The Influence of Open-air Market Crèche on Exclusive Breastfeeding Practices Among Women in Informal Employment in Chuka Market, Kenya

Abstract

Exclusive breastfeeding is important in facilitating the growth and development of a child. However, exclusive breastfeeding is often not attained in developing countries since mothers have to go back to work. This study, therefore, sought to assess the influence of open-air market crèche on exclusive breastfeeding practices among women in informal employment in Chuka market, Kenya. Specifically, the study sought to; evaluate the operational characteristics of the crèche facility in the open-air market; assess the breastfeeding related activities performed by women in the crèche at the open-air market and analyze the perception of women on the quality of crèche services in the open-air market. This cross-sectional descriptive study was anchored on two theories; the gender constructivism theory and the role stress theory. Purposive sampling technique was used to sample 30 mothers who work in the open-air market at Chuka and data collected through in-depth interviews, focus group discussions and key informant interviews. The data collected was analyzed using thematic analysis framework. The study found that the free and accessible crèche services significantly impacted the breastfeeding practices and work- life balance of the working mothers. The presence of trained attendees, flexible operational hours, and the integration of childcare and educational services were key factors contributing to the crèche's success. However, the study also identified areas for improvement, including the need for extended operational hours, enhanced privacy and comfort in breastfeeding spaces, and the provision of educational resources to support informed breastfeeding practices. The findings underscore the critical role of such facilities in supporting working mothers and their infants, with potential implications for policy and practice in similar contexts. The study recommends that similar crèche facilities be established in other informal markets to promote exclusive breastfeeding practices among women in informal employment.