Achieving Breastfeeding Equity: A Study of a National Breastfeeding Initiative

Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine
Vijaya K HoganDiana Derige

Abstract

Equity in breastfeeding could reduce excess morbidity and mortality among children and mothers of color. Few programs that support breastfeeding have been evaluated for their capacity to create equity. The aim of this study was to assess the extent to which a diverse set of national breastfeeding programs actively promoted equity. Qualitative data collection was conducted between December 2012 and July 2013 by visits to 29 of 58 breastfeeding programs selected by the funder. Programs underwent a site visit with open-ended interviews of staff. Investigators used Atlas.ti software to code data and content analysis of qualitative evaluation data. Key categories and themes were identified to answer the questions: how do the programs conceptualize equity? and how do the organizations operationalize an approach to equity? Programs had widely divergent and often limited conceptualizations of equity. Nine categories describe the equity approaches' programs used. The social, political, and environmental contexts in which programs operated varied in the degree of challenge they pose for implementing equity-focused breastfeeding methods. We found only a few programs that matched the social, cultural, and economic realities and context of ...Continue Reading

References

Oct 6, 2005·Qualitative Health Research·Hsiu-Fang Hsieh, Sarah E Shannon
Nov 24, 2005·JAMA : the Journal of the American Medical Association·Alison M StuebeKarin B Michels
Apr 23, 2009·Obstetrics and Gynecology·Eleanor Bimla SchwarzJane A Cauley
Oct 15, 2011·American Journal of Epidemiology·Alison M StuebeJohn Forman
Feb 15, 2012·Advances in Nutrition·Donna J Chapman, Rafael Pérez-Escamilla
Aug 10, 2012·Journal of Epidemiology and Community Health·Theo LorencPeter Tugwell
Jan 25, 2014·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Ruth A Lawrence
Dec 10, 2014·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Gerardo ZamoraJuan Pablo Peña-Rosas
Jan 15, 2015·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Rafael Pérez-Escamilla, Dan Sellen
Sep 21, 2016·Maternal & Child Nutrition·Melissa C BartickAlison M Stuebe
Nov 14, 2016·The Journal of Pediatrics·Melissa C BartickAlison M Stuebe

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