Improving Breastfeeding in Rural Tanzania Using Eight-Step Policy Analysis Methodology
Katherine Skiff1, Maria deValpine1, Andrea Knopp1
1School of Nursing, James Madison University.
Policy, Politics & Nursing Practice
|August 18, 2020
Summary
Implementing exclusive breastfeeding education alongside complementary food education can significantly improve infant survival rates. This approach is crucial for reducing childhood malnutrition in underserved communities.
Area of Science:
- Public Health
- Health Policy Analysis
- Pediatric Nutrition
Background:
- Exclusive breastfeeding is a critical intervention for improving child survival under five.
- Global health organizations recommend breastfeeding policies in maternal and newborn care facilities.
- A rural Tanzanian hospital lacks a formal breastfeeding policy.
Purpose of the Study:
- To evaluate three policies aimed at enhancing breastfeeding practices in a rural Tanzanian hospital's service area.
- To identify the most feasible policy interventions for improving infant feeding.
- To adapt a policy analysis framework for health policy development.
Main Methods:
- Utilized Collins' adaptation of Bardach's eightfold path for health policy analysis.
- Assessed three potential policies: exclusive breastfeeding education, complementary food education, and community health worker home visits.
- Focused analysis on feasibility and impact within the target population.
Main Results:
- Exclusive breastfeeding education combined with complementary food education emerged as the most feasible policy strategy.
- This dual-pronged approach is expected to increase breastfeeding rates in the region.
- Anticipated outcome includes a reduction in chronic malnutrition rates.
Conclusions:
- The integration of exclusive breastfeeding and complementary food education offers a viable strategy for improving infant nutrition.
- The policy analysis methodology employed is adaptable for developing health policies in diverse settings.
- Nurses can utilize this framework to address various health challenges effectively.
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