Table 1 Example of the framework for developing messages
Program Objectives/Target behaviors | Key determinants (Theoretical domain) | Breastfeeding Self-efficacy of Mothers | Example of messages |
|---|---|---|---|
Before delivery | |||
The mother intends to exclusively breastfeed until the introduction of solid food | Believing breastmilk is the best option for newborns until 6 months | Keep wanting to breastfeed | Breastfeeding is the best food for your babies in the first 6 months. The more you breastfeed, the more you bond with your newborn |
Mother prepares for initiating early breastfeeding, skin-to-skin contact | Believing having enough milk, emphasizing early breastfeeding and cesarean section mothers | Determine that my baby is getting enough milk | All mothers, either cesarean or vaginal delivery have “early milk” to breastfeed their baby soon after birth |
Mother involves family members (father, grandmothers) in exclusive breastfeeding | Involving husbands and grandmothers in preparing for exclusive breastfeeding | Comfortably breastfeed with family members present; tell when the baby is finished breastfeeding | With your husband’s support, the father-child will bond more. |
Planning for breastfeeding exclusively | Deal with the fact that breastfeeding can be time-consuming; Manage to keep up with the baby’s breastfeeding demands | Do you prepare for breastfeeding? Talk to your mother/mother-in-law about your plan for support | |
After delivery | |||
Mothers early breastfeed, early contact: place newborn infant on breast within 30 mins of birth | No prelacteal feed | Successfully cope with breastfeeding as I have with other challenging tasks | Congrats! The sooner, the more you breastfed your baby, the better |
The mother continues exclusively to breastfeed until the introduction of solid food at 6 months | Having enough milk | Be satisfied with the breastfeeding experience | Be relaxed! Your body is going to produce enough milk |
Mother delays the introduction of solid food | Able to breastfeed without pain/problems | Ensure that baby is properly latched on for the whole feeding; Manage the breastfeeding situation to satisfaction; Manage to breastfeed even if the baby is crying | If your baby is properly attached and suckling well, it will reduce nipple pain |
The mother begins regular feeding of solid foods (anything other than breastmilk or formula) around 6 months of age | Commit to breastfeeding exclusive (practice) | Breastfeed without using a formula as a supplement; Finish feeding on one breast before switching to the other breast; Continue to breastfeed for every feeding | To keep your baby strong and healthy don’t give any infant formula feeds |