice for reality: Women's perspectives on primary care support in South Africa. Maternal and Child Nutrition, 16(1),e12877en_US
dc.identifier.issn1740-8709
dc.identifier.uri10.1111/mcn.12877
dc.identifier.urihttp://hdl.handle.net/10566/5692
dc.language.isoenen_US
dc.publisherWiley-Blackwellen_US
dc.subjectBreastfeedingen_US
dc.subjectHealth workeren_US
dc.subjectInfant feedingen_US
dc.subjectPrimary health careen_US
dc.subjectWomenen_US
dc.titleBreastfeeding advice for reality: Women's perspectives on primary care support in South Africaen_US
dc.typeArticleen_US

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