| Suboptimal breast feeding and complementary feeding practices |
Informal jobs with limited security, leaves, pay, childcare support, accommodations, or maternity support Distance to farms precludes sustained contact between mothers and children School and other vocational commitments reduce young mothers’ proximity to infants Insufficient economic and/or social support from husbands or male partners Misconceptions about colostrum and its safety Community-based outreach and public messaging
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| Limited access to nutritious foods for mothers and children |
Low wages and incomes restrict quantity and quality of procured foods Social obligations of mothers to feed entire families, not just vulnerable children Frequent choice of cheaper, nutrient-poor foods over nutritionally adequate ones to increase quantity Sale or sharing of ready-to-use therapeutic foods provided by health facilities
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| Decisions to seek medical care for malnourished children |
Nutritional education and social support provided during pregnancy Trust in and positive perceptions of health facilities Encouragement from other mothers Malnutrition screening efforts led by community health workers Shame and stigma linked to inability to adequately nourish children Therapeutic pluralism
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