Impact of health professional training in breastfeeding on their knowledge, skills, and hospital practices: a systematic review

Jesus, Patrí­cia Britto Ribeiro de; Oliveira, Maria Inês Couto de; Fonseca, Sandra Costa

doi:10.1016/j.jped.2015.09.008

Cited by 32 publications

(20 citation statements)

References 28 publications

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“…Further, this result showed that BFHI is still, even if it has been 25 years since its launch, an important programme to be implemented in places where it has not yet been implemented. Our findings are in accord with findings from a systematic review that revealed that health worker training programmes positively influence early initiation of breastfeeding [17]. Another study showed that training hospital nursery staff resulted in increased rates of early initiation of breast breastfeeding [18].…”

Section: Discussionsupporting

confidence: 90%

The Effect of Health Worker Training on Early Initiation of Breastfeeding in South Sudan: A Hospital-based before and after Study

Tongun

Tumwine

Ndeezi

et al. 2019

IJERPH

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Globally, suboptimal breastfeeding contributes to more than 800,000 child deaths annually. In South Sudan, few women breastfeed early. We assessed the effect of a Baby-Friendly Hospital Initiative training on early initiation of breastfeeding at Juba Teaching Hospital in South Sudan. We carried out the training for health workers after a baseline survey. We recruited 806 mothers both before and four to six months after training. We used a modified Poisson model to assess the effect of training. The prevalence of early initiation of breastfeeding increased from 48% (388/806) before to 91% (732/806) after training. Similarly, early initiation of breastfeeding increased from 3% (3/97) before to 60% (12/20) after training among women who delivered by caesarean section. About 8% (67/806) of mothers discarded colostrum before compared to 3% (24/806) after training. Further, 17% (134/806) of mothers used pre-lacteal feeds before compared to only 2% (15/806) after training. Regardless of the mode of birth, the intervention was effective in increasing early initiation of breastfeeding [adjusted prevalence ratio (APR) 1.69, 95% confidence interval CI (1.57-1.82)]. These findings suggest an urgent need to roll out the training to other hospitals in South Sudan. This will result in improved breastfeeding practices, maternal, and infant health.

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Section: Discussionsupporting

confidence: 90%

The Effect of Health Worker Training on Early Initiation of Breastfeeding in South Sudan: A Hospital-based before and after Study

Tongun

Tumwine

Ndeezi

et al. 2019

IJERPH

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“…The focus should also be on "how to breastfeed", rather than telling mothers "what to do". 16 Babies thrive on mothers' milk.The mean duration of exclusive breastfeeding was 4.5 months. Majority of mothers had favourable attitude towards breastfeeding.…”

mentioning

confidence: 99%

A study to evaluate the knowledge, attitude and practices of exclusive breast feeding among primi mothers of healthy term neonates in a tertiary care hospital and predictors of failure of establishment of exclusive breast feeding in first six months

Naseem

Mazher

2016

Int J Contemp Pediatr

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“…In a review study, the impact of breastfeeding training on the knowledge and practical skills of the professionals was identified. Among the 17 articles that matched the methodology in the systematic review, all forms of training had a positive impact on knowledge, skills and/or professional and hospital practices 24 …”

Section: Difficulties For the Implementation Of The Baby Friendly Hosmentioning

confidence: 99%

Baby Friendly Hospital Initiative: 25 Years of Experience in Brazil

Lamounier

Chaves

Rego

et al. 2019

Rev. paul. pediatr.

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Objective: To describe the experience of the 25-year-old trajectory of the Baby Friendly Hospital Initiative (BFHI) in Brazil. The first unit was implemented in 1992.Methods: Information and data were collected from publications on the World Health Organization (WHO), the United Nations International Children’s Emergency Fund (UNICEF) and the Ministry of Health websites and in national and international journals, about the period 1990-2017. The descriptors used were: “iniciativa hospital amigo da criança”, “hospital amigo da criança”, “baby friendly initiative hospital”, “aleitamento materno” and “breastfeeding”. The number of hospitals in the 25 years, the course of the BFHI and its repercussions on breastfeeding in Brazil were evaluated.Results: The BFHI is an intervention strategy in hospital care at birth focused on the implementation of practices that promote exclusive breastfeeding from the first hours of life and with the support, among other measures of positive impact on breastfeeding, of the International Code of Marketing of Breastmilk Substitutes. Currently, the initiative has been revised, updated and expanded to integrate care for newborns in neonatal units and care for women since prenatal care. It can be concluded that, during these 25 years, the quantity of hospitals varied greatly, with numbers still below the capacity of hospital beds. BFHI shows higher rates of breastfeeding than non-accredited hospitals. However, the number of hospitals are still few when compared to other countries.Conclusions: The BFHI has contributed to breastfeeding in Brazil in recent decades. Greater support for public policies is needed to expand the number of accredited institutions in the country.

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Impact of health professional training in breastfeeding on their knowledge, skills, and hospital practices: a systematic review

Abstract: Training of hospital health professionals has been effective in improving knowledge, skills, and practices.

Cited by 32 publications

References 28 publications

The Effect of Health Worker Training on Early Initiation of Breastfeeding in South Sudan: A Hospital-based before and after Study

The Effect of Health Worker Training on Early Initiation of Breastfeeding in South Sudan: A Hospital-based before and after Study

A study to evaluate the knowledge, attitude and practices of exclusive breast feeding among primi mothers of healthy term neonates in a tertiary care hospital and predictors of failure of establishment of exclusive breast feeding in first six months

Baby Friendly Hospital Initiative: 25 Years of Experience in Brazil

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