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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
 
5057.0: Wednesday, December 14, 2005 - 9:42 AM

Abstract #112054

Determining Somali women's breastfeeding practices and preferences: A multi-method approach

Sirad A. Abdirahman, MPH1, Andrea L. Leinberger-Jabari, MPH1, LuAnn Werner, MA1, Diana DuBois, MPH/MIA1, Nathaly Herrel, MSc1, Saeed Fahia, PhD2, Qamar Ibrahim, MS3, Khadija Sheikh1, and Marian Del, BSc2. (1) Minnesota International Health Volunteers (MIHV), 122 West Franklin Avenue, Suite #510, Minneapolis, MN 55404, 612-230-3254, aleinberger@mihv.org, (2) Brian Coyle Community Center, Confederation of Somali Community in Minnesota (CSCM), 420 15th Avenue South, Minneapolis, MN 55454, (3) Leadership, Empowerment, and Development Group (LEAD), 1313 5th Street SE, Suite 223B, Minneapolis, MN 55414

Abstract=Background: Minnesota is home to over half of all the Somali refugees in the US, with population estimates ranging up to 60,000. Despite being one of the healthiest states in the nation, there are still very large health disparities that persist within Minnesota's immigrant and refugee communities.

Methods/Approach: In 2003, MIHV along with two other Somali-led organizations conducted a community-based participatory survey on health issues in the Somali community. The survey attempted to identify health knowledge, practices and health care coverage in the Somali community. A total of 296 in-person interviews were conducted. Of this sample, 104 women were asked about their breastfeeding practices. Follow up focus groups (3 groups with a total of 25 women) exploring breastfeeding practices were conducted to inform the results of the initial survey.

Results: The survey results showed that nine in ten women said they breastfed or were currently breastfeeding their children and 47% had breastfed their children for at least ten months. However, 40% of breastfeeding mothers did not exclusively breastfeed their children. Focus groups revealed that, on average, women had three children, they breastfed between 3 months and 2years and most women trust their older female relatives and doctors to give them breastfeeding information.

Recommendations: Although many women reported breastfeeding for longer periods of time, it is important to create more awareness around exclusive breastfeeding. Exclusive breastfeeding can be incorporated in family planning programming as a viable culturally-appropriate contraceptive method. Programming should also incorporate both traditional and Western sources of breastfeeding information.

Learning Objectives: Learning objectives