Breastfeeding complexities and sociocultural barriers in the context of preventing perinatal transmission of HIV: A descriptive phenomenology in Northern Ghana
Although World Health Organization (WHO) policies aim to promote exclusive breastfeeding and replacement feeding for HIV-exposed infants, limited research explores the social and cultural barriers encountered by mothers living with HIV in rural health facilities in Ghana. This study investigates the...
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| Vydané v: | PloS one Ročník 20; číslo 7; s. e0327353 |
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| Hlavní autori: | , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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United States
Public Library of Science
01.07.2025
Public Library of Science (PLoS) |
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| ISSN: | 1932-6203, 1932-6203 |
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| Abstract | Although World Health Organization (WHO) policies aim to promote exclusive breastfeeding and replacement feeding for HIV-exposed infants, limited research explores the social and cultural barriers encountered by mothers living with HIV in rural health facilities in Ghana. This study investigates the challenges associated with exclusive breastfeeding and, where feasible, alternative replacement feeding among mothers living with HIV in rural areas, with a specific focus on how cultural beliefs influence adherence to recommended breastfeeding guidelines.
This qualitative study was conducted in two rural community health facilities in Ghana, targeting mothers living with HIV who were actively seeking maternal and child health services. A purposive sampling technique was employed to ensure the inclusion of diverse experiences and perspectives, resulting in a sample of 32 respondents. Participants were selected based on their HIV status and engagement with maternal health services. Data collection involved in-depth interviews and interview guide as data collection tool designed to explore personal experiences and cultural influences on infant feeding practices. All interviews were transcribed verbatim and analysed using Colaizzi's descriptive phenomenological approach, facilitated by NVivo 12 software to ensure systematic data management and theme identification.
The study identified specific sociocultural barriers that hinder the prevention of mother-to-child transmission of HIV in rural communities. Key themes included breastfeeding as a deeply rooted cultural practice, the customary use of water for infant feeding, traditional roles of mothers-in-law in infant care decisions, and food security concerns. Sub-themes further elaborated on breastfeeding as a long-standing tradition, perceived health benefits of breastfeeding, and respect for elders' advice, among others. These cultural norms and beliefs were found to significantly influence adherence to exclusive breastfeeding and, where feasible, alternative replacement feeding guidelines among mothers living with HIV.
This study provides valuable insights into the sociocultural barriers affecting efforts to prevent mother-to-child transmission of HIV in Ghana rural areas. It highlights the need for culturally adaptive health policies and the development of community-based breastfeeding intervention programmes that align with traditional values while promoting safe feeding practices. |
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| AbstractList | PurposeAlthough World Health Organization (WHO) policies aim to promote exclusive breastfeeding and replacement feeding for HIV-exposed infants, limited research explores the social and cultural barriers encountered by mothers living with HIV in rural health facilities in Ghana. This study investigates the challenges associated with exclusive breastfeeding and, where feasible, alternative replacement feeding among mothers living with HIV in rural areas, with a specific focus on how cultural beliefs influence adherence to recommended breastfeeding guidelines.MethodsThis qualitative study was conducted in two rural community health facilities in Ghana, targeting mothers living with HIV who were actively seeking maternal and child health services. A purposive sampling technique was employed to ensure the inclusion of diverse experiences and perspectives, resulting in a sample of 32 respondents. Participants were selected based on their HIV status and engagement with maternal health services. Data collection involved in-depth interviews and interview guide as data collection tool designed to explore personal experiences and cultural influences on infant feeding practices. All interviews were transcribed verbatim and analysed using Colaizzi's descriptive phenomenological approach, facilitated by NVivo 12 software to ensure systematic data management and theme identification.ResultsThe study identified specific sociocultural barriers that hinder the prevention of mother-to-child transmission of HIV in rural communities. Key themes included breastfeeding as a deeply rooted cultural practice, the customary use of water for infant feeding, traditional roles of mothers-in-law in infant care decisions, and food security concerns. Sub-themes further elaborated on breastfeeding as a long-standing tradition, perceived health benefits of breastfeeding, and respect for elders' advice, among others. These cultural norms and beliefs were found to significantly influence adherence to exclusive breastfeeding and, where feasible, alternative replacement feeding guidelines among mothers living with HIV.ConclusionsThis study provides valuable insights into the sociocultural barriers affecting efforts to prevent mother-to-child transmission of HIV in Ghana rural areas. It highlights the need for culturally adaptive health policies and the development of community-based breastfeeding intervention programmes that align with traditional values while promoting safe feeding practices. Purpose Although World Health Organization (WHO) policies aim to promote exclusive breastfeeding and replacement feeding for HIV-exposed infants, limited research explores the social and cultural barriers encountered by mothers living with HIV in rural health facilities in Ghana. This study investigates the challenges associated with exclusive breastfeeding and, where feasible, alternative replacement feeding among mothers living with HIV in rural areas, with a specific focus on how cultural beliefs influence adherence to recommended breastfeeding guidelines. Methods This qualitative study was conducted in two rural community health facilities in Ghana, targeting mothers living with HIV who were actively seeking maternal and child health services. A purposive sampling technique was employed to ensure the inclusion of diverse experiences and perspectives, resulting in a sample of 32 respondents. Participants were selected based on their HIV status and engagement with maternal health services. Data collection involved in-depth interviews and interview guide as data collection tool designed to explore personal experiences and cultural influences on infant feeding practices. All interviews were transcribed verbatim and analysed using Colaizzi’s descriptive phenomenological approach, facilitated by NVivo 12 software to ensure systematic data management and theme identification. Results The study identified specific sociocultural barriers that hinder the prevention of mother-to-child transmission of HIV in rural communities. Key themes included breastfeeding as a deeply rooted cultural practice, the customary use of water for infant feeding, traditional roles of mothers-in-law in infant care decisions, and food security concerns. Sub-themes further elaborated on breastfeeding as a long-standing tradition, perceived health benefits of breastfeeding, and respect for elders’ advice, among others. These cultural norms and beliefs were found to significantly influence adherence to exclusive breastfeeding and, where feasible, alternative replacement feeding guidelines among mothers living with HIV. Conclusions This study provides valuable insights into the sociocultural barriers affecting efforts to prevent mother-to-child transmission of HIV in Ghana rural areas. It highlights the need for culturally adaptive health policies and the development of community-based breastfeeding intervention programmes that align with traditional values while promoting safe feeding practices. Purpose Although World Health Organization (WHO) policies aim to promote exclusive breastfeeding and replacement feeding for HIV-exposed infants, limited research explores the social and cultural barriers encountered by mothers living with HIV in rural health facilities in Ghana. This study investigates the challenges associated with exclusive breastfeeding and, where feasible, alternative replacement feeding among mothers living with HIV in rural areas, with a specific focus on how cultural beliefs influence adherence to recommended breastfeeding guidelines. Methods This qualitative study was conducted in two rural community health facilities in Ghana, targeting mothers living with HIV who were actively seeking maternal and child health services. A purposive sampling technique was employed to ensure the inclusion of diverse experiences and perspectives, resulting in a sample of 32 respondents. Participants were selected based on their HIV status and engagement with maternal health services. Data collection involved in-depth interviews and interview guide as data collection tool designed to explore personal experiences and cultural influences on infant feeding practices. All interviews were transcribed verbatim and analysed using Colaizzi's descriptive phenomenological approach, facilitated by NVivo 12 software to ensure systematic data management and theme identification. Results The study identified specific sociocultural barriers that hinder the prevention of mother-to-child transmission of HIV in rural communities. Key themes included breastfeeding as a deeply rooted cultural practice, the customary use of water for infant feeding, traditional roles of mothers-in-law in infant care decisions, and food security concerns. Sub-themes further elaborated on breastfeeding as a long-standing tradition, perceived health benefits of breastfeeding, and respect for elders' advice, among others. These cultural norms and beliefs were found to significantly influence adherence to exclusive breastfeeding and, where feasible, alternative replacement feeding guidelines among mothers living with HIV. Conclusions This study provides valuable insights into the sociocultural barriers affecting efforts to prevent mother-to-child transmission of HIV in Ghana rural areas. It highlights the need for culturally adaptive health policies and the development of community-based breastfeeding intervention programmes that align with traditional values while promoting safe feeding practices. Although World Health Organization (WHO) policies aim to promote exclusive breastfeeding and replacement feeding for HIV-exposed infants, limited research explores the social and cultural barriers encountered by mothers living with HIV in rural health facilities in Ghana. This study investigates the challenges associated with exclusive breastfeeding and, where feasible, alternative replacement feeding among mothers living with HIV in rural areas, with a specific focus on how cultural beliefs influence adherence to recommended breastfeeding guidelines. This qualitative study was conducted in two rural community health facilities in Ghana, targeting mothers living with HIV who were actively seeking maternal and child health services. A purposive sampling technique was employed to ensure the inclusion of diverse experiences and perspectives, resulting in a sample of 32 respondents. Participants were selected based on their HIV status and engagement with maternal health services. Data collection involved in-depth interviews and interview guide as data collection tool designed to explore personal experiences and cultural influences on infant feeding practices. All interviews were transcribed verbatim and analysed using Colaizzi's descriptive phenomenological approach, facilitated by NVivo 12 software to ensure systematic data management and theme identification. The study identified specific sociocultural barriers that hinder the prevention of mother-to-child transmission of HIV in rural communities. Key themes included breastfeeding as a deeply rooted cultural practice, the customary use of water for infant feeding, traditional roles of mothers-in-law in infant care decisions, and food security concerns. Sub-themes further elaborated on breastfeeding as a long-standing tradition, perceived health benefits of breastfeeding, and respect for elders' advice, among others. These cultural norms and beliefs were found to significantly influence adherence to exclusive breastfeeding and, where feasible, alternative replacement feeding guidelines among mothers living with HIV. This study provides valuable insights into the sociocultural barriers affecting efforts to prevent mother-to-child transmission of HIV in Ghana rural areas. It highlights the need for culturally adaptive health policies and the development of community-based breastfeeding intervention programmes that align with traditional values while promoting safe feeding practices. Although World Health Organization (WHO) policies aim to promote exclusive breastfeeding and replacement feeding for HIV-exposed infants, limited research explores the social and cultural barriers encountered by mothers living with HIV in rural health facilities in Ghana. This study investigates the challenges associated with exclusive breastfeeding and, where feasible, alternative replacement feeding among mothers living with HIV in rural areas, with a specific focus on how cultural beliefs influence adherence to recommended breastfeeding guidelines. This qualitative study was conducted in two rural community health facilities in Ghana, targeting mothers living with HIV who were actively seeking maternal and child health services. A purposive sampling technique was employed to ensure the inclusion of diverse experiences and perspectives, resulting in a sample of 32 respondents. Participants were selected based on their HIV status and engagement with maternal health services. Data collection involved in-depth interviews and interview guide as data collection tool designed to explore personal experiences and cultural influences on infant feeding practices. All interviews were transcribed verbatim and analysed using Colaizzi's descriptive phenomenological approach, facilitated by NVivo 12 software to ensure systematic data management and theme identification. The study identified specific sociocultural barriers that hinder the prevention of mother-to-child transmission of HIV in rural communities. Key themes included breastfeeding as a deeply rooted cultural practice, the customary use of water for infant feeding, traditional roles of mothers-in-law in infant care decisions, and food security concerns. Sub-themes further elaborated on breastfeeding as a long-standing tradition, perceived health benefits of breastfeeding, and respect for elders' advice, among others. These cultural norms and beliefs were found to significantly influence adherence to exclusive breastfeeding and, where feasible, alternative replacement feeding guidelines among mothers living with HIV. This study provides valuable insights into the sociocultural barriers affecting efforts to prevent mother-to-child transmission of HIV in Ghana rural areas. It highlights the need for culturally adaptive health policies and the development of community-based breastfeeding intervention programmes that align with traditional values while promoting safe feeding practices. Although World Health Organization (WHO) policies aim to promote exclusive breastfeeding and replacement feeding for HIV-exposed infants, limited research explores the social and cultural barriers encountered by mothers living with HIV in rural health facilities in Ghana. This study investigates the challenges associated with exclusive breastfeeding and, where feasible, alternative replacement feeding among mothers living with HIV in rural areas, with a specific focus on how cultural beliefs influence adherence to recommended breastfeeding guidelines.PURPOSEAlthough World Health Organization (WHO) policies aim to promote exclusive breastfeeding and replacement feeding for HIV-exposed infants, limited research explores the social and cultural barriers encountered by mothers living with HIV in rural health facilities in Ghana. This study investigates the challenges associated with exclusive breastfeeding and, where feasible, alternative replacement feeding among mothers living with HIV in rural areas, with a specific focus on how cultural beliefs influence adherence to recommended breastfeeding guidelines.This qualitative study was conducted in two rural community health facilities in Ghana, targeting mothers living with HIV who were actively seeking maternal and child health services. A purposive sampling technique was employed to ensure the inclusion of diverse experiences and perspectives, resulting in a sample of 32 respondents. Participants were selected based on their HIV status and engagement with maternal health services. Data collection involved in-depth interviews and interview guide as data collection tool designed to explore personal experiences and cultural influences on infant feeding practices. All interviews were transcribed verbatim and analysed using Colaizzi's descriptive phenomenological approach, facilitated by NVivo 12 software to ensure systematic data management and theme identification.METHODSThis qualitative study was conducted in two rural community health facilities in Ghana, targeting mothers living with HIV who were actively seeking maternal and child health services. A purposive sampling technique was employed to ensure the inclusion of diverse experiences and perspectives, resulting in a sample of 32 respondents. Participants were selected based on their HIV status and engagement with maternal health services. Data collection involved in-depth interviews and interview guide as data collection tool designed to explore personal experiences and cultural influences on infant feeding practices. All interviews were transcribed verbatim and analysed using Colaizzi's descriptive phenomenological approach, facilitated by NVivo 12 software to ensure systematic data management and theme identification.The study identified specific sociocultural barriers that hinder the prevention of mother-to-child transmission of HIV in rural communities. Key themes included breastfeeding as a deeply rooted cultural practice, the customary use of water for infant feeding, traditional roles of mothers-in-law in infant care decisions, and food security concerns. Sub-themes further elaborated on breastfeeding as a long-standing tradition, perceived health benefits of breastfeeding, and respect for elders' advice, among others. These cultural norms and beliefs were found to significantly influence adherence to exclusive breastfeeding and, where feasible, alternative replacement feeding guidelines among mothers living with HIV.RESULTSThe study identified specific sociocultural barriers that hinder the prevention of mother-to-child transmission of HIV in rural communities. Key themes included breastfeeding as a deeply rooted cultural practice, the customary use of water for infant feeding, traditional roles of mothers-in-law in infant care decisions, and food security concerns. Sub-themes further elaborated on breastfeeding as a long-standing tradition, perceived health benefits of breastfeeding, and respect for elders' advice, among others. These cultural norms and beliefs were found to significantly influence adherence to exclusive breastfeeding and, where feasible, alternative replacement feeding guidelines among mothers living with HIV.This study provides valuable insights into the sociocultural barriers affecting efforts to prevent mother-to-child transmission of HIV in Ghana rural areas. It highlights the need for culturally adaptive health policies and the development of community-based breastfeeding intervention programmes that align with traditional values while promoting safe feeding practices.CONCLUSIONSThis study provides valuable insights into the sociocultural barriers affecting efforts to prevent mother-to-child transmission of HIV in Ghana rural areas. It highlights the need for culturally adaptive health policies and the development of community-based breastfeeding intervention programmes that align with traditional values while promoting safe feeding practices. |
| Audience | Academic |
| Author | Adongo, Awinaba Amoah Dapaah, Jonathan Mensah Manful, Esmeranda Akuoko, Kofi Osei |
| AuthorAffiliation | Independent, UNITED STATES OF AMERICA Department of Sociology and Social Work, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana |
| AuthorAffiliation_xml | – name: Independent, UNITED STATES OF AMERICA – name: Department of Sociology and Social Work, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana |
| Author_xml | – sequence: 1 givenname: Awinaba Amoah orcidid: 0000-0002-0261-3295 surname: Adongo fullname: Adongo, Awinaba Amoah – sequence: 2 givenname: Kofi Osei surname: Akuoko fullname: Akuoko, Kofi Osei – sequence: 3 givenname: Jonathan Mensah surname: Dapaah fullname: Dapaah, Jonathan Mensah – sequence: 4 givenname: Esmeranda surname: Manful fullname: Manful, Esmeranda |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/40591644$$D View this record in MEDLINE/PubMed |
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| Copyright | Copyright: © 2025 Adongo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. COPYRIGHT 2025 Public Library of Science 2025 Adongo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2025 Adongo et al 2025 Adongo et al 2025 Adongo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
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| Snippet | Although World Health Organization (WHO) policies aim to promote exclusive breastfeeding and replacement feeding for HIV-exposed infants, limited research... Purpose Although World Health Organization (WHO) policies aim to promote exclusive breastfeeding and replacement feeding for HIV-exposed infants, limited... PurposeAlthough World Health Organization (WHO) policies aim to promote exclusive breastfeeding and replacement feeding for HIV-exposed infants, limited... Purpose Although World Health Organization (WHO) policies aim to promote exclusive breastfeeding and replacement feeding for HIV-exposed infants, limited... |
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| SubjectTerms | Acquired immune deficiency syndrome Adult AIDS Antiretroviral drugs Babies Biology and Life Sciences Breast Feeding Breastfeeding & lactation Childbirth & labor Data collection Data management Diarrhea Disease transmission Drug therapy Families & family life Female Food security Ghana - epidemiology Guidelines Health aspects Health care facilities Health policy Health services HIV HIV infection in children HIV Infections - epidemiology HIV Infections - prevention & control HIV Infections - transmission Human immunodeficiency virus Humans Infant Infant, Newborn Infants Infections Infectious Disease Transmission, Vertical - prevention & control Medical research Medicine and Health Sciences Mothers People and Places Phenomenology Policies Postpartum period Pregnancy Prevention Qualitative Research Research methodology Risk factors Rural areas Rural communities Rural Population Sampling methods Sampling techniques Sanitation Social aspects Social Sciences Stigma Traditional roles Womens health Young Adult |
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| Title | Breastfeeding complexities and sociocultural barriers in the context of preventing perinatal transmission of HIV: A descriptive phenomenology in Northern Ghana |
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