Southern Derbyshire health authority and Derbyshire FHSA have set local targets for increasing breastfeeding rates and reducing tooth decay in children. Sue Evans describes an initiative to improve local breastfeeding rates by helping all health professionals working within the district to give the same clear and correct advice to parents.
Studies have shown that many ethnic minority women coming to live in the UK adopt artificial feeding, contrary to custom in their country of origin. However a study of women of Pakistani origin living in Cardiff showed that most of the mothers favoured and initiated breastfeeding, but more than half stopped before the baby was three months old. Claudine Burton-Jeangros suggests this represents a missed opportunity for health visitors to advise and support ethnic minority mothers on the advantages of breastfeeding.
The involvement of school nurses in the planning, presentation and delivery of both general health education and sex education in schools in Wirral has been strengthened by the development since 1990 of the school nurses' HIV/Aids resource group. Ann Taylor and Joan Stott describe how they have worked closely with Wirral education authority personal and social education co-ordinators to devise a health promotion programme for school pupils and college students, and cascade training for school nurse colleagues, teachers and governers.
Nurses and health visitors are professionally accountable for their standards of practice, but they can also be called to account for their actions or omissions before a civil or criminal court. Andrew Andrews explains how the legal process operates when nurses and health visitors are accused of professional malpractice.
The NHS changes are highlighting the need for the collection of meaningful data in the community health services, writes Wendy King. She describes how health visitors can help supercede the simplifications of Korner statistics by helping the NHSE's information management group to devise systems which count what really counts.
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