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"A baby is like an empty USB. Whatever you do, they store it": a qualitative study of caregiving practices and beliefs in Soweto, South Africa

Palmer, T.; Nkosi, N.; Motlhatlhedi, M.; Prost, A.; Skordis, J.; Gram, L.; Norris, S. A.; Batura, N.; Draper, C. E.

2024-11-06 pediatrics
10.1101/2024.11.06.24316849 medRxiv
Show abstract

The importance of nurturing care for childrens development has been emphasised in the global literature. Although societal risk factors which may hinder nurturing care in South Africa have been extensively documented, the goals, beliefs and practices of caregivers in infancy have received less attention in the literature. This qualitative study was conducted with mothers of children aged 6 to 10 months in Soweto. Data were collected during focus group discussions held in May 2023 with 26 mothers, then analysed using thematic analysis. We found that mothers view themselves as playing an active role in their childrens learning and development, and are broadly aware of the importance of nurturing care. Our findings also emphasise that nurturing care is bidirectional, and based on the relationship between caregivers and children, both of whom should be viewed as individuals. This study contributes to relatively limited literature on infancy in South Africa and can help to inform context-appropriate interventions to improve early childhood development in comparable settings.

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