'No sister, the breast alone is not enough for my baby' a qualitative assessment of potentials and barriers in the promotion of exclusive breastfeeding in southern Zambia
2008

Barriers to Exclusive Breastfeeding in Southern Zambia

Sample size: 27 publication Evidence: moderate

Author Information

Author(s): Eli Fjeld, Seter Siziya, Mary Katepa-Bwalya, Chipepo Kankasa, Karen Marie Moland, Thorkild Tylleskär

Primary Institution: Centre for International Health, University of Bergen, Norway

Hypothesis

What are the potentials and barriers in the promotion of exclusive breastfeeding in southern Zambia?

Conclusion

Cultural conventions and family expectations significantly hinder the practice of exclusive breastfeeding despite awareness of its benefits.

Supporting Evidence

  • Breastfeeding was reported to be universal, but few practiced exclusive breastfeeding.
  • Barriers included perceptions of insufficient milk and fear of maternal illness.
  • Health staff and traditional birth attendants were key in educating mothers about infant feeding.

Takeaway

Moms in Zambia know that breastfeeding is good, but many don't do it exclusively because they worry about not having enough milk and what their families think.

Methodology

The study used nine focus group discussions and 18 in-depth interviews with mothers, fathers, grandmothers, health staff, and traditional birth attendants.

Potential Biases

Social desirability bias may have influenced mothers' responses.

Limitations

Potential bias due to recruitment by health staff and translation issues may have altered original meanings.

Participant Demographics

Participants included mothers, fathers, grandmothers, health staff, and traditional birth attendants from both urban and rural areas.

Digital Object Identifier (DOI)

10.1186/1746-4358-3-26

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