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The Association between a Novel Baby-Friendly Hospital Program and Equitable Support for Breastfeeding in Vietnam

Background: Rates of early initiation of breastfeeding are low in Southeast Asia, despite evidence that increased initiation of early breastfeeding would lead to better long-term infant and child health and decrease inequities in long-term health and well-being. In response, a novel performance-base...

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Autores principales: Joyce, Caroline M., Hou, Sherry Shu-Yeu, Ta, Binh T. T., Vu, Duong Hoang, Mathisen, Roger, Vincent, Ilona, Duc, Vinh Nguyen, Nandi, Arijit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8296950/
https://www.ncbi.nlm.nih.gov/pubmed/34206374
http://dx.doi.org/10.3390/ijerph18136706
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author Joyce, Caroline M.
Hou, Sherry Shu-Yeu
Ta, Binh T. T.
Vu, Duong Hoang
Mathisen, Roger
Vincent, Ilona
Duc, Vinh Nguyen
Nandi, Arijit
author_facet Joyce, Caroline M.
Hou, Sherry Shu-Yeu
Ta, Binh T. T.
Vu, Duong Hoang
Mathisen, Roger
Vincent, Ilona
Duc, Vinh Nguyen
Nandi, Arijit
author_sort Joyce, Caroline M.
collection PubMed
description Background: Rates of early initiation of breastfeeding are low in Southeast Asia, despite evidence that increased initiation of early breastfeeding would lead to better long-term infant and child health and decrease inequities in long-term health and well-being. In response, a novel performance-based, baby-friendly hospital program designates hospitals that adhere to evidence-based early essential newborn care (EENC) and breastfeeding interventions as Centers of Excellence for Breastfeeding (COE). This study examined whether hospital participation in the program was associated with better breastfeeding outcomes. Methods: Hospitals (n = 28) were invited into the program in December 2018. Hospitals developed an improvement plan for promoting a breastfeeding-friendly environment and meeting the standards of the COE accreditation process and were enrolled on a rolling basis over the course of a year. Post-partum surveys were conducted with parents (n = 9585) from January 2019 through April 2020 to assess their breastfeeding and post-partum experience. Segmented regression models were used to assess how breastfeeding outcomes evolved before and after hospital enrollment in the COE program. Results: Enrollment was associated with a 6 percentage-point (95% CI: 3, 9) increase in the level of early initiation of breastfeeding, which continued to increase in the post-enrollment period, and a 5 percentage-point (95% CI: 2, 9) increase in the level of exclusive breastfeeding during hospital stay. We did not observe evidence that enrollment was immediately associated with receipt of lactation counseling or exclusive breastfeeding at survey time. Conclusion: The prevalence of early and exclusive breastfeeding increased after enrollment in the COE program, suggesting that the program has the potential to improve breastfeeding initiation rates and longer-term child health and well-being. Further research should be conducted to examine whether the program has an impact on the overall duration of breastfeeding.
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spelling pubmed-82969502021-07-23 The Association between a Novel Baby-Friendly Hospital Program and Equitable Support for Breastfeeding in Vietnam Joyce, Caroline M. Hou, Sherry Shu-Yeu Ta, Binh T. T. Vu, Duong Hoang Mathisen, Roger Vincent, Ilona Duc, Vinh Nguyen Nandi, Arijit Int J Environ Res Public Health Article Background: Rates of early initiation of breastfeeding are low in Southeast Asia, despite evidence that increased initiation of early breastfeeding would lead to better long-term infant and child health and decrease inequities in long-term health and well-being. In response, a novel performance-based, baby-friendly hospital program designates hospitals that adhere to evidence-based early essential newborn care (EENC) and breastfeeding interventions as Centers of Excellence for Breastfeeding (COE). This study examined whether hospital participation in the program was associated with better breastfeeding outcomes. Methods: Hospitals (n = 28) were invited into the program in December 2018. Hospitals developed an improvement plan for promoting a breastfeeding-friendly environment and meeting the standards of the COE accreditation process and were enrolled on a rolling basis over the course of a year. Post-partum surveys were conducted with parents (n = 9585) from January 2019 through April 2020 to assess their breastfeeding and post-partum experience. Segmented regression models were used to assess how breastfeeding outcomes evolved before and after hospital enrollment in the COE program. Results: Enrollment was associated with a 6 percentage-point (95% CI: 3, 9) increase in the level of early initiation of breastfeeding, which continued to increase in the post-enrollment period, and a 5 percentage-point (95% CI: 2, 9) increase in the level of exclusive breastfeeding during hospital stay. We did not observe evidence that enrollment was immediately associated with receipt of lactation counseling or exclusive breastfeeding at survey time. Conclusion: The prevalence of early and exclusive breastfeeding increased after enrollment in the COE program, suggesting that the program has the potential to improve breastfeeding initiation rates and longer-term child health and well-being. Further research should be conducted to examine whether the program has an impact on the overall duration of breastfeeding. MDPI 2021-06-22 /pmc/articles/PMC8296950/ /pubmed/34206374 http://dx.doi.org/10.3390/ijerph18136706 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Joyce, Caroline M.
Hou, Sherry Shu-Yeu
Ta, Binh T. T.
Vu, Duong Hoang
Mathisen, Roger
Vincent, Ilona
Duc, Vinh Nguyen
Nandi, Arijit
The Association between a Novel Baby-Friendly Hospital Program and Equitable Support for Breastfeeding in Vietnam
title The Association between a Novel Baby-Friendly Hospital Program and Equitable Support for Breastfeeding in Vietnam
title_full The Association between a Novel Baby-Friendly Hospital Program and Equitable Support for Breastfeeding in Vietnam
title_fullStr The Association between a Novel Baby-Friendly Hospital Program and Equitable Support for Breastfeeding in Vietnam
title_full_unstemmed The Association between a Novel Baby-Friendly Hospital Program and Equitable Support for Breastfeeding in Vietnam
title_short The Association between a Novel Baby-Friendly Hospital Program and Equitable Support for Breastfeeding in Vietnam
title_sort association between a novel baby-friendly hospital program and equitable support for breastfeeding in vietnam
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8296950/
https://www.ncbi.nlm.nih.gov/pubmed/34206374
http://dx.doi.org/10.3390/ijerph18136706
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