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Journal of Human Lactation
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Perceived Incentives and Barriers to Exclusive Breastfeeding Among Periurban Ghanaian Women

Gloria E. Otoo, PhD

Department of Nutritional Sciences at the University of Connecticut, Storrs

Anna A. Lartey, PhD

Department of Nutrition and Food Science at the University of Ghana, Legon

Rafael Pérez-Escamilla, PhD

Nutritional Sciences & Public Health at the University of Connecticut, Storrs, National Institutes of Health (NIH) EXPORT Center for Eliminating Health Disparities among Latinos (CEHDL)

Focus group discussions were conducted to elicit the perceived incentives and barriers to exclusive breastfeeding in Ghana. Thirty-five breastfeeding women were recruited from the Manya and Yilo Krobo districts of the eastern region. Participants had a mean age of 27.5 years and had at least one child < 4 months old. Almost all of the participants believed that exclusive breastfeeding is the superior infant feeding method and should be practiced for the first 6 months postpartum. However, there was widespread belief that infants can be given water if it is clean. Mothers reported that exclusive breastfeeding was easier when breast milk began to flow soon after delivery. The main obstacles to exclusive breastfeeding identified were maternal employment, breast and nipple problems, perceived milk insufficiency, and pressure from family. Addressing the concerns put forward by these participants can be used to enhance exclusive breastfeeding promotion in this region. J Hum Lact. 25(1):34-41.

Key Words: Africa • exclusive breastfeeding • Ghana • incentives • barriers • focus groups

This version was published on February 1, 2009

Journal of Human Lactation, Vol. 25, No. 1, 34-41 (2009)
DOI: 10.1177/0890334408325072
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