Young Mothers, First Time Parenthood and Exclusive Breastfeeding in Kenya
Abstract
Breastfeeding behaviour is explored in Kenya using data collected in the town of Eldoret, Kenya. This paper specifically examines duration of exclusive breastfeeding among young mothers below 20 years of age as compared to older cohorts. Additionally, focus is laid on the effect of first time motherhood and breastfeeding difficulties on exclusive breastfeeding. Results show that Eldoret mothers are aware of benefits of breastfeeding; nevertheless, the mean duration for exclusive breastfeeding in this sample is 2.4 months. Higher durations of exclusive breastfeeding are associated with increasing age and first time motherhood. Predictably, breastfeeding difficulties bear a negative association with exclusive breastfeeding. While HIV is transmissible through breastfeeding, breast milk remains a vital source of nourishment for infants in Sub-Saharan Africa. More research on mothering should examine the changing socio-economic milieu and its influence on women’s infant feeding decisions (Afr J Reprod Health 2008; 12[3]:125-138).
RĖSUMĖ
Jeunes mères, maternité débutante et allaitement exclusif au Kenya Le comportement d’allaitement est employé au Kenya en se servant de données assemblées dans la ville d’Eldoret, Kenya. Cette communication examine spécifiquement la durée d’allaitement exclusif parmi les jeunes mères au-dessous de 20 ans par rapport aux plus âgées. En outre, on a mis le point sur l’effet de la maternité débutante et les difficultés d’allaitement exclusif. Les résultats montrent que les mères à Eldoret ont conscience des bénéfices d’allaitement ; néanmoins, la durée moyenne pour l’allaitement exclusif dans cet échantillon est 24 mois. Les durées plus élevées d’allaitement exclusif sont associées avec l’augmentation de l’âge et la maternité débutante. D’une manière prévisible, les difficultés d’allaitement exercent une association négative sur l’allaitement exclusif. Bien que le VIH soit transmissible par l’allaitement, le lait maternel reste une source vitale nourrissante pour des petits enfants en Afrique subsaharienne. Plus de recherche sur la maternité doit examiner le milieu socioéconomique en mutation et son influence sur les décisions des femmes de l’allaitement infantile (Afr J Reprod Health 2008; 12[3]:125-138).
KEY WORDS: Exclusive breastfeeding, Young mothers, First time parenthood,
Breastfeeding difficulties, Kenya
Full Text:
PDFReferences
American Academy of Pediatrics Workgroup. Breastfeeding and the use of human milk. Policy Statement 1997; 100(6): 1035-1039.
Galtry J. Child Health: An underplayed variable in parental leave policy debates. Community Work & Family 2002; 5(3): 258278.
Labbok M, Krasovec, K. Towards consistency in breastfeeding definitions. Studies in Family Planning 1990; 21(4): 226-230.
Lutter C. Length of exclusive breastfeeding: Linking biology and scientific evidence to a public health recommendation. The Journal of Nutrition 2000; 130: 1335-1338.
Ashraf RN, Jalil F, Khan SR, et al. Early child health in Lahore, Pakistan. V. feeding patterns. Acta Paediatrica 1993;
(Supplement 390): 47-61.
Popkin BM, Adair L, Akin JS, et al. Breastfeeding and diarrheal morbidity. Pediatrics 1990; 86(6): 874-882.
Nwankwo BO, Brieger WR. Exclusive breastfeeding is undermined by use of other liquids in rural southwestern Nigeria. Journal of Tropical Pediatrics 2002; 48(2): 109-112.
Vaahtera M, Kulmala, T, Hietanen A, et al. Breastfeeding and complementary feeding practices in rural Malawi. Acta Paediatrica 2001; 90(3): 328-332.
Davies-Adetugbo AA. Sociocultural factors and the promotion of exclusive breastfeeding in rural Yoruba communities of Osun state, Nigeria. Social Science & Medicine 1997; 45(1): 113-125.
Sachdev HP, Krishna J, Puri RK, et al. Water supplementation in exclusively breastfed infants during summer in the tropics. Lancet 1991; 337(8747): 929-933.
Cohen RJ, Haddix K, Hurtado E, et al. Maternal activity budgets: Feasibility of exclusive breastfeeding for six months among urban women in Honduras. Social Science & Medicine 1995; 41(4): 527-536.
Jones FA, Green V, Krauss DR. Maternal responsiveness of primiparous mother during the postpartum period: Age differences. Pediatrics 1980; 65(3): 579-584.
Artis JE, Pavalko EK. Explaining the decline in women’s household labor: Individual change and cohort differences. Journal of Marriage and Family 2003; 65: 746-761.
Ryder NB. The cohort as a concept in the study of social change. American
Sociological Review 1965; 30(6): 843-861.
Cubins LA. Women men and the division of power: A study of gender stratification in Kenya. Social Forces 1991; 69(4): 10631083.
Coll CT, Hoffman J, Oh W. The social ecology and early parenting of caucasian adolescent mothers. Child Development 1987; 58(4): 955-963.
Larsen JJ, Juhasz AM. The effects of knowledge of child development and socialemotional maturity on adolescent attitudes towards parenting. Adolescence 1985; 20(80): 823-839.
Richardson V, Champion V. The relationship of attitudes, knowledge, and social support to breastfeeding. Issues in Comprehensive Paediatric Nursing 1992; 15: 183-197.
McKinley NM, Hyde JS. Personal attitudes or structural factors? A contextual analysis of breastfeeding duration. Psychology of Women Quarterly 2004; 28(4): 388-399
Shanahan MJ. Pathways to adulthood in changing societies: Variability and mechanisms in life course perspective. Annual Review of Sociology 2000; 26: 667692.
Witwer M. Mean duration of breastfeeding has risen in some developing countries, fallen in others since the 1970s. International Family Planning Perspective 1993; 19(1): 3435.
Chatman LM, Salihu HM, Roofe MEA, et al. Influence of knowledge and attitudes on exclusive breastfeeding practice among rural Jamaican mothers. Birth 2004; 31(4): 265271.
Ummarino M, Albano F, De Marco G, et al. Short duration of breastfeeding and early introduction of cow's milk as a result of mothers' low level of education. Acta Paediatrica 2003; 91(Supplement 411): 1217.
Dettwyler A. More than Nutrition: Breastfeeding in urban Mali. Medical
Anthropology Quarterly 1988; 2(2): 172-183.
Esamai F, Songa J. Health education on breast feeding in antenatal clinics in Eldoret district hospital, Kenya. East African Medical Journal 1994; 71(3): 149-154.
King FS. 1992. Helping mothers to breastfeed. Revised Edition. Nairobi: African Medical and Research Foundation; 1992.
Oni GA. Infant feeding practices, socioeconomic conditions and diarrhoeal disease in a traditional area of urban Ilorin, Nigeria. East African Medical Journal 1996; 73(5): 281-282.
Molbak K, Gottschau A, Aaby P, et al. Prolonged breast feeding, diarrhoeal disease,
and survival of children in Guinea-Bissau. British Medical Journal 1994; 308(6941): 1403-6.
Simondon KB, Simondon F. Infant feeding and nutritional status: the dilemma of mothers in rural Senegal. European Journal of Clinical Nutrition 1995; 49(3): 179-88.
Faber M, Benade A. Nutritional status and dietary practices of 4-24 month-old children from a rural South African community. Public Health Nutrition 1999; 2(2): 179-185.
Odumodu CU, Ighogboja IS, Okuonghae HO. Performance of children on weaning foods in Jos, Nigeria. East African Medical Journal 1994; 71(3): 155-158.
Lakhani S, Jansen AAJ. Opinions about breast feeding amongst middle income African and Indian women in Nairobi. East African Medical Journal 1984; 61(4): 266-71.
Lyall EG. Review of current research on breast milk and mother-to-infant transmission of HIV. Reproductive Health Matters 1998; 6(12): 127-133.
Coutsoudis A, Pillay K, Kuhn L, et al.
Method of feeding and transmission of HIV1 from mothers to children by 15 months of age: prospective cohort study from Durban, South Africa. AIDS. 2001; 15(3): 379-87.
Refbacks
- There are currently no refbacks.






