Themes | Sub-themes | Codes | Studies |
---|---|---|---|
1.Maternal-infant factors | 1.1 Maternal factors | 1.1.1. Mother’s formal (employment) and informal work schedules | |
1.1.2 Perceived breast milk insufficiency | |||
1.1.3 Concerns of effects on mother’s appearance | |||
1.1.4 Poor understanding/lack of awareness of EBF benefits | |||
1.1.5 Being HIV positive or fear of transmitting HIV infection to the child | |||
1.1.6 Schooling or resuming school or work | |||
1.1.7 Poor maternal nutrition | |||
1.1.8 Maternal perceived discomfort and embarrassment | |||
1.1.9 Reluctance to breastfeed in public/disapproval of public breastfeeding | |||
1.1.10 Refusal of mothers to breastfeed for several other reasons | |||
1.2 Infant factors | 1.2.1 Crying baby | ||
1.2.2 Infant’s difficulty in latching or positioning or refusal to breastfeed | |||
1.2.3 Infant other issues | |||
1.3 Breast-related factors | 1.3.1 Some breast conditions (cracked, painful or sore nipples) | ||
1.3.2 Breast milk lightness and lousy odour | [39] | ||
2. Support structures related factors | 2.1 Family influence | 2.1.1 Influence of husband | |
2.1.2 Influence of mother/mother-in-law/grandmother | |||
2.1.3 Influence of other family members and important others | |||
2.2 Influence of health systems | 2.2.1 Influence of advice or messages shared by HCWs | ||
2.2.2 Inadequate breastfeeding education, counselling, and support by HCW | |||
2.3 Influence of workplace | 2.3.1 Lack of workplace support | ||
2.3.2 Short and/or unpaid maternity leave | |||
3. Influence of traditional and sociocultural beliefs | 3.1 Use of herbal concoctions for medicinal purposes | 3.1.1 Use of traditional herbal concoctions as medicine | |
3.2 Norms and beliefs | 3.2.1 Traditional / cultural practices, myths, and misconceptions about EBF |