Reasons for the Early Introduction of Complementary Feeding to HIV-Exposed Infants in the Eastern Cape, South Africa: An Exploratory Qualitative Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Settings
2.2. Participants
2.3. Data Collection Procedures and Tool
- How did you feed your baby in the first six months after birth? (screening question)
- Since you introduced supplementary feeding early for your baby, what informed your decision(s) to feed your baby with the method you adopted?
- Can you tell me more about the challenges you experienced with practising exclusive breastfeeding for your baby?
- What benefits did you derive from feeding your baby with other products besides breast milk?
- What were your concerns about exclusive breastfeeding in the first six months after birth? (probing question, if details were not forthcoming).
2.4. Ethics Approval and Consent to Participate
2.5. Data Analysis
3. Results
3.1. Reasons for Introducing Complementary Feeding since Child Birth
3.1.1. Fear of Transmitting HIV to the Baby (Perception about Breast Milk Transmission of HIV)
3.1.2. Issues with Breast and Breast Milk Flow (Breast Factors)
3.1.3. Resumption of Work or School
3.2. Reasons for Introducing Complementary Feeding after Two Months or More
3.2.1. Baby Crying Unconsolably
3.2.2. Returning to Work or School
3.2.3. Baby Did Not Want Breast Milk
3.2.4. Infant Weight Loss
3.2.5. Influence of Family Members
3.2.6. Health Providers’ Advice
4. Discussion
5. Implications
6. Limitations
7. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Variables | Did Not Breastfeed Exclusively for Six Months n = 319 | Percentage |
---|---|---|
Age | ||
24 years and less | 22 | 6.9 |
25–29 years | 73 | 22.9 |
30–34 years | 96 | 30.1 |
35–39 years | 85 | 26.6 |
40 years and above | 43 | 13.5 |
Marital status | ||
Single | 219 | 68.7 |
Married | 79 | 24.8 |
Cohabiting | 16 | 5.02 |
Previously married | 5 | 1.6 |
Education level | ||
Grade 7 and less | 18 | 5.6 |
Grade 8–12 | 237 | 74.3 |
Higher education | 25 | 7.8 |
Employment status | ||
Unemployed | 204 | 64.0 |
Employed | 115 | 36.0 |
Timing of initiation of supplementary feeding | ||
After birth | 136 | 42.6 |
One | 50 | 15.7 |
Two | 41 | 12.9 |
Three | 44 | 13.8 |
Four | 38 | 11.9 |
Five | 10 | 3.1 |
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Goon, D.T.; Ajayi, A.I.; Adeniyi, O.V. Reasons for the Early Introduction of Complementary Feeding to HIV-Exposed Infants in the Eastern Cape, South Africa: An Exploratory Qualitative Study. Medicina 2020, 56, 703. https://doi.org/10.3390/medicina56120703
Goon DT, Ajayi AI, Adeniyi OV. Reasons for the Early Introduction of Complementary Feeding to HIV-Exposed Infants in the Eastern Cape, South Africa: An Exploratory Qualitative Study. Medicina. 2020; 56(12):703. https://doi.org/10.3390/medicina56120703
Chicago/Turabian StyleGoon, Daniel Ter, Anthony Idowu Ajayi, and Oladele Vincent Adeniyi. 2020. "Reasons for the Early Introduction of Complementary Feeding to HIV-Exposed Infants in the Eastern Cape, South Africa: An Exploratory Qualitative Study" Medicina 56, no. 12: 703. https://doi.org/10.3390/medicina56120703