What works to protect, promote and support breastfeeding on a large scale: A review of reviews

Globally women continue to face substantial barriers to breastfeeding. The 2016 Lancet Breastfeeding Series identified key barriers and reviewed effective interventions that address them. The present study updates the evidence base since 2016 using a review of reviews approach. Searches were impleme...

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Autores principales: Tomori, Cecília, Hernández-Cordero, Sonia, Busath, Natalie, Menon, Purnima, Pérez-Escamilla, Rafael
Formato: Journal Article
Lenguaje:Inglés
Publicado: Wiley 2022
Materias:
Acceso en línea:https://hdl.handle.net/10568/141353
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author Tomori, Cecília
Hernández-Cordero, Sonia
Busath, Natalie
Menon, Purnima
Pérez-Escamilla, Rafael
author_browse Busath, Natalie
Hernández-Cordero, Sonia
Menon, Purnima
Pérez-Escamilla, Rafael
Tomori, Cecília
author_facet Tomori, Cecília
Hernández-Cordero, Sonia
Busath, Natalie
Menon, Purnima
Pérez-Escamilla, Rafael
author_sort Tomori, Cecília
collection Repository of Agricultural Research Outputs (CGSpace)
description Globally women continue to face substantial barriers to breastfeeding. The 2016 Lancet Breastfeeding Series identified key barriers and reviewed effective interventions that address them. The present study updates the evidence base since 2016 using a review of reviews approach. Searches were implemented using the Epistomenikos database. One hundred and fifteen reviews of interventions were identified and assessed for quality and risk of bias. Over half of reviews (53%) were high- or moderate quality, with the remaining low or critically low quality due to weaknesses in assessment of bias. A large portion of studies addressed high-income and upper-middle income settings, (41%), and a majority (63%) addressed health systems, followed by community and family settings (39%). Findings from reviews continue to strengthen the evidence base for effective interventions that improve breastfeeding outcomes across all levels of the social-ecological model, including supportive workplace policies; implementation of the Baby-Friendly Hospital Initiative, skin to skin care, kangaroo mother care, and cup feeding in health settings; and the importance of continuity of care and support in community and family settings, via home visits delivered by CHWs, supported by fathers', grandmothers' and community involvement. Studies disproportionately focus on health systems in high income and upper-middle income settings. There is insufficient attention to policy and structural interventions, the workplace and there is a need for rigorous assessment of multilevel interventions. Evidence from the past 5 years demonstrates the need to build on well-established knowledge to scale up breastfeeding protection, promotion and support programmes.
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spelling CGSpace1413532025-10-26T13:01:39Z What works to protect, promote and support breastfeeding on a large scale: A review of reviews Tomori, Cecília Hernández-Cordero, Sonia Busath, Natalie Menon, Purnima Pérez-Escamilla, Rafael models gender child nutrition policies nutrition literature reviews breastfeeding women Globally women continue to face substantial barriers to breastfeeding. The 2016 Lancet Breastfeeding Series identified key barriers and reviewed effective interventions that address them. The present study updates the evidence base since 2016 using a review of reviews approach. Searches were implemented using the Epistomenikos database. One hundred and fifteen reviews of interventions were identified and assessed for quality and risk of bias. Over half of reviews (53%) were high- or moderate quality, with the remaining low or critically low quality due to weaknesses in assessment of bias. A large portion of studies addressed high-income and upper-middle income settings, (41%), and a majority (63%) addressed health systems, followed by community and family settings (39%). Findings from reviews continue to strengthen the evidence base for effective interventions that improve breastfeeding outcomes across all levels of the social-ecological model, including supportive workplace policies; implementation of the Baby-Friendly Hospital Initiative, skin to skin care, kangaroo mother care, and cup feeding in health settings; and the importance of continuity of care and support in community and family settings, via home visits delivered by CHWs, supported by fathers', grandmothers' and community involvement. Studies disproportionately focus on health systems in high income and upper-middle income settings. There is insufficient attention to policy and structural interventions, the workplace and there is a need for rigorous assessment of multilevel interventions. Evidence from the past 5 years demonstrates the need to build on well-established knowledge to scale up breastfeeding protection, promotion and support programmes. 2022-05 2024-04-12T13:37:45Z 2024-04-12T13:37:45Z Journal Article https://hdl.handle.net/10568/141353 en Open Access Wiley Tomori, Cecília; Hernández-Cordero, Sonia; Busath, Natalie; Menon, Purnima; and Pérez-Escamilla, Rafael. 2022. What works to protect, promote and support breastfeeding on a large scale: A review of reviews. Maternal and Child Nutrition 18(S3): e13344. https://doi.org/10.1111/mcn.13344
spellingShingle models
gender
child nutrition
policies
nutrition
literature reviews
breastfeeding
women
Tomori, Cecília
Hernández-Cordero, Sonia
Busath, Natalie
Menon, Purnima
Pérez-Escamilla, Rafael
What works to protect, promote and support breastfeeding on a large scale: A review of reviews
title What works to protect, promote and support breastfeeding on a large scale: A review of reviews
title_full What works to protect, promote and support breastfeeding on a large scale: A review of reviews
title_fullStr What works to protect, promote and support breastfeeding on a large scale: A review of reviews
title_full_unstemmed What works to protect, promote and support breastfeeding on a large scale: A review of reviews
title_short What works to protect, promote and support breastfeeding on a large scale: A review of reviews
title_sort what works to protect promote and support breastfeeding on a large scale a review of reviews
topic models
gender
child nutrition
policies
nutrition
literature reviews
breastfeeding
women
url https://hdl.handle.net/10568/141353
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