A Participatory, Needs-Based Approach to Breastfeeding Training for Confinement Centres

Area of Science:

• Public Health
• Maternal and Child Health
• Health Education

Background:

• Breastfeeding support in confinement centres (CCs) is often sub-optimal, prioritizing traditional practices over evidence-based methods.
• A needs-based approach is crucial for developing effective training for CC staff.

Purpose of the Study:

• To develop and evaluate a training module for CC staff to improve breastfeeding support.
• To address deficits in understanding breastfeeding concepts and correct erroneous cultural beliefs.

Main Methods:

• A participatory, needs-based approach using Kern's six-step framework was employed.
• An interactive training workshop was developed based on dialogue with 25 CCs and delivered to 101 participants across 32 CCs.
• Pre- and post-tests assessed knowledge, and post-workshop feedback and 14-month interviews evaluated impact.

Main Results:

• Knowledge of breastfeeding concepts increased significantly, with correct answers rising from 20% pre-test to 51% post-test.
• Participants valued the training for providing a safe space to address concerns and correct misconceptions.
• Long-term impact varied, with some CCs improving support while others faced challenges due to cultural conflicts and pandemic-related issues.

Conclusions:

• A participatory approach can foster trust and encourage the adoption of new concepts in CCs.
• Sustained improvements in breastfeeding support require continuous training and ongoing support to overcome cultural barriers and external challenges.
• Addressing the conflict between traditional postnatal practices and evidence-based breastfeeding support is essential for effective interventions.