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Constraints on weaning: evidence from Ethiopia and Sudan

Published online by Cambridge University Press:  31 July 2008

Astier M. Almedom
Affiliation:
Department of Biological Anthropology, University of Oxford
Alexander de Waal
Affiliation:
Nuffield College, University of Oxford

Summary

Evidence on infant weaning processes provided by field research in Addis Ababa, Ethiopia, and among a refugee population of Eritreans in the Sudan is presented. The study in Addis Ababa, where households were economically disadvantaged but the situation was nutritionally stable, allowed the identification of factors constraining weaning, which includes both the introduction of supplementary foods and the termination of breastfeeding. While the timing of each aspect of weaning was the outcome of the interaction between mother and infant factors, ‘infant-centred’ factors were more important in the commencement and ‘mother-centred’ factors in the completion of weaning. The refugee population had in normal times a similar weaning regime, but under the unstable conditions of flight and life in a refugee camp the process had been significantly altered. Investigation of the factors which have led to altered weaning processes elaborates and confirms the model derived from the Addis Ababa study.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1990

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References

Agren, G., Hofvander, Y., Selinus, R. & Vahlquist, B. (1969) Faffa: A Supplementary Cereal-based Weaning Food in Ethiopia. CNU Report No. 20. Ethiopian Nutrition Institute, Addis Ababa.Google Scholar
Almedom, A. M. (1990a) Infant feeding among urban low-income households in Ethiopia: I. The weaning process. Ecol. Food Nutr. (in press).Google Scholar
Almedom, A. M. (1990b) Infant feeding among urban low-income households in Ethiopia: II. Determinants of weaning. Ecol. Food Nutr. (in press).Google Scholar
Barrell, R. A. & Rowland, M. G. M. (1979) Infant foods as a potential source of diarrhoeal illness in rural West Africa. Trans. Roy. Soc. Trop. Med. Hyg. 73, 85.CrossRefGoogle ScholarPubMed
Capparelli, E. & Mata, L. (1975) Microflora of maize prepared as tortillas. Appl. Microbiol. 29, 802.Google Scholar
Conton, L. (1985) Social, economic and ecological parameters of infant feeding in Usino, Papua New Guinea. Ecol. Food Nutr. 16, 39.Google Scholar
Cox, D. R. & Oakes, D. (1984) Analysis of Survival Data.Chapman & Hall, London.Google Scholar
De Waal, A. (1989a) Famine mortality: a case study of Darfur, Sudan, 1984–5. Popul. Stud. 43, 5.CrossRefGoogle Scholar
De Waal, A. (1989b) Population and Health of Eritreans in WadSherifei: Implications for the Causes of Excess Mortality in Famines. Report to ActionAid, London.Google Scholar
Dixon, W. J. (Ed.) (1988) BMDP Statistical Software Manual. University of California Press, Berkeley.Google Scholar
Ebrahim, G. J. (1978) Breast Feeding—The Biological Option. Macmillan, London.Google Scholar
Gussler, J. D. & Mock, N. (1983) A comparative description of infant feeding practices in Zaïre, the Philippines and St Kitts-Nevis. Ecol. Food Nutr. 13, 75.Google Scholar
Imong, S. M., Rungruengthanakit, K., Ruangyuttikarn, C, Wongsawasdii, L., Jackson, D. A. & Drewett, R. F. (1989) The bacterial content of infant weaning foods and water in rural northern Thailand. J. trop. Paediat. 35, 14.Google Scholar
Jelliffe, D. B. & Jelliffe, E. F. P. (1978) Human Milk in the Modern World. Oxford University Press, Oxford.CrossRefGoogle Scholar
Knutsson, K. E. & Mellbin, T. (1969) Breastfeeding habits and cultural context. J. trop. Paediat. 15, 40.Google Scholar
Mata, L. (1978) Breast feeding: main promoter of infant health. Am. J. clin. Nutr. 31, 2058.CrossRefGoogle ScholarPubMed
Raphael, D. & Davis, F. (1985) Only Mothers Know. Greenwood Press, Westport.Google Scholar
Rolls, E. T. & De Waal, A. (1985) Long-term sensory-specific satiety: evidence from an Ethiopian refugee camp. Physiol. Behav. 34, 1017.Google Scholar
Rosetta, L. (1988) Weaning mortality in Serere children in Senegal. Bull. Mém. Soc. Anthropol. Paris, 5, 1.Google Scholar
Rowland, M. G. M., Barrell, R. A. E. & Whitehead, R. G. (1978) Bacterial contamination in Gambian weaning foods. Lancet, i, 136.Google Scholar
Selinus, R. (1970) Home made weaning foods for Ethiopian children. J. trop. Paediat. 16, 188.CrossRefGoogle ScholarPubMed
Wenlock, J. & Wenlock, R. W. (1981) Maternal nutrition, prolonged lactation and birth spacing in Ethiopia. J. biosoc. Sci. 13, 261.CrossRefGoogle ScholarPubMed