ArticlePublic health nutrition2021
Perspectives from South African dietitians on infant and young child feeding regulations.
Article in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Outcomes of implementing the International Code of Marketing of Breast-milk Substitutes as national laws: a systematic review.International breastfeeding journal · 2024Pooled it
- Article
- 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
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aimed to determine the knowledge, perceptions and practices of dietitians in South Africa regarding the Regulations Relating to Foodstuffs for Infants and Young Children (R991).
designA mixed methods, cross-sectional design was used.
settingQuantitative data were collected using an online survey (n 282) and qualitative data by means of two focus group discussions (n 12).
participantsParticipants were dietitians registered with the Health Professions Council of South Africa.
resultsDietitians' average knowledge score was 64·8 % ± 12·5. Those working in infant and young child feeding had a 5 % higher knowledge score (95 % CI 1·4, 8·6, P = 0·01). Perceptions towards the Regulations were generally positive, and the majority of practices were compliant. Positive perceptions seemed to correlate with compliant practices. The most frequently selected enabler to the implementation of the Regulations was 'Increase in other initiatives which support, protect and promote breastfeeding', and the most frequently selected barrier was 'Lack of awareness of the Regulation among health care providers'. The major themes from the focus group discussions comprised: less knowledge among dietitians and mothers about products controlled under the Regulations, non-compliance of other health care providers, the dietitians' role in support and enforcement, the discrepancy between practice in private and public sectors and a lack of enforcement.
conclusionsSouth Africa has taken a bold step in legislating the International Code of Marketing of Breast-milk Substitutes and should upscale programmes to ensure consistent monitoring and enforcing of the Regulations.
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