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
Rattachement africain : th, us, gb. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Improving breastfeeding rates is one of the most cost-effective ways to prevent infant deaths, but most of the world falls far below WHO recommended breastfeeding practices. Confident, informed healthcare workers are an important resource to promote breastfeeding, but healthcare workers are at risk of early breastfeeding cessation themselves. Culture, ethnicity and socio-economic status impact breastfeeding rates with some of the highest and lowest rates in Southeast Asia reported from Thailand. This study explores the relationship between workplace determinants of breastfeeding, personal breastfeeding outcomes for healthcare workers, and the breastfeeding care healthcare workers provide their patients. METHODS: This study used a sequential exploratory design guided by a conceptual framework based on social ecological/ecological psychology models. Participants came from four clinical sites in Northern Thailand, from ethnically Burman or Karen communities with high breastfeeding rates, and Thai communities with low breastfeeding rates. In-depth interviews (July 2020-November 2020) were followed by a quantitative survey (November 2020-July 2021) derived from validated questionnaires (Australian Breastfeeding Knowledge and Attitudes Questionnaire and the Workplace Breastfeeding Support Scale) with minor local adaptations. RESULTS: Interviews highlighted the beneficial effects of supportive workplace policies, the importance of physical spaces to facilitate proximity between mothers and infants, and the problem of low milk production. Meeting the WHO recommended practices of exclusive breastfeeding to 6 months or total breastfeeding to 2 years or more was more common in sites with higher levels of breastfeeding support (aOR 7.3, 95%CI 1.8, 29.1 for exclusive breastfeeding). Exclusive breastfeeding was also higher when staff set breastfeeding goals (aOR 4.4, 95%CI 1.7, 11.5). Staff who were able to see their infants during the work day were less likely to terminate breastfeeding because of work (aOR 0.3, 95%CI 0.1, 0.8). Staff who met both WHO recommendations themselves were more likely to report high levels of confidence caring for breastfeeding patients (aOR 2.6, 95%CI 1.1, 6.4). CONCLUSIONS: Workplace protections including supportive maternity leave policies and child-friendly spaces can improve breastfeeding outcomes for healthcare workers. These improved outcomes are then passed on to patients who benefit from healthcare workers who are more confident and attentive to breastfeeding problems.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- 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
- Date Crossref
- 25/01/2024
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
Chiang Mai University Global Health and Chronic Conditions Research Group pays non établi dans la noticeUniversité ou école supérieure
-
Mahidol University pays non établi dans la noticeUniversité ou école supérieure
-
Shoklo Malaria Research Unit pays non établi dans la noticeStructure de recherche
-
Mahidol Oxford Tropical Medicine Research Unit pays non établi dans la noticeStructure de recherche
-
Maesot General Hospital pays non établi dans la noticeÉtablissement de santé
-
Mae Tao Clinic pays non établi dans la noticeÉtablissement de santé
-
The University of Texas Health Science Center pays non établi dans la noticeUniversité ou école supérieure
-
The University of Texas Health Science Center at Houston pays non établi dans la noticeUniversité ou école supérieure
-
University of Oxford Nuffield Department of Medicine pays non établi dans la noticeUniversité ou école supérieure
-
Faculty of Tropical Medicine Shoklo Malaria Research Unit pays non établi dans la noticeUniversité ou école supérieure
-
Mae Ramat Hospital pays non établi dans la noticeÉtablissement de santé
-
Saraphi Hospital pays non établi dans la noticeÉtablissement de santé
Global Health and Chronic Conditions Research Group — Chiang Mai University, Mahidol University et Shoklo Malaria Research Unit, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.