Factors influencing feeding practices of extreme poor infants and young children in families of working mothers in Dhaka slums: A qualitative study.
Factors influencing feeding practices of extreme poor infants and young children in families of working mothers in Dhaka slums: A qualitative study.
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DOI：
10.1371/journal.pone.0172119
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发表时间：
2017
期刊：
影响因子：
3.7
通讯作者：
Maitrot MR
中科院分区：
文献类型：
--
作者：
Kabir A;Maitrot MR
生活在贫民窟和非贫民窟条件下的婴幼儿的营养状况不同-生活在城市公司贫民窟的婴幼儿的营养状况可能比非贫民窟的婴幼儿差。此外，贫民窟的家庭往往让女性劳动力从事赚取现金的活动，以此作为生存战略;因此，母亲继续工作的比例较高。然而，对于贫民窟中有工作母亲的家庭中婴幼儿的喂养做法知之甚少。本研究旨在了解决定达卡贫民窟中有工作母亲的家庭中婴儿和幼儿喂养方式的因素。本研究采用定性方法。与家庭成员、社区领袖和项目工作人员进行了16次深入访谈、5次关键线人访谈和重点小组讨论。方法三角测量和专题分析。在母亲有工作的家庭中，婴幼儿的喂养方式主要取决于母亲的职业、基本的市政设施和有限的家庭购买能力。虽然母亲们有很好的营养知识，但她们在工作和喂养婴幼儿之间进行谈判。家庭组成、获得烹饪设施和贫困程度也被认为是重要的决定因素。结果表明，母亲的工作和照顾孩子之间存在权衡。家庭和/或工作场所缺乏替代性照料支持沿着社会因素超过了项目干预措施的全部好处。改善替代性育儿支助可以减轻职业母亲的喂养负担，并可能改善营养结果。
Nutritional status differs between infants and young children living in slum and non-slum conditions—infants and young children living in City Corporation slums are likely to have worse nutritional status compared to those from non-slums. Furthermore, families in slums tend to engage female labor in cash-earning activities as a survival strategy; hence, a higher percentage of mothers stay at work. However, little is known about feeding practices for infants and young children in families with working mothers in slums. This study aims to understand the factors that determine feeding practices for infants and young children living in families with working mothers in Dhaka slums. This study adopted a qualitative approach. Sixteen In-depth Interviews, five Key Informant Interviews, and Focused Group Discussions were conducted with family members, community leaders, and program staff. Method triangulation and thematic analyses were conducted. Feeding practices for infants and young children in families with working mothers are broadly determined by mothers’ occupation, basis civic facilities, and limited family buying capacity. Although mothers have good nutritional knowledge, they negotiate between work and feeding their infants and young children. Household composition, access to cooking facilities, and poverty level were also found to be significant determining factors. The results suggest a trade-off between mothers’ work and childcare. The absence of alternative care support in homes and/or work places along with societal factors outweighs full benefits of project interventions. Improving alternative childcare support could reduce the burden of feeding practice experienced by working mothers and may improve nutritional outcomes.