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Objective 1: Barriers to promoting breastfeeding in communities

Objective 1: Barriers to promoting breastfeeding in communities. Barriers. Household level Community norms, e.g. Cultural practices need to educate families (men, in laws – mothers in law) CHW visit important, but in conflict with the seclusion practice.

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Objective 1: Barriers to promoting breastfeeding in communities

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  1. Objective 1: Barriers to promoting breastfeedingin communities

  2. Barriers • Household level • Community norms, e.g. Cultural practices need to educate families (men, in laws – mothers in law) • CHW visit important, but in conflict with the seclusion practice. • Men- influence on breastfeeding, educate them to be able to support their partners • Grannies’ influence • Community level • Must start at antenatal care • Alcohol use – may influence women to rush to stop breastfeeding • Cultural beliefs- e.g. If you are pregnant and have a breastfeeding baby MYTH: baby could have a psycho logical problems

  3. Barriers • Conflict between breastfeeding and demand for child maintenance • Lack of Feeding places • Sekgalaka- sore in the breast then elders say stop breastfeeding • Sekgalaka should not stop breastfeeding as can still b/f with the other breast • Is treatable! • Ditantanyane- baby fed with mixture of root ‘tea’ • Impact and influence of imported culture through media influence & peer group pressure,etc.

  4. Barriers • HCW- don’t give proper information to the mother due to high workload • Post C/S moms- practice that baby needs to suckle within the first hr not possible as mom and baby are separate • Doctors are influential and often choose the ‘easier’ option of formula feeding. • Problems identified at ANC not addressed and become a problem post-delivery

  5. Barriers • Teenagers and working moms- not always practical to continue b/f • AFASS • Private sector- sometimes contradicts public health policy

  6. What needs to be done? • Community leadership- advocate for promotion of breastfeeding • Involve men in health care practice & support to partners in breast feeding • Capacity building & in service training for HCWs & CHWs • Regulate the formula Feed industry • Fast track code of marketing

  7. Should speak in one voice • promote the use of health facilities for information and support for motherrs • How do we support our leaders to support breastfeeding?- Capacity building

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