Table 5.

CMO for EBF when understanding of EBF implications competes with strong cultural norms

Context	Mechanism	Outcome
HCP challenges cultural beliefs of mother, teaching on appropriate ages for introduction of other foods Mother has good knowledge and understanding of implications of EBF Mother has trusting relationship with HCP	Prioritisation of counselling advice over cultural understanding and practices No fear/insecurity about the impact of opposing cultural beliefs on child health Belief in capacity to EBF	Adheres to feeding advice Does not mix feed Belief that breastmilk is safe and sufficient for infant feeding