Feasibility and Acceptability of Group Cell Phones to Promote Optimal Breastfeeding in a Women's Microcredit Program in Nigeria

Abstract

We previously reported on a breastfeeding promotion intervention that successfully increased optimal breastfeeding practices using cell phone messaging and group learning sessions integrated into a women's microcredit program in Nigeria. Using a novel approach, one cell phone was given to each group of 5‐7 microcredit clients. The cell phone holder was instructed to share the weekly breastfeeding voice and text messages with group members. The feasibility and acceptability of group cell phones was measured through structured exit interviews with microcredit clients (n=195) whose babies were born during the intervention (target group), in‐depth interviews with phone holders (n=8) and non‐phone holders (n=8), and focus group discussions (FGDs) (n=16) with other microcredit clients. Exit interviews revealed that only 6% of women in the target group were phone holders, but 64% said the group phone worked well. 58% lived within 10 min walking distance of the phone holder and 52% said messages were shared once a week. The target group was motivated to try the recommended practices because they trusted the information (58%) and had support from others (36%). In‐depth interviews and FGDs indicated that most phone holders were elected, non‐phone holders had positive feelings toward phone holders, and the group phone met their needs. A few issues with message sharing and connectivity were noted. In summary, use of group cell phones to promote breastfeeding among microcredit clients is feasible and acceptable, and can be part of an effective behavior change package. Funding: Alive & Thrive small grants program