Impact of Culture on Lactation Policies: The Case of United States and Liberia

ABSTRACT

Programs or policies that are effective in reducing social problems have several things in common: They acknowledge the realities of culture, respect the sociocultural underpinnings of the community, and are often built on an innovative understanding of the issues. Policies that are created without regard for the culture in which they are to operate are destined to fail. This study discusses cultural attributes of different motivations, benefits, and approaches to breast-feeding, depending on the development of their infrastructure, scientific understanding, reliance on myths to understand their environment, and social norms. It argues that in some cases ignorance and lack of scientific information result in policies (both formal and informal) that negatively impact breast-feeding, whereas in other cases cultural or social norms drive policy decisions. Three examples of policies that impact breast-feeding negatively are discussed in this article. Two of them relate to developing nations and the third occurred in the United States, although it could also occur anywhere people lack basic information about the impact of hormones on normal human physiology and human sexual response.