Non‐profit breastfeeding organisations' peer support provision in areas of socio‐economic deprivation in the UK: A meta‐ethnography

Maternal and Child Nutrition - Tập 18 Số 1 - 2022
Louise Hunt1, Gill Thomson2, Karen Whittaker3, Fiona Dykes2
1Maternal and Infant Nutrition and Nurture Unit (MAINN). School of Community Health and Midwifery, University of Central Lancashire (UCLan), Preston, UK
2MAINN, School of Community Health and Midwifery, University of Central Lancashire (UCLan), Preston, UK
3School of Nursing, University of Central Lancashire (UCLan), Preston, UK

Tóm tắt

AbstractIn many high‐income countries such as the United Kingdom, inequalities in breastfeeding initiation and continuation rates exist, whereby socio‐economically advantaged mothers are most likely to breastfeed. Breastfeeding peer support interventions are recommended to address this inequality, with non‐profit breastfeeding organisations providing such support in areas of deprivation. As these organisations' roots and membership are often formed of relatively highly resourced women who have different backgrounds and experiences to those living in areas of deprivation, it is important to understand their practices in this context. In order to explore how UK non‐profit organisations practice breastfeeding peer support in areas of socio‐economic deprivation, a systematic review and meta‐ethnography of published and grey literature was undertaken. Sixteen texts were included, and three core themes constructed: (1) ‘changing communities’ reveals practices designed to generate community level change, and (2) ‘enabling one to one support’, explains how proactive working practices enabled individual mothers' access to supportive environments. (3) ‘forging partnerships with health professionals’, describes how embedding peer support within local health services facilitated peer supporters' access to mothers. While few breastfeeding peer support practices were directly linked to the context of socio‐economic deprivation, those described sought to influence community and individual level change. They illuminate the importance of interprofessional working. Further work to consolidate the peer‐professional interface to ensure needs‐led care is required.

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Tài liệu tham khảo

10.1016/j.midw.2012.12.014

Battersby S., 2001, The Worldly Wise Project. A different approach to breastfeeding support, The Practicing Midwife, 4, 30

10.1111/j.1467-9566.2011.01362.x

Cambridge dictionary. (2020).[online page] Non‐profit organisation. Retrieved fromhttps://dictionary.cambridge.org/dictionary/english/non-profit

Charmaz K., 2006, Constructing grounded theory: A practical guide through qualitative analysis

10.3310/phr08070

Crossland N., 2013, Maternal and Infant Nutrition and Nurture: Controversies and challenges, 181

10.1016/j.midw.2006.04.003

10.1016/s0020-7489(02)00092-5

DH & DCSF. (2009).Commissioning local breastfeeding support services. Department of Health and Department for Children Schools and Families.http://webarchive.nationalarchives.gov.uk/20130123200620/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_106501

Downe S. Walsh D. Simpson L. &Steen M.(2009).Template for meta‐synthesis Available [email protected]

10.1111/j.1740-8709.2004.00006.x

10.1016/j.eclinm.2019.02.003

10.1186/s12884-015-0581-5

10.1111/jan.13809

10.1093/bmb/ldm001

10.1186/s13643-015-0125-0

10.1111/j.0730-7659.2005.00367.x

10.1111/mcn.12476

10.1111/apa.13136

10.1186/s12939-021-01393-7

10.1186/1471-2393-13-192

10.1111/j.1740-8709.2005.00005.x

10.1136/bmj.d8287

Kirkham M., 2006, Maternal and Infant Nutrition and Nurture Controversies and Challenges, 250

La Leche League. (2020).A brief history of La Leche League International [online article]. Retrieved fromhttps://www.llli.org/about/history/

McAndrew F., 2012, Infant feeding survey 2010

10.1016/j.midw.2019.08.001

10.1002/14651858.CD001141

10.1136/bmjopen-2020-040412

NICE. (2008).Maternal and child nutrition. National Institute for Health and Care Excellence.https://www.nice.org.uk/guidance/ph11/resources/maternal-and-child-nutrition-pdf-1996171502533

10.4135/9781412985000

Pawson R., 1997, Realistic evaluation

PHE & UNICEF. (2016).Commissioning local infant feeding services: A summary. Accessed from:https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/535160/Commissioning_infant_feeding_services_a_summary.pdf

Public Health England. (2020).Child and maternal health profiles. Accessed from:https://fingertips.phe.org.uk/profile/child-health-profiles/data#page/1/gid/1938133222/pat/6/ati/302/are/E06000001/iid/92973/age/1/sex/2/cid/4/tbm/1

10.1046/j.1365-2524.2003.00449.x

Raine P., 2003, Promoting breastfeeding: A peer support initiative, Community Practitioner, 76, 211

10.1177/0952076713510345

Rees J., 2017, The third sector delivering public services developments, innovations and challenges

10.1016/S0140-6736(15)01044-2

10.1093/her/cys006

10.1080/25741292.2018.1473100

10.1186/s13006-015-0039-4

10.1111/j.1740-8709.2011.00358.x

10.1186/1471-2393-12-22

10.1186/1471-2288-14-80

10.1111/mcn.12559

UNICEF, 2018, Breastfeeding: A mother's gift, for every child

VCSE Review. (2018).Sustainable and effective voluntary community and social enterprise organisations in health and care: an action plan. National Council for Voluntary Organisations.https://voluntarycommunitysocialenterprisereview.files.wordpress.com/2018/05/vcse-review-action-plan-may-2018.pdf

WHO, 2003, Global strategy for infant and young child feeding

WHO. (2019).Global Breastfeeding Score Card [online page]Retrieved fromhttps://apps.who.int/iris/bitstream/handle/10665/326049/WHO-NMH-NHD-19.22-eng.pdf?ua=1

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Maternal and Child Nutrition

Tập 18 Số 1

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