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Consensus-building during the Becoming Breastfeeding Friendly (BBF) initiative in Samoa: A qualitative content analysis

The Becoming Breastfeeding Friendly (BBF) initiative provides countries with an evidence-based toolbox to improve the national breastfeeding environment by assessing and developing a plan to effectively scale up well-coordinated national policies and programs. BBF is carried out by a multi-instituti...

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Autores principales: Daiy, Katherine, Arslanian, Kendall, Choy, Courtney, Manuele-Magele, Analosa, Soti-Ulberg, Christina, Hromi-Fiedler, Amber, Hawley, Nicola, Pérez-Escamilla, Rafael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10124882/
https://www.ncbi.nlm.nih.gov/pubmed/37093783
http://dx.doi.org/10.1371/journal.pgph.0001725
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author Daiy, Katherine
Arslanian, Kendall
Choy, Courtney
Manuele-Magele, Analosa
Soti-Ulberg, Christina
Hromi-Fiedler, Amber
Hawley, Nicola
Pérez-Escamilla, Rafael
author_facet Daiy, Katherine
Arslanian, Kendall
Choy, Courtney
Manuele-Magele, Analosa
Soti-Ulberg, Christina
Hromi-Fiedler, Amber
Hawley, Nicola
Pérez-Escamilla, Rafael
author_sort Daiy, Katherine
collection PubMed
description The Becoming Breastfeeding Friendly (BBF) initiative provides countries with an evidence-based toolbox to improve the national breastfeeding environment by assessing and developing a plan to effectively scale up well-coordinated national policies and programs. BBF is carried out by a multi-institutional, intersectoral committee of experts, convening across five committee meetings designed to produce policy recommendations that can be implemented in the country’s context. Samoa successfully completed the BBF initiative in 2018, resulting in the institution of breastfeeding policy in hospitals and the establishment of lactation rooms within government ministries. An important step in informing the success of future breastfeeding scale-up initiatives is understanding how consensus is built. This study aimed to investigate how the BBF Samoa committee built consensus. We conducted a content analysis of audio recordings of three BBF Samoa meetings (meetings 1, 2 and 4), meeting minutes, and meeting notes using an a priori operational consensus-building framework. We used a combination of deductive and inductive approaches to: a) evaluate the data against existing, a priori criteria for consensus-building and b) identify emergent ways in which the BBF Samoa committee may have achieved consensus. We identified 6 themes, 2 meta-subthemes, and 16 subthemes. The 6 themes, largely defined by the a priori framework, represented key components of successful consensus-building. The 2 meta-subthemes described two overarching methods of consensus-building: “process-led” (i.e., inherent to the BBF process itself) and “organic” (unique/specific to the committee). Lastly, the 16 subthemes described more specific ways that the committee reached consensus. The detailed manualization of the BBF process, its reliance on data, and its transparent and engaged committee process were key for reaching consensus on BBF scores and recommendations in Samoa. Our study contributes to the understanding of how effective breastfeeding policy recommendations are made, using a methodology that can be applied beyond the topic of breastfeeding.
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spelling pubmed-101248822023-04-25 Consensus-building during the Becoming Breastfeeding Friendly (BBF) initiative in Samoa: A qualitative content analysis Daiy, Katherine Arslanian, Kendall Choy, Courtney Manuele-Magele, Analosa Soti-Ulberg, Christina Hromi-Fiedler, Amber Hawley, Nicola Pérez-Escamilla, Rafael PLOS Glob Public Health Research Article The Becoming Breastfeeding Friendly (BBF) initiative provides countries with an evidence-based toolbox to improve the national breastfeeding environment by assessing and developing a plan to effectively scale up well-coordinated national policies and programs. BBF is carried out by a multi-institutional, intersectoral committee of experts, convening across five committee meetings designed to produce policy recommendations that can be implemented in the country’s context. Samoa successfully completed the BBF initiative in 2018, resulting in the institution of breastfeeding policy in hospitals and the establishment of lactation rooms within government ministries. An important step in informing the success of future breastfeeding scale-up initiatives is understanding how consensus is built. This study aimed to investigate how the BBF Samoa committee built consensus. We conducted a content analysis of audio recordings of three BBF Samoa meetings (meetings 1, 2 and 4), meeting minutes, and meeting notes using an a priori operational consensus-building framework. We used a combination of deductive and inductive approaches to: a) evaluate the data against existing, a priori criteria for consensus-building and b) identify emergent ways in which the BBF Samoa committee may have achieved consensus. We identified 6 themes, 2 meta-subthemes, and 16 subthemes. The 6 themes, largely defined by the a priori framework, represented key components of successful consensus-building. The 2 meta-subthemes described two overarching methods of consensus-building: “process-led” (i.e., inherent to the BBF process itself) and “organic” (unique/specific to the committee). Lastly, the 16 subthemes described more specific ways that the committee reached consensus. The detailed manualization of the BBF process, its reliance on data, and its transparent and engaged committee process were key for reaching consensus on BBF scores and recommendations in Samoa. Our study contributes to the understanding of how effective breastfeeding policy recommendations are made, using a methodology that can be applied beyond the topic of breastfeeding. Public Library of Science 2023-04-24 /pmc/articles/PMC10124882/ /pubmed/37093783 http://dx.doi.org/10.1371/journal.pgph.0001725 Text en © 2023 Daiy et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Daiy, Katherine
Arslanian, Kendall
Choy, Courtney
Manuele-Magele, Analosa
Soti-Ulberg, Christina
Hromi-Fiedler, Amber
Hawley, Nicola
Pérez-Escamilla, Rafael
Consensus-building during the Becoming Breastfeeding Friendly (BBF) initiative in Samoa: A qualitative content analysis
title Consensus-building during the Becoming Breastfeeding Friendly (BBF) initiative in Samoa: A qualitative content analysis
title_full Consensus-building during the Becoming Breastfeeding Friendly (BBF) initiative in Samoa: A qualitative content analysis
title_fullStr Consensus-building during the Becoming Breastfeeding Friendly (BBF) initiative in Samoa: A qualitative content analysis
title_full_unstemmed Consensus-building during the Becoming Breastfeeding Friendly (BBF) initiative in Samoa: A qualitative content analysis
title_short Consensus-building during the Becoming Breastfeeding Friendly (BBF) initiative in Samoa: A qualitative content analysis
title_sort consensus-building during the becoming breastfeeding friendly (bbf) initiative in samoa: a qualitative content analysis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10124882/
https://www.ncbi.nlm.nih.gov/pubmed/37093783
http://dx.doi.org/10.1371/journal.pgph.0001725
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