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Becoming breastfeeding friendly in Wales: Recommendations for scaling up breastfeeding support

Amy Brown Orcid Logo, Shameela Chucha, Heather Trickey Orcid Logo

Maternal and Child Nutrition, Volume: 19, Issue: S1

Swansea University Author: Amy Brown Orcid Logo

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DOI (Published version): 10.1111/mcn.13355

Abstract

Breastfeeding and the provision of human milk is established as protecting infant and maternal health. However, breastfeeding rates in many countries, including Wales, are low. Given the significant health, economic and environmental impacts of this, the need to strengthen breastfeeding promotion, p...

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Published in: Maternal and Child Nutrition
ISSN: 1740-8695 1740-8709
Published: Wiley 2023
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URI: https://cronfa.swan.ac.uk/Record/cronfa60495
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spelling v2 60495 2022-07-14 Becoming breastfeeding friendly in Wales: Recommendations for scaling up breastfeeding support 37aea6965461cb0510473d109411a0c3 0000-0002-0438-0157 Amy Brown Amy Brown true false 2022-07-14 PHAC Breastfeeding and the provision of human milk is established as protecting infant and maternal health. However, breastfeeding rates in many countries, including Wales, are low. Given the significant health, economic and environmental impacts of this, the need to strengthen breastfeeding promotion, protection and support is paramount. As part of this, the becoming breastfeeding friendly: a guide to global scale-up (BBF) initiative sets out a methodology to enable countries to assess their readiness to scale up breastfeeding protection, promotion and support by gathering data and scoring progress under eight areas, termed ‘gears’, shown to be essential for large-scale change. Recently, Wales took part in the BBF initiative. A cross-sector committee, including stakeholders from Universities, Welsh Government, Public Health Wales and Health Boards alongside critical friends scored Wales’ support for breastfeeding across the eight gears. The overall score for Wales was 1.1 out of a possible 0–3, representing a moderate scaling up the environment for breastfeeding. Six gears were rated in the moderate gear strength category and two (‘Promotion’ and ‘Advocacy’) in the weak gear strength category. Gaps in breastfeeding support were identified and 31 recommendations covering six themes for change were put forward. These included a strategic action plan, consistent and long-term funding, a nuanced, cocreated engagement and promotion framework, strengthened education and training, robust monitoring and evaluation mechanisms and ensuring maternity rights and the International Code of Marketing of Breastmilk Substitute are upheld. Taken together, the analysis and recommendations present a clear vision for protecting and not merely promoting breastfeeding in Wales. Journal Article Maternal and Child Nutrition 19 S1 Wiley 1740-8695 1740-8709 Breastfeeding, becoming breastfeeding friendly, support, policy, public health, infant feeding, government 1 1 2023 2023-01-01 10.1111/mcn.13355 http://dx.doi.org/10.1111/mcn.13355 COLLEGE NANME Public Health COLLEGE CODE PHAC Swansea University External research funder(s) paid the OA fee (includes OA grants disbursed by the Library) Public Health Wales; Family Larsson Rosenquist Research Foundation; Health Scotland; Public Health England 2023-09-13T14:50:00.5239710 2022-07-14T09:11:03.2168522 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health Amy Brown 0000-0002-0438-0157 1 Shameela Chucha 2 Heather Trickey 0000-0002-3707-456x 3 60495__27120__d8e32be158e3483283cbe1cf75047553.pdf 60495.VOR.pdf 2023-04-18T16:30:16.0911703 Output 1190849 application/pdf Version of Record true © 2022 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd. Distributed under the terms of a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0). true eng http://creativecommons.org/licenses/by-nc-nd/4.0/
title Becoming breastfeeding friendly in Wales: Recommendations for scaling up breastfeeding support
spellingShingle Becoming breastfeeding friendly in Wales: Recommendations for scaling up breastfeeding support
Amy Brown
title_short Becoming breastfeeding friendly in Wales: Recommendations for scaling up breastfeeding support
title_full Becoming breastfeeding friendly in Wales: Recommendations for scaling up breastfeeding support
title_fullStr Becoming breastfeeding friendly in Wales: Recommendations for scaling up breastfeeding support
title_full_unstemmed Becoming breastfeeding friendly in Wales: Recommendations for scaling up breastfeeding support
title_sort Becoming breastfeeding friendly in Wales: Recommendations for scaling up breastfeeding support
author_id_str_mv 37aea6965461cb0510473d109411a0c3
author_id_fullname_str_mv 37aea6965461cb0510473d109411a0c3_***_Amy Brown
author Amy Brown
author2 Amy Brown
Shameela Chucha
Heather Trickey
format Journal article
container_title Maternal and Child Nutrition
container_volume 19
container_issue S1
publishDate 2023
institution Swansea University
issn 1740-8695
1740-8709
doi_str_mv 10.1111/mcn.13355
publisher Wiley
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
url http://dx.doi.org/10.1111/mcn.13355
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description Breastfeeding and the provision of human milk is established as protecting infant and maternal health. However, breastfeeding rates in many countries, including Wales, are low. Given the significant health, economic and environmental impacts of this, the need to strengthen breastfeeding promotion, protection and support is paramount. As part of this, the becoming breastfeeding friendly: a guide to global scale-up (BBF) initiative sets out a methodology to enable countries to assess their readiness to scale up breastfeeding protection, promotion and support by gathering data and scoring progress under eight areas, termed ‘gears’, shown to be essential for large-scale change. Recently, Wales took part in the BBF initiative. A cross-sector committee, including stakeholders from Universities, Welsh Government, Public Health Wales and Health Boards alongside critical friends scored Wales’ support for breastfeeding across the eight gears. The overall score for Wales was 1.1 out of a possible 0–3, representing a moderate scaling up the environment for breastfeeding. Six gears were rated in the moderate gear strength category and two (‘Promotion’ and ‘Advocacy’) in the weak gear strength category. Gaps in breastfeeding support were identified and 31 recommendations covering six themes for change were put forward. These included a strategic action plan, consistent and long-term funding, a nuanced, cocreated engagement and promotion framework, strengthened education and training, robust monitoring and evaluation mechanisms and ensuring maternity rights and the International Code of Marketing of Breastmilk Substitute are upheld. Taken together, the analysis and recommendations present a clear vision for protecting and not merely promoting breastfeeding in Wales.
published_date 2023-01-01T14:50:02Z
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