Evidence map›Paper›PMID 31067996›Full record

ArticleFood and nutrition bulletin2019

Barriers and Opportunities for Improved Exclusive Breast-Feeding Practices in Tanzania: Household Trials With Mothers and Fathers.

Cynthia R Matare, Hope C Craig, Stephanie L Martin, Rosemary A Kayanda, Gina M Chapleau, Rachel Bezner Kerr, Kirk A Dearden, Luitfrid P Nnally, Katherine L Dickin

Open access · greenAbstract read
In one paragraph

Article in Food and nutrition bulletin, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
5.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
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  6. Review
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  10. Breastfeeding Self-Efficacy in Postpartum Woman.Healthcare (Basel, Switzerland) · 2025
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  19. Trends of Exclusive Breastfeeding Practices and Its Determinants in Tanzania from 1999 to 2016.International journal of environmental research and public health · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Cynthia R MatareProgram in International Nutrition, Division of Nutritional Sciences, Cornell University, Ithaca, NY, USA.
Hope C CraigProgram in International Nutrition, Division of Nutritional Sciences, Cornell University, Ithaca, NY, USA.
Stephanie L MartinDepartment of Nutrition, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.
Rosemary A KayandaIMA World Health, Dar es Salaam, Tanzania.
Gina M ChapleauProgram in International Nutrition, Division of Nutritional Sciences, Cornell University, Ithaca, NY, USA.ORCID 0000-0002-8193-8353
Rachel Bezner KerrDepartment of Development Sociology, Cornell University, Ithaca, NY, USA.
Kirk A DeardenIMA World Health, Dar es Salaam, Tanzania.
Luitfrid P NnallyTanzania Food and Nutrition Center, Ministry of Health Community Development, Gender, Elderly and Children, Dar es Salaam, Tanzania.
Katherine L DickinProgram in International Nutrition, Division of Nutritional Sciences, Cornell University, Ithaca, NY, USA.
Cornell University · USInternational Institute of Tropical Agriculture · TZTanzania Food and Nutrition Center · TZUniversity of North Carolina at Chapel Hill · US

Funding

Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
NICHD NIH HHS P2C HD050924
6 · The paper itself

Abstract

backgroundEffective promotion of exclusive breast-feeding (EBF) is needed to improve child nutrition and survival.

objectiveWe explored barriers and facilitators to EBF in rural Tanzania and assessed parents' willingness and ability to try specific recommended EBF practices plus strategies for men to support breast-feeding.

methodsWe conducted Trials of Improved Practices in 36 households with infants <6 months. Fathers participated in focus group discussions on ways to support breast-feeding. Fathers and mothers were individually interviewed 2 and 3 times, respectively, about their willingness to try and experience with selected new practices. We analyzed data thematically.

resultsCommon barriers to EBF were (1) use of gripe water and traditional medicines for perceived symptoms of infantile distress; (2) mothers' workloads and time away from infants, limiting availability for EBF; and (3) water given for perceived thirst. Although several mothers expressed concerns about breast-milk insufficiency, few were giving other foods. After counseling, most mothers reported breast-feeding more optimally. Some reported improved breast-milk supply. Fathers saw their roles as providing food to mothers to ensure sufficient breast-milk and encouraging new practices. Dominant gender roles and work away from home were barriers even if fathers were willing to help with household chores. Fathers mostly provided emotional support or encouraged others to help with chores.

conclusionExclusive breast-feeding promotion needs to address concerns about infantile distress and help parents develop effective soothing techniques while avoiding nonprescribed medicines. Engaging men in EBF interventions could help change social norms and facilitate men's involvement in improving breast-feeding practices.

Indexed as

Health Knowledge, Attitudes, PracticeInfant Nutritional Physiological PhenomenaBreast FeedingFathersFeeding BehaviorFemaleFocus GroupsHumansInfantInfant, NewbornLactationMaleMothersSocial SupportTanzaniabehavior changebreast-feeding supportexclusive breast-feedingfathersTanzaniaTrials of Improved Practices (TIPs)

Identifiers

PMID31067996
PMCPMC7751330
OpenAlexW2944518892

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.