A qualitative analysis of infant and young child feeding practices in rural Rwanda
A qualitative analysis of infant and young child feeding practices in rural Rwanda
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DOI：
10.1017/s1368980020001081
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发表时间：
2021-08-01
影响因子：
3.2
通讯作者：
Brough, Louise
中科院分区：
文献类型：
--
作者：
Dusingizimana, Theogene;Weber, Janet L.;Brough, Louise
目的：探讨并深入了解影响卢旺达农村照顾者儿童喂养行为的因素。设计：深入的半结构化定性访谈进行。目的抽样被用来招募参与者。对访谈进行了录音、逐字记录和编码。采用专题分析法对数据进行归纳分析。地点：卢旺达西部省鲁齐罗区。参与者：参与者包括24位母亲（中位年龄32岁），孩子6-23个月大。结果如下：我们确定了五个关键主题：（i）母乳喂养的做法和在食物供应中的作用;（ii）家庭对儿童食物的准备;（iii）食物分类系统及其对儿童喂养决定的影响;（iv）婴儿在腹泻期间的喂养;（v）贫困对儿童喂养做法和儿童保育的影响。结论：母亲根据卫生工作者提供的信息和传统/自己的知识作出婴幼儿喂养决定。浏览这些信息有时会产生冲突，导致儿童喂养不佳。应采用一种认识到母亲观念的营养教育方法来改善儿童喂养做法。改善儿童喂养做法的努力必须辅之以增加家庭经济机会和获得食物的方案。
Objective: To explore and gain an in-depth understanding of the factors influencing child feeding practices among rural caregivers in Rwanda. Design: In-depth semi-structured qualitative interviews were conducted. Purposive sampling was used to recruit participants. Interviews were audio-recorded, transcribed verbatim and coded. Data were analysed inductively using thematic analysis. Setting: Rutsiro District, Western Province, Rwanda. Participants: Participants included twenty-four mothers (median age 32 years) with children 6-23 months old. Results: We identified five key themes: (i) breast-feeding practices and role in food supply; (ii) family v. children's food preparations; (iii) food classification systems and their influence on child feeding decisions; (iv) child feeding during diarrhoeal episodes and (v) influence of poverty on child feeding practices and child care. Conclusions: Mothers' infant and young child feeding decisions are informed by information both from health workers and from traditional/own knowledge. Navigating through this information sometimes creates conflicts which results in less than optimal child feeding. A nutrition educational approach that is cognisant of maternal perceptions should be employed to improve child feeding practices. Efforts to improve child feeding practices must be complemented by programmes that enhance household economic opportunities and access to foods.