Improving the rates of breastfeeding in Western Australian Aboriginal babies ‘The Bibi Study’: an interrupted time series protocol [version 1; peer review: awaiting peer review]

Background In Australia, we are not meeting our goals in relation to breastfeeding overall, and in particular, promoting and supporting breastfeeding rates for Aboriginal and Torres Strait Islander babies especially breastfeeding to at least six months. The WHO has recognised the importance of exclusively breastfeeding a baby for a minimum of six months to ensure a healthy start to life. Breastfeeding has been shown to be a protective factor against asthma and allergy development, ear disease, infections, respiratory illness and gastrointestinal issues. This study aims to improve predominant breastfeeding rates of Aboriginal and Torres Strait Islander babies in the Perth Metropolitan area (Western Australia, Australia). Methods and analysis We will use an interrupted time series design to determine the effectiveness of a continuous quality improvement (CQI) program delivered over 6 months by selected community health staff. The intervention will be delivered at two community health regions and the remaining 17 community health regions will be the control group. The primary outcomes will be predominant breastfeeding rates at two and four months, and secondary outcomes will include any breastfeeding at two and four months, and hospital admissions, emergency department presentations and immunisation data at 6 months. Discussion The study will allow us to determine the breastfeeding rates of Aboriginal babies, identify the barriers and enablers to initiating and maintaining breastfeeding and determine whether a CQI program can achieve improvements in breastfeeding rates.