objective 1 barriers to promoting breastfeeding in communities l.
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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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Presentation Transcript
barriers
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
barriers3
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.
barriers4
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
barriers5
Barriers
  • Teenagers and working moms- not always practical to continue b/f
    • AFASS
  • Private sector- sometimes contradicts public health policy
what needs to be done
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
slide7

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