Breastfeeding Promotion Plan in Madrid, Spain

Flores-Antón, Beatriz; Temboury-Molina, Maria Carmen; Segura, Susana Ares; Arana-Cañedo-Argüelles, Celina; Nicolás-Bueno, Concepción; Navarro-Royo, C.; Pardo-Hernández, Alberto; Pallás‐Alonso, Carmen Rosa

doi:10.1177/0890334412449516

Cited by 7 publications

(5 citation statements)

References 18 publications

(26 reference statements)

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“…Hospital administrators should establish and monitor breastfeeding policies [ 80 , 178 , 179 ]. Updating and strengthening undergraduate, pre-service, and in-service breastfeeding support capacity and BFHI education and training for healthcare practitioners will ensure changes in practices over the long term [ 6 , 65 , 76 , 121 , 150 , 170 , 180 , 181 ] including training of hospital managers [ 149 ]. Targeted educational interventions are needed [ 182 ].…”

Section: Resultsmentioning

confidence: 99%

“…Ducharme-Smith et al [103] highlighted that there is still a need for studies using larger samples to robustly test for differences in practices associated with BFHI and to examine implementation of all steps among different groups of women. The lack of long-term documentation, longitudinal studies or a historical data series of external evaluations was noted in several articles [149][150][151]. Staff surveys carried out over time need to take account of turnover of staff, therefore longitudinal studies are recommended [116].…”

Section: Evidence Gapsmentioning

confidence: 99%

See 1 more Smart Citation

Improving breastfeeding support through the implementation of the Baby-Friendly Hospital and Community Initiatives: a scoping review

Walsh¹,

Pieterse

Mishra

et al. 2023

Int Breastfeed J

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Background Improved breastfeeding practices have the potential to save the lives of over 823,000 children under 5 years old globally every year. The Baby-Friendly Hospital Initiative (BFHI) is a global campaign by the World Health Organization and the United Nations Children’s Fund, which promotes best practice to support breastfeeding in maternity services. The Baby-Friendly Community Initiative (BFCI) grew out of step 10, with a focus on community-based implementation. The aim of this scoping review is to map and examine the evidence relating to the implementation of BFHI and BFCI globally. Methods This scoping review was conducted according to the Joanna Briggs Institute methodology for scoping reviews. Inclusion criteria followed the Population, Concepts, Contexts approach. All articles were screened by two reviewers, using Covidence software. Data were charted according to: country, study design, setting, study population, BFHI steps, study aim and objectives, description of intervention, summary of results, barriers and enablers to implementation, evidence gaps, and recommendations. Qualitative and quantitative descriptive analyses were undertaken. Results A total of 278 articles were included in the review. Patterns identified were: i) national policy and health systems: effective and visible national leadership is needed, demonstrated with legislation, funding and policy; ii) hospital policy is crucial, especially in becoming breastfeeding friendly and neonatal care settings iii) implementation of specific steps; iv) the BFCI is implemented in only a few countries and government resources are needed to scale it; v) health worker breastfeeding knowledge and training needs strengthening to ensure long term changes in practice; vi) educational programmes for pregnant and postpartum women are essential for sustained exclusive breastfeeding. Evidence gaps include study design issues and need to improve the quality of breastfeeding data and to perform prevalence and longitudinal studies. Conclusion At a national level, political support for BFHI implementation supports expansion of Baby-Friendly Hospitals. Ongoing quality assurance is essential, as is systematic (re)assessment of BFHI designated hospitals. Baby Friendly Hospitals should provide breastfeeding support that favours long-term healthcare relationships across the perinatal period. These results can help to support and further enable the effective implementation of BFHI and BFCI globally.

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Section: Resultsmentioning

confidence: 99%

Section: Evidence Gapsmentioning

confidence: 99%

Improving breastfeeding support through the implementation of the Baby-Friendly Hospital and Community Initiatives: a scoping review

Walsh¹,

Pieterse

Mishra

et al. 2023

Int Breastfeed J

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“…Collectively, these findings demonstrate the challenges of implementation science in maternity care within nations that are less than affluent. To manage sociocultural barriers, it can be helpful to adapt an intervention to a given context [113,140,159,161]-this might Mixed-methods 27 Case study 12 [139][140][141][142][143][144][145][146][147][148][149][150] Pre-post study 8 [151][152][153][154][155][156][157][158] Ethnography 6 [159][160][161][162][163][164] Cohort study 4 [165][166][167][168] Pilot-test 8 [169][170][171][172][173][174][175][176] Longitudinal survey 2 [177,178] Quasi-experimental 1 [179] Randomised controlled trial 2 [180,…”

Section: Theories Models and Framework: Absentmentioning

confidence: 99%

Implementation science in maternity care: a scoping review

Piper

Coates

2021

Implementation Sci

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Background Despite wide recognition that clinical care should be informed by the best available evidence, this does not always occur. Despite a myriad of theories, models and frameworks to promote evidence-based population health, there is still a long way to go, particularly in maternity care. The aim of this study is to appraise the scientific study of methods to promote the systematic uptake of evidence-based interventions in maternity care. This is achieved by clarifying if and how implementation science theories, models, and frameworks are used. Methods To map relevant literature, a scoping review was conducted of articles published between January 2005 and December 2019, guided by Peters and colleagues’ (2015) approach. Specifically, the following academic databases were systematically searched to identify publications that presented findings on implementation science or the implementation process (rather than just the intervention effect): Business Source Complete; CINAHL Plus with Full Text; Health Business Elite; Health Source: Nursing/Academic Edition; Medline; PsycARTICLES; PsycINFO; and PubMed. Information about each study was extracted using a purposely designed data extraction form. Results Of the 1181 publications identified, 158 were included in this review. Most of these reported on factors that enabled implementation, including knowledge, training, service provider motivation, effective multilevel coordination, leadership and effective communication—yet there was limited expressed use of a theory, model or framework to guide implementation. Of the 158 publications, 144 solely reported on factors that helped and/or hindered implementation, while only 14 reported the use of a theory, model and/or framework. When a theory, model or framework was used, it typically guided data analysis or, to a lesser extent, the development of data collection tools—rather than for instance, the design of the study. Conclusion Given that models and frameworks can help to describe phenomenon, and theories can help to both describe and explain it, evidence-based maternity care might be promoted via the greater expressed use of these to ultimately inform implementation science. Specifically, advancing evidence-based maternity care, worldwide, will require the academic community to make greater explicit and judicious use of theories, models, and frameworks. Registration Registered with the Joanna Briggs Institute (registration number not provided).

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“…The changes have been faster in some communities of Spain, such as Madrid, thanks to the support of local authorities. 17…”

Section: Resultsmentioning

confidence: 99%

The Baby-Friendly Initiative in Spain

Hernández-Aguilar¹,

Lasarte-Velillas²,

et al. 2014

J Hum Lact

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The Baby-Friendly Initiative (BFI-Spain) was founded in 1995 by members of key professional associations (pediatricians, midwives, obstetricians, and nurses) and some mother-to-mother support groups. The United Nations International Children's Fund was instrumental in supporting the establishment of BFI-Spain as a not-for-profit organization. In 2007, the need for change was identified. A detailed analysis of BFI-Spain identified its main strengths, weaknesses, opportunities, and threats. A new strategic plan was devised that included the adoption of a staged accreditation system, a new website, expanding the initiative into the community, consolidating working teams to distribute tasks and responsibilities, and trying to involve the national health authorities. This article describes the analysis that was undertaken, the strategies implemented, and some of the outcomes observed 4 years later. The aim of the article is to support BFI teams in other countries who might be facing similar challenges.

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Breastfeeding Promotion Plan in Madrid, Spain

Abstract: An intervention to improve the quality of breastfeeding care based on an organized regional approach to the BFHI was useful for BFHI implementation.

Cited by 7 publications

References 18 publications

Improving breastfeeding support through the implementation of the Baby-Friendly Hospital and Community Initiatives: a scoping review

Improving breastfeeding support through the implementation of the Baby-Friendly Hospital and Community Initiatives: a scoping review

Implementation science in maternity care: a scoping review

The Baby-Friendly Initiative in Spain

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