Male Partners’ Roles in Infant Feeding Practices: Perspectives of Black Mothers Living with HIV in Three Countries

Author:

Etowa Josephine1,Nare Hilary1ORCID,Dubula-Majola Vuyiseka2,Edet Olaide3,John Mildred3,Nkwocha Chioma Rose4,Stephens Colleen5,Mbewu Nokwanele6,Hannan Jean7,Etowa Egbe89ORCID

Affiliation:

1. School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, ON K1H 8M5, Canada

2. Africa Centre for HIV and AIDS Management, Faculty of Economic and Management Sciences, Stellenbosch University, Private Bag XI, Matieland 7602, South Africa

3. Department of Nursing Science, University of Calabar, Calabar 540242, Nigeria

4. Department of Nursing Science, University of Port Harcourt, Choba 500102, Nigeria

5. College of Nursing, Florida International University (FIU), Miami, FL 33199, USA

6. Philani Maternal, Child Health and Nutrition Trust, Cape Town 7791, South Africa

7. Nicole Wertheim College of Nursing and Health Sciences, Florida International University, Miami, FL 33199, USA

8. Daphne Cockwell School of Nursing, Faculty of Community Services, Toronto Metropolitan University, Torontom, ON M5B 2K3, Canada

9. Ontario HIV Treatment Network, Toronto, ON M4T 1X3, Canada

Abstract

Currently, mothers living with HIV (LWH) are challenged with different infant feeding guidelines depending on the country they are living in. This may contribute to confusion, stress, and mental health issues related to decision-making about infant feeding as a mother LWH. Yet, their male partners as their closest social capital have important roles to play in reducing or aggravating this psychosocial distress. Hence, we describe the role of male partners in supporting mothers who are living with HIV in the context of infant feeding. It is based on the results of a recent study of the socio-cultural context of infant feeding among Black mothers LWH in three countries; Canada, the USA, and Nigeria. The study was a tri-national, mixed-methods, community-based participatory research (CBPR) project, informed by postcolonialism and intersectionality theories. This paper is based on the qualitative component of the study. It was a focused ethnography (FE) involving 61 in-depth individual interviews (IDIs) with Black- mothers LWH. Thematic analysis guided the interpretation of these data, and trustworthiness was established through member-checking. Black mothers LWH acknowledged the various support roles that their male partners play in easing the practical and emotional burdens of infant feeding in the context of HIV. Male partners’ roles were captured under three sub-themes: (1) Practical help, (2) Protection of the family, and (3) Emotional support and sounding board. These findings have explicated the evolving ways in which male partners support ACB mothers LWH to promote positive infant feeding outcomes, as well as enhance the emotional and physical well-being of both mother and infant. Our study has explicated the evolving ways in which male partners support Black mothers LWH to promote positive infant feeding outcomes, as well as enhance the emotional and physical well-being of both mother and infant.

Funder

Canadian Institutes of Health Research, Institute of Infection and Immunity

Publisher

MDPI AG

Reference51 articles.

1. UNAIDS (2020, March 20). Nigeria. Available online: https://www.unaids.org/en/regionscountries/countries/nigeria.

2. Centers for Disease Control and Prevention (2020, December 25). HIV Surveillance Report, Available online: http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html.

3. U.S. Census Bureau (2020, March 11). 2010 Population Estimates, Available online: https://www.census.gov/data/tables/time-series/demo/popest/2010s-counties-total.html.

4. HIV in Canada—Surveillance Report, 2017;Haddad;Can. Commun. Dis. Rep.,2018

5. World Health Organization (2010). Guidelines on HIV and Infant Feeding 2010: Principles and Recommendations for Infant Feeding in the Context of HIV and a Summary of Evidence, World Health Organization.

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