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Related Concept Videos

International Nursing Organizations II01:28

International Nursing Organizations II

The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Primary Healthcare Services01:30

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Levels of Health Promotion and Illness Prevention01:26

Levels of Health Promotion and Illness Prevention

Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
Fundamentals of Nursing Process II01:25

Fundamentals of Nursing Process II

There are several characteristics related to delivering nursing care. One vital characteristic of the nursing process is that it can be used to protect nurses and justify the provided care. Productive use of the nursing process requires the knowledge and skills of nurses to assess and solve issues. Nurses should develop and strengthen their critical thinking skills and evidence-based nursing interventions to improve their skills in formulating nursing care plans. A well-defined approach to...
Nursing Implementation01:15

Nursing Implementation

Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.

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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Published on: January 12, 2018

How does "Becoming Breastfeeding Friendly" work? A Programme Impact Pathways Analysis.

Gabriela Buccini1, Kassandra L Harding1, Amber Hromi-Fiedler1

  • 1Social and Behavioral Sciences, Yale School of Public Health, New Haven, Connecticut.

Maternal & Child Nutrition
|December 12, 2018
PubMed
Summary
This summary is machine-generated.

Becoming Breastfeeding Friendly (BBF) initiative uses a Programme Impact Pathways (PIP) analysis to identify critical control points for scaling up breastfeeding programs. This research highlights eight key factors influencing policy change and program success globally.

Keywords:
breastfeeding programscomplex adaptive systemsimplementation scienceprocess evaluationprogram impact pathwayscaling up

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Area of Science:

  • Public Health
  • Health Policy
  • Program Evaluation

Background:

  • Becoming Breastfeeding Friendly (BBF) is a global initiative to assess and improve country readiness for scaling up breastfeeding programs.
  • Effective implementation requires understanding the pathways through which BBF influences policy and practice.

Purpose of the Study:

  • To conduct a Programme Impact Pathways (PIP) analysis of the BBF initiative.
  • To identify critical control points (CCPs) influencing the effectiveness of BBF in driving policy and program changes for breastfeeding.

Main Methods:

  • A Programme Impact Pathways (PIP) analysis was performed.
  • Literature review and iterative interviews with BBF investigators identified pathways and CCPs.
  • A BBF PIP diagram was developed and refined with expert feedback.
  • Pretesting in Ghana and Mexico informed the evaluation.

Main Results:

  • The PIP analysis identified key pathways linking BBF activities to breastfeeding outcomes.
  • Eight critical control points (CCPs) were identified, including committee training, data acquisition, BBFI scores, recommendation dissemination, policymaker engagement, and team dynamics.
  • Pretesting in Ghana and Mexico validated these CCPs and provided country-specific insights.

Conclusions:

  • The identified CCPs are crucial for optimizing the impact of BBF on scaling up breastfeeding programs.
  • Understanding these pathways and control points is essential for successful implementation and policy change in public health initiatives.
  • Further validation through policy analysis frameworks is ongoing.