Community-Based Peer Counsellors for Exclusive Breastfeeding Support in Rural Uganda
Author Information
Author(s): Nankunda Jolly, Tumwine James K, Soltvedt Åshild, Semiyaga Nulu, Ndeezi Grace, Tylleskär Thorkild
Primary Institution: Makerere Medical School, Kampala, Uganda
Hypothesis
Can training community-based peer counsellors improve exclusive breastfeeding rates in rural Uganda?
Conclusion
Training and follow-up of peer counsellors to support exclusive breastfeeding in this rural district is feasible and they were accepted by their communities.
Supporting Evidence
- 99% of women in Uganda initiate breastfeeding, but exclusive breastfeeding rates remain low.
- Peer counsellors were accepted by their communities and helped an average of 15 mothers each.
- Common breastfeeding problems identified included insufficient breast milk and poor positioning.
Takeaway
Women in rural Uganda can be trained to help other mothers breastfeed exclusively, and they are welcomed by their communities.
Methodology
The study trained 15 women as peer counsellors over five days, followed by three months of community support and evaluation through focus group discussions.
Potential Biases
Potential bias in self-reported outcomes from peer counsellors and mothers.
Limitations
The study was conducted in one sub-county, limiting generalizability.
Participant Demographics
All peer counsellors were women aged 24-35, mostly married with children, and had at least seven years of formal education.
Digital Object Identifier (DOI)
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