The process of implementing a community-based peer breast-feeding support programme: the Glasgow experience

Area of Science:

• Community Health
• Maternal and Child Health
• Public Health Interventions

Background:

• Breastfeeding initiation and maintenance rates are often low in socio-economically disadvantaged areas.
• Community-based peer support programs can address health disparities.
• Previous research highlights the need for culturally sensitive and accessible maternal support.

Purpose of the Study:

• To document the implementation and maintenance of a community-based peer support program for breastfeeding.
• To assess the acceptability and impact of peer support on breastfeeding mothers.
• To explore the feasibility of such programs in challenging socio-economic environments.

Main Methods:

• A three-year community-based study was conducted in a disadvantaged housing estate in Glasgow.
• Pregnant women in a target postcode area were recruited as participants.
• The intervention involved antenatal and postnatal home visits offering peer counseling and breastfeeding support.

Main Results:

• The peer support program was successfully initiated and maintained despite a low prevalence of breastfeeding.
• The intervention was found to be acceptable to both mothers and healthcare professionals.
• Participating mothers reported increased confidence and self-esteem, viewing peer supporters as positive role models.

Conclusions:

• Community-based peer support is a feasible and acceptable intervention for enhancing breastfeeding practices.
• Peer support can positively impact mothers' confidence and self-esteem.
• Further research is needed to understand the influence of social networks and the impact on peer supporters.