Maternal and Child Nutrition
Volume 13, Issue 3, 2017

Length of time in Ghana is associated with the likelihood of exclusive breastfeeding among Liberian refugees living in Buduburam (Article)

Woldeghebriel M.* , Hromi-Fiedler A. , Lartey A. , Gallego-Perez D. , Sandow A. , Pérez-Escamilla R.
  • a Division of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, United States
  • b Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT, United States
  • c Department of Nutrition and Food Science, University of Ghana, Accra, Ghana
  • d Boston University School of Public Health, Boston, MA, United States, Buduburam Nutrition Program, National Catholic Secretariat, Accra, Ghana
  • e Buduburam Nutrition Program, National Catholic Secretariat, Accra, Ghana
  • f Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT, United States

Abstract

While literature describing immigrant's breastfeeding practices exists, especially among those living within developed countries, there is a significant gap in knowledge on how the host culture may influence the EBF behaviors of refugees, especially those living in protracted situations within sub-Saharan Africa. A cross-sectional study was conducted in the Buduburam Refugee Settlement in Ghana from July-August 2008 to explore the association between the amount of time living in Ghana and exclusive breastfeeding practices among Liberian refugees and Ghanaians in surround villages. The study included 480 women: 239 Liberians living in 12 settlement zones (in two of which Liberians and Ghanaians co-exist), 121 Ghanaians living in two settlement zones, and 120 Ghanaians living in nearby urban village of Awutu. Liberian mothers who lived in Ghana at least eight years were significantly more likely to exclusively breastfeed (OR: 1.78, 95% CI: 1.02, 3.09) compared to Ghanaian mothers living in Awutu. These findings suggest that increased time living in Buduburam improved the chances of EBF success among Liberians, perhaps as a result of unique EBF education/support opportunities offered in the settlement to Liberian refugees that were not readily available to Ghanaians. Further research to understand the “mechanisms” explaining exclusive breastfeeding differences as a function of time spent in host country is needed for improving breastfeeding support in refugee settlements and host communities. © 2016 John Wiley & Sons Ltd

Author Keywords

Refugees maternal public health Public health breastfeeding Breastfeeding duration

Index Keywords

cultural anthropology urban area educational status refugee health promotion human Refugees priority journal Ghana Breast Feeding Cross-Sectional Studies cross-sectional study migrant psychology Humans Emigrants and Immigrants preschool child female Infant Child, Preschool Liberian Mothers cultural factor Liberia Article mother health education adult body mass Body Mass Index Ghanaian Culture time health survey
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84995921508&doi=10.1111%2fmcn.12363&partnerID=40&md5=e723a8d681deb3f06f1fd9e38e63c983
DOI: 10.1111/mcn.12363
ISSN: 17408695
Original Language: English