[Medical responsibilities concerning maternal breast-feeding]
L Santos Serrano1, J M Paricio Talayero, A Fernández Feijoó
1Servicio de Pediatría, Hospital Marina Alta. Denia, Alicante.
Anales Espanoles De Pediatria
|June 3, 1998
Summary
High-ranking officers in Servei-Valencià-Salut (SVS) demonstrate varied knowledge of breast-feeding (BF) promotion and regulations. Increased awareness and application of WHO/UNICEF guidelines are crucial for effective BF policies.
Area of Science:
- Public Health
- Maternal and Child Health
- Health Policy
Background:
- Breast-feeding (BF) is crucial for infant health.
- International and national regulations aim to promote BF.
- Understanding healthcare leadership knowledge is key to policy implementation.
Purpose of the Study:
- To assess knowledge of breast-feeding (BF) and related regulations among Servei-Valencià-Salut (SVS) high-ranking officers (HO).
- To identify sanitary policies implemented by SVS leadership to promote BF.
- To compare knowledge and policy implementation between HO and pediatric chief staff (PC).
Main Methods:
- A mail survey was distributed to all SVS HO and pediatric chief staff (PC).
- Data analysis included Chi-square tests, odds ratios for qualitative variables, and variance for quantitative variables.
- Response rates were 100% for PC and 44% for HO.
Main Results:
- 100% of PC and 73% of HO recognized breast-feeding (BF) as superior to artificial feeding (p < 0.05).
- Awareness of the 1981 WHO code was limited to two PC.
- All PC implemented BF promotion policies, whereas HO implementation varied from 64% to 0% based on position.
Conclusions:
- There is a need to disseminate knowledge and application of WHO/UNICEF breast-feeding (BF) standards.
- Engaging high-ranking officers (HO) with decision-making authority is essential for developing effective sanitary policies.
- Improving leadership understanding of BF promotion is vital for public health initiatives.
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