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Health Facility Staff Training for Improving Breastfeeding Outcome: A Systematic Review for Step 2 of the Baby-Friendly Hospital Initiative
- Source :
- Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine. 12(9)
- Publication Year :
- 2017
-
Abstract
- The Baby-Friendly Hospital Initiative (BFHI) implemented through the "Ten Steps to Successful Breastfeeding" has been widely promoted as an intervention that improves breastfeeding rates. Step 2 requires the training of all healthcare staff in skills that are necessary to implement the policy. This systematic review provides evidence about the effect of training healthcare staff in hospitals and birth centers on breastfeeding outcomes. Randomized controlled trials (RCT), quasi-RCT, and controlled before and after (CBA) studies comparing training of healthcare staff on breastfeeding and supportive feeding practices with no training were included in this review. We searched CENTRAL PubMed, EMBASE, CINAHL, Web of Science, and the British Nursing Index for studies. Studies were screened against predetermined criteria, and risk of bias of included studies was assessed using the Risk of Bias Assessment tool for Non-Randomized Studies for non-RCT studies and the Cochrane Handbook for Systematic Reviews of Interventions for RCT studies. Of the six studies included in this review, three were RCT whereas three were CBA studies. The studies were conducted in 5 countries and involved 390 healthcare staff. Provision of educational interventions aimed at increasing knowledge and practice of BFHI and support was found to improve health worker's knowledge, attitude, and compliance with the BFHI practices. In one study, the rate of exclusive breastfeeding increased at the intervention site but no differences were found for breastfeeding initiation rates. All included studies had methodological limitations, and study designs and methodologies lacked comparability.
- Subjects :
- Postnatal Care
medicine.medical_specialty
Health Personnel
education
Breastfeeding
Mothers
CINAHL
Health Promotion
Pediatrics
law.invention
03 medical and health sciences
0302 clinical medicine
Nursing
Health facility
Randomized controlled trial
law
Intervention (counseling)
Maternity and Midwifery
Health care
Medicine
Humans
030212 general & internal medicine
030219 obstetrics & reproductive medicine
business.industry
Health Policy
Obstetrics and Gynecology
Infant
Hospitals, Pediatric
Systematic review
Breast Feeding
Family medicine
Female
Guideline Adherence
Health Facilities
business
Staff training
Program Evaluation
Subjects
Details
- ISSN :
- 15568342
- Volume :
- 12
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine
- Accession number :
- edsair.doi.dedup.....1afb7a6427e4870260c4b5b6dbf13939