ArticleFood and nutrition bulletin2017
Recommendations for Infant Feeding Policy and Programs in Dzimauli Region, South Africa: Results From the MAL-ED Birth Cohort.
Article in Food and nutrition bulletin, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Exclusive breastfeeding policy, practice and influences in South Africa, 1980 to 2018: A mixed-methods systematic review.PloS one · 2019Pooled it
- Early childhood development intervention and timely initiation of complementary feeding among HIV exposed infants in Tanzania: a quasi-experimental study.Frontiers in nutrition · 2026Article
- Examining maternal health literacy as a mediator of the relationship between social vulnerability and caregiving practices for improving infant development.BMC public health · 2025Article
- Factors influencing early introduction of complementary feeding in children under 2 years in Limpopo province.Curationis · 2025Article
- Breastfeeding practices and social norms in Kinshasa, Democratic Republic of the Congo: A qualitative study.PLOS global public health · 2024Article
- Digital Health Technologies for Maternal and Child Health in Africa and Other Low- and Middle-Income Countries: Cross-disciplinary Scoping Review With Stakeholder Consultation.Journal of medical Internet research · 2023Article
- Article
- Perceptions of Caregivers Regarding Malnutrition in Children under Five in Rural Areas, South Africa.Children (Basel, Switzerland) · 2022Article
- Investigating the disjoint between education and health policy for infant feeding among teenage mothers in South Africa: a case for intersectoral work.BMC public health · 2022Article
- Feeding practices and micronutrient status of children aged 0-36 months in Thulamela Municipality, Limpopo province.Health SA = SA Gesondheid · 2022Article
- Common breastfeeding problems experienced by lactating mothers during the first six months in Kinshasa.PloS one · 2022Article
- Maternal perspectives on infant feeding practices in Soweto, South Africa.Public health nutrition · 2021Article
- Characteristics associated with the transition to partial breastfeeding prior to 6 months of age: Data from seven sites in a birth cohort study.Maternal & child nutrition · 2021Article
- Breastfeeding inequities in South Africa: Can enforcement of the WHO Code help address them? - A systematic scoping review.International journal for equity in health · 2021Article
- Reasons for the Early Introduction of Complementary Feeding to HIV-Exposed Infants in the Eastern Cape, South Africa: An Exploratory Qualitative Study.Medicina (Kaunas, Lithuania) · 2020Article
- The contribution of qualitative research within the PRECISE study in sub-Saharan Africa.Reproductive health · 2020Article
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundThere is strong evidence that exclusive breastfeeding (EBF) in the first 6 months of life reduces the risk of diseases in infancy and in later life.
objectiveTo understand the maternal reasoning that influences optimum infant feeding practices of caregivers in semirural communities of Limpopo province.
methodsNested qualitative study among mothers in an ongoing birth cohort study was conducted; structured and semi-structured interviews were used to collect data. Data from 234 infants after 6 months of follow-up was included for quantitative analysis. Four focus discussion groups comprising 7 to 10 caregivers were used to obtain perception of mothers on breastfeeding. A semi-structured interview guide was used to stimulate discussions. Thematic content analyses were conducted to identify the main themes that influence breastfeeding practices of caregivers.
resultsOver 90% of the caregivers initiated breastfeeding after delivery. However, less than 1% of mothers practiced EBF by 3 months, and none of the children were exclusively breastfed for up to 6 months. All caregivers introduced non-breast milk liquids and solids by the second month of child's life. Common reasons for introducing non-breast milk foods included insufficiency of breast milk production, going back to work or school, and influence by elderly women (mothers/mothers-in-law) and church members.
conclusionExclusive breastfeeding was not practiced in this community due to cultural and religious beliefs and misinformation. The involvement of elderly women and church members in infant feeding education and promotion programs and the dissemination of breastfeeding information through mobile phones to younger mothers are recommended.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.