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Exclusive infant feeding promotion in a high HIV prevalence area: A cross-sectional community-based study in South Africa
Uppsala University, Disciplinary Domain of Medicine and Pharmacy.
(English)Manuscript (preprint) (Other academic)
Keyword [en]
Promotion, Exclusive Breastfeeding, Peer Counselling, HIV, South Africa
Research subject
URN: urn:nbn:se:uu:diva-133191OAI: oai:DiVA.org:uu-133191DiVA: diva2:360318
Available from: 2010-11-02 Created: 2010-11-02 Last updated: 2011-01-13
In thesis
1. Promotion of Exclusive Infant Feeding in South Africa: Community-Based Peer Counselling in high HIV Prevalent Area
Open this publication in new window or tab >>Promotion of Exclusive Infant Feeding in South Africa: Community-Based Peer Counselling in high HIV Prevalent Area
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Despite global efforts, exclusive breastfeeding is rarely practiced in South Africa where infants are at risk of diarrheal infections, malnutrition and HIV transmission. The present study was conceptualized within the context of a multi-country, cluster randomized community-based behavioural intervention known as PROMISE-EBF in South Africa, Burkina Faso, Zambia and Uganda (www.clinicaltrials.gov, no: NCT00397150). The aim of this thesis was to identify and describe contextual factors that are important for the effectiveness of community-based peer counselling with a special focus on the promotion of exclusive breast and formula feeding. This thesis identifies the paradoxes and discrepancies embedded in the notion of community-based “peer” counselling approach, especially in the South African context of poverty, HIV and social distrust. Peer counselling, while perceived useful, was associated with social distrust which might have resulted in reduced effectiveness of the intervention. The thesis further illustrates that, while there is strong support for breast feeding, there was a general openness for early introduction of commercial foods and liquids. Mothers’ perceptions on infant feeding and peer counselling varied substantially according to HIV-status and geographical area. Nevertheless, the infant feeding peer counselling approach neither modified the mothers’ perceptions on feeding nor its associated barriers. Thus, several important barriers to exclusive breastfeeding including the risk for HIV stigmatization still remain. The results of this thesis highlight the need to rethink current approaches to the promotion of exclusive breastfeeding. It further draws attention to the gap between theoretical assumptions inherent in health interventions and the actual dynamic processes and realties of women in low-income high HIV settings.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2010. 72 p.
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 619
Promotion, Exclusive Breastfeeding, Formula Feeding, Peer Counselling, HIV, South Africa
National Category
Medical and Health Sciences
Research subject
urn:nbn:se:uu:diva-133199 (URN)978-91-554-7939-8 (ISBN)
Public defence
2010-12-15, Universitetshuset, Sal IX, Biskopsgatan 3, Uppsala, 13:15 (English)
Available from: 2010-11-24 Created: 2010-11-02 Last updated: 2011-01-13Bibliographically approved

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