Knowledge Resource Center for Ecological Environment in Arid Area
| Promotion of Exclusive Infant Feeding in South Africa : Community-Based Peer Counselling in high HIV Prevalent Area | |
| Nor;Barni | |
| 出版年 | 2010 |
| 学位授予单位 | Uppsala universitet, Institutionen för kvinnors och barns hälsa, Uppsala : Acta Universitatis Upsaliensis |
| 英文摘要 | 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. |
| 英文关键词 | Promotion Exclusive Breastfeeding Formula Feeding Peer Counselling HIV South Africa MEDICINE MEDICIN |
| 语种 | 英语 |
| URL | http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-133199 |
| 来源机构 | Uppsala University |
| 资源类型 | 学位论文 |
| 条目标识符 | http://119.78.100.177/qdio/handle/2XILL650/244799 |
| 推荐引用方式 GB/T 7714 | Nor;Barni. Promotion of Exclusive Infant Feeding in South Africa : Community-Based Peer Counselling in high HIV Prevalent Area[D]. Uppsala universitet, Institutionen för kvinnors och barns hälsa, Uppsala : Acta Universitatis Upsaliensis,2010. |
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