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Supporting breastfeeding: Tanzanian men’s knowledge and attitude towards exclusive breastfeeding
International Breastfeeding Journal ( IF 3.5 ) Pub Date : 2019-12-26 , DOI: 10.1186/s13006-019-0244-7
Janeth Bulemela 1, 2, 3 , Heka Mapunda 1 , Erna Snelgrove-Clarke 4, 5 , Noni MacDonald 4 , Robert Bortolussi 4
Affiliation  

Exclusive breastfeeding (EBF) is one of the key strategies to ensure infants and young children survive and grow. However, a 2010 study showed that it was only practiced by 50% of Tanzanian women. That study also found that men were rarely supportive; either at home or in the health facilities, due to their personal beliefs or to traditional beliefs and culture of the community. In a report six years later the rate of EBF has decreased to 30%, in one region. In this qualitative study, we used focus groups to assess the knowledge and attitudes of 35 men from three villages on the benefits of EBF, the disadvantages of not breastfeeding, and how they can support their partners’ breastfeeding. In addition, we assessed how they felt about spending time at home, if they considered handling the infant to be rewarding and whether they helped the mother with home chores. Differences in village infrastructure and characteristics were noted. Five themes were identified, including traditional roles, and feelings of exclusion/inclusion and resistance. Men felt they needed better information on EBF. They wished that their partners could breastfeed for a longer time, since they realized it improved infant growth and prevented disease; however, they did not have time to remain with the infant at home. Poverty required the men to work for long periods outside the home. As well, the men were not involved with the Reproductive Child Health Clinic (RCHC) except at the time of delivery or for mandatory HIV testing, however, they wanted to be educated together with their partners at the RCHC. Most men in this study understood that the EBF period was important, and that it broadened their relationship with their partner. EBF, however, could be a challenge for couples because of poverty. Nevertheless, many men wanted to help and to become more involved.

中文翻译:

支持母乳喂养:坦桑尼亚男人对纯母乳喂养的知识和态度

纯母乳喂养(EBF)是确保婴幼儿生存和成长的关键策略之一。但是,2010年的一项研究表明,只有50%的坦桑尼亚妇女实践过这种疗法。这项研究还发现,男人很少支持。由于他们的个人信仰或社区的传统信仰和文化,无论在家中还是在医疗机构中。六年后的一份报告中,一个地区的EBF率已降至30%。在这项定性研究中,我们使用焦点小组评估了来自三个村庄的35名男性的知识和态度,这些知识和态度是基于EBF的好处,不母乳喂养的弊端以及他们如何支持伴侣的母乳喂养。此外,我们评估了他们对在家里度过时间的感觉,他们是否认为处理婴儿会有所收获,以及是否帮助母亲做家务。注意到村庄基础设施和特点的差异。确定了五个主题,包括传统角色,排斥/融合和抵抗感。男人觉得他们需要有关EBF的更好的信息。他们希望他们的伴侣可以母乳喂养更长的时间,因为他们意识到母乳喂养可以改善婴儿的成长并预防疾病。但是,他们没有时间陪婴儿在家。贫穷要求这些人在家外长时间工作。同样,这些男子除了在分娩时或接受强制性HIV检测外,没有参与生殖儿童健康诊所(RCHC),但是,他们希望与他们的伴侣一起在RCHC接受教育。这项研究中的大多数人都知道,EBF时期很重要,并且扩大了他们与伴侣的关系。然而,由于贫穷,EBF对夫妻可能是一个挑战。尽管如此,许多人还是希望提供帮助并参与其中。
更新日期:2020-04-22
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