Suggested title: Responsive complementary feeding practices in rural
Rwanda: Perspective from mothers.
Abstract
Background: The feeding practices of the mothers, particularly
responsive feeding, are critical determinants of acceptance of food,
dietary intake as well as the growth of infants and young children
(IYC). Responsive feeding refers to the interactions between mother and
child that lead to a positive feeding experience, adequate dietary
intake and enhanced developmental opportunities. Little is known about
mothers responsive feeding practices in Rwanda. Therefore, this study
sought to explore mothers’ responsive feeding practices as well as the
factors that hinder the implementation of recommended practices among
mothers from rural Muhanga District. Method: This qualitative,
longitudinal study, recruited a purposive sample of 29 pregnant women
attending prenatal consultations in two rural health centers. They were
interviewed and mother-child interactions during mealtime were further
observed during one lunch meal feeding episode at 6, 9 and 12 months
postpartum. The interviews were recorded, transcribed and thematically
analyzed using qualitative software, Atlas.ti. Frequency distribution
was generated for each practice observed. Results: At 6 months,
most mothers reported to verbally encourage their children to eat during
feeding and the numbers increased over the age at 9 and 12 months
respectively. Less than a half, at all 3 time points, reported to allow
their child to self-feed, to smile and talking during feeding. During
the observation, the practices were even less than the reported at all 3
time points of the observations. The burden of other responsibilities
and poverty were perceived as the major barriers that made mother child-
interactions during feeding difficult. Conclusion: Findings
indicate that what mothers report may not always reflect the responsive
feeding practices performed during feeding . Nutrition
interventions in the study community should consider promoting
responsive feeding practices as well as addressing the issue of poverty
and the burden of other responsibilities that hinder mother-child
interactions.