Is competence enough to enable Kenyan mothers to make good infant and young child feeding decisions?

Autor: Sari Ollila, Lauriina Schneider, Judith Kimiywe, Marja Mutanen, Crippina Lubeka
Rok vydání: 2016
Předmět:
0301 basic medicine
Adult
Counseling
Male
Rural Population
Health Knowledge
Attitudes
Practice

Adolescent
media_common.quotation_subject
Health Personnel
Population
Psychological intervention
Mothers
03 medical and health sciences
Social support
Young Adult
Nursing
Medicine
Humans
education
Infant Nutritional Physiological Phenomena
Competence (human resources)
Health Education
Self-determination theory
media_common
education.field_of_study
030109 nutrition & dietetics
Nutrition and Dietetics
business.industry
4. Education
Public Health
Environmental and Occupational Health

Obstetrics and Gynecology
Infant
Social Support
Original Articles
Focus Groups
Focus group
Kenya
Diet
Socioeconomic Factors
Child
Preschool

Pediatrics
Perinatology and Child Health

Personal Autonomy
Health education
Female
business
Autonomy
Zdroj: Matern Child Nutr
ISSN: 1740-8709
Popis: The aim of this study was to explore factors associated with maternal infant and young child feeding motivation in urban and rural Kenya. We conducted 18 focus group discussions with mothers of children 0 to 23 months of age and healthcare workers. The data were transcribed, translated, and explored following the principles of content analysis. We first explored and coded the data inductively and categorized it according to emerging themes representing the most relevant topics for young child feeding. After this, these themes were theorized into an explanatory framework. Finally, the results yielded seven themes integrated into self-determination theory's three basic motivation-building pillars: autonomy, competence, and relatedness. We found that maternal intrahousehold autonomy on child feeding was substantial. However, this autonomy was lost for a period of time while in close contact with the healthcare staff. The authority of the healthcare workers was at its peak when the child was born and faded gradually as the child grew. Building maternal competence is important for child-feeding outcomes, but our data showed that the health education methods used by the healthcare workers were inadequate to improve maternal to improve the motivation. The competence of Kenyan healthcare workers should be improved in the area of complementary feeding counseling, and they should be trained to provide practical and emotional support as a way of increasing maternal motivation on infant and child feeding.
Databáze: OpenAIRE