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dc.contributor.authorNkonki, Lungiswa Leonoraen_US
dc.contributor.authorDaniels, Karen L.en_US
dc.contributor.authorPROMISE-EBF Study groupen_US
dc.date.accessioned2014-10-31T10:34:23Z
dc.date.available2014-10-31T10:34:23Z
dc.date.issued2010-10-26eng
dc.identifier.issn1746-4358
dc.identifier.urihttps://hdl.handle.net/1956/8700
dc.description.abstractBackground: Even though it has been shown that peer support to mothers at home helps to increase exclusive breastfeeding, little is known about the experiences of peer supporters themselves and what is required of them to fulfil their day-to-day tasks. Therefore, a community-based randomised control trial using trained “lay” women to support exclusive infant feeding at home was implemented in three different sites across South Africa. The aim of this paper is to describe the experiences of peer supporters who promote exclusive infant feeding. Methods: Three focus group discussions were held, in a language of their choice, with peer supporters. These meetings focused on how the peer educators utilised their time in the process of delivering the intervention. Data from the discussions were transcribed, with both verbatim and translated transcripts being used in the analysis. Results: Unlike the services provided by mainstream health care, peer supporters had to market their services. They had to negotiate entry into the mother’s home and then her life. Furthermore, they had to demonstrate competence and come across as professional and trustworthy. An HIV-positive mother’s fear of being stigmatised posed an added burden - subsequent disclosure of her positive status would lead to an increased workload and emotional distress. Peer supporters spent most of their time in the field and had to learn the skill of selfmanagement. Their support-base was enhanced when supervision focused on their working conditions as well as the delivery of their tasks. Despite this, they faced other insurmountable issues, such as mothers being compelled to offer their infants mixed feeding simultaneously due to normative practices and working in the fields postpartum. Conclusion: Designers of peer support interventions should consider the skills required for delivering health messages and the skills required for selling a service. Supportive supervision should be responsive both to the health care task and the challenges faced in the process of delivering it.en_US
dc.language.isoengeng
dc.publisherBioMed Centraleng
dc.rightsAttribution CC BYeng
dc.rights.urihttp://creativecommons.org/licenses/by/2.0eng
dc.titleSelling a service: experiences of peer supporters while promoting exclusive infant feeding in three sites in South Africaen_US
dc.typePeer reviewed
dc.typeJournal article
dc.date.updated2013-08-28T16:13:38Z
dc.description.versionpublishedVersionen_US
dc.rights.holderLungiswa L Nkonki et al.; licensee BioMed Central Ltd.
dc.rights.holderCopyright 2010 Nkonki et al; licensee BioMed Central Ltd.
dc.source.articlenumber17
dc.identifier.doihttps://doi.org/10.1186/1746-4358-5-17
dc.source.journalInternational Breastfeeding Journal
dc.source.405


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