Fathers’/male partner’s representation in breastfeeding policies: A content analysis of Australian and global infant feeding policies

Main Article Content

Albert Apotele Nyaaba Emily Hansen Jennifer Ayton

Abstract

Background: Fathers/male partners are known to be increasingly involved in caring for babies and young children and to be a valuable source of support for mothers in establishing and maintaining breastfeeding. Despite this, interventions and policies aimed at increasing breastfeeding rates have historically downplayed or even ignored the role of men.


Objective: To investigate how and in what context fathers/male partners are represented through text and images in Australian and global breastfeeding and infant and young child feeding (IYCF) policy documents.


Methods: Content analysis was used to evaluate and analyse publicly available breastfeeding and IYCF policies sourced from the World Health Organisation database and a Google search. Excel, GPT 3.5 and NVivo version 20.0 were utilised for data extraction, management, and analysis.


Results: A total of 24 policies were analysed. The terms father and or husband were used in three quarters (71%) of the policies. Breastfeeding only policies had the highest number of mentions of father and or husband (68%) compared to IYCF policies (32%). However, in IYCF policies, 69.0% of terms describing parents/caregivers were gender inclusive, compared to only 31.0% in breastfeeding policies. Father and or husband were mentioned the highest number of times in the Australian breastfeeding policy (34.7%), followed by New Zealand (18.4%). Gendered representations of breast and infant and young child feeding dominated all policies. Five themes related to the ways that fathers/male partners were represented were identified; recognition of fathers in policy, fathers and breastfeeding decisions, strategies to involve fathers, gender inclusion, and representation of fathers in images.


Conclusions and implications: While fathers/male partners are mentioned in breastfeeding and IYCF policies, many policies used gender inclusive terms to refer to parents/carers, only a small number of policies explicitly acknowledge the importance of fathers for breastfeeding and infant feeding more broadly. The absence of clear strategies related to fathers/male partners in the majority of policies may represent a missed opportunity to make breastfeeding support strategies more inclusive for fathers/male partners and to potentially improve exclusive breastfeeding rates.

Keywords: Breastfeeding, fathers, male partners, policy, infant feeding, content analysis

Article Details

How to Cite
NYAABA, Albert Apotele; HANSEN, Emily; AYTON, Jennifer. Fathers’/male partner’s representation in breastfeeding policies: A content analysis of Australian and global infant feeding policies. Medical Research Archives, [S.l.], v. 13, n. 2, feb. 2025. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/6316>. Date accessed: 16 mar. 2025. doi: https://doi.org/10.18103/mra.v13i2.6316.
Section
Research Articles

References

Atkinson, CF 2023, 'Cheap, quick, and rigorous: artificial intelligence and the systematic literature review', Social Science Computer Review, p. 08944 393231196281.

Ayton, J, van der Mei, I, Wills, K, Hansen, E & Nelson, M 2015, 'Cumulative risks and cessation of exclusive breast feeding: Australian cross-sectional survey', Archives of disease in childhood, vol. 100, no. 9, pp. 863-868.

Baldwin, S, Bick, D & Spiro, A 2021, 'Translating fathers’ support for breastfeeding into practice', Primary Health Care Research & Development, vol. 22.

Bhairo, RL & Elliott, H 2018, 'Encouraging breastfeeding: the role of fathers', Journal of Health Visiting, vol. 6, no. 6, pp. 290-301.

Brown, A & Davies, R 2014, 'Fathers' experiences of supporting breastfeeding: challenges for breastfeeding promotion and education', Maternal & child nutrition, vol. 10, no. 4, pp. 510-526.

Burnod, L, Patterson, K, Dickinson, K & Coveney, J 2022, 'Sharing the load: A qualitative exploration of what mothers and fathers believe the father’s role should be in food provisioning', Appetite, vol. 176, p. 106101.

Caporali, A, Kluesener, S, Neyer, G, Krapf, S, Grigorieva, O & Kostova, D 2016, 'The Contextual Database of the Generations and Gender Programme: Concept, content, and research examples', Demographic Research, vol. 35, pp. 229-252.

Davies, EL, Bulto, LN, Walsh, A, Pollock, D, Langton, VM, Laing, RE, Graham, A, Arnold‐Chamney, M & Kelly, J 2023, 'Reporting and conducting patient journey mapping research in healthcare: a scoping review', Journal of advanced nursing, vol. 79, no. 1, pp. 83-100.

Demontigny, F, Gervais, C, Larivière-Bastien, D & St-Arneault, K 2018, 'The role of fathers during breastfeeding', Midwifery, vol. 58, pp. 6-12.

Grbich, C 2013, Qualitative Data Analysis An Introduction, second edn, Sage publications
Horta, BL, Loret de Mola, C & Victora, CG 2015, 'Long‐term consequences of breastfeeding on cholesterol, obesity, systolic blood pressure and type 2 diabetes: a systematic review and meta‐analysis', Acta paediatrica, vol. 104, pp. 30-37.

Horta, BL, Rollins, N, Dias, MS, Garcez, V & Pérez‐Escamilla, R 2023, 'Systematic review and meta‐analysis of breastfeeding and later overweight or obesity expands on previous study for World Health Organization', Acta paediatrica, vol. 112, no. 1, pp. 34-41.

Hunter, SC, Riggs, DW & Augoustinos, M 2017, 'Hegemonic masculinity versus a caring masculinity: Implications for understanding primary caregiving fathers', Social and Personality Psychology Compass, vol. 11, no. 3, p. e12307.

Hunter, SC, Riggs, DW & Augoustinos, M 2020, 'Constructions of primary caregiving fathers in popular parenting texts', Men and Masculinities, vol. 23, no. 1, pp. 150-169.

Iddrisu, N 2024, 'Health Infographics: An Examination of Breastfeeding Infographics from the World Health Organization'.

ILO 2014, Maternity and paternity at work: Law and practice across the world, International Labour Organisation.

Ireland, J & Van Teijlingen, E 2010, 'Persuasion with pictures: piloting a breastfeeding image aimed at children', British Journal of Midwifery, vol. 18, no. 4, pp. 212-217.

Jeynes, WH 2016, 'Meta-analysis on the roles of fathers in parenting: Are they unique?', Marriage & Family Review, vol. 52, no. 7, pp. 665-688.

Koksal, I, Acikgoz, A & Cakirli, M 2022, 'The effect of a father's support on breastfeeding: a systematic review', Breastfeeding Medicine, vol. 17, no. 9, pp. 711-722.

Krippendorff, K 2004, 'Content analysis: An introduction to its methodology. Thousand Oaks: SAGE Publications, Inc'.

Kung, TH, Cheatham, M, Medenilla, A, Sillos, C, De Leon, L, Elepaño, C, Madriaga, M, Aggabao, R, Diaz-Candido, G & Maningo, J 2023, 'Performance of ChatGPT on USMLE: Potential for AI-assisted medical education using large language models', PLoS digital health, vol. 2, no. 2, p. e0000198.

Lin, JC, Younessi, DN, Kurapati, SS, Tang, OY & Scott, IU 2023, 'Comparison of GPT-3.5, GPT-4, and human user performance on a practice ophthalmology written examination', Eye, pp. 1-2.

Lincoln, YS & Guba, EG 1985, Naturalistic inquiry, sage.

Locatelli, E 2017, 'Images of breastfeeding on Instagram: Self-representation, publicness, and privacy management', Social Media+ Society, vol. 3, no. 2, p. 2056305117707190.

Macia, L 2015, 'Using Clustering as a Tool: Mixed Methods in Qualitative Data Analysis', Qualitative Report, vol. 20, no. 7.

Ngoenthong, P, Sansiriphun, N, Fongkaew, W & Chaloumsuk, N 2020, 'Integrative Review of Fathers' Perspectives on Breastfeeding Support', Journal of obstetric, gynecologic, and neonatal nursing : JOGNN, vol. 49, no. 1, pp. 16-26.

NIH 2024, Inclusive and Gender-Neutral Language, U.S Department of Health & Health Services viewed 31st May 2024, .

Ogbo, FA, Akombi, BJ, Ahmed, KY, Rwabilimbo, AG, Ogbo, AO, Uwaibi, NE, Ezeh, OK & Agho, KE 2020, 'Breastfeeding in the community—how can partners/fathers help? A systematic review', International journal of environmental research and public health, vol. 17, no. 2, p. 413.

Page, MJ, McKenzie, JE, Bossuyt, PM, Boutron, I, Hoffmann, TC, Mulrow, CD, Shamseer, L, Tetzlaff, JM, Akl, EA & Brennan, SE 2021, 'The PRISMA 2020 statement: an updated guideline for reporting systematic reviews', Bmj, vol. 372.

Patil, DS, Pundir, P, Dhyani, VS, Krishnan, JB, Parsekar, SS, D’Souza, SM, Ravishankar, N & Renjith, V 2020, 'A mixed-methods systematic review on barriers to exclusive breastfeeding', Nutrition and Health, vol. 26, no. 4, pp. 323-346.

Rempel, LA, Rempel, JK & Moore, KCJ 2017, 'Relationships between types of father breastfeeding support and breastfeeding outcomes', Maternal & child nutrition, vol. 13, no. 3.

Sherriff, N & Hall, V 2014, 'Rhetoric or reality? Father support in promoting breastfeeding', International Journal of Birth and Parent Education, vol. 1, no. 4, pp. 19-22.

Stubley, TL, Rojas, M & McCroy, C 2015, 'Father's perceptions about their fathering role', Journal of Arts and Humanities, vol. 4, no. 4, pp. 33-39.

Sussex, J 2021, 'Gender" inclusive" language and breastfeeding', World Nutrition, vol. 12, no. 3, pp. 119-122.

UNICEF 2007, Celebrating Innocenti Declaration on the protection, promotion and support of breastfeeding, United Nation Children's Fund, Florence, Italy, .

West, AF, Lewis, S, Ram, B, Barnes, J, Leach, P, Sylva, K, Stein, A & team, Fp 2009, 'Why do some fathers become primary caregivers for their infants? A qualitative study', Child: care, health and development, vol. 35, no. 2, pp. 208-216.

WHO-UNICEF 2003, Global strategy for infant and young child feeding, World Health Organization.

WHO-UNICEF 2014, Global Nutrition Targets 2025. Breastfeeding Policy Brief, World Health Organisation, Geneva 27, Switzerland, .

WHO-UNICEF 2021, Indicators for assessing infant and young child feeding practices: definitions and measurement methods, World Health Organisation and United Nations Children Fund, Geneva, Switzerland .

WHO 2022, Child mortality (Under 5 years). Key Facts, viewed 20th Oct 2023, .