Loughborough University
Leicestershire, UK
LE11 3TU
+44 (0)1509 263171
Loughborough University

Loughborough University Institutional Repository

Please use this identifier to cite or link to this item: https://dspace.lboro.ac.uk/2134/17868

Title: Factors affecting actualization of the WHO breastfeeding recommendations in urban poor settings in Kenya
Authors: Kimani-Murage, Elizabeth W.
Wekesah, Frederick
Wanjohi, Milka
Kyobutungi, Catherine
Ezeh, Alex C.
Musoke, Rachel N.
Norris, Shane A.
Madise, Nyovani J.
Griffiths, Paula L.
Keywords: Exclusive breastfeeding
Infant feeding behaviour
Breastfeeding duration
Breastfeeding knowledge
Child nutrition
Urban slums
Issue Date: 2015
Publisher: John Wiley & Sons Ltd. (© 2014 The Authors)
Citation: KIMANI-MURAGE, E.W. ... et al, 2015. Factors affecting actualization of the WHO breastfeeding recommendations in urban poor settings in Kenya. Maternal and Child Nutrition, doi: 10.1111/mcn.12161
Abstract: Poor breastfeeding practices are widely documented in Kenya, where only a third of children are exclusively breastfed for 6 months and only 2% in urban poor settings.This study aimed to better understand the factors that contribute to poor breastfeeding practices in two urban slums in Nairobi, Kenya. In-depth interviews (IDIs), focus group discussions (FGDs) and key informant interviews (KIIs) were conducted with women of childbear- ing age, community health workers, village elders and community leaders and other knowledgeable people in the community. A total of 19 IDIs, 10 FGDs and 11 KIIs were conducted, and were recorded and transcribed verbatim. Data were coded in NVIVO and analysed thematically. We found that there was general awareness regarding optimal breastfeeding practices, but the knowledge was not translated into practice, leading to suboptimal breastfeeding practices. A number of social and structural barriers to optimal breastfeeding were identified: (1) poverty, livelihood and living arrangements; (2) early and single motherhood; (3) poor social and professional support; (4) poor knowledge, myths and misconceptions; (5) HIV; and (6) unintended pregnancies. The most salient of the factors emerged as livelihoods, whereby women have to resume work shortly after delivery and work for long hours, leaving them unable to breastfeed optimally. Women in urban poor settings face an extremely complex situation with regard to breastfeeding due to multiple challenges and risk behaviours often dictated to them by their circumstances. Macro-level policies and interventions that consider the ecological setting are needed.
Description: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Sponsor: This study was funded by the Wellcome Trust (Grant No. 097146/Z/11/Z). This research was also made possible through the generous core funding for APHRC by the William and Flora Hewlett Foundation (Grant No. 2009-40510) and the Swedish International Cooperation Agency (SIDA) (Grant No. 2011- 001578). PG is supported by a British Academy Mid-Career Fellowship (Ref: MD120048).
Version: Published
DOI: 10.1111/mcn.12161
URI: https://dspace.lboro.ac.uk/2134/17868
Publisher Link: http://dx.doi.org/10.1111/mcn.12161
ISSN: 1740-8695
Appears in Collections:Published Articles (Sport, Exercise and Health Sciences)

Files associated with this item:

File Description SizeFormat
Kimani_Murage_et_al-2014-Maternal_&_Child_Nutrition.pdfPublished341.45 kBAdobe PDFView/Open


SFX Query

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.