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Background: Child growth is crucial for nutritional and health status; poor growth may result in stunting. South Africa experiences a high prevalence of stunting, micronutrient deficiencies and late identification of growth faltering. Non-adherence to growth monitoring and promotion (GMP) sessions remains a challenge and caregivers contribute to non-adherence. Therefore, this study explores factors affecting the non-adherence of GMP services.Methods: Qualitative approach and phenomenological exploratory study design were used. One-on-one interviews were conducted with 23 participants conveniently sampled. Sampling size was dependent on data saturation. Voice recorders were used to capture data. Tesch’s eight steps, inductive, descriptive and open coding techniques were used to analyse data. Measures of trustworthiness were ensured through credibility, transferability, dependability and confirmability.Results: Participants indicated non-adherence to GMP sessions because of a lack of knowledge of the importance of adherence and poor service by healthcare workers, which includes long waiting hours. Inconsistent availability of GMP services at healthcare facilities and growth of the firstborn children with non-adherence to GMP sessions are factors influencing participants’ adherence. A lack of transportation and lunch money also contributed to non-adherence to sessions.Conclusion: A lack of knowledge of the importance of adherence to GMP sessions, long waiting hours and inconsistent availability of GMP services at facilities contributed enormously to non-adherence. Therefore, the Department of Health must ensure consistent availability of GMP services to demonstrate the importance and enable adherence. Healthcare facilities should reduce waiting hours to minimise the need for lunch money, and service delivery audits should be conducted to identify other factors contributing to non-adherence to address these.Contribution: Primary health care providers should conduct service delivery audits and internal surveys to identify factors that contribute to non-adherence in order to introduce measures to address them.

Background: Complementary feeding should be introduced at six months to meet infants’ growing nutritional needs. Inappropriate complementary feeding poses threats to the health, development and survival of infants. The Convention on the Rights of the Child states that every child has the right to good nutrition. Caregivers should ensure that infants are fed properly. Factors such as knowledge, affordability and availability impact complementary feeding. Hence, this study explores factors influencing complementary feeding amongst caregivers of children between the age of six and 24 months in Polokwane, Limpopo province, South Africa.Methods: A qualitative phenomenological exploratory study design was used to collect data from 25 caregivers, using purposive sampling; the sampling size was dependent on data saturation. Data were collected through one-on-one interviews using voice recorders and field notes for non-verbal cues. Data were analysed using the eight steps of Tesch’s inductive, descriptive and open coding technique.Results: Participants had knowledge about when and what to introduce during complementary feeding. Participants alluded that availability and affordability, maternal beliefs about infant hunger cues, social media, attitudes, returning to work because of the end of maternity leave and painful breasts affect complementary feeding.Conclusion: Caregivers introduce early complementary feeding because of returning to work at the end of maternity leave and painful breasts. Additionally, factors such as knowledge about complementary feeding, availability and affordability, mother’s beliefs about child hunger cues, social media and attitudes influence complementary feeding.Contribution: There is a need to establish credible social media platforms to disseminate appropriate complementary feeding messages. The established credible social media platforms must be promoted, and caregivers must be referred from time to time.

Background: Diabetes remains a public health concern and the second cause of mortality in South Africa. Family history of diabetes increases risk of developing diabetes. Obesity amongst patients is associated with comorbidity, whilst amongst non-diabetic family members it is associated with developing diabetes. This study aimed at determining prevalence of overweight and obesity amongst patients with diabetes and non-diabetic family members. Methods: A quantitative, cross-sectional descriptive study was conducted on 200 patients and 200 non-diabetic family members were selected using systematic random sampling from rural clinics of Senwabarwana. Data were collected using close-ended questionnaires and anthropometric measurements. Body mass index (BMI) and waist circumference were measured and interpreted according to World Health Organization guidelines. Data were analysed using Statistical Package for Social Sciences, using both descriptive and inferential statistics. Chi-square test was used to calculate associations at 95% confidence interval where a p-value of < 0.05 was considered statistically significant. Results: Most patients (75.5%) had comorbidities and hypertension was most prevalent (89.0%). Over half of the patients (57.0%) and 38.0% of family members were obese. Most patients (75.0%) and 58.0% of family members had abdominal obesity. Conclusion: Patients with diabetes suffer from comorbidities are overweight and obese whilst evidence from various studies suggest that non-diabetic family members are at added risk of developing diabetes because of higher BMI and abdominal obesity. There is an urgent need to create a conducive environment that discourages sedentary behaviours through lifestyle modifications using the family centred approach, and involve family members in the care of patients.