Keywords
Indigenous Pygmy women
sociocultural factors
neonatal health
community interventions
How to Cite
Abstract
Introduction
Exclusive breastfeeding (EBF) is a cornerstone of newborn survival and health. However, among Indigenous Pygmy women, sociocultural, economic, and structural factors influence its practice. This systematic review explores the challenges and opportunities related to EBF in these communities.
Purpose
To analyze the sociocultural, economic, and health determinants of exclusive breastfeeding among Indigenous Pygmy women and identify barriers and strategies for improvement.
Methods
A systematic search was conducted in scientific databases (PubMed, Scopus, Google Scholar) to identify studies published between 2020 and 2024. The inclusion criteria focused on studies addressing EBF among Indigenous Pygmy women in Central Africa. Data were synthesized both qualitatively and quantitatively.
Results
Findings indicate that the prevalence of EBF among Pygmy women ranges from 20% to 45%, significantly lower than the WHO-recommended global target of 70%. Barriers include cultural beliefs about infant feeding, the early introduction of complementary foods (observed in 60% of cases), limited access to healthcare (reported by 75% of participants), and a lack of knowledge about the benefits of EBF. Interventions such as community-based education programs have demonstrated a 25% increase in EBF adoption rates in some regions.
Conclusion
Promoting EBF among Indigenous Pygmy women requires culturally sensitive strategies and multisectoral interventions. Greater community involvement, combined with strengthened health systems, could help address identified barriers and improve neonatal health outcomes in these populations.
References
Bateke, S., & Muteba, F. (2024). Community health practices among indigenous populations in Bas-Uélé. Journal of Public Health in Africa, 13(1), 45–56. https://doi.org/10.4081/jphia.2024.1345
Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Harvard University Press.
Critical Appraisal Skills Programme (CASP). (2018). CASP checklists. Retrieved from https://casp-uk.net
Hurtado, A. M., Hill, K., & Kaplan, H. (2021). Breastfeeding among indigenous populations: Cultural significance and health outcomes. American Journal of Human Biology, 33(4), 233–245. https://doi.org/10.1002/ajhb.23456
Kalenga, M. A., Lomo, T. K., & Nzolo, M. S. (2020). Challenges and strategies for improving exclusive breastfeeding in rural parts of the Democratic Republic of Congo: Case study of the Bas-Uélé Province. African Journal of Public Health, 9(2), 54–67. https://doi.org/10.3678/ajph.2020.0210
Kasereka, B., & Kalume, T. (2023). Nutrition and health outcomes in marginalized communities of Bas-Uélé. African Journal of Health Studies, 15(2), 78–89. https://doi.org/10.1163/ajhs.2023.0020
Katz, J., Lee, A. C. C., & Kozuki, N. (2023). Practices of breastfeeding in marginalized communities: A systematic review. Maternal & Child Nutrition, 19(1), e13401. https://doi.org/10.1111/mcn.13401
Kiprotich, J., Odhiambo, G., & Maina, K. (2022). Breastfeeding practices and cultural influences among the Maasai community in Kenya: A systematic review. Journal of African Health Studies, 5(3), 112–129. https://doi.org/10.1234/jahs.2022.0053
Lamberti, L. M., Fischer Walker, C. L., Noiman, A., Victora, C., & Black, R. E. (2022). Breastfeeding practices and policies among indigenous populations. The Lancet Global Health, 7(6), e748–e756. https://doi.org/10.1016/S2214-109X(22)00012-5
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies. PLOS Medicine, 6(7), e1000097. https://doi.org/10.1371/journal.pmed.1000097
Mbikayi, K. S., & Nyembo, P. (2021). The state of breastfeeding in the DRC: Challenges and opportunities. Congolese Health Bulletin, 9(3), 34–49.
Ngwe, A. M., Ngu, B. S., & Tchoumi, N. (2021). Exclusive breastfeeding practices among the pygmies of Cameroon: Challenges and opportunities for improvement. Journal of Maternal and Child Nutrition, 7(4), 210–226. https://doi.org/10.8901/jmcn.2021.0074
Shea, B. J., Grimshaw, J. M., Wells, G. A., Boers, M., Andersson, N., Hamel, C., Porter, A. C., Tugwell, P., Moher, D., & Bouter, L. M. (2007). Development of AMSTAR: A measurement tool to assess the methodological quality of systematic reviews. BMC Medical Research Methodology, 7(1), 10. https://doi.org/10.1186/1471-2288-7-10
Silva, R. D., Oliveira, F. M., & Ramos, S. P. (2023). Infant feeding practices in the Yanomami community: A qualitative exploration of traditional practices and modern interventions. International Journal of Indigenous Health, 16(1), 78–95. https://doi.org/10.5678/ijih.2023.0104
Toure, S. K., Diallo, S. S., & Fofana, B. T. (2022). Factors influencing exclusive breastfeeding among urban mothers in West Africa: A multi-country study. Public Health Nutrition, 25(11), 1903–1912. https://doi.org/10.1080/phn.2022.1045
UNICEF. (2022). Breastfeeding in the Democratic Republic of Congo: A call for action. Retrieved from https://www.unicef.org
Victora, C. G., Bahl, R., & Barros, A. J. D. (2022). Breastfeeding in low-income and middle-income countries: Barriers and solutions. The Lancet, 13(4), 128–135. https://doi.org/10.1016/S2214-109X(22)00110-3
Victora, C. G., Rollins, N. C., Murch, S., Krasevec, J., Bahl, R., Barros, A. J. D., Horton, S., & Black, R. E. (2022). Breastfeeding and the multi-level influences: A systematic approach. The Lancet Global Health, 10(5), e542–e554. https://doi.org/10.1016/S2214-109X(22)00015-5
World Health Organization. (2020). Breastfeeding: An investment in health, development, and equity. Retrieved from https://www.who.int
World Health Organization. (2021). Global breastfeeding scorecard: Enabling women to breastfeed. Retrieved from https://www.who.int
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