ArticleInternational breastfeeding journal2020
How much can Mexican healthcare providers learn about breastfeeding through a semi-virtual training? A propensity score matching analysis.
Article in International breastfeeding journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Comparison of the Effect of Distance and Face-to-face Breastfeeding Education on Female Nursing Students' Knowledge: A Quasi-experimental Study.International journal of community based nursing and midwifery · 2025Article
- Healthcare professionals and commercial milk formula recommendations in the urban Mexican context.Frontiers in public health · 2023Article
- How much does it cost to implement the Baby-Friendly Hospital Initiative training step in the United States and Mexico?PloS one · 2022Review
- Breastfeeding practices in Mexico: Results from the National Demographic Dynamic Survey 2006-2018.Maternal & child nutrition · 2021Article
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4 authors.
Funding
Abstract
backgroundMexico has shown a worrisome decrease in breastfeeding indicators, especially in the lowest socioeconomic level. Improving breastfeeding protection, promotion, and support services through workforce development is a key area of intervention. The objective of this study is to assess the influence on breastfeeding knowledge and abilities of a semi-virtual training for primary healthcare providers assisting beneficiaries of PROSPERA in Mexico, which is one of the largest conditional cash-transfer programs in the world.
methodsTwo independent cross-sectional samples of healthcare providers were drawn at baseline and post-intervention in three states of Mexico. Baseline data were collected among primary physicians, registered nurses and nurse technicians (i.e. unit of analysis) on July 2016 (n = 529) and post-training between March and April 2017 (n = 211). A 19-item telephone questionnaire assessed providers' general knowledge about breastfeeding, breastfeeding benefits and clinical aspects of breastfeeding, clinical ability to solve problems and abilities to overcome breastfeeding challenges. The effects of the training were assessed through a propensity score matching (PSM) stratified by types of providers (i.e. physicians, registered nurses, nurse technicians).
resultsThe PSM analysis showed significant improvements among all providers in the general knowledge about breastfeeding (around 20 percentage points [pp]) and knowledge about breastfeeding benefits (approximately 50 pp). In addition, physicians improved their knowledge about clinical aspects of breastfeeding (7 pp), while registered nurses improved in their ability to solve breastfeeding problems (14 pp) and in helping mothers overcome breastfeeding challenges (12 pp).
conclusionsPromoting a breastfeeding enabling environment in Mexico to improve breastfeeding rates will require improving the knowledge and skills of healthcare providers. While a semi-virtual training showed large improvements in knowledge, developing skills among providers may require a more intensive approach.
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