‘Why do we need a policy?’ Administrators’ perceptions on breast<b>-</b>feeding-friendly childcare

Marhefka, Stephanie L.; Sharma, Vinita; Schafer, Ellen J.; Turner, DeAnne; Falope, Oluyemisi; Louis‐Jacques, Adetola; Wachira, Mary M; Livingston, Taylor A.; Roig-Romero, Regina Maria

doi:10.1017/s1368980018002914

Cited by 5 publications

(6 citation statements)

References 29 publications

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“…This study suggests that in facilities that are reluctant to accept breastfeeding, equipment issues, time and effort, and inadequate manuals are barriers to accepting breastfeeding and have been pointed out in previous Japanese studies 5–8 . This is reinforced by the fact that previous studies overseas have also reported that the lack of literacy regarding breastfeeding and the perceived risk of handling breast milk among childcare facility administrators were barriers 11–14 . The results of this study also pointed out difficulties in managing frozen expressed breast milk in childcare facilities.…”

Section: Discussionsupporting

confidence: 51%

Perception and handling of breastmilk by childcare staff: A qualitative study of childcare facilities in Japan

Yabe

Yasugi²,

Musha³

et al. 2021

J of Gen and Family Med

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Background Breastfeeding in infancy has immunological and nutritional benefits. The actual status of breastfeeding in childcare facilities is unclear. However, it is expected to vary in every facility and region. This study aimed to explore what the staff of childcare facilities perceive of breastfeeding and how they feel about handling breast milk. Methods The study was conducted from May 2012 to September 2015. A list of childcare facilities in three cities in Japan was compiled. A questionnaire was sent to the facilities by mail asking whether or not they provided breastfeeding care and whether or not they would participate in the study. Semi‐structured interviews were conducted with the staff members of childcare facilities that consented to the study. The transcribed text was analyzed by thematic analysis. Results Of the 211 facilities sent, 55 responded, and 21 of these facilities were implementing breastfeeding. Interviews were conducted at four facilities for those who agreed to be interviewed. The researchers extracted three categories of breastfeeding factors at childcare facilities: the value that caregivers see in breastfeeding, difficulties associated with breastfeeding in childcare facilities, and devices and elements for breastfeeding by childcare facilities. Although facility staff acknowledged the nutritional and psychosocial benefits of breast milk, they also felt the administrative difficulties and mental burden of handling expressed breast milk. Conclusion This study revealed that for the childcare facility staff, breastfeeding was positioned as a means of communication and reassurance to the mother, and the immunological and nutritional benefits of breast milk.

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Section: Discussionsupporting

confidence: 51%

Perception and handling of breastmilk by childcare staff: A qualitative study of childcare facilities in Japan

Yabe

Yasugi²,

Musha³

et al. 2021

J of Gen and Family Med

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“…The education institutions were universities that listed out how they made their institution breastfeeding friendly. Examples of public spaces were a football stadium and a library (Duncanson, 2017 Boyd & McIntyre, 2004) including one for a childcare centre (Marhefka et al, 2019).…”

Section: Community Entities Criteria-sets (N = 24)mentioning

confidence: 99%

What makes a city ‘breastfeeding‐friendly’? A scoping review of indicators of a breastfeeding‐friendly city

Tan,

Mohd Shukri,

et al. 2023

Maternal & Child Nutrition

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A breastfeeding‐friendly city is one where there is an enabling environment to support breastfeeding throughout the first 2 years or more of a child's life. Indicators of a breastfeeding‐friendly city have yet to be identified. What are the indicators or criteria used to define breastfeeding friendliness in a geographic area such as a city and the settings within, which we have classified as community, healthcare and workplace? Three major databases and grey literature were searched. Records were screened to identify publications describing criteria such as indicators or descriptions of a breastfeeding‐friendly setting, defined as ‘criteria‐sets’. These criteria‐sets were then categorized and summarized by settings. The search up to 2 September 2021 found 119 criteria‐sets from a range of settings: geographic locations (n = 33), community entities (n = 24), healthcare facilities (n = 28), workplaces (n = 28) and others (n = 6). Overall, 15 community, 22 healthcare and 9 workplace related criteria were extracted from the criteria‐sets. Criteria that were consistently present in all settings were policy, training & education, skilled breastfeeding support and physical infrastructure. Some criteria‐sets of geographic locations contained criteria only from a single setting (e.g., the presence of breastfeeding‐friendly cafes). Criteria‐sets were present for all settings as defined in this review, but few were actual indicators. Specifically, there were no existing indicators of a breastfeeding‐friendly city. Several common components of the criteria‐sets were identified, and these could be used in developing indicators of a breastfeeding‐friendly city. Future studies should determine which of these are important and how each can be measured.

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“…The interview guide was not validated. The selected interview questions were based on the different methods used and findings from previous research concerning barriers and supports regarding breastfeeding in daycare centers [27,28,[34][35][36][37]. The questions explored potential individual-, group-, or society-level factors as well as policies and environmental determinants of the daycare center's director and employee support of breastfeeding found in the designed conceptual framework (Figure S1), which was based on the EnRG framework [38], as well as on the conceptual framework of factors affecting breastfeeding based on a socioecological model [39].…”

Section: Data Collectionmentioning

confidence: 99%

“…Daycare centers (DCCs) play a crucial role in the social environment of breastfeeding mothers, contributing to the lengthening and continued support of breastfeeding [26][27][28]. Indeed, it is the setting where children of working mothers spend most of their early years after maternity leave ends.…”

Section: Introductionmentioning

confidence: 99%

“…Lundquist et al (2019) highlighted educating DCCs providers about breastfeeding as well as creating supportive policies in DCCs as promising breastfeeding promotion strategies [27]. Furthermore, Marhefka et al (2019) concluded that breastfeedingfriendly childcare centers could contribute to creating a cultural shift towards breastfeeding continuation [28]. However, Mattar et al (2019) showed very low rates of breastfeeding among children in Lebanese daycare centers.…”

Section: Introductionmentioning

confidence: 99%

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Factors Related to Breastfeeding Support in Lebanese Daycare Centers: A Qualitative Study among Daycare Directors and Employees

Jaoude

Moukarzel

Kremers

et al. 2021

IJERPH

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Breastfeeding has an important impact on maternal and child health, and is affected by several factors influencing its initiation and continuation. This qualitative study aimed to assess the main promoting and hindering factors for breastfeeding support in Lebanese daycare centers (DCCs), through the perspective of their directors and employees. The study was based on semi-structured interviews with 13 directors and 9 employees. It explored the influence of various cognitive factors as well as different environment types (physical, economic, political, and sociocultural) on their breastfeeding support. Findings suggested the directors and employees valued improving breastfeeding support in DCCs and the physical set-up of the DCCs allowed for this. However, various other factors restricted their abilities to support breastfeeding in the DCC, including limited knowledge and training on the topic, absence of written internal policies on breastfeeding, lack of enforcement in the application of national policies, and the current mothers’ work policies that negatively influenced the decision to breastfeed. Improvements could be achieved through integrated interventions, targeting the interaction of internal DCCs factors and national and DCCs breastfeeding policies, as well as several social factors, to create a multilevel approach targeting breastfeeding continuation support in breastfeeding-friendly DCCs in Lebanon and the region.

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‘Why do we need a policy?’ Administrators’ perceptions on breast-feeding-friendly childcare

Cited by 5 publications

References 29 publications

Perception and handling of breastmilk by childcare staff: A qualitative study of childcare facilities in Japan

Perception and handling of breastmilk by childcare staff: A qualitative study of childcare facilities in Japan

What makes a city ‘breastfeeding‐friendly’? A scoping review of indicators of a breastfeeding‐friendly city

Factors Related to Breastfeeding Support in Lebanese Daycare Centers: A Qualitative Study among Daycare Directors and Employees

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