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Breastfeeding ans sexuality after childbirth in Dar es Salaam, Tanzania
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2012 (English)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Amning och sexualitiet efter förlossning i Dar es Salaam, Tanzania (Swedish)
Abstract [en]

Background: Kubemenda is a word in Kiswahili and a conception that the infants‟ health will be negatively affected if the mother has sexual intercourse during the breastfeeding period. Aim: The aim of this study is to explore if nurses experience concerns among parents about sexuality during the breastfeeding period related to kubemenda. Furthermore, to investigate the nurses own perception and knowledge about kubemenda and if general information is given to the parents about breastfeeding and sexuality as well as information related to kubemenda. Method: Semi-structured qualitative interviews with open and closed questions with six nurses that worked at Muhimbili National Hospital. All the interviews were recorded, transcribed and analyzed with content analysis. Result: Kubemenda was defined as ill health in infancy caused by the mother having sexual intercourse during the breast-feeding period. This cultural belief was used as an old fashioned way of family planning. There was a non-existing relation between breastfeeding and kubemenda according to the nurses but they experienced concerns among mothers about timing of sex resumption related to kubemenda. It was hard for the nurses to manage the influence of family-members when informing and educating the mothers about sexuality. There were no guidelines as to what information they should provide regarding kubemenda. Conclusion: Kubemenda is still an existing problem in the society that is hard to eliminate due to strong cultural influence. There is an imminent need of national guidelines for health personnel as to what information they should provide regarding kubemenda.

Abstract [sv]

Bakgrund: Kubemenda är ett ord på Kiswahili och innebär en uppfattning om att barns hälsa påverkas negativt om mamman har samlag under amningsperioden. Syfte: Syftet med studien var att undersöka om sjuksköterskor upplever oro bland föräldrar om sexualitet i samband med amningsperioden relaterat till kubemenda. Vidare var syftet att undersöka sjuksköterskors egen uppfattning och kunskap om kubemenda samt om generell information ges till föräldrarna angående amning och sexualitet samt information relaterat till kubemenda. Metod: Semistrukturerade intervjuer utfördes bland sex sjuksköterskor som arbetade på Muhimbili National Hospital. Intervjuerna spelades in, transkriberades och analyserades med innehållsanalys. Resultat: Kubemenda definierades som ohälsa bland spädbarn där orsaken var att mamman hade samlag under amningsperioden. Denna kulturella uppfattning användes som traditonell familjeplanering. Det fanns inget samband mellan amning och kubemenda enligt sjuksköterskorna men de upplevde oro bland mammor angående sexuell avhållsamhet relaterat till kubemenda. Sjuksköterskorna upplevde det svårt att hantera familjens kulturella inflytande på mamman när de informerade om sexualitet. Det saknades riktlinjer för vilken information som skulle ges angående kubemenda. Slutsats: Kubemenda är fortfarande ett problem i samhället som är svårt att avlägsna på grund av starkt kulturellt inflytande. Det finns ett behov av riktlinjer för vårdpersonal om vilken information som ska ges till patienter angående kubemenda.

Place, publisher, year, edition, pages
2012. , 43 p.
Keyword [en]
Tanzania, breastfeeding, sexual abstinence, information, nurse, kubemenda
Keyword [sv]
Tanzania, amning, sexuell avhållsamhet, information, sjuksköterska, kubemenda
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-170976OAI: diva2:509985
Subject / course
Caring Sciences
Educational program
Registered Nurse Programme
Available from: 2012-03-26 Created: 2012-03-14 Last updated: 2012-03-26Bibliographically approved

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Breastfeeding and sexuality after childbirth in Dar es Salaam, Tanzania _ Ruby Hansen & Anahi Hormazabal(1276 kB)1316 downloads
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