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A qualitative Kaupapa Māori approach to understanding infant and young child feeding practices of Māori and Pacific grandparents in Auckland, New Zealand

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Summary:

This investigation utilised a Kaupapa Māori research approach, an approach that seeks to work from a Māori foundation to discover positive outcomes for the collectives of whānau, hapū and iwi (family, sub-tribal and tribal groupings) and for Māori more generally. The study was conducted in a deprived urban neighbourhood in New Zealand and explored what barriers, facilitators, attitudes and beliefs influence the way Māori and Samoan grandparents feed their grandchildren. Semi-structured interviews were held with 7 grandparents (5 Māori, 2 Samoan) living in an Auckland suburb that had a high level of socioeconomic deprivation and ethnic diversity. Each participant had provided ≥5 meals per week over the previous 3 months to grandchildren aged under 2 years. Four key themes were identified: (i) grandparents’ understanding of optimal feeding practices; (ii) economic and material factors; (iii) previous experiences and customary norms; and (iv) social support and societal pressure. Grandparents’ complementary feeding practices in caring for infant grandchildren were influenced by upstream structural elements, including government policies related to welfare and pensions, employment, income and cultural knowledge.

Comment:
Another shameless plug for my own research! Hoping others find it useful, particularly the KMR methodology used by tauiwi health researchers, and the model we used to analyse data and look at the upstream factors that impact on people’s choices/behaviours around food.
Reference: Respirology. 2016 Oct 12 [Epub ahead of print]
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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