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dc.contributor.authorDoherty, Tanyaen_US
dc.contributor.authorHorwood, Christianeen_US
dc.contributor.authorHaskins, Lynen_US
dc.contributor.authorMagasana, Vuyolwethuen_US
dc.contributor.authorGoga, Ameenaen_US
dc.contributor.authorFeucht, Uteen_US
dc.contributor.authorSanders, Daviden_US
dc.contributor.authorTylleskär, Thorkilden_US
dc.contributor.authorKauchali, Shuaiben_US
dc.contributor.authorDhansay, Muhammad Alien_US
dc.contributor.authorRollins, Nigelen_US
dc.contributor.authorKroon, Maxen_US
dc.contributor.authorEngebretsen, Ingunn Marie S.en_US
dc.PublishedDoherty T, Horwood C, Haskins, Magasana, Goga A, Feucht, Sanders D, Tylleskär T, Kauchali S, Dhansay, Rollins N, Kroon, Engebretsen IMS. Breastfeeding advice for reality: Women's perspectives on primary care support in South Africa. Maternal and Child Nutrition. 2020;16:e12877eng
dc.description.abstractBreastfeeding education and support are critical health worker skills. Confusion surrounding infant feeding advice linked to the HIV epidemic has reduced the confidence of health workers to support breastfeeding. High antiretroviral therapy coverage of breastfeeding women living with HIV, and an Infant Feeding policy supportive of breastfeeding, now provides an opportunity to improve breastfeeding practices. Challenges remain in restoring health worker confidence to support breastfeeding. This qualitative study presents findings from focus group discussions with mothers of young infants, exploring their experiences of health worker breastfeeding counselling and support. Analysis followed the thematic framework approach. Six researchers reviewed the transcripts, coded them independently, then jointly reviewed the codes, and agreed on a working analytical framework. Although mothers received antenatal breastfeeding messages, these appeared to focus rigidly on the importance of exclusivity. Mothers described receiving some practical support with initiation of breastfeeding after delivery, but support and advice for post‐natal breastfeeding challenges were often incorrect or absent. The support also ignored the context in which women make infant feeding decisions, including returning to work and pressures from family members. Despite improved breastfeeding policies, restoring confidence in health workers to support breastfeeding remains a challenge. The post‐natal period, when mothers experience breastfeeding difficulties, is particularly critical, and our findings reinforce the importance of continuity of care between communities and health facilities. This research has implications for how health workers are trained to support breastfeeding. Greater attention is needed on developing skills and confidence in identifying, assessing, and supporting women experiencing breastfeeding challenges.en_US
dc.rightsAttribution CC BYeng
dc.titleBreastfeeding advice for reality: Women's perspectives on primary care support in South Africaen_US
dc.typePeer reviewed
dc.typeJournal article
dc.rights.holderCopyright 2019 The Authors
dc.source.journalMaternal and Child Nutrition

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