Factors affecting actualisation of the WHO breastfeeding recommendations in urban poor settings in Kenya.

摘要: Poor breastfeeding practices are widely documented in Kenya, where only a third of children exclusively breastfed for 6 months and 2% urban poor settings. This study aimed to better understand the factors that contribute two slums Nairobi, Kenya. In-depth interviews (IDIs), focus group discussions (FGDs) key informant (KIIs) were conducted with women childbearing age, community health workers, village elders leaders other knowledgeable people community. A total 19 IDIs, 10 FGDs 11 KIIs conducted, recorded transcribed verbatim. Data coded NVIVO analysed thematically. We found there was general awareness regarding optimal practices, but knowledge not translated into practice, leading suboptimal practices. number social structural barriers identified: (1) poverty, livelihood living arrangements; (2) early single motherhood; (3) professional support; (4) knowledge, myths misconceptions; (5) HIV; (6) unintended pregnancies. The most salient emerged as livelihoods, whereby have resume work shortly after delivery long hours, leaving them unable breastfeed optimally. Women settings face an extremely complex situation regard due multiple challenges risk behaviours often dictated by their circumstances. Macro-level policies interventions consider ecological setting needed.