COMPLEMENTARY FEEDING PRACTICES: A PHENOMENOLOGICAL STUDY ON THE PERSPECTIVES OF FIRST-TIME MOTHERS IN THE EFFUTU MUNICIPALITY OF GHANA
DOI:
https://doi.org/10.46827/ejphs.v5i1.110Keywords:
complementary feeding, first-time mothers, infantsAbstract
An important step in reducing infants’ risk of being malnourished, contracting infectious diseases and their accompanying mortalities is to gain an understanding of the experiences of mothers’ complementary feeding practices. While research exists on complementary feeding practices, limited research is documented on complementary feeding experiences of first-time mothers in Ghana with no evidence from the Effutu Municipality. In view of this lacuna in literature, this study investigated the lived experiences of first-time mothers on the initiation of complementary feeding in the Effutu Municipality using Social Constructivism as a theoretical foundation. The phenomenological research design within the interpretivism paradigm was followed in the conduct of the study where 12 first-time mothers were sampled through purposive and convenience sampling techniques with the main instrument being a semi-structured interview guide. After meeting the trustworthiness criteria, thematic analysis was used to analyze the data. The findings of the study revealed that first-time mothers initiated complementary feeding before the recommended period of six months. Besides, foods used in initiating complementary feeding were mostly cereal-based which is known to be deficient in other vital nutrients such as iron, zinc, phosphorus, magnesium, calcium, and vitamin B6 required and recommended for the healthy development of the child. The findings on experiences of first-time mothers towards complementary feeding indicated that they were inadequately prepared to initiate complementary feeding. Based on these results, it was recommended that the municipal health directorate should organize health promotion programmes to assist first-time mothers to better understand complementary feeding with its accompanying positive consequences of improving child growth and development.
References
Abeshu, M. A., Lelisa, A., & Geleta, B. (2016). Complementary Feeding: Review of Recommendations, Feeding Practices, and Adequacy of Homemade Complementary Food Preparations in Developing Countries - Lessons from Ethiopia. Frontiers in nutrition, 3,41. https://doi.org/10.3389/fnut.2016.00041
Abizari, A. R., Ali, Z., Essah, C. N. et al. (2017). Use of commercial infant cereals as complementary food in infants and young children in Ghana. BMC Nutr 3, 72 https://doi.org/10.1186/s40795-017-0191-x
Agbozo, F., Colecraft, E., & Ellahi, B. (2015). Impact of type of child growth intervention program on caregivers' child feeding knowledge and practices: a comparative study in Ga West Municipality, Ghana. Food science & nutrition, 4(4), 562–572. https://doi.org/10.1002/fsn3.318
Alzaheb, R. A. (2016). Factors Associated with the Early Introduction of Complementary Feeding in Saudi Arabia. International journal of environmental research and public health, 13(7), 702. https://doi.org/10.3390/ijerph13070702
Australia’s National Health & Medical Research Council, (2012). Infant Feeding Guidelines. Canberra: National Health and Medical Research Council.
Awogbenja, M. D., & Ugwuona, F. U. (2010). Feeding practices and nutritional status of under-five children in Nasarawa State, Nigeria. PAT, 6(1), 23-35.
Begin, F., & Aguayo, V. (2017). First foods: Why improving young children's diets matter. Maternal & Child Nutrition. 13. https://doi.org/10.1111/mcn.12528
Bentil, H. J., Steiner-Asiedu, M., & Lartey, A. (2016). Comparison of the complementary feeding practices between mothers with twins and mothers with singletons. Pan African Medical Journal. 24,52. https://doi.org/10.11604/pamj.2016.24.52.8290
Boeije, H. (2010). Analysis in qualitative research. London: Sage Publications
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3 (2). pp. 77-101. ISSN 1478-0887
Burns, N. & Grove, S. K. (2011). Understanding nursing research: Building an evidence-based practice. (5th ed.). Atlanta, GA: Elsevier.
Chapagain, R. H. (2013). Factors affecting complementary feeding practices of Nepali mothers for 6 months to 24 months children. Journal of Nepal Health Research Council, 11(24), 205-207.
Cook, E. J., Powell, F. C., Ali, N., Penn‐Jones, C. Ochieng, B. & Randhawa, G. (2020). Parents’ experiences of complementary feeding among a United Kingdom culturally diverse and deprived community. Maternal and Child Nutrition, 17(2), 15-42.
Corbin, J., & Strauss, A. (2008). Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory (3rd ed.). Thousand Oaks, CA: Sage. Organizational Research Methods, 12(3), 614–617. https://doi.org/10.1177/1094428108324514
Creswell, J. (2002). Educational research: Planning, conducting, and evaluating quantitative and qualitative research. Upper Saddle River, NJ: Merrill Prentice Hall.
Creswell, J. W. & Poth, C. N. (2018). Qualitative inquiry and research design choosing among five approaches. (4th ed.). SAGE Publications, Inc., Thousand Oaks.
Denzin, N. K., & Lincoln, Y. S. (eds.) (2011). The SAGE Handbook of Qualitative Research (5th ed.). Thousand Oaks, CA: SAGE Publications.
Ethiopia Mini Demographic and Health Survey, (2019). Key indicators Ethiopian public health institute, Addis Ababa Federal Ministry of Health, Addis Ababa. The DHS Program, ICF, Rockville, Maryland, USA. https://www.dhsprogram.com/pubs/pdf/PR120/PR120.pdf
Ghana Statistical Service (GSS), Ghana Health Service (GHS), and ICF International. (2015). Ghana Demographic and Health Survey 2014. Rockville, Maryland, USA: GSS, GHS, and ICF International.
Gyampoh, S., Otoo, G. E. & Aryeetey, R. N. (2014). Child feeding knowledge and practices among women participating in growth monitoring and promotion in Accra, Ghana. BMC Pregnancy Childbirth, 14(1), 180-192.
Harrison, M., Brodribb, W. & Hepworth, J. (2017). A qualitative systematic review of maternal infant feeding practices in transitioning from milk feeds to family foods. Maternal Child Nutrition, 13(1), 12-36.
Haruna, A. B. (2018). Factors influencing optimal complementary feeding practices among Mothers of Children Aged 6-23 Months in the Ga South Municipality. (Unpublished Masters thesis, University of Ghana). URI: http://ugspace.ug.edu.gh/handle/123456789/26410
Karigi, L. N., Mutuli, L. A., Bukhala, P. (2016). Socio-cultural practices and beliefs influencing infant and young child feeding in Lubao sub-location Kakamega Country. J Nutr Health Food Eng. 5(1). 568-571 DOI: 10.15406/jnhfe.2016.05.00160
Kimani‐Murage, E. W., Fotso, J. C., Egondi, T., Abuya, B., Elungata, P., Ziraba, A. K., & Madise, N. (2014). Trends in childhood mortality in Kenya: the urban advantage has seemingly been wiped out. Health & Place, 29, 95-103.
Korir, J. K. (2013). Determinants of complementary feeding practices and nutrition status of children 6-23 months old in Korogocho slum, Nairobi County, Kenya. (Unpublished master's thesis) Nairobi: Kenyatta University.
Kostecka, M., Jackowska, I. & Kostecka, J. (2020). Factors affecting complementary feeding of infants. A pilot study conducted after the introduction of new infant feeding guidelines in Poland. Nutrients, 13(1), 6-11.
Kronborg, H., Foverskov, E., & Væth, M. (2014). Predictors for early introduction of solid food among Danish mothers and infants: an observational study. BMC pediatrics, 14, 243. https://doi.org/10.1186/1471-2431-14-243
Matvienko-Sikar, K., Kelly, C., Sinnott, C., McSharry, J., Houghton, C., Heary, C., Toomey, E., Byrne, M., & Kearney, P. M. (2018). Parental experiences and perceptions of infant complementary feeding: a qualitative evidence synthesis. Obesity reviews: An official journal of the International Association for the Study of Obesity, 19(4), 501–517. https://doi.org/10.1111/obr.12653
Mokoria, A., Schonfeldtb, H. & Hendriksc, S. L. (2017). Child factors associated with complementary feeding practices in Uganda. South African Journal of Clinical Nutrition 30(1), 7-14.
Molla, M., Ejigu T., & Nega. G. (2017). Complementary feeding practice and associated factors among mothers having children 6-23 months of age, Lasta District, Amhara Region, Northeast Ethiopia. Advances in Public Health. 2017, Article ID 4567829 https://doi.org/10.1155/2017/4567829
Mulat, E., Alem, G., Woyraw, W. & Temesgen, H. J. B. N. (2019). Uptake of minimum acceptable diet among children aged 6-23 months in orthodox religion followers during fasting season in rural area, DEMBECHA, North West Ethiopia. BMC Nutrition, 5(1), 18-25.
Myers, M. D. (2009). Qualitative research in business & management. Sage Publications Ltd.
Njai, M. & Dixey, R. (2013). A study investigating infant and young child feeding practices in Foni Kansala District, Western Region, Gambia. Journal of Clinical Medicine and Research 5(6), 71-79.
Onwurafor, E., Ani, J., Uchegbu, N., & Ziegler, G. (2020). Quality evaluation of fermented Maize-based Complementary Foods as affected by amylase-rich mungbean malt. Journal of Food Stability. 3 (1): 26-37. 10.36400/J.Food.Stab.3.1.2020-0025.
Parahoo, K. (2006). Nursing research: Principles, process and issues. (2nd ed.). Palgrave Macmillan, London.
Patton, M. (2015). Qualitative research and evaluation methods. (4th ed.). Sage Publications, Thousand Oaks.
Rapley, G. (2011). Baby-led weaning: transitioning to solid foods at the baby’s own pace. Community Practitioner, 84(6), 5.
Saaka, M., Larbi, A., Mutaru, S., & Hoeschle-Zeledon, I. (2016). Magnitude and factors associated with appropriate complementary feeding among children 6-23 months in Northern Ghana. BMC Nutrition, 2(2),1-8.
Saldana, J. (2013). The Coding Manual for Qualitative Researchers 2nd ed. Sage Publications Asia-Pacific Pte Ltd 3 Church Street #10-04 Samsung Hub Singapore 049483
Saunders, M., Lewis, P. & Thornhill, A. (2016). Research Methods for Business Students. (7th ed.). Pearson, Harlow.
Schmidt-Traub, G., Kroll, C., Teksoz, K., Durand-Delacre, D. & Sachs, J. D. (2017). National baselines for the Sustainable Development Goals assessed in the SDG Index and Dashboards. Nature Geosci 10(1), 547-555.
Sekaran, U. & Bougie, R. (2016). Research methods for business: A skill-building approach. (7th ed)., Wiley & Sons, West Sussex.
Silverman, D. (2010). Quality in qualitative research. Doing Qualitative Research. Sage Publications. 268-291.
Trochim, W. M. (2006). Types of Reliability. Research Methods Knowledge Base, Web Center for Social Research Methods. https://www.socialresearchmethods.net/t/kb/reltypes.php
Udoh, E. E. & Amodu, O. K. (2016). Complementary feeding practices among mothers and nutritional status of infants in Akpabuyo Area, Cross River State Nigeria. Springer Plus 5(1), 20-73.
United Nations Children Fund, (UNICEF, 2020). Levels and trends in child mortality.
Walsh, A., Kearney, L., & Dennis, N. (2015). Factors influencing first-time mothers' introduction of complementary foods: a qualitative exploration. BMC public health, 15, 939. https://doi.org/10.1186/s12889-015-2250-z
Whitehead, D. & Annells, M. (2007). Sampling and collecting data in qualitative research. Sydney: Mosby-Elsevier.
World Health Organisation, (2018). Children: Improving survival and well-being. https://www.who.int/news-room/fact-sheets/detail/children-reducing-mortality.
World Health Organisation, (2015). Postnatal Care for Mothers and Newborns Highlights from the World Health Organization 2013 Guidelines. World Health Organization and Jhpiego 2015. All rights reserved. WHO/RHR/15.05
World Health Organization, (2010). Guiding principles for feeding of non-breastfed children. WHO: Geneva.
World Health Organization, (2017). Global strategy for infant and young child feeding. http://www.who.int/nutrition/topics/global_strategy_iycf/en/.
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