ArticleBMC public health2021
Qualitative, longitudinal exploration of coping strategies and factors facilitating infant and young child feeding practices among mothers in rural Rwanda.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Machine Learning-Based Prediction of Determinants of Appropriate Complementary Feeding Practices Among Women With Children Aged 6-23 Months in Sub-Saharan Africa.Food science & nutrition · 2025Article
- Perceptions of the mothers on the determinants of undernutrition in Rwanda: a qualitative study.Journal of health, population, and nutrition · 2025Article
- Responsive Complementary Feeding Practices in Rural Muhanga District of Rwanda: A Mixed Methods Study.Public health challenges · 2024Article
- Spirituality and religiosity in children, adolescents and their families in a vulnerable context: a scoping review.Revista brasileira de enfermagem · 2024Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundMothers in low-income countries face many challenges to appropriately feed their children in the first year such as poverty, food insecurity and high workloads. However, even in the lowest income families there are mothers who succeed to feed their children according to the recommendations. In this paper, we explored the coping strategies that facilitate appropriate breastfeeding and complementary feeding practices among rural Rwandan mothers from birth to one year of a child's life.
methodsThis qualitative longitudinal study recruited a purposive sample of 17 mothers who followed the infant and young child feeding recommendations (IYCF). They were selected from a larger study of 36 mothers. In-depth interviews were conducted with mothers of the total group (36 mothers) within the first week, at 4
resultsCoping strategies included improving mothers' own diet for adequate breastmilk production, prioritizing child feeding over livelihood chores, livelihood diversification and mothers' anticipatory behaviors such as preparing child's food in advance. Some of those coping strategies were shifting overtime depending on the development of the children. Personal factors such as breastfeeding self-efficacy, religious beliefs and perceived benefits of breastfeeding were among the facilitating factors. Additionally, social support that mothers received from family members, other mothers in the community, Community Health Workers (CHWs) and health professionals played an important role.
conclusionIn challenging contextual conditions, mothers manage to follow the recommended breastfeeding and complementary feeding practices through the interplay of active coping strategies, feeling to be in control and social support. Nutrition promotion interventions that aim to improve IYCF should consider strengthening mothers' capability in gaining greater control of their IYCF practices and the factors facilitating their appropriate IYCF practices.
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