Background:Despite increasing breastfeeding initiation rates in the United States, disparities in breastfeeding continuation and exclusivity by race and ethnicity persist.Research Aim:We aimed to understand the perceptions and experiences of Latina parents who received access to telelactation, and assessed the implications of integrating telelactation into pediatric settings.Methods:This cross-sectional qualitative study drew from participants enrolled in a randomized controlled trial about breastfeeding support. We recruited 20 participants from among those participating in a randomized controlled trial assessing the effect of telelactation on breastfeeding outcomes. The study design was informed by an Equity-Centered Model and authentic entry. We conducted a thematic content analysis through an iterative approach, where we systematically generated themes to describe code application patterns.Results:We identified three themes: (1) telelactation within the broader landscape of breastfeeding support; (2) perceptions of telelactation support; and (3) recommendations on the use of telelactation in the context of pediatric care. We found that participants had an escalation approach for seeking breastfeeding support and propose a new model: Breastfeeding Support Escalation Protocol, which can be applied to lactation support in pediatric care. Parents’ perceptions and recommendations highlighted their desire for care coordination, expanded options for telelactation engagement, and care continuity, which are important reflections for pediatric offices considering integrating telelactation services into their practice.Conclusions:Latina parents found telehealth to be helpful and an acceptable alternative to in-person services. Pediatric offices can take steps toward becoming Breastfeeding-Friendly by partnering with telelactation services. More research is needed on the logistical implications and cost-effectiveness of telelactation services as part of the pediatric practice.
{"title":"Telelactation Within the Landscape of Breastfeeding Support: Experiences of Latina Parents","authors":"Gabriela Alvarado, Khadesia Howell, Molly Waymouth, Jill Demirci, Rhianna Rogers, Kristin Ray, Lori Uscher-Pines","doi":"10.1177/08903344241274760","DOIUrl":"https://doi.org/10.1177/08903344241274760","url":null,"abstract":"Background:Despite increasing breastfeeding initiation rates in the United States, disparities in breastfeeding continuation and exclusivity by race and ethnicity persist.Research Aim:We aimed to understand the perceptions and experiences of Latina parents who received access to telelactation, and assessed the implications of integrating telelactation into pediatric settings.Methods:This cross-sectional qualitative study drew from participants enrolled in a randomized controlled trial about breastfeeding support. We recruited 20 participants from among those participating in a randomized controlled trial assessing the effect of telelactation on breastfeeding outcomes. The study design was informed by an Equity-Centered Model and authentic entry. We conducted a thematic content analysis through an iterative approach, where we systematically generated themes to describe code application patterns.Results:We identified three themes: (1) telelactation within the broader landscape of breastfeeding support; (2) perceptions of telelactation support; and (3) recommendations on the use of telelactation in the context of pediatric care. We found that participants had an escalation approach for seeking breastfeeding support and propose a new model: Breastfeeding Support Escalation Protocol, which can be applied to lactation support in pediatric care. Parents’ perceptions and recommendations highlighted their desire for care coordination, expanded options for telelactation engagement, and care continuity, which are important reflections for pediatric offices considering integrating telelactation services into their practice.Conclusions:Latina parents found telehealth to be helpful and an acceptable alternative to in-person services. Pediatric offices can take steps toward becoming Breastfeeding-Friendly by partnering with telelactation services. More research is needed on the logistical implications and cost-effectiveness of telelactation services as part of the pediatric practice.","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142255633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-16DOI: 10.1177/08903344241274325
Tanya M Cassidy, João Aprigio Guerra de Almeida
Professor Joao Aprigio Guerra de Almeida graduated in Food Engineering (UFV-1981) with a Master in Microbiology (UFV-1986) and a doctorate in Women's and Children's Health (Fiocruz/IFF, 1998) He is founder and coordinator of the Brazilian Human Milk Banks Network (Ministry of Health-Brasil/Oswaldo Cruz Foundation-Fiocruz, 1987 to 2024); Head of the National Reference Center for Human Milk Banks at the National Institute of Women, Children and Adolescent Health Fernandes Figueira-IFF (Fiocruz/IFF, 1987 to 2024); Executive Secretary of the Ibero-American Human Milk Banks Network Program (Ibero-American General Secretariat-SEGIB/Brazilian Cooperation Agency-ABC/MS-FIOCRUZ, 2008 to 2020); Coordinator of International Technical Cooperation in Human Milk Banks ABC/Fiocruz/MS (2005 to 2024); and Coordinator of the Human Milk Banks Network of the Community of Portuguese Speaking Countries - CPLP (2017 to 2024). He has been recognized with the Sasakawa Health Prize (World Health Organization [WHO], 2001); as Officer of the Order of Rio Branco (Presidency of the Federative Republic of Brazil, 2001); with Global Health Challenges and Responses of the South in Time of Crisis (WHO, 2009); as Commendator of the Order of Rio Branco-Ministry of Foreign Affairs/Presidency of the Federative Republic of Brazil (2018); and Dr LEE Jong-wook Memorial Prize for Public Health (WHO, 2020). His areas of activity include Public Health, breastfeeding, Human Milk Banks, Public Management, and International Technical Cooperation.
{"title":"Supporting Breastfeeding Exchange Relations by Building Equitable and Innovative Solutions: An Interview With João Aprigio Guerra de Almeida.","authors":"Tanya M Cassidy, João Aprigio Guerra de Almeida","doi":"10.1177/08903344241274325","DOIUrl":"https://doi.org/10.1177/08903344241274325","url":null,"abstract":"<p><p>Professor Joao Aprigio Guerra de Almeida graduated in Food Engineering (UFV-1981) with a Master in Microbiology (UFV-1986) and a doctorate in Women's and Children's Health (Fiocruz/IFF, 1998) He is founder and coordinator of the Brazilian Human Milk Banks Network (Ministry of Health-Brasil/Oswaldo Cruz Foundation-Fiocruz, 1987 to 2024); Head of the National Reference Center for Human Milk Banks at the National Institute of Women, Children and Adolescent Health Fernandes Figueira-IFF (Fiocruz/IFF, 1987 to 2024); Executive Secretary of the Ibero-American Human Milk Banks Network Program (Ibero-American General Secretariat-SEGIB/Brazilian Cooperation Agency-ABC/MS-FIOCRUZ, 2008 to 2020); Coordinator of International Technical Cooperation in Human Milk Banks ABC/Fiocruz/MS (2005 to 2024); and Coordinator of the Human Milk Banks Network of the Community of Portuguese Speaking Countries - CPLP (2017 to 2024). He has been recognized with the Sasakawa Health Prize (World Health Organization [WHO], 2001); as Officer of the Order of Rio Branco (Presidency of the Federative Republic of Brazil, 2001); with Global Health Challenges and Responses of the South in Time of Crisis (WHO, 2009); as Commendator of the Order of Rio Branco-Ministry of Foreign Affairs/Presidency of the Federative Republic of Brazil (2018); and Dr LEE Jong-wook Memorial Prize for Public Health (WHO, 2020). His areas of activity include Public Health, breastfeeding, Human Milk Banks, Public Management, and International Technical Cooperation.</p>","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-14DOI: 10.1177/08903344241274306
Rebecca C. Robert, Amira A. Roess, Doris Kuehn, Swathi Vinjamuri
Background:Organizational-level interventions (i.e., Baby-Friendly Hospital Initiative) that support breastfeeding and target breastfeeding initiation are critical to reducing breastfeeding disparities and promoting breastfeeding equity.Research Aim:To determine the association between delivery in a Baby-Friendly accredited hospital and breastfeeding initiation among United States recipients of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in Washington DC, the majority of whom report their race as Black.Method:We conducted a secondary analysis of de-identified program data collected as part of routine WIC visits from the Washington DC WIC program, 2017–2020. Women who delivered a firstborn, singleton infant were included ( N = 8,225). Multivariable logistic regression models accounted for social determinants of health and other factors. One set of models included a binary exposure variable (Baby-Friendly accredited vs. non-accredited hospitals), and another set included a categorical exposure variable for hospitals (1) Baby-Friendly accredited, (2) Baby-Friendly activities but not accredited, and (3) neither Baby-Friendly activities nor accredited.Results:Breastfeeding initiation was 57.4% ( n = 1988) for women delivering in accredited hospitals versus 55.4% ( n = 2540) in non-accredited hospitals and multivariable model results were non-significant ( OR = 0.95, 95% CI [0.86, 1.05]). However, more women initiated breastfeeding who delivered in either accredited hospitals (57.4%, n = 1988) or hospitals with Baby-Friendly activities but not accredited (55.9%, n = 2430) compared to those delivering in hospitals with neither (45.3%, n = 110), and multivariable models results concurred (Baby-Friendly accredited hospitals OR = 1.44, 95% CI [1.07, 1.94]; Baby-Friendly activities but not accredited, ( OR = 1.55, 95% CI [1.16, 2.09]).Conclusion:Organizational-level interventions that create hospital environments supportive of breastfeeding initiation are important to promote equity in breastfeeding, but underlying social determinants of breastfeeding outcomes must be addressed.
背景：支持母乳喂养并以母乳喂养启动为目标的组织级干预措施（即：爱婴医院倡议）对于减少母乳喂养差异和促进母乳喂养公平至关重要、爱婴医院倡议）对于减少母乳喂养差异和促进母乳喂养公平至关重要。研究目的：确定美国华盛顿特区妇女、婴儿和儿童特别补充营养计划（WIC）受助者在爱婴医院分娩与开始母乳喂养之间的关联，其中大多数受助者称其种族为黑人。方法：我们对作为华盛顿特区 WIC 计划 2017-2020 年常规 WIC 访问一部分而收集的去标识计划数据进行了二次分析。我们纳入了分娩头胎单胎婴儿的妇女（N = 8225）。多变量逻辑回归模型考虑了健康的社会决定因素和其他因素。一组模型包括二元暴露变量（通过爱婴医院认证的医院与未通过认证的医院），另一组模型包括分类暴露变量（1）通过爱婴医院认证的医院，（2）开展爱婴活动但未通过认证的医院，（3）既未开展爱婴活动也未通过认证的医院）。结果：在获得认证的医院分娩的妇女中，母乳喂养率为57.4%（n = 1988），而在未获得认证的医院中，母乳喂养率为55.4%（n = 2540），多变量模型结果不显著（OR = 0.95，95% CI [0.86，1.05]）。然而，与在未获得爱婴医院认证的医院（45.3%，n = 110）分娩的妇女相比，在获得爱婴医院认证的医院（57.4%，n = 1988）或有爱婴活动但未获得认证的医院（55.9%，n = 2430）分娩的妇女开始母乳喂养的人数更多，多变量模型结果与之一致（获得爱婴医院认证的医院 OR = 1.44，95% CI [1.07，1.94]；有爱婴活动但未获认证的医院（OR = 1.55，95% CI [1.16，2.09]）。结论：组织层面的干预措施能够创造支持母乳喂养的医院环境，对于促进母乳喂养的公平性非常重要，但必须解决母乳喂养结果的潜在社会决定因素。
{"title":"Baby-Friendly Hospitals, Social Determinants of Health, and Disparities in Breastfeeding Initiation in a Low-Income Population, 2017–2020","authors":"Rebecca C. Robert, Amira A. Roess, Doris Kuehn, Swathi Vinjamuri","doi":"10.1177/08903344241274306","DOIUrl":"https://doi.org/10.1177/08903344241274306","url":null,"abstract":"Background:Organizational-level interventions (i.e., Baby-Friendly Hospital Initiative) that support breastfeeding and target breastfeeding initiation are critical to reducing breastfeeding disparities and promoting breastfeeding equity.Research Aim:To determine the association between delivery in a Baby-Friendly accredited hospital and breastfeeding initiation among United States recipients of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in Washington DC, the majority of whom report their race as Black.Method:We conducted a secondary analysis of de-identified program data collected as part of routine WIC visits from the Washington DC WIC program, 2017–2020. Women who delivered a firstborn, singleton infant were included ( N = 8,225). Multivariable logistic regression models accounted for social determinants of health and other factors. One set of models included a binary exposure variable (Baby-Friendly accredited vs. non-accredited hospitals), and another set included a categorical exposure variable for hospitals (1) Baby-Friendly accredited, (2) Baby-Friendly activities but not accredited, and (3) neither Baby-Friendly activities nor accredited.Results:Breastfeeding initiation was 57.4% ( n = 1988) for women delivering in accredited hospitals versus 55.4% ( n = 2540) in non-accredited hospitals and multivariable model results were non-significant ( OR = 0.95, 95% CI [0.86, 1.05]). However, more women initiated breastfeeding who delivered in either accredited hospitals (57.4%, n = 1988) or hospitals with Baby-Friendly activities but not accredited (55.9%, n = 2430) compared to those delivering in hospitals with neither (45.3%, n = 110), and multivariable models results concurred (Baby-Friendly accredited hospitals OR = 1.44, 95% CI [1.07, 1.94]; Baby-Friendly activities but not accredited, ( OR = 1.55, 95% CI [1.16, 2.09]).Conclusion:Organizational-level interventions that create hospital environments supportive of breastfeeding initiation are important to promote equity in breastfeeding, but underlying social determinants of breastfeeding outcomes must be addressed.","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142255637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-14DOI: 10.1177/08903344241276519
Wajiha Rizwan
{"title":"Advocating for Sharia-Compliant Wet Nurse System: A Culturally Sensitive Alternative to Human Milk Banks in Pakistan","authors":"Wajiha Rizwan","doi":"10.1177/08903344241276519","DOIUrl":"https://doi.org/10.1177/08903344241276519","url":null,"abstract":"","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142255638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-14DOI: 10.1177/08903344241279006
Zelalem T. Haile, Dawit O. Woldu
Cultural Domain Analysis (CDA) is a theoretical and methodological approach rooted in cognitive anthropology that investigates how people in a particular culture organize, structure, and perceive ideas. Beginning in the 1960s, CDA developed into a powerful tool for collecting and analyzing data, with applications extending beyond anthropology into other fields, including public health and other social sciences. This paper outlines the procedures and methods used in CDA, its strengths and limitations, and its potential utility in breastfeeding studies. Basic features of key techniques within CDA that include free listing, pile sorting, and cultural consensus analysis are discussed. The paper also highlights how CDA seamlessly combines qualitative and quantitative data to generate culturally meaningful social theories that can inform the development of contextually relevant policies and interventions.
{"title":"Cultural Domain Analysis","authors":"Zelalem T. Haile, Dawit O. Woldu","doi":"10.1177/08903344241279006","DOIUrl":"https://doi.org/10.1177/08903344241279006","url":null,"abstract":"Cultural Domain Analysis (CDA) is a theoretical and methodological approach rooted in cognitive anthropology that investigates how people in a particular culture organize, structure, and perceive ideas. Beginning in the 1960s, CDA developed into a powerful tool for collecting and analyzing data, with applications extending beyond anthropology into other fields, including public health and other social sciences. This paper outlines the procedures and methods used in CDA, its strengths and limitations, and its potential utility in breastfeeding studies. Basic features of key techniques within CDA that include free listing, pile sorting, and cultural consensus analysis are discussed. The paper also highlights how CDA seamlessly combines qualitative and quantitative data to generate culturally meaningful social theories that can inform the development of contextually relevant policies and interventions.","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142255636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-14DOI: 10.1177/08903344241279386
Ellen Chetwynd
{"title":"Specificity in Research on Human Lactation: Opportunities for Growth","authors":"Ellen Chetwynd","doi":"10.1177/08903344241279386","DOIUrl":"https://doi.org/10.1177/08903344241279386","url":null,"abstract":"","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142255642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-14DOI: 10.1177/08903344241277824
{"title":"JHL News","authors":"","doi":"10.1177/08903344241277824","DOIUrl":"https://doi.org/10.1177/08903344241277824","url":null,"abstract":"","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142255640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-14DOI: 10.1177/08903344241272006
María-Teresa Hernández-Aguilar
{"title":"BFHI Network News Brief: Global Meeting in Lille 2024","authors":"María-Teresa Hernández-Aguilar","doi":"10.1177/08903344241272006","DOIUrl":"https://doi.org/10.1177/08903344241272006","url":null,"abstract":"","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142255639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-14DOI: 10.1177/08903344241271388
Maxine Scringer-Wilkes, Zoe Faulkner
{"title":"International Lactation Consultant Association News Brief","authors":"Maxine Scringer-Wilkes, Zoe Faulkner","doi":"10.1177/08903344241271388","DOIUrl":"https://doi.org/10.1177/08903344241271388","url":null,"abstract":"","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142255641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-12DOI: 10.1177/08903344241271911
Michael Abel Alao,Olayinka Rasheed Ibrahim,Jacinta Chinyere Elo-Ilo,Datonye Christopher Briggs,Chisom Adaobi Nri-Ezedi,Udochukwu Michael Diala,Sakiru Abiodun Yekinni,Ayodeji Matthew Borokinni,Sikirat Adetoun Sotimehin,Yetunde Toyin Olasinde,Rasaki Aliu,Joyce Foluke Olaniyi-George,Temilade Oluwatoyosi Adeniyi,Olubunmi Oyeronke Bello,Hadiza Ashiru Usman,Olukemi Oluwatoyin Tongo
BACKGROUNDBreastfeeding is crucial in providing infants with needed nutrition and immunity to foster their healthy growth and development; yet, optimal support from health workers is critical for it to be successful.AIMTo determine factors influencing tangible breastfeeding support among health workers in Nigeria.METHODSThis cross-sectional study was conducted in Nigeria's six geopolitical zones between August 2022 and February 2023 among health workers (N = 2,922). Data were gathered through an interviewer-administered, validated questionnaire. Significant factors of tangible breastfeeding support were identified through multivariable logistic regression, and corresponding odds ratios with 95% confidence intervals were reported.RESULTSThe mean age of the health workers was 28.6 (SD = 9.3) years. Just 45% (1,316) achieved optimal scores for tangible breastfeeding support. Only 31.4% (918) of lactation support providers/specialists practice tangible breastfeeding support and half (50.6%, 1,479) had a favorable attitude towards providing tangible breastfeeding support. About two-fifths (39.3%, 1,148) engaged caregivers in reviewing breast milk storage procedures, whereas, 54.6% (1,595) and 78.0% (2,279) of health workers assisted with breast pumps and breastfeeding attachment respectively. The odds of having optimal tangible breastfeeding support were higher for health workers aged 52 years or older compared to those aged under 20 years (aOR 1.88, 95% CI [1.13, 3.12]), a positive attitude (aOR 1.43, 95% CI [1.22, 1.69]), availability of a breastfeeding champion (aOR 1.47, 95% CI [1.21, 1.79]), 1.69]), provision of breast-pump videos (aOR; 2.33, 95% CI [1.85, 2.95]), and hand-expression videos (aOR; 1.41, 95% CI [1.02, 1.79]). (duplication).CONCLUSIONHealth workers' tangible breastfeeding support in Nigeria is suboptimal and is driven by age, service level, attitude, availability of breastfeeding champions, and appropriate practice aids. Targeted interventions to improve health workers' attitudes, technical skills, provision of aids, and task shifting to non-specialists are needed for optimal tangible breastfeeding support.
背景母乳喂养对于为婴儿提供所需的营养和免疫力以促进其健康成长和发育至关重要；然而，卫生工作者的最佳支持对于母乳喂养的成功至关重要。 目的确定影响尼日利亚卫生工作者切实支持母乳喂养的因素。方法这项横断面研究于 2022 年 8 月至 2023 年 2 月期间在尼日利亚的六个地缘政治区对卫生工作者（N = 2,922 人）进行了调查。数据是通过访谈员发放的有效问卷收集的。结果卫生工作者的平均年龄为 28.6 岁（SD = 9.3）。仅有 45%（1,316 人）在有形母乳喂养支持方面达到了最佳分数。只有 31.4%（918 人）的泌乳支持服务提供者/专科医生实践过有形母乳喂养支持，半数（50.6%，1 479 人）对提供有形母乳喂养支持持积极态度。约五分之二（39.3%，1 148 人）的护理人员参与审查母乳储存程序，而 54.6%（1 595 人）和 78.0%（2 279 人）的卫生工作者分别协助使用吸奶器和哺乳附件。与 20 岁以下的医务工作者相比，52 岁或以上的医务工作者获得最佳有形母乳喂养支持的几率更高（aOR 1.88，95% CI [1.13，3.12]），态度更积极（aOR 1.43，95% CI [1.22，1.69]）。22，1.69]）、是否有母乳喂养倡导者（aOR 1.47，95% CI [1.21，1.79]）、1.69]）、是否提供乳泵视频（aOR；2.33，95% CI [1.85，2.95]）和手部表情视频（aOR；1.41，95% CI [1.02，1.79]）。(结论：在尼日利亚，医务工作者对母乳喂养的实际支持并不理想，这主要受年龄、服务水平、态度、是否有母乳喂养倡导者以及适当的实践辅助工具等因素的影响。要想获得最佳的有形母乳喂养支持，就需要采取有针对性的干预措施，以改善医务工作者的态度、技术技能、提供辅助工具以及将任务转移给非专业人员。
{"title":"Determinants of Tangible Breastfeeding Support Among Health Workers: A Multicenter Cross-Sectional Study.","authors":"Michael Abel Alao,Olayinka Rasheed Ibrahim,Jacinta Chinyere Elo-Ilo,Datonye Christopher Briggs,Chisom Adaobi Nri-Ezedi,Udochukwu Michael Diala,Sakiru Abiodun Yekinni,Ayodeji Matthew Borokinni,Sikirat Adetoun Sotimehin,Yetunde Toyin Olasinde,Rasaki Aliu,Joyce Foluke Olaniyi-George,Temilade Oluwatoyosi Adeniyi,Olubunmi Oyeronke Bello,Hadiza Ashiru Usman,Olukemi Oluwatoyin Tongo","doi":"10.1177/08903344241271911","DOIUrl":"https://doi.org/10.1177/08903344241271911","url":null,"abstract":"BACKGROUNDBreastfeeding is crucial in providing infants with needed nutrition and immunity to foster their healthy growth and development; yet, optimal support from health workers is critical for it to be successful.AIMTo determine factors influencing tangible breastfeeding support among health workers in Nigeria.METHODSThis cross-sectional study was conducted in Nigeria's six geopolitical zones between August 2022 and February 2023 among health workers (N = 2,922). Data were gathered through an interviewer-administered, validated questionnaire. Significant factors of tangible breastfeeding support were identified through multivariable logistic regression, and corresponding odds ratios with 95% confidence intervals were reported.RESULTSThe mean age of the health workers was 28.6 (SD = 9.3) years. Just 45% (1,316) achieved optimal scores for tangible breastfeeding support. Only 31.4% (918) of lactation support providers/specialists practice tangible breastfeeding support and half (50.6%, 1,479) had a favorable attitude towards providing tangible breastfeeding support. About two-fifths (39.3%, 1,148) engaged caregivers in reviewing breast milk storage procedures, whereas, 54.6% (1,595) and 78.0% (2,279) of health workers assisted with breast pumps and breastfeeding attachment respectively. The odds of having optimal tangible breastfeeding support were higher for health workers aged 52 years or older compared to those aged under 20 years (aOR 1.88, 95% CI [1.13, 3.12]), a positive attitude (aOR 1.43, 95% CI [1.22, 1.69]), availability of a breastfeeding champion (aOR 1.47, 95% CI [1.21, 1.79]), 1.69]), provision of breast-pump videos (aOR; 2.33, 95% CI [1.85, 2.95]), and hand-expression videos (aOR; 1.41, 95% CI [1.02, 1.79]). (duplication).CONCLUSIONHealth workers' tangible breastfeeding support in Nigeria is suboptimal and is driven by age, service level, attitude, availability of breastfeeding champions, and appropriate practice aids. Targeted interventions to improve health workers' attitudes, technical skills, provision of aids, and task shifting to non-specialists are needed for optimal tangible breastfeeding support.","PeriodicalId":15948,"journal":{"name":"Journal of Human Lactation","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142187825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：