TY - JOUR
T1 - Barriers and enablers of breast-feeding protection and support after the 2017 earthquakes in Mexico
AU - Vilar-Compte, Mireya
AU - Pérez Navarro, Cecilia
AU - Burrola-Méndez, Soraya
AU - Sachse-Aguilera, Matthias
AU - Veliz, Paula
N1 - Funding Information:
Acknowledgements: The authors thank UNICEF Mexico’s Office for the support in providing funding rapidly, which was a key element in the feasibility of this work. In addition, the authors thank the Becoming Breastfeeding Friendly Committee in Mexico; their support in the aftermath of the emergency and in subsequent discussion of the findings was of great relevance in drafting this manuscript. Financial support: This work was supported by UNICEF. Conflict of interest: The authors declare no competing interests. Authorship: M.V.C. proposed the methodology to UNICEF Mexico’s Offices; wrote the technical proposal; led the conduction of the study; contributed to data analysis and was the PI in writing the report. C.P.N. contributed in writing the technical proposal; organised and conducted fieldwork instruments; contributed to data analysis; contributed in drafting the report. S.B.M. conducted fieldwork; contributed to data analysis; contributed in drafting the report. M.S.A. and P.V. proposed the study, gave technical inputs during the development of the study and key insights for the final manuscript. All authors read and approved the final version of the manuscript. Ethics of human subject participation: This study was conducted according to the guidelines laid down in the Declaration of Helsinki, and all procedures involving study participants were approved by the Ethics Committee of Universidad Iberoamericana All key informants provided written informed consent, and information was deidentified before transcription and coding For the WhatsApp group, participants granted consent in a joint phone call (witnessed among each other). The rest of the information is publicly available (i.e. Twitter, Facebook and newspapers)
Publisher Copyright:
© 2021 Cambridge University Press. All rights reserved.
PY - 2021/6
Y1 - 2021/6
N2 - Objective: To study the barriers and enablers of breast-feeding protection and support after the 2017 earthquakes in Mexico. Design: A qualitative study using a phenomenological approach to analyse data collected from in-depth interviews, virtual ethnography and documentary analysis of newspapers. Setting: Data were collected after the September 2017 earthquakes in Mexico (from 8 September 2017 to 15 May 2018). Participants: The participants included key informants (n 13) from different sectors. Postings retrieved from forty-two Facebook and forty-seven Twitter accounts and a WhatsApp group informed the virtual ethnography analysis. Newspaper material covering the 2017 earthquakes in Mexico (seven newspapers) was retrieved for the documentary analysis. Results: Interviews with key informants revealed a lack of knowledge, unclear institutional protocols during emergencies and lack of enforcement of existing international frameworks. The virtual ethnography uncovered a strong call for donations in the immediate aftermath of the earthquakes, and generalized donations of formula revealed a tense relationship between actions taken by breast-feeding experts and the negative reactions from the government and citizens. This analysis highlights the relevance of pre-existing networks of experts in protecting and supporting breast-feeding. From the newspaper documentary analysis, similar themes emerged. Conclusions: This study identified key barriers and enablers in the protection and support of breast-feeding during the 2017 earthquakes in Mexico. Relevant actors should embrace the lessons highlighted in this study because countries such as Mexico are likely to experience other emergencies in the near future.
AB - Objective: To study the barriers and enablers of breast-feeding protection and support after the 2017 earthquakes in Mexico. Design: A qualitative study using a phenomenological approach to analyse data collected from in-depth interviews, virtual ethnography and documentary analysis of newspapers. Setting: Data were collected after the September 2017 earthquakes in Mexico (from 8 September 2017 to 15 May 2018). Participants: The participants included key informants (n 13) from different sectors. Postings retrieved from forty-two Facebook and forty-seven Twitter accounts and a WhatsApp group informed the virtual ethnography analysis. Newspaper material covering the 2017 earthquakes in Mexico (seven newspapers) was retrieved for the documentary analysis. Results: Interviews with key informants revealed a lack of knowledge, unclear institutional protocols during emergencies and lack of enforcement of existing international frameworks. The virtual ethnography uncovered a strong call for donations in the immediate aftermath of the earthquakes, and generalized donations of formula revealed a tense relationship between actions taken by breast-feeding experts and the negative reactions from the government and citizens. This analysis highlights the relevance of pre-existing networks of experts in protecting and supporting breast-feeding. From the newspaper documentary analysis, similar themes emerged. Conclusions: This study identified key barriers and enablers in the protection and support of breast-feeding during the 2017 earthquakes in Mexico. Relevant actors should embrace the lessons highlighted in this study because countries such as Mexico are likely to experience other emergencies in the near future.
KW - Breast-feeding
KW - Crises
KW - Emergencies
KW - Infant and young child feeding
KW - Mexico
UR - http://www.scopus.com/inward/record.url?scp=85089442841&partnerID=8YFLogxK
U2 - 10.1017/S1368980020002359
DO - 10.1017/S1368980020002359
M3 - Article
C2 - 32753080
AN - SCOPUS:85089442841
SN - 1368-9800
VL - 24
SP - 2286
EP - 2296
JO - Public Health Nutrition
JF - Public Health Nutrition
IS - 8
ER -
