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2024年1月25日 · Determinants of health care worker breastfeeding experience and practices and their association with provision of care for breastfeeding mothers: a mixed-methods study from Northern Thailand | International Breastfeeding Journal | Full Text. Research. Open access. Published: 25 January 2024.
Moreover, it should offer fresh air and adequate climate control facilities, while not posing specific risks (e.g., the presence of hazardous materials and contaminants) [8]. However, the guidelines only stipulate minimum stan-dards, and the quality of lactation pects.
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is enhanced by, for instance, indoor air quality, thermal comfort, lighting, acoustics, and natural, aesthetic and recreational aspects [11], the quality of lactation rooms is also dependent on more than the bare essentials required by legislation. A theory thatin how ...
- Project Design
- Consent
- Theoretical Framework
- Definitions
- Data Collection Instruments
- Data Collection
- Analytic Approach
The Carolina Global Breastfeeding Institute (CGBI) Breastfeeding-Friendly Healthcare (BFHC) project identified low wealth hospitals, defined as with >60% clients’ income levels eligible for Medicaid. Efforts were made to include hospitals reflecting urban/rural, large/small hospitals, teaching/non-teaching hospitals, and those that were and were no...
All participants in key informant interviews and/or surveys were administered approved informed consent, and results maintained in secure files during the project. The project and approach were approved by the UNC IRB. Initial data collection, or ‘Observations’, O1, include the results of administering three quantitative instruments, 1) the Carolin...
The theory of reasoned action or planned behavior was the primary theory used to plan this study. A high correlation of attitudes and subjective norms to behavioral intention, and subsequently to behavior, has been confirmed in many studies. We posit that the interventions selected (e.g., addressing obstacles with ways to facilitate progress, infor...
Definitions of breastfeeding vary in the literature . For simplicity in this paper, the term breastfeeding (BF) is used to describe both breastfeeding and human milk feeding as defined in documents of the Academy of Breastfeeding Medicine . Exclusive breastfeeding (EBF) stipulates that no supplementation of any type (including infant formula, cow's...
Breastfeeding rates
As none of the hospitals in this study were found to have a searchable system of recording feeding patterns, chart reviews were completed by the site coordinator, under the direction of the project director at each facility. The sample included 300 consecutive births, or three months of records. This provides a reasonable sampling frame for comparison over time of approximately 1 out of 4 births, in the smaller hospitals, and 300 births in the larger hospitals. These were collected during abo...
Carolina B-KAP
The CGBI breastfeeding eSurvey (Carolina B-KAP) includes knowledge, attitude and practice (KAP) questions selected/developed to reflect each of the Ten Steps ‘global criteria’, i.e., the expanded definition of each of the steps as found in the BFHI materials . Most questions were derived from standardized instruments for assessing clinicians’ attitudes about breastfeeding, assessing knowledge on providing breastfeeding support, and measuring the provision of breastfeeding support [30, 44,...
Key informant interviews
A semi-structured key informant interview guide was developed with primary questions, follow-up questions, and probes . The guide included questions about barriers and facilitators and was designed to capture the staff perception and other aspects of the hospital’s readiness to pursue BFHI designation. The guide also explored readiness to implement each Step by including questions about specific practices that are the components of each of the Ten Steps. CGBI/BFHC staff reviewed the guide...
The hospital’s site coordinator invited and encouraged all maternity staff to complete the Carolina B-KAP using both on-line and hardcopy paper versions as necessary. Pizza lunch parties were offered to the two facilities collecting the greatest percentage of completed surveys as an incentive. Key informant interviews were conducted with thirty-fou...
Hospitals were systematically assigned and we used standard analysis approaches for quasi-experimental designs. Multiple-case study methods are used where cases (i.e., hospitals) are studied in-depth, longitudinally, using multiple data sources and types to explore the support approaches required for Step implementation . Initial analyses explored ...
An intervention package was then implemented with postpartum support for first hour breastfeeding initiation, correction of position and attachment and face-to-face counseling in hospital followed by mobile phone support by two trained Research Assistants once every 15days after discharge up to six months of
In a pastoralist area such as Afar, one in five children suffers from acute malnutrition. The high rate of malnu-trition contributes to the country’s elevated under-five mortality rate of 88 deaths per 1000 live births, with malnourishment accounting for over half of all under
2014年8月28日 · Background Infant feeding is governed by environmental as well as cultural factors. Breastfeeding knowledge and attitudes are known to be associated with breastfeeding duration. This study investigated breastfeeding information, attitudes and supplementary feeding in the central hills district of Nepal. Methods A community-based prospective cohort study of 701 pregnant women was conducted ...
