Table 5.
Focus Group Discussion themes and codes arranged by frequency counts
| Theme and codes | Barrier | Enabler |
|---|---|---|
| Mothers’ attributes: physical and mental wellbeing, experience and relationships | Frequency counts* | |
| Mother’s body image | + | + |
| Mother’s negative emotions (angry, unhappy) | ++ | – |
| Mother’s positive emotions (happy, feels good) | + | ++E |
| Mother’s perception of breastmilk supply | ++++ | ++ |
| Mother’s experience (not first child) | + | + |
| Mother’s first breastfeeding experience | + | + |
| Mother’s health status or physical wellbeing | +++ | ++ |
| Mother’s choice | + | + |
| Mother’s hunger & nutrition | ++ | ++ |
| Mother’s priorities | ++ | + |
| Mother’s sexual relationships | + | + |
| Mother’s stress | ++++B | + |
| Mothers’ knowledge, attitudes & practices of breastfeeding | ||
| Benefits of breastfeeding | – | +++E |
| Conventional medicines for babies | +++ | ++ |
| Expressing breastmilk | + | + |
| Foods to make or increase breastmilk | + | ++ |
| Frequency and duration of breastfeeding | + | + |
| Information on infant feeding | + | + |
| Mixed feeding | ++++B | + |
| Positioning and latching | + | + |
| Family environment | ||
| Advice from elders | + | + |
| Home setting | ++++B | +++E |
| Food at home | + | + |
| Relationship with the father of the child | + | + |
| Social environment | ||
| Health professionals | ++ | ++E |
| Breastfeeding seen as low social status | + | – |
| Breastfeeding in public | + | + |
| Public spaces & places (malls, taxis, other people) | +++B | + |
| Traditional beliefs & practices | + | + |
| Work environment | + | + |
| Baby cues | ||
| Baby does not want to or struggles to breastfeed | + | – |
| Baby full | + | + |
| Baby’s health | ++ | ++E |
| Baby not full | ++ | + |
| Baby bonding & love | + | + |
| Baby crying | + | + |
| Baby breastfeeding frequently | + | – |
| Baby’s growth & development | + | + |
| Baby sleeping longer or better | + | + |
| Baby stomach ailments | ++B | + |
| Baby upset or unsettled by mother’s emotions | + | – |
*Frequency counts based on ATLAS.ti - Fq counts*: 0 = −, 1–20 = +; 21–40 = ++, 41–60 = +++, > 60 = ++++
B = Highest count for barrier and E = highest count for enabler