Skip to main content Accessibility help
×
Home

A qualitative exploration of rural feeding and weaning practices, knowledge and attitudes on nutrition

  • R Kruger (a1) and GJ Gericke (a2)

Abstract

Aim:

An exploratory qualitative investigation was done to determine the feeding and weaning practices, knowledge and attitudes towards nutrition of mothers/caregivers of children up to 3 years old attending baby clinics in the Moretele district (South Africa).

Methodology:

Qualitative data collection on six relevant nutrition topics was done using focus group interviews. Trained moderators, using a pre-tested, structured interview schedule, interviewed participants in six age groups. Focus group interviews were taped, transcribed and translated. Content analysis produced systematic data descriptions and ethnography provided descriptive data.

Results:

Breast-feeding was the choice feed and bottle-feeding was only given when breast-feeding was impossible. Solid food was introduced early (at 2–3 months) and a mixed family diet at 7–9 months. Milk feeds were stopped completely from 18–24 months. Weaning diets were compromised due to poor food choices, preparation practices and limited variety. The participant's nutrition knowledge regarding specific foods, their functions and recommended quantities was poor. The women adhered to their cultural beliefs regarding food choices and preparation practices.

Conclusion:

The data analysis revealed that inadequate nutrition knowledge and adherence to cultural practices lead to poor-quality feeding practices. Cultural factors and taboos have a powerful influence on feeding practices and eating patterns. Young mothers often find it impossible to ignore their ill-informed elders or peer group. Nutrition knowledge needs to be changed in a first step towards implementing improved feeding practices. Facilitated group discussions could focus on possible solutions for the identified nutrition-related problems.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      A qualitative exploration of rural feeding and weaning practices, knowledge and attitudes on nutrition
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      A qualitative exploration of rural feeding and weaning practices, knowledge and attitudes on nutrition
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      A qualitative exploration of rural feeding and weaning practices, knowledge and attitudes on nutrition
      Available formats
      ×

Copyright

Corresponding author

*Corresponding author: Email rkruger@scientia.up.ac.za

References

Hide All
1Patel, DN, Pettifor, JM. Malnutrition in South Africa. S. Afr. J. Food Sci. Nutr. 1992; 4(2): 22–3.
2Ocloo, E. Chronic undernutrition and the young. Proc. Nutr. Soc. 1993; 52: 11–7.
3Steyn, NP, Badenhorst, CJ, Nel, JH, Jooste, PL. The nutritional status of Pedi preschool children in two rural areas of Lebowa. S. Afr. J. Food Sci. Nutr. 1992; 4(2): 24–8.
4Steyn, NP, Badenhorst, CJ, Nel, JH, Ladzani, R. Breastfeeding and weaning practices of Pedi mothers and the dietary intakes of their preschool children. S. Afr. J. Food Sci. Nutr. 1993; 5(1): 10–3.
5Ng'andu, NH, Watts, TEE. Child growth and duration of breastfeeding in urban Zambia. J. Epidemiol. Community Health 1990; 44: 281–5.
6Kibel, MA, Wagstaff, LA, eds. Child Health For All. A Manual for Southern Africa, 2nd ed. Cape Town: Oxford University Press, 1995.
7Hendricks, KM, Badruddin, SH. Weaning recommendations: the scientific basis. Nutr. Rev. 1992; 50(5): 125–33.
8Biesheuvel, S. Cross-cultural psychology: its relevance to South Africa. In: Mauer, KF, Retief, AI, eds. Psychology in Context: Cross-cultural Research Trends in South Africa. Pretoria: HSRC, 1987; 135.
9Denzin, NK, Lincoln, YS, eds. Handbook of Qualitative Research. London: Sage Publications, 1994.
10Stewart, DW, Shamdasani, PN. Focus Groups. Theory and Practice. Applied Social Research Methods Series, Vol. 20. London: Sage Publications, 1990.
11Morgan, DL. Focus Groups as Qualitative Research. Qualitative Research Methods Series, Vol. 16. London: Sage Publications, 1988
12Neuman, WL. Social Research Methods: Qualitative and Quantitative Approaches. Boston, MA: Allyn & Bacon, 1997.
13Kruger, R, Gericke, GJ. Breastfeeding practices of mothers with children (aged 0–36 months) in a rural area of South Africa. A qualitative approach. J. Fam. Ecol. Cons. Sci. 2001; 29: 6071.
14Krippendorf, K. Content Analysis. An Introduction to its Methodology. The Sage COMMTEXT Series, Vol. 5. London: Sage Publications, 1980.
15MacIntyre, UE, Ruhle, M. Impoverished Africa – time to restress the value of breast-feeding. S. Afr. Med. J. 1995; 85(1): 45.
16Zöllner, E, Carlier, ND. Breast-feeding and weaning practices in Venda, 1990. S. Afr. Med. J. 1993; 83: 580–3.
17Huffman, SL, Martin, LH. First feedings: optimal feeding of infants and toddlers. Nutr. Res. 1994; 14: 127–59.
18Walker, AF. The contribution of weaning foods to protein–energy malnutrition. Nutr. Res. Rev. 1990; 3: 2547.
19Van Staden, E, Langenhoven, ML, Donald, PR, Laubscher, JA. Dietary intake of children with failure to thrive. S. Afr. J. Food Sci. Nutr. 1994; 6(3): 90–3.
20Van Wyk, JJ. Sosio-kulturele verband van voedsel en voedselgebruike. J. Diet. Home Econ. 1990; 18(3): 80–5.
21Steyn, NP, Robertson, H-L, Mekuria, M, Labadarios, D. Household food security – what health professionals should know. S. Afr. Med. J. 1998; 88(1): 75–9.
22Food and Agriculture Organization of the United Nations and International Life Sciences Institute (ILSI). Preventing Micronutrient Malnutrition: A Guide to Food-based Approaches. Washington, DC: ILSI, 1997.
23Glinsman, WH, Bartholmey, SJ, Coletta, F. Dietary guidelines for infants: a timely reminder. Nutr. Rev. 1996; 54(2): 50–7.
24Abusabha, R, Peacock, J, Achterberg, C. How to make nutrition education more meaningful through facilitated group discussions. J. Am. Diet. Assoc. 1999; 99(1): 72–6.

Keywords

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed