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Title: Sociocultural factors influencing breastfeeding practices in two slums in Nairobi, Kenya
Authors: Wanjohi, Milka
Griffiths, Paula L.
Wekesah, Frederick
Muriuki, Peterrock
Muhia, Nelson
Musoke, Rachel N.
Fouts, Hillary N.
Madise, Nyovani J.
Kimani-Murage, Elizabeth W.
Keywords: Culture
Sociocultural
Breastfeeding
Slums
Kenya
Issue Date: 2016
Publisher: © The Authors. Published by Biomed Central.
Citation: WANJOHI, M. ...et al., 2016. Sociocultural factors influencing breastfeeding practices in two slums in Nairobi, Kenya. International Breastfeeding Journal, 12:5.
Abstract: Background: Despite numerous interventions promoting optimal breastfeeding practices in Kenya, pockets of suboptimal breastfeeding practices are documented in Kenya’s urban slums. This paper describes cultural and social beliefs and practices that influence breastfeeding in two urban slums in Nairobi, Kenya. Methods: Qualitative data were collected in Korogocho and Viwandani slums through 10 focus group discussions and 19 in-depth interviews with pregnant, breastfeeding women and community health volunteers and 11 key-informant interviews with community leaders. Interviews were audiotaped, transcribed verbatim, coded in NVIVO and analyzed thematically. Results: Social and cultural beliefs and practices that result to suboptimal breastfeeding practices were highlighted including; considering colostrum as ‘dirty’ or ‘curdled milk’, a curse ‘bad omen’ associated with breastfeeding while engaging in extra marital affairs, a fear of the ‘evil eye’ (malevolent glare which is believed to be a curse associated with witchcraft) when breastfeeding in public and breastfeeding being associated with sagging breasts. Positive social and cultural beliefs were also identified including the association of breast milk with intellectual development and good child health. The beliefs and practices were learnt mainly from spouses, close relatives and peers. Conclusion: Interventions promoting behavior change with regards to breastfeeding should focus on dispelling the beliefs and practices that result to suboptimal breastfeeding practices and to build on the positive ones, while involving spouses and other family members as they are important sources of information on breastfeeding.
Description: This is an Open Access Article. It is published by BioMed Central under the Creative Commons Attribution 4.0 Unported Licence (CC BY). Full details of this licence are available at: http://creativecommons.org/licenses/by/4.0/
Sponsor: This study was funded by the Wellcome Trust (Grant # 097146/Z/11/Z). This research was also made possible through the funding for APHRC by The William and Flora Hewlett Foundation (Grant# 2009–40510), and the Swedish International Cooperation Agency (SIDA) (Grant# 2011–001578). PG is supported by a British Academy mid-career fellowship (Ref: MD120048).
Version: Published
DOI: 10.1186/s13006-016-0092-7
URI: https://dspace.lboro.ac.uk/2134/24546
Publisher Link: http://dx.doi.org/10.1186/s13006-016-0092-7
Appears in Collections:Published Articles (Sport, Exercise and Health Sciences)

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