Grandmothers: Central scaffolding sources impacting maternal and infant feeding practices in Colombia

Abstract A growing body of evidence highlights that maternal and child nutrition programmes need to extend beyond the mother–child dyad by adopting a family systems approach, particularly in the Global South. Guided by a sociocultural and community psychology understanding of health, the paper explo...

Full description

Bibliographic Details
Main Authors: Natalia Concha, Sandra Jovchelovitch
Format: Article
Language:English
Published: Wiley 2021-07-01
Series:Maternal and Child Nutrition
Subjects:
Online Access:https://doi.org/10.1111/mcn.13162
_version_ 1818573864879259648
author Natalia Concha
Sandra Jovchelovitch
author_facet Natalia Concha
Sandra Jovchelovitch
author_sort Natalia Concha
collection DOAJ
description Abstract A growing body of evidence highlights that maternal and child nutrition programmes need to extend beyond the mother–child dyad by adopting a family systems approach, particularly in the Global South. Guided by a sociocultural and community psychology understanding of health, the paper explores factors identifying grandmothers as central resources for nutrition programmes. The study was conducted in a Colombian urban periphery applying a qualitative longitudinal design (prenatal and postpartum). It is based on interviews with adolescent mothers and mothers in their 20s (n = 35 at T1; n = 21 at T2), grandmothers (n = 15 at T1; n = 12 at T2) and community/public stakeholders (n = 17). Many of the participants live in low‐income households headed by grandmothers, who adjust feeding practices to the extent of their economic capacity. Findings reveal grandmothers play a central role in decision‐making and in enabling a holistic support system for the dyad. This is defined as grandmothers' scaffolding; it covers nutrition advice, breastfeeding and infant feeding, cultural practices, caregiving and maternal mental health. The study helps build the evidence‐base for the transferability of a family systems approach to Global South regions by using sociocultural and community psychology concepts to fortify the rationale for including grandmothers in maternal and child nutrition programmes. It argues for the need to continue raising the visibility of key actors like grandmothers and for nutrition programmes to align themselves more flexibly with the needs of families experiencing poverty.
first_indexed 2024-12-15T00:18:36Z
format Article
id doaj.art-a9468198dad04e938bdab5c02ed41f7d
institution Directory Open Access Journal
issn 1740-8695
1740-8709
language English
last_indexed 2024-12-15T00:18:36Z
publishDate 2021-07-01
publisher Wiley
record_format Article
series Maternal and Child Nutrition
spelling doaj.art-a9468198dad04e938bdab5c02ed41f7d2022-12-21T22:42:24ZengWileyMaternal and Child Nutrition1740-86951740-87092021-07-0117S1n/an/a10.1111/mcn.13162Grandmothers: Central scaffolding sources impacting maternal and infant feeding practices in ColombiaNatalia Concha0Sandra Jovchelovitch1Department of Psychological and Behavioural Science The London School of Economics and Political Science London UKDepartment of Psychological and Behavioural Science The London School of Economics and Political Science London UKAbstract A growing body of evidence highlights that maternal and child nutrition programmes need to extend beyond the mother–child dyad by adopting a family systems approach, particularly in the Global South. Guided by a sociocultural and community psychology understanding of health, the paper explores factors identifying grandmothers as central resources for nutrition programmes. The study was conducted in a Colombian urban periphery applying a qualitative longitudinal design (prenatal and postpartum). It is based on interviews with adolescent mothers and mothers in their 20s (n = 35 at T1; n = 21 at T2), grandmothers (n = 15 at T1; n = 12 at T2) and community/public stakeholders (n = 17). Many of the participants live in low‐income households headed by grandmothers, who adjust feeding practices to the extent of their economic capacity. Findings reveal grandmothers play a central role in decision‐making and in enabling a holistic support system for the dyad. This is defined as grandmothers' scaffolding; it covers nutrition advice, breastfeeding and infant feeding, cultural practices, caregiving and maternal mental health. The study helps build the evidence‐base for the transferability of a family systems approach to Global South regions by using sociocultural and community psychology concepts to fortify the rationale for including grandmothers in maternal and child nutrition programmes. It argues for the need to continue raising the visibility of key actors like grandmothers and for nutrition programmes to align themselves more flexibly with the needs of families experiencing poverty.https://doi.org/10.1111/mcn.13162cultural contextfamily influencesinfant feedingpovertyqualitative methods
spellingShingle Natalia Concha
Sandra Jovchelovitch
Grandmothers: Central scaffolding sources impacting maternal and infant feeding practices in Colombia
Maternal and Child Nutrition
cultural context
family influences
infant feeding
poverty
qualitative methods
title Grandmothers: Central scaffolding sources impacting maternal and infant feeding practices in Colombia
title_full Grandmothers: Central scaffolding sources impacting maternal and infant feeding practices in Colombia
title_fullStr Grandmothers: Central scaffolding sources impacting maternal and infant feeding practices in Colombia
title_full_unstemmed Grandmothers: Central scaffolding sources impacting maternal and infant feeding practices in Colombia
title_short Grandmothers: Central scaffolding sources impacting maternal and infant feeding practices in Colombia
title_sort grandmothers central scaffolding sources impacting maternal and infant feeding practices in colombia
topic cultural context
family influences
infant feeding
poverty
qualitative methods
url https://doi.org/10.1111/mcn.13162
work_keys_str_mv AT nataliaconcha grandmotherscentralscaffoldingsourcesimpactingmaternalandinfantfeedingpracticesincolombia
AT sandrajovchelovitch grandmotherscentralscaffoldingsourcesimpactingmaternalandinfantfeedingpracticesincolombia