Paternal Role on Feeding and Childcare: Exploring Practices, Perceptions and Challenges in Makueni County; A Qualitative Study

Paternal feeding and child care are significant determinants of child nutrition, health, and well-being. In many Kenyan communities, fathers seldom participate; child care is predominantly perceived as the mother's responsibility. Limited paternal involvement may negatively impact the quality of child nutrition and care in the home. This study investigated fathers’ roles, perceptions, and barriers to participation in child feeding and care in Kathonzweni Ward, Makueni County, Kenya. The study used an exploratory qualitative design. Researchers conducted 11 focus group discussions with fathers, mothers, and community health promoters to understand paternal practices, perceptions, and challenges. They audio-recorded, transcribed, and thematically analyzed each session to find key themes. Five main themes emerged: paternal roles (financial support and direct care), effects of paternal involvement on child health, barriers, cultural norms and evolving practices, and support needs. Fathers mostly provided financial support and decided on household food and health costs; a few helped with daily feeding and care. Younger and more educated fathers were more likely to feed, play with, and take children to health facilities. Economic hardship, substance use, limited nutrition knowledge, and prevailing gender norms constrained fathers’ participation. Further, societal and cultural beliefs that caregiving constitutes women’s work discouraged male involvement. Nevertheless, most participants agreed that children benefited from paternal involvement through improved nutrition, health, and family cohesion. The study urges sharing caregiving and feeding tasks equally between parents. Recommendations include health education for men, community awareness, and livelihood support to empower fathers as caregivers. Involving men in maternal and child health and removing social barriers can normalize their participation. These strategies could improve child nutrition and well-being in rural Kenya.