ArticleInternational journal of circumpolar health2016
Creating exclusive breastfeeding knowledge translation tools with First Nations mothers in Northwest Territories, Canada.
Article in International journal of circumpolar health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Cheko Gǫįtì (gift of the child): discerning maternal services, policies and influences during tumultuous times in the Northwest Territories, Canada (2018 to 2024).International journal of circumpolar health · 2026Article
- Infant Feeding Practices Among Indigenous Women in Northwest Territories, Canada: Results From the Maternal and Infant Health Project.Food science & nutrition · 2025Article
- Infant feeding experiences among Indigenous communities in Canada, the United States, Australia, and Aotearoa: a scoping review of the qualitative literature.BMC public health · 2024Article
- Factors of success, barriers, and the role of frontline workers in Indigenous maternal-child health programs: a scoping review.International journal for equity in health · 2024Article
- Tuakana-teina peer education programme to help Māori elders enhance wellbeing and social connectedness.BMC geriatrics · 2024Article
- Indigenous gender and wellness: a scoping review of Canadian research.International journal of circumpolar health · 2023Article
- Integrating Indigenous healing practices within collaborative care models in primary healthcare in Canada: a rapid scoping review.BMJ open · 2022Article
- Protocol for a scoping review of the qualitative literature on Indigenous infant feeding experiences.BMJ open · 2021Article
- Kaumātua Mana Motuhake: peer education intervention to help Māori elders during later-stage life transitions.BMC geriatrics · 2020Article
- What is missing? Addressing the complex issues surrounding sexual and reproductive health in the circumpolar north.International journal of circumpolar health · 2016Article
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Authors and funding
2 authors.
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Abstract
backgroundBreastfeeding is an ideal method of infant feeding affecting lifelong health, and yet the uptake of breastfeeding in some Indigenous communities in Canada's north is low.
objectiveThe aims of this project were to determine the rate and determinants of exclusive breastfeeding in a remote community in the Northwest Territories and to create knowledge translation tools to enhance breastfeeding locally.
methodsThe study methodology followed three steps. Firstly, a series of retrospective chart audits were conducted from hospital birth records of Tłı̨chǫ women (n=198) who gave birth during the period of 1 January 2010 to 31 December 2012. A second follow-up chart audit determined the rate of exclusive breastfeeding and was conducted in the local Community Health Centre. Chart audit data included the following factors related to breastfeeding: age of mother, parity, birthweight and Apgar scores. Secondly, semi-structured interviews with a purposive sample of Tłı̨chǫ mothers (n=8) and one Elder were conducted to identify breastfeeding practices, beliefs and the most appropriate medium to use to deliver health messages in Tłı̨chǫ. Third, based on the information obtained in Step 2, two knowledge translation tools were developed in collaboration with a local community Advisory Committee.
resultsThe rate of exclusive breastfeeding initiation in the Tłı̨chǫ region is less than 30%. Physiological and demographic factors related to breastfeeding were identified. Thematic analysis revealed two overarching themes from the data, namely, "the pull to formula" (lifestyle preferences, drug and alcohol use, supplementation practices and limited role models) and "the pull to breast feeding" (traditional feeding method, spiritual practice and increased bonding with infant).
conclusionThere are a myriad of influences on breastfeeding for women living in remote locations. Ultimately, society informs the choice of infant feeding for the new mother, since mothers' feeding choices are based on contextual realities and circumstances in their lives that are out of their control. As health care providers, it is imperative that we recognize the realities of women's lives and the overlapping social determinants of health that may limit a mother's ability or choice to breastfeed. Further health promotion efforts, grounded in community-based research and a social determinants framework, are needed to improve prenatal and postnatal care of Indigenous women and children in Canada.
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