How much can Mexican healthcare providers learn about breastfeeding through a semi-virtual training? A propensity score matching analysis

Vilar‐Compte, Mireya; Pérez‐Escamilla, Rafael; Moncada, Meztli; Flores, Diana

doi:10.1186/s13006-020-00297-6

Cited by 6 publications

(16 citation statements)

References 21 publications

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“…The efficacy of online courses has been shown to be equal [ 60 ] if not greater [ 61 ] than live instruction for improving health professional knowledge in a range of countries, including in rural areas in high income countries [ 62 ]. Specifically for breastfeeding training, a study in Mexico showed that a hybrid online/face-to-face model may be best to increase staff knowledge [ 63 ]—though further research is needed in other regions. Given that global internet penetration continues to increase rapidly, we recommend that hospitals, if feasible, move to a mix of online and in-person modalities.…”

Section: Discussionmentioning

confidence: 99%

How much does it cost to implement the Baby-Friendly Hospital Initiative training step in the United States and Mexico?

et al. 2022

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The Baby-Friendly Hospital Initiative (BFHI) has been shown to increase breastfeeding rates, improving maternal and child health and driving down healthcare costs via the benefits of breastfeeding. Despite its clear public health and economic benefits, one key challenge of implementing the BFHI is procuring funding to sustain the program. To address this need and help healthcare stakeholders advocate for funds, we developed a structured method to estimate the first-year cost of implementing BFHI staff training, using the United States (US) and Mexico as case studies. The method used a hospital system-wide costing approach, rather than costing an individual hospital, to estimate the average per birth BFHI staff training costs in US and Mexican hospitals with greater than 500 annual births. It was designed to utilize publicly available data. Therefore, we used the 2014 American Hospital Association dataset (n = 1401 hospitals) and the 2018 Mexican Social Security Institute dataset (n = 154 hospitals). Based on our review of the literature, we identified three key training costs and modelled scenarios via an econometric approach to assess the sensitivity of the estimates based on hospital size, level of obstetric care, and training duration and intensity. Our results indicated that BFHI staff training costs ranged from USD 7.27–125.39 per birth in the US and from PPP 2.68–6.14 per birth in Mexico, depending on hospital size and technological capacity. Estimates differed between countries because the US had more hospital staff per birth and higher staff salaries than Mexico. Future studies should examine whether similar, publicly available data exists in other countries to test if our method can be replicated or adapted for use in additional settings. Healthcare stakeholders can better advocate for the funding to implement the entire BFHI program if they are able to generate informed cost estimates for training as we did here.

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Section: Discussionmentioning

confidence: 99%

How much does it cost to implement the Baby-Friendly Hospital Initiative training step in the United States and Mexico?

et al. 2022

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“…According to Mexico's National Health and Nutrition Survey, the prevalence of exclusive breastfeedingamong children under 6 months was 14.4% in 2012, indicating a decrease in what was reported in 2006 (22.3%). 14 Poverty is an important determinant of health and nutrition. In 2016, 20.7 million Mexican children and adolescents were poor; children under 5 years of age were the most affected by extreme poverty.…”

Section: Breastfeeding In México: a General Overviewmentioning

confidence: 99%

“…Which highlights the need for in-service training to improve breastfeeding knowledge and skills in health professionals. 14,17 This could justify the recommendation proposed by an expert committee in Mexico on the need to increase the coverage and quality of breastfeeding in-service training of health professionals to address the serious breastfeeding situation in the country. 14,17 Breastfeeding is one of the main affordable and modifiable maternal health interventions that protect against infant stunting.…”

Section: Breastfeeding In México: a General Overviewmentioning

confidence: 99%

Breastfeeding and Gestational Diabetes: Overview in México

Uscanga¹

2022

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Gestational diabetes mellitus is defined as glucose intolerance first detected during pregnancy. Maternal obesity and gestational diabetes mellitus have been associated with more difficulties in the establishment and duration of breastfeeding among mothers with gestational diabetes mellitus who have a body mass index above their healthy, normal weight counterparts; plus the large number of social and economic factors that prevent the establishment of satisfactory breastfeeding, makes it essential to provide systematic support, especially in the first days of life, remembering that breastfeeding in turn reduces the risk of diabetes in women. Mexico is a middle-high income Latin American country; studies conducted in metropolitan areas with larger populations indicate that exclusive breastfeeding is often initiated, but it is difficult to continue it; together with the increase in the prevalence of obesity and diabetes mellitus in the population, it is of great importance to integrate maternal and child nutrition policies focused on the prevention of obesity and chronic diseases, as well as practices that contribute to the promotion and support to mothers to achieve successful breastfeeding, at least during the first 6 months of life.

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“…Embasamento teórico/prático incipiente dos profissionais sobre aleitamento materno na APS Estudos indicaram preparo insuficiente sobre aleitamento materno na graduação e pósgraduação, [22][23] falta de ações de educação em saúde, 24 treinamentos, 25 e capacitações durante a trajetória desses profissionais nos serviços de saúde, 22,26 e insegurança e falta de habilidade dos profissionais de enfermagem para a tomada de decisão relacionada ao aleitamento materno. 22,[27][28] Demonstrou-se lacunas de conhecimento em consequência às fragilidades no embasamento teórico/prático dos profissionais de enfermagem. 29 Cuidado limitado voltado ao aleitamento materno na APS Nessa subcategoria, fragilidades foram associadas ao olhar biologicista, 29 à utilização de discurso autocrático, de culpabilização, com falta de diálogo, 26 uso de censura, proibição e postura prescritiva dos profissionais de enfermagem frente às mães.…”

Section: Métodounclassified

Fragilidades e potencialidades do cuidado de enfermagem em aleitamento materno na atenção primária: revisão integrativa

et al. 2022

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Objetivo: identificar as fragilidades e potencialidades do cuidado de enfermagem no apoio ao aleitamento materno na atenção primária à saúde (APS). Método: revisão integrativa realizada nas bases LILACS, BDENF, PubMed, EMBASE, CINAHL, Scopus, Web of Science e biblioteca Scielo em março de 2021. Resultados: compuseram a amostra 19 estudos. Fragilidades envolvem embasamento teórico/prático incipiente dos profissionais de enfermagem, cuidado limitado voltado ao aleitamento materno e à (des)organização do serviço e do processo de trabalho. Como potencialidade, identificou-se a educação em saúde, desenvolvida pelo enfermeiro, durante o pré-natal e pós-parto. Conclusão: o embasamento teórico/prático incipiente é responsável pela limitação do cuidado, e a desorganização do serviço e do processo de trabalho é considerada um entrave no apoio ao aleitamento materno na APS. Ações de educação em saúde demonstram ser uma potência e uma possibilidade de oferta de cuidado de qualidade diante das barreiras impostas pela falta de conhecimento.

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How much can Mexican healthcare providers learn about breastfeeding through a semi-virtual training? A propensity score matching analysis

Cited by 6 publications

References 21 publications

How much does it cost to implement the Baby-Friendly Hospital Initiative training step in the United States and Mexico?

How much does it cost to implement the Baby-Friendly Hospital Initiative training step in the United States and Mexico?

Breastfeeding and Gestational Diabetes: Overview in México

Fragilidades e potencialidades do cuidado de enfermagem em aleitamento materno na atenção primária: revisão integrativa

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