"We Grandmothers Know Plenty": Breastfeeding, complementary feeding and the multifaceted role of grandmothers in Malawi

Social Science and Medicine

Volumn 66, Issue 5, 2008, Pages 1095-1105

  Bezner Kerr, Rachel ^a   Dakishoni, Laifolo ^b   Shumba, Lizzie ^b   Msachi, Rodgers ^b   Chirwa, Marko ^c  

^a UNIVERSITY OF WESTERN ONTARIO   (Canada)

^b Ekwendeni Hospital   (Malawi)

^c NONE

Author keywords

Breastfeeding; Child health; Child nutrition; Grandmothers; Health education; Malawi

Indexed keywords

ACQUIRED IMMUNE DEFICIENCY SYNDROME; BREASTFEEDING; CHILD HEALTH; HEALTH CARE; HEALTH EDUCATION; HOSPITAL SECTOR; HUMAN IMMUNODEFICIENCY VIRUS; PARTICIPATORY APPROACH; WOMENS HEALTH;

ACQUIRED IMMUNE DEFICIENCY SYNDROME; ARTICLE; BREAST FEEDING EDUCATION; CHILD CARE; CHILD NUTRITION; CONTROLLED STUDY; EXTENDED FAMILY; FEMALE; HEALTH PROMOTION; HOSPITAL PERSONNEL; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; MALAWI; NUTRITION EDUCATION; PREVALENCE; SEMI STRUCTURED INTERVIEW;

AGE FACTORS; ATTITUDE TO HEALTH; BREAST FEEDING; CHILD; CHILD WELFARE; CHILD, PRESCHOOL; CULTURE; EDUCATION; FEMALE; FOCUS GROUPS; HEALTH EDUCATION; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; INFANT; INFANT CARE; INFANT FOOD; INFANT, NEWBORN; INTERGENERATIONAL RELATIONS; INTERVIEWS AS TOPIC; MALAWI; PREGNANCY; PROGRAM EVALUATION; RURAL POPULATION;

AFRICA; EAST AFRICA; MALAWI; SUB-SAHARAN AFRICA;

EID: 38749111495     PISSN: 02779536     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.socscimed.2007.11.019     Document Type: Article

References (53)

1. Allen L.H., and Gillespie S. What works? A review of the efficacy and effectiveness of nutrition interventions (2001), Asian Development Bank, Manila
2. Aubel J. Generic steps in the grandmother-inclusive methodology (2004), The Grandmother Project, Chevy Chase, MD
3. Aubel J., and Sihalathavong D. Participatory communication to strengthen the role of grandmothers in child health: an alternative paradigm for health education and health communication. Journal of International Communication 7 2 (2001) 76-97
4. Aubel J., Toure I., and Diagne M. Senegalese grandmothers promote improved maternal and child nutrition practices: the guardians of tradition are not averse to change. Social Science & Medicine 59 5 (2004) 945-959
5. Barnes J.A. The Fort Jameson Ngoni. In: Colson E., and Gluckman M. (Eds). Seven tribes of British Central Africa (1959), Manchester University Press, Manchester 194-252
6. Berry V., and Petty C. The Nyasaland survey papers 1938-1943: Agriculture, food and health (1992), Academy Books Ltd., London
7. Bezner Kerr R. Contested knowledge and disputed practice: Maize and groundnut seeds and child feeding in northern Malawi. Development Sociology (2006), Cornell University, Ithaca, NY p. 350
8. Bezner Kerr R., Berti P., and Chirwa M. Breastfeeding and mixed feeding practices in Malawi: timing, reasons, decision makers, and child health consequences. Food and Nutrition Bulletin 28 1 (2007) 90-99
9. Bezner Kerr R., and Chirwa M. Participatory research approaches and social dynamics that influence agricultural practices to improve child nutrition in Malawi. EcoHealth 1 Suppl. 2 (2004) 109-119
10. Caulfield L.E., Huffman S.L., and Piwoz E.G. Interventions to improve complementary food intakes of six to 12 month old infants in developing countries: impact on growth, prevalence of malnutrition, and potential contribution to child survival. Food and Nutrition Bulletin 20 (1999) 183-200
11. Coovadia H.M., Rollins N.C., Bland R.M., et al. Mother-to-child transmission of HIV-1 infection during exclusive breastfeeding the first six months of life: an intervention cohort study. Lancet 369 (2007) 1107-1116
12. Cornwall A., and Gaventa J. From users and choosers to makers and shapers: Repositioning participation in social policy. [IDS Working Paper, 127] (2001)
13. Coutsoudis A., Kuhn L., Pillay K., and Coovadia H. Exclusive breastfeeding and HIV transmission. AIDS 16 3 (2002) 498-499
14. Davies-Adetugbo A.A. Sociocultural factors and the promotion of exclusive breastfeeding in rural Yoruba communities of Osun state, Nigeria. Social Science & Medicine 45 1 (1997) 113-125
15. De Cock K.M., Fowler M.G., Mercier E., et al. Prevention of mother-to-child HIV transmission in resource-poor countries. JAMA 283 9 (2000) 1175-1182
16. Engle P., Bentley M., and Pelto G.H. The role of care in nutrition research programmes: current research and a research agenda. Proceedings of the Nutrition Society 59 (2000) 25-35
17. Engle P., Menon P., and Haddad L. Care and nutrition: concepts and measurements. World Development 27 8 (1999) 1309-1337
18. van Esterik P. Care, caregiving, and caregivers. Food and Nutrition Bulletin 16 4 (1995) 378-387
19. Gilchrist V.J. Key informant interviews. In: Crabtree B.F., and Miller W.L. (Eds). Doing qualitative research (1992), Sage, Newburg Park, CA 70-89
20. Green C.P. Interventions to improve breastfeeding behaviors: Detailed summaries of 51 studies (1999), Linkages, Washington, D.C.
21. Helitzer-Allen D.L., Kendall C., and Wirima J.J. Beliefs and practices during pregnancy in a Yao community in Malawi. In: Kalipeni E., and Thiuri P. (Eds). Issues and perspectives on health care in contemporary Sub-Saharan Africa (1997), Edwin Mellen Press, Lewiston 145-164
22. Hotz C., and Gibson R.S. Complementary feeding practices and dietary intakes from complementary foods amongst weanlings in rural Malawi. European Journal of Clinical Nutrition 55 (2001) 841-849
23. Hotz C., and Gibson R.S. Participatory nutrition education and adoption of new feeding practices are associated with improved adequacy of complementary diets among rural Malawian children: a pilot study. European Journal of Clinical Nutrition 59 (2005) 226-237
24. Iliff P.J., Piwoz E.G., Tavengwa N.V., et al. Early exclusive breastfeeding reduces the risk of postnatal HIV-1 transmission and increases HIV-free survival. AIDS 19 (2005) 699-708
25. Kent G. Nutrition education as an instrument of empowerment. Journal of Nutrition Education 20 (1988) 193-195
26. Lee R.G., and Garvin T. Moving from information transfer to information exchange in health and healthcare. Social Science & Medicine 56 (2003) 449-464
27. Lupton D. The imperative of health: Public health and the regulated body (1995), Sage, Thousand Oaks, CA
28. Macharia C.W., Kogi-Makau W., and Muroki N.M. Dietary intake, feeding and care practices of children in Kathonzweni division, Makueni District, Kenya. East African Medical Journal 81 8 (2004) 402-407
29. Madise N.J., and Mpoma M. Child malnutrition and feeding practices in Malawi. Food and Nutrition Bulletin 18 2 (1997) 190-201
30. Maxwell J.A. Understanding and validity in qualitative research. Harvard Educational Review 62 3 (1992) 279-299
31. Miles M.B., and Huberman A.M. Qualitative data analysis: An expanded sourcebook (1994), Sage, Thousand Oaks, CA
32. MSIS. Malawi social indicators survey 1995: A survey into the state of health, nutrition, water and sanitation and education of children in Malawi (1996), Centre for Social Research, Zomba
33. Ngubane H. Clinical practice and organization of indigenous healers in South Africa. In: Feierman S., and Janzen J.M. (Eds). The social basis of health and healing in Africa (1992), University of California Press, Berkeley 366-375
34. NSO, and Macro. Malawi demographic and health survey 1992 (1994), Malawi National Statistical Office (NSO) and Macro International, Zomba, Malawi
35. NSO, and Macro. Malawi demographic and health survey 2000 (2001), National Statistics Office and ORC Macro, Zomba, Malawi/Calverton, MD, USA
36. NSO, and ORC Macro. Malawi demographic and health survey 2004 (2005), National Statistical Office of Malawi (NSO) and ORC Macro, Zomba, Malawi/Calverton, MD, USA
37. Patton M.Q. Qualitative evaluation and research methods (1990), Sage, Newbury Park, CA
38. Pelletier D. The potentiating effects of malnutrition on child mortality: epidemiology, evidence and policy implications. Nutrition Reviews 52 (1994) 409-415
39. Pelto G.H., Dicken K., and Engle P. A critical link: Interventions for physical growth and psychological development (1999), World Health Organization, Geneva
40. Read M. Children of their fathers (1959), Metheun & Co Ltd., London
41. Ryan G.W., and Bernard H.R. Data management and analysis methods. In: Lincoln Y., and Guba A. (Eds). Handbook of qualitative methods (2000), Sage, Newbury Park 771-797
42. Samba K., Sy M.N., Ntiru M., and Diene S.M. Best practices and lessons learned for sustainable community nutrition programming (1999), BASICS/ORANA/SANA/USAID, Washington, D.C.
43. Sear R., Mace R., and McGregor I.A. Maternal grandmothers improve nutritional status and survival of children in rural Gambia. Proceedings of the Royal Society of London - Biological Sciences 267 1453 (2000) 1641-1647
44. Shrestha R.M. Breast-feeding and weaning practices in urban areas of Malawi (1989), Ministry of Health/UNICEF, Lilongwe
45. UNAIDS. 2006 Report on the global AIDS epidemic (2006), UNAIDS/WHO, Geneva
46. UNICEF. State of the world's children 2005 (2005), UNICEF, New York
47. Vaahter M., Kulmala T., Hietanen A., et al. Breastfeeding and complementary feeding practices in rural Malawi. Acta Paediatrica 90 (2001) 328-332
48. Waisbord S. Family tree of theories, methodologies and strategies in development communication: Convergences and differences (2001), Rockefeller Foundation, New York
49. WHO. Complementary feeding of young children in developing countries: A review of current scientific knowledge (1998), World Health Organization, Geneva
50. WHO. HIV and infant feeding: Framework for priority action (2003), World Health Organization, Geneva, Switzerland
51. WHO, and UNICEF. Global strategy for infant and child feeding (2002), World Health Organization, Geneva, Switzerland
52. Yoder P.S. Negotiating relevance: belief, knowledge and practice in international health projects. Medical Anthropology Quarterly 11 2 (1997) 131-146
53. Zeitlyn S., and Rowshan R. Privileged knowledge and mothers' "Perceptions": the case of breast-feeding and insufficient milk in Bangladesh. Medical Anthropology Quarterly 11 1 (1997) 56-68