Abstract
Objectives
Whereas extant literature abounds with works on breastfeeding and its implications for child health and survival, there is very limited research on the challenges faced by disabled women in breastfeeding their infants and children. This study explored the challenges facing disabled women in the Kumasi Metropolis in exclusively breastfeeding their infants using qualitatibve research design.
Methods
Using a sample of 55 from the communities and key informants the snowballing and purtposive sampling techniques were used. The thematic approach was used in the analysis which was done manually.
Results
Most disabled women have Caesarean deliveries which could challenge exclusively breastfeed their infants. It was observed that disabled mothers generally have a low level of education, mostly unmarried and not gainfully employed. Secondly, most disabled mothers go through a Caesarean section during birth which makes it pretty difficult for them to exclusively breastfeed their infants. Apart from disabilities such as physical impairment, deafness and blindness which could challenge women exclusively breatfeed their children, additionally some health professionals discourage them from doing so. Some women and relatives of the disabled discourage them from exclusively breastfeeding their infants either through lack of awareness of the efficacy of the practice or the stress their involvement in exclusive breastfeeding brings upon the women themselves.
Conclusions
Various forms of disability, and dsiscouragement from some health professionals and family members may constrain disabled women from exclusively breatfeeding their infants. Recommendations include, implementing the Disability Act, creating special wards for disabled women in the health institutions and orienting the medical staff on their professional responsibilities in taking care of the disabled.
Similar content being viewed by others
Notes
The research preceded the 2021 Population and Housing Census (PHC) Report.
References
American Academy of Pediatrics. (2017). Breastfeeding and the use of human milk. Pediatrics, 129(3), e827–e841. https://doi.org/10.1542/peds.2011-3552
Andrews, E. E., & Ayers, K. (2016). Parenting with disability: Experiences of disabled women. In S. E. Miles-Cohen & C. Signore (Eds.), Eliminating inequities for women with disabilities: An agenda for health and wellness (pp. 209–225). American Psychological Association. https://doi.org/10.1037/14943-011
Asare, Y. B., Preko, J. V., Baafi, D., & Dwumfour-Asare, B. (2018). Breastfeeding practices and determinants of exclusive breastfeeding in a cross-sectional study at a child welfare clinic in Tema Manhean Ghana. International Breastfeeding Journal, 13, 12.
Ayawine, A., & Ayuurebobi, K. (2015). Determinants of exclusive breastfeeding: A study of two sub-districts in the Atwima Nwabiagya District of Ghana. The Pan African Medical Journal, 22, 248.
Danso, J. (2014). Examining the practice of exclusive breastfeeding among professional working mothers in Kumasi metropolis of Ghana. International Journal of Nursing, 1(1), 11–24.
Denzin, N. K., & Lincoln, D. Y. (2017). Handbook of quantitative research. Sage.
Dettwyler, K. A. (2017). Beauty and the breast: The cultural context of breastfeeding in the United States. In K. A. Dettwyler (Ed.), Breastfeeding (pp. 167–216). Taylor & Franics Group.
Fieldwork. (2018). Data were collected from participants by R. Obosu using a Focus Group Discussion Guide (Focus Group Discussion, September and October, 2018).
Fosu-Brefo, R., & Arthur, E. (2015). Effect of timely initiation of breastfeeding on child health in Ghana. Health Economics Review, 5(8), 2–8.
GSS. (2011). Ghana Multiple Indicator Cluster Survey: Final Report. 2011, Accra-Ghana.
GSS. (2012). Population and Housing Census: Summary Report of Final Results, Accra-Ghana.
Ministry of Health (2007). Health sector 5-year program of work 2002–2006: Independent Review. Republic of Ghana. p.18–21.
Mitra, S., Posarac, A., & Vick, B. (2013). Disability and poverty in developing countries: A multidimensional study. World Development, 41, 1–18.
Mogre, V., Dery, M., & Gaa, P. K. (2016). Knowledge, attitudes and determinants of exclusive breastfeeding practice among Ghanaian rural lactating mothers. International Breastfeeding Journal. https://doi.org/10.1186/s13006-016-0071-z
Nowell, L. S., Norris, N. J., White, D. F., & Moules, N. J. (2017). Thematic analysis: Striving to meet the trustworthiness criteria. International Journal of Qualitative Methods, 16(1), 1609406917733847.
O’Sullivan, E. O., Geraghty, S., & Rasmussen, K. (2015). What is breastfeeding. The FASEB Journal, 29(1 Supplementary), 581.4.
Paley, J. (2002). The Cartesian melodrama in nursing. Nursing Philosophy, 3(3), 189–192.
Republic of Ghana, (1992). 1992 Constitution of the Republic of Ghana, 1992. Accra-Ghana.
Republic of Ghana, (2006). Parliamentary Act 715, Disability Act, 2006. Accra-Ghana.
Swain, J., Griffiths, C., & Heyman, B. (2003). Towards a social model approach to counselling disabled clients. British Journal of Guidance and Counselling, 31(1), 137–152.
Tsegaye, M., Ajema, D., Shiferaw, S., & Yirgu, R. (2019). Level of exclusive breastfeeding practice in remote and pastoralist community, Aysaita woreda, Afar, Ethiopia. International Breastfeeding Journal. https://doi.org/10.1186/s13006-019-0200-6
United Nations. (2006). Convention on the rights of persons with disabilities. Treaty Series, 2515, 3.
United Nations (UN), (2015). Sustainable Development Goals, UN Resolution 70/1. New York.
WHO. (2008). Indicators for assessing infant and young child feeding practices: conclusions of a consensus meeting held 6–8 November 2007 in Washington DC, USA. WHO Library Cataloguing-in- Publication.
WHO. (2009). Infant and young child feeding: model chapter for textbooks for medical students and allied health professionals. World Health Organization.
WHO e-Library of Evidence for Nutrition Actions (eLENA). (2020). Exclusive breastfeeding for optimal growth, development and health. WHO Documents.
WHO. (2022). Infant and Young Child Feeding, Key Facts. WHO.
Acknowledgements
The authors are grateful to the study participants for their participation and also to the research assistants who assisted in the data collection.
Funding
The authors did not receive funding from any organisation. The research was fully funded by the authors.
Author information
Authors and Affiliations
Contributions
The corresponding author, DB, was responsible for designing the problem, theoretical and conceptual frameworks and methodology as well as leading out in data analysis and write-ups. RAO worked on some aspects of the literature review, data collection and some aspects of the analysis and write-ups whilst SA worked on aspects of data analysis and write-ups.
Corresponding author
Ethics declarations
Conflict of interest
There are no competing interests to disclose.
Consent to Participate
Participants who could not write orally declared their desire to participate and provided thumbprints on the research whilst consent forms were signed by the literate and officials. The objective of the research and their roles were clearly explained before they consented to participate. The principles of anonymity and confidentiality were strictly observed. Participants were told that they could opt out of the survey anytime. The Office of the Ghana Federation for the Disabled gave its approval for the study and cooperated with the researchers in gathering information for the research. Additionally, the Humanities and Social Sciences Research Ethics Committee of the Kwame Nkrumah University of Science and Technology gave Ethical Approval for the study to be undertaken.
Consent to Publication
The authors give the Journal the right to publish the paper.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Buor, D., Obosu, R.A. & Agyemang, S. Exploring the Challenges Facing Women with Disabilities in Exclusive Breastfeeding in a Metropolitan Area in Ghana: A Qualitative Study. Matern Child Health J 26, 1854–1860 (2022). https://doi.org/10.1007/s10995-022-03478-3
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10995-022-03478-3