ArticleInternational breastfeeding journal2020
"If I have money, I cannot allow my baby to breastfeed only …" barriers and facilitators to scale-up of peer counselling for exclusive breastfeeding in Uganda.
Article in International breastfeeding journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Preventing malnutrition within the first 1000 days of life in under-resourced communities: An integrative literature review.Journal of child health care : for professionals working with children in the hospital and community · 2024Pooled it
- The effectiveness of interventions on nutrition social behaviour change communication in improving child nutritional status within the first 1000 days: Evidence from a systematic review and meta-analysis.Maternal & child nutrition · 2022Pooled it
- Socio-cultural factors for breastfeeding cessation and their relationship with child diarrhoea in the rural high-altitude Peruvian Andes - a qualitative study.International journal for equity in health · 2021Trial
- Enjoying the Free Menu? Discoursing the Barriers to Exclusive Breastfeeding for Improved Maternal and Child Health in Tanzania: A Review of Evidence.Health science reports · 2026Review
- Prevalence and experiences of exclusive breastfeeding among working mothers at a tertiary hospital in Eastern Uganda.Scientific reports · 2025Article
- Investigation of Complementary Feeding Transition Behaviours in Mothers in the Process of Transition to Complementary Feeding: A Cross-Sectional Study.Child: care, health and development · 2025Article
- Reflections of adolescent motherhood on infant and young child feeding practices: the case of Uganda.BMC public health · 2025Article
- Breastfeeding among South Sudanese refugees in protracted settlements in Adjumani district, Uganda: facilitators and barriers.International breastfeeding journal · 2023Article
- Parental Knowledge, Preference and Needs of Child-Rearing Family Programmes: A Case in Chinese Inner Mongolia Minority Region.International journal of environmental research and public health · 2022Article
- Pathways linking social support, self-efficacy, and exclusive breastfeeding among women in northern Uganda.Global public health · 2022Article
- Beneficiary and Local Stakeholder Participation in Community-Based Nutrition Interventions.Current developments in nutrition · 2022Article
- Insights on exclusive breastfeeding norms in Kinshasa: findings from a qualitative study.BMC pregnancy and childbirth · 2020Article
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Authors and funding
10 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEarly initiation and exclusive breastfeeding for 6 months reduces infant morbidity and mortality and can positively impact on cognitive function. In Uganda, exclusive breastfeeding for 6 months is recommended but many women introduce alternative feeds early. Interventions to scale-up peer support provision for exclusive breastfeeding are limited. We explored the barriers, facilitators and solutions to scaling-up of peer counselling support for exclusive breastfeeding in Uganda.
methodsA qualitative study was conducted in Mbale District and Kampala City between April and July 2014. Data were collected through 15 key informant interviews with health workers and managers of organizations involved in child and maternal health as well as seven focus group discussions with peer counsellors who took part in the PROMISE EBF Trial (2006-2008), VHT members, mothers and fathers of children aged 1 year and below. Data were analysed using the content thematic approach.
resultsThe need for peer support for exclusive breastfeeding, especially for young and first-time mothers, was highlighted by most study participants. While mothers, mothers-in-law, friends and husbands were mentioned as major stakeholders regarding infant feeding, they were perceived to lack adequate information on breastfeeding. Health workers were mentioned as a key source of support, but their constraints of heavy workloads and lack of education materials on breastfeeding were highlighted. High community expectations of peer counsellors, the perceived inadequacy of breast milk, general acceptability of complimentary feeding, household food insecurity, heavy workload for women and unsupportive 'work-places' were key barriers to scaling-up of peer counselling support for breastfeeding. The peer counsellors who were part of the PROMISE EBF trial in Mbale, the village health team programme, health facilities, community groups, the media and professional associations emerged as potential facilitators that can aid the scaling-up of peer counselling support for breastfeeding.
conclusionsPeer support for breastfeeding is highly valued in this setting. The health system and health workers are regarded as the main facilitators to scaling-up of peer support for exclusive breastfeeding. Partnerships with village health teams (VHTs), community groups, role models, professional associations and the media are other potential facilitators to this scaling-up.
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