Skip to main content

Table 5 CMO for EBF when understanding of EBF implications competes with strong cultural norms

From: A realist review of infant feeding counselling to increase exclusive breastfeeding by HIV-positive women in sub Saharan-Africa: what works for whom and in what contexts

Context Mechanism Outcome
HCP challenges cultural beliefs of mother, teaching on appropriate ages for introduction of other foods
Mother has good knowledge and understanding of implications of EBF
Mother has trusting relationship with HCP
Prioritisation of counselling advice over cultural understanding and practices
No fear/insecurity about the impact of opposing cultural beliefs on child health
Belief in capacity to EBF
Adheres to feeding advice
Does not mix feed
Belief that breastmilk is safe and sufficient for infant feeding