La carga de la maternidad: una evaluación de la política gubernamental hacia la lactancia materna exclusiva entre las madres trabajadoras en Nigeria

Palabras clave: Lactancia materna exclusiva, madres trabajadoras, trabajo materno, política nigeriana, política de lactancia materna

Resumen

Nigeria ha sido testigo de un rápido aumento de la participación laboral de las mujeres, de tal manera que se corre el riesgo de que disminuya la tasa de lactancia materna exclusiva (LME), a pesar de que la Organización Mundial de la Salud y el gobierno respaldan la LME. La LME es un proceso beneficioso que consiste en alimentar al bebé con leche materna sólo durante los primeros seis meses. Este estudio pretende evaluar en qué medida la política nigeriana aborda los obstáculos y contribuye a mejorar las tasas de LME entre las madres trabajadoras de Nigeria. Adopta un enfoque cualitativo: el análisis de políticas. El análisis de políticas evaluó de forma crítica el contenido de la Política Nacional sobre Alimentación de Lactantes y Niños Pequeños en Nigeria (2010) y la Ley del Trabajo (2004). Los documentos políticos abordaron estos obstáculos en cierta medida. Sin embargo, mostraron una coherencia mínima. Todavía existen lagunas políticas y disparidades entre las políticas y su aplicación, atribuibles a una claridad inadecuada y a un mecanismo insuficiente para estimular el cumplimiento de las políticas. Por lo tanto, los nutricionistas deberían participar en la formulación de estas políticas específicas de nutrición. Se alienta la realización de nuevas investigaciones para medir el impacto de esta recomendación. 

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Biografía del autor/a

Linda Nwaodu, University of Edinburgh - United Kingdom

Licenciada en Nutrición Humana y Dietética por la Universidad de Ibadán (Nigeria), y con un máster en Política Sanitaria Mundial por la Universidad de Edimburgo (Reino Unido). Sus intereses de investigación incluyen la política sanitaria, la salud materno-infantil y la salud pública.

Citas

Access to Nutrition Index. (2018). Marketing of Breast-milk Substitutes. Access to Nutrition Index.

Adelowokan, O. A., Babasanya, A. O., Maku, O. E. & Adesoye, A. B., (2019). Unemployment, Poverty and Economic Growth in Nigeria. Journal of Economics and Management, 35(1). 6-17 . http://doi.org/10.22367/jem.2019.35.01

Afikpo Online, (2013). Prof. Onyebuchi Chukwu (Profile). Discover Afifkpo. https://www.afikpoonline.com/prof-onyebuchi-chukwu-profile/

Agbo, H. A., Envuladu, E. A., Adams, H. S., Inalegwu, E., Okoh E., Agba, A. & Zoakah, A. I. (2013). Barriers and Facilitators to The Practice of Exclusive Breast feeding Among Working Class Mothers: A Study of Female Resident Doctors in Tertiary Health Institutions in Plateau State. E3 Journal of Medical Research, 2(1). 0112-0116. https://www.e3journals.org/cms/articles/1365364023_EJMR-13-012-GALLEY%20PROOF.pdf

Aigbedion, I. & Iyayi, S. E. (2007). Diversifying Nigeria’s Petroleum Industry. International Journal of Physical Sciences, 2(10). 263-270. https://doi.org/10.5897/IJPS.9000178

Aikawa, T., Pavadhgul, P., Chongsuwat, R., Sawasdivorn, S. & Boonshuyar, C. (2015). Maternal Return to Paid Work and Breastfeeding Practices in Bangkok, Thailand. Asia Pacific Journal of Public Health, 27(2). 1253-1262. https://doi.org/10.1177/1010539511419647

Akinyemi, J. O., Solanke, B. L. & Odimegwu, C. O. (2018). Maternal Employment and Child Survival During the Era of Sustainable Development Goals: Insights from Proportional Hazards Modelling of Nigeria Birth History Data. Annals of Global Health, 84(1). 15-30. http://doi.org/10.29024/aogh.11

Alive & Thrive. (2019). Maternity Entitlements in Nigeria: Policies and practices. Family Health Department of The Federal Ministry of Health, Alive & Thrive and UNICEF.

Amin, R. M., Said Z. M., Sutan R., Shah S. A., Darus A. & Shamsuddin K. (2011). Work Related Determinants of Breastfeeding Discontinuation Among Employed Mothers in Malaysia. International Breastfeeding Journal volume, 6(4). https://doi.org/10.1186/1746-4358-6-4

CDC. (2018). How Much and How Often to Breastfeed. Centers for Disease Control and Prevention. https://cutt.ly/3nkZ1eZ

CDC. (2019). Storage and Preparation of Breastmilk. Centers for Disease Control and Prevention

https://cutt.ly/9nkX2ji

Chekol, D. A., Biks, G. A., Gelaw, Y. A. & Melsew, Y. A. (2017). Exclusive Breastfeeding and Mothers’ Employment Status in Gondar Town, Northwest Ethiopia: A Comparative Cross-Sectional Study. International Breastfeeding Journal, 12(1). https://doi.org/10.1186/s13006-017-0118-9

Chhetri, S., Rao, A. P. & Guddattub, V. (2018). Factors Affecting Exclusive Breastfeeding (EBF) Among Working Mothers in Udupi Taluk, Karnataka. Clinical Epidemiology and Global Health, 6(4). 216-219. https://doi.org/10.1016/j.cegh.2018.06.008

Fapohunda, T. M., (2012). Gender and Development: Challenges to Women Involvement in Nigeria’s Development. International Journal of Academic Research in Business and Social Sciences, 2(6). 14-28. https://cutt.ly/ynkCb1I

FMoH, (2010). Federal Ministry of Health. https://www.health.gov.ng/doc/IYCFPolicy.pdf

Gebrekidan, K., Fooladi, E., Plummer, V. & Hall, H., (2020). Enablers and Barriers of Exclusive Breastfeeding Among Employed Women in Low and Lower Middle-Income Countries. Sexual and Reproductive Healthcare, 25:100514. https://doi.org/10.1016/j.srhc.2020.100514

Global Breastfeeding Investment Case. (2017). Nurturing the Health and Wealth of Nations: The Investment Case for Breastfeeding. World Health Organization.

Global Legal Group. (2020). Employment and Labour Law 2020. International Comparative Legal Guides.

GOV.UK. (2020). Maternity Leave and Pay. GOV.UK https://www.gov.uk/maternity-pay-leave/leave

Hirani, S. A. A. & Karmaliani, R. (2013). The Experiences of Urban, Professional Women When Combining Breastfeeding with Paid Employment in Karachi, Pakistan: A Qualitative Study. Women and Birth, 26(2). 147-151. https://doi.org/10.1016/j.wombi.2012.10.007

IBFAN. (2017). Report on The Situation of Maternal Health and Work-related Issues in Nigeria. International Baby Food Action Network.

IIED. (2018). Women in Artisanal and Small-Scale Mining: Challenges And opportunities for greater participation. International Institute for Environment and Development.

ILO. (2012). International Labour Organization. [Online] Available at: https://cutt.ly/anWr5ND [Accessed 02 July 2020].

Institute, Evidence and Learning for Development, (2019). Gender Roles and Inequalities in the Nigeria Labour Market. Institute, Evidence and Learning for Development.

Krippendorff, K. (2004). Content Analysis: An Introduction to Its Methodology. Sage Publications.

Lodin, J. B., Tegbaru, A., Bullock, R., Degrande, A., Nkengla, L. W. & Gaya, H. I. (2019). Gendered Mobilities and Immobilities: Women’s and Men’s Capacities for Agricultural Innovation in Kenya and Nigeria. Gender, Place and Culture, 26(12). 1759-1783. https://doi.org/10.1080/0966369X.2019.1618794

Midgley, J. & Livermore, M. (2009). Introduction: Social Policy and Social Welfare. In: J. Midgley & M. Livermore. Handbook of Social Policy. SAGE.

NBS & UNICEF, (2018). Multiple Indicator Cluster Survey 2016-17 (MICS), Abuja: National Bureau of Statistics (NBS) and United Nations Children’s Fund (UNICEF). https://www.unicef.org/nigeria/reports/multiple-indicator-cluster-survey-2016-17-mics

Nkrumah, J., (2016). Maternal Work and Exclusive Breastfeeding Practice: A Community Based Cross-Sectional Study in Efutu Municipal, Ghana. International Journal of Breastfeeding, 12(1). https://doi.org/10.1186/s13006-017-0100-6

Nutrition Exchange. (2018). Shaping National Food and Nutrition Policy in Nigeria. https://www.ennonline.net/shapingnationalfoodandnutritionpolicyinnigeria

Obamwonyi, S. E. & Aibieyi, S. (2014). Public Policy Failures in Nigeria: Pathway to Underdevelopment. Public Policy and Administration Research, 4(9). 38-43. https://www.iiste.org/Journals/index.php/PPAR/article/view/15671

Odimegwu, C. O., Akinyemi, J. O., & Alabi, O. O. (2017). HIV-Stigma in Nigeria: Review of Research Studies, Policies, and Programmes. AIDS Research and Treatment, 1-13. https://doi.org/10.1155/2017/5812650

Ogbo, F. A., Agho, K. E. & Page, A., (2015). Determinants of Suboptimal Breastfeeding Practices in Nigeria: Evidence from the 2008 Demographic and Health Survey. BMC Public Health, 15(259). https://doi.org/10.1186/s12889-015-1595-7

Ogbo, F. A., Page A., Idoko J., Claudio F., & Agho K. E. (2017). Have Policy Responses in Nigeria Resulted in Improvements in Infant and Young Child Feeding Practices in Nigeria?. International Breastfeeding Journal, 12(9). https://doi.org/10.1186/s13006-017-0101-5

Okwy-Nweke, C. P., Anyanwu, J. O. & Maduforo, A. N. (2014). Mothers Beliefs and Obstacles as Limitations in Promoting Exclusive Breastfeeding Among Working-Class Mothers Attending Infant Welfare Clinic at University of Nigeria Teaching Hospital (UNTH), Enugu State. Clinical Medicine Research, 3(4). 105-111. https://doi.org/10.11648/j.cmr.20140304.15

Olaolorun, F., & Lawoyin, T. (2006). Health Workers’ Support for Breastfeeding in Ibadan, Nigeria. Journal of Human Lactation, 22(2). 188-194. https://doi.org/10.1177/0890334406287148

Osibogun, O. O., Olufunlayo, T. F. & Oyibo, S. O. (2018). Knowledge, attitude and support for exclusive breastfeeding among bankers in Mainland Local Government in Lagos State, Nigeria. International Breastfeeding Journal, 13(38). 1-7. https://doi.org/10.1186/s13006-018-0182-9

Sabin, A., Manzur, F., & Adil, S., (2017). Exclusive Breastfeeding Practices in Working Women of Pakistan: A Cross-Sectional Study. Pakistan Journal of Medical Science, 33(5). 1148–1155. https://doi.org/10.12669/pjms.335.12827

Taddele, M., Abebe, L. & Fentahun, N. (2014). Exclusive Breastfeeding and Maternal Employment in Ethiopia: A Comparative Cross-Sectional Study. International Journal of Nutrition and Food Sciences, 3(6). 497-503. https://doi.org/10.11648/j.ijnfs.20140306.12

Tadesse, F., Alemayehu Y., Shine S., Asresaghegn, H., & Tadesse, T. (2019). Exclusive Breastfeeding and Maternal Employment Among Mothers of Infants from Three to Five Months Old in the Fafan Zone, Somali Regional State of Ethiopia: A Comparative Cross-Sectional Study. BMC Public Health, 19. 1015. https://doi.org/10.1186/s12889-019-7345-5

Tsai, S. (2013). Impact of a Breastfeeding-Friendly Workplace on an Employed Mother’s Intention to Continue Breastfeeding After Returning to Work. Breastfeeding Medicine, 8(2). 210-216. https://doi.org/10.1089/bfm.2012.0119

Uchendu, C., Windle, R., & Blake, H. (2020). Perceived Facilitators and Barriers to Nigerian Nurses’ Engagement in Health Promoting Behaviours: A Socio-Ecological Model Approach. International Journal of Environmental Research and Public Health, Volume 17. 1-20. https://doi.org/10.3390/ijerph17041314

Ugwu, E., Obioha, K., Okezie, O., & Ugwu, A. (2011). A Five-year Survey of Caesarean Delivery at a Nigerian Tertiary Hospital. Annals of Medical and Health Sciences Research, 1(1). 73-83. https://pubmed.ncbi.nlm.nih.gov/23209958/

United Nations, (2018). World Economic Situation and Prospects 2018 163/207. United Nations https://cutt.ly/QnkVNxK

Valizadeh, S., Hosseinzadeh M., Mohammadi E., Hassankhani H., Fooladi M & V. Schmied. (2017). Addressing Barriers to Health: Experiences of Breastfeeding Mothers After Returning to Work. Nursing and Health Sciences, 19. 105-111. https://doi.org/10.1111/nhs.12324

WHO, (2011) Exclusive Breastfeeding for Six Months Best for Babies Everywhere. WHO. https://cutt.ly/VnkBrQF

Worugji, I. N. E. & Etuk, S. J., (2005). The National Breastfeeding Policy in Nigeria: The Working Mother and the Law. Health Care for Women International, 26(7). 534-554. https://doi.org/10.1080/07399330591004863

Zafar, N. S. & Bustamante-Gavino, I. M., (2008). Breastfeeding and Working Full-time Experiences of nurse mothers in Karachi, Pakistan. International Journal of Caring Sciences, 1(3). 132-139.

Publicado
2021-06-20
Cómo citar
Nwaodu, L. (2021). La carga de la maternidad: una evaluación de la política gubernamental hacia la lactancia materna exclusiva entre las madres trabajadoras en Nigeria. Religación, 6(28), 183-194. https://doi.org/10.46652/rgn.v6i28.790