Attitudes, Roles, and Community Perspectives Regarding Male Involvement in Breastfeeding in Juba, South Sudan

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DOI: 10.21522/TIJPH.2013.10.02.Art019

Authors : Tobijo Denis Sokiri Moses, Kamaruzzaman Zaman


There is growing awareness that fathers’ infant-feeding preferences may influence mothers’ intentions to breastfeed and help promote optimal breastfeeding. Despite this understanding, fathers are not part of most breastfeeding promotion strategies such as ‘mother-to-mother’ support groups. This study examined male partners’ breastfeeding attitudes, roles, and community views on male involvement through quantitative and qualitative methods. We interviewed 275 fathers of children aged <2 years, 15 key informants, and five focus groups to learn from the community. The data were analyzed using SPSS version 28.0; and thematically to generate frequency tables, median, interquartile range, and repeating patterns. Above 70% of fathers agreed that breastfeeding did not harm marriage or reduce women’s attractiveness. Breastfeeding in public is also accepted, and responsibilities are shared. The study also found support for >80% of the critical roles, including housework, baby care, and holding and watching the mother breastfeed. Education level was significantly associated with breastfeeding attitudes (r=-0.207 p =0.001<0.05) and roles (r=0.308, p=0.001<0.05). Employment status was also significantly associated with attitudes (r=0.184, p=0.003<0.05) and roles in breastfeeding (r=-0.155, p=0.007<0.05). However, there was no significant association between hours of work and the attitudes/roles of male partners in breastfeeding (r=-0.074, p=0.125>0.05 and r=0.049, p=0.224>0.05, respectively). The key barriers that emerge included challenging patriarchy, gender role segregation; Sexism; false beliefs; and work-related, social, economic, and personal factors. The major cultural hurdles that emerged signify the need to develop context-specific strategies to dispel myths about male breastfeeding involvement and promote supporting practices.

Keywords: Attitudes, Breastfeeding, Community, Involvement, Male, Perspectives, Roles.


[1] UNSDGS. (2015). Goal 3: Ensure healthy lives and promote wellbeing for all ages. Retrieved from

[2] UNICEF South Sudan. (2020). Key demographic indicators.

[3] WHO. (2017). Ten facts on breastfeeding.

[4] UNICEF. (2019). Health Briefing Note.

[5] WHO &The Lancet. (2016). LANCET BREASTFEEDING SERIES: Key Messages and Findings.

[6] Yourkavitch, J. M., Alvey, J. L., Prosnitz, D. M., & Thomas, J. C. (2017). Engaging men to promote and support exclusive breastfeeding: a descriptive review of 28 projects in 20 low-and middle-income countries from 2003 to 2013. Journal of Health, Population, and Nutrition, 36 (1), 1-10.

[7] Dinga, L. A., Kiage, B. N., & Kyallo, F. M. (2018). Effect of paternal education about complementary feeding of infants in Kisumu County, Kenya. African Journal of Food, Agriculture, Nutrition and Development, 18(3), 13702-13716.

[8] Gebremariam, K. T., Zelenko, O., Mulugeta, A., & Gallegos, D. (2021). A cross-sectional comparison of breastfeeding knowledge, attitudes, and perceived partners’ support among expectant couples in Mekelle, Ethiopia. International Breastfeeding Journal, 16(1), 1-8.

[9] Bulemela, J., Mapunda, H., Snelgrove-Clarke, E., MacDonald, N., & Bortolussi, R. (2019). Supporting breastfeeding: Tanzanian men’s knowledge and attitude towards exclusive breastfeeding. International breastfeeding journal, 14(1), 1-7.

[10] Abera, M., Abdulahi, M., & Wakayo, T. (2017). Fathers’ involvement in breastfeeding practices and associated factors among households with fewer than six months in Southern Ethiopia: a cross-sectional study. Pediatr Ther, 7 (1), 1000306.

[11] (Newhook et al., 2017)

[12] Tsai. (2014). Influence of Partner Support on an Employed Mother’s Intention to Breastfeed After Returning to Work. Breastfeed med. Retrieved from

[13] CARE South Sudan. (2014). Gender in brief.

[14] Dumbaugh, M., Tawiah-Agyemang, C., Manu, A., ten Asbroek, G. H., Kirkwood, B., & Hill, Z. (2014). Perceptions of, attitudes towards and barriers to male involvement in newborn care in rural Ghana, West Africa: a qualitative analysis. BMC pregnancy and childbirth, 14, 269.

[15] Chisango, T., Mayekiso, T. and Thomae, M. (2015), The social nature of benevolent Sexism and the antisocial personality of hostile Sexism: Is benevolent Sexism more likely to manifest in public contexts and hostile Sexism in private contexts?. Int J Psychol, 50: 363-371.

[16] World Bank. (2018).9lLiteracy rate, adult male (% of males ages 15 and above)-South Sudan.

[17] Abu-Abbas, M.W., Kassab, M., & Shelash, K.I. (2016). Fathers And Breastfeeding Process: Determining Their Role And Attitudes. European Scientific Journal, ESJ, 12, 327-327.

[18] Papp L. M. (2012). The longitudinal role of breastfeeding in mothers’ and fathers’ relationship
quality trajectories. Breastfeeding medicine: the official journal of the Academy of Breastfeeding Medicine, 7(4), 241–247.

[19] Komodiki, E., Kontogeorgou, A., Papastavrou, M., Volaki, P., & Genitsaridi, S. (2014). Breastfeeding in public: a global review of different attitudes towards it. J Pediatr Neonatal Care, 1(6), 00040. DOI: 10.15406/jpnc.2014.01.00040.

[20] Dinga, L. A., Kiage, B. N., & Kyallo, F. M. (2018). Effect of paternal education about complementary feeding of infants in Kisumu County, Kenya. African Journal of Food, Agriculture, Nutrition and Development, 18(3), 13702-13716.

[21] Tamiru, D., Belachew, T., Loha, E., & Mohammed, S. (2012). Sub-optimal breastfeeding of infants during the first six months and associated factors in rural communities of Jimma Arjo Woreda, Southwest Ethiopia. BMC public health, 12, 363.

[22] Mat Nawi, N. I., & Abdul Hamid, S. B. (2021). Determinants of fathers’ involvement in breastfeeding practices in Kuala Selangor. Malaysian Journal of Nutrition, 27 (1). DOI: