Evidence map›Paper›PMID 38570781›Full record

ArticleInternational breastfeeding journal2024

Healthcare providers' perceived barriers to providing breastfeeding support in Northwest rural China.

Jiao-Jiao Wu, Qing-Ning Zhang, Su-Su Liao, Jiang-Hong Li, Jian-Duan Zhang, Jing-Zhi Huang

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International breastfeeding journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Observational
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 3 countries.

Jiao-Jiao Wu *School of Nursing, Lanzhou University, Yanxi Road 28, Lanzhou, Gansu, China.
Qing-Ning Zhang *School of Philosophy and Sociology, Lanzhou University, 222 Tianshuinan Road, Lanzhou, Gansu, China. zhangqn@lzu.edu.cn.
Su-Su LiaoInstitute of Basic Medical Science, Chinese Academy of Medical Sciences & Peking Union Medical College, No. 5 Dongdan Santiao, Beijing, China.
Jiang-Hong LiInstitute for Community Research, 2 Hartford Sq. W., Ste. 210, 06106, Hartford, CT, USA.
Jian-Duan ZhangDepartment of Maternal and Child Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Rd, Wuhan, Hubei, China.
Jing-Zhi HuangGraduate School of Interdisciplinary Information Studies, The University of Tokyo, 7-3-1 Hongo, Bunkyo, Tokyo, Japan.
Lanzhou University · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNHuazhong University of Science and Technology · CNInstitute For Community Research · USThe University of Tokyo · JP

Funding

Lanzhou University lzujbky2022-30, lzujbky-2019-58,LZUHL-JXXM-202206,LZUHL-JXXM-202207, LZUHL-JXXM-202208Science and Technology Program of Gansu Province 20JR10RA637
6 · The paper itself

Abstract

backgroundHealthcare providers play important roles in supporting breastfeeding. Although there has been insufficient actual breastfeeding support from healthcare providers in China, little research has been conducted to understand Chinese healthcare providers' perceived barriers to providing breastfeeding support, especially in rural China. This study aims to identify these perceived barriers to providing breastfeeding support in Northwestern rural China.

methodsThis study was conducted during the period from March 2018 to December 2018. Forty-one healthcare providers were recruited through purposive sampling in two rural counties in Northwest China that are in close proximity to each other and share similar demographic features. Participants included obstetrician-gynecologists, midwives, nurses, "village doctors", and township and village maternal and child health workers. Qualitative data were collected through one-on-one in-depth semi-structured interviews and focus group discussions. Transcripts were thematically analyzed.

resultsAnalysis of interview data resulted in four themes that the participants perceived as barriers to supporting breastfeeding: (1) lack of medical resources, within which inadequate staffing, and lack of financial incentives were discussed, (2) lack of clear and specific responsibility assignment, within which no one takes the lead, and mutual buck-passing were discussed, (3) healthcare providers' lack of relevant expertise, within which lack of knowledge and skills, and low prestige of village healthcare providers were discussed, (4) difficulties in accessing mothers, within which medical equipment shortages reduce services utilization, mothers' housing situation, mothers' mobility, and cultural barriers were discussed.

conclusionsThe study identified HCPs perceived barriers to providing breastfeeding support. Unique to China's Tri-Level Healthcare System, challenges like staffing and financial incentives are hard to swiftly tackle. Recommendations include mHealth enhancement and clarified responsibilities with incentives and tailored training. Further research is crucial to evaluate these strategies in rural Northwestern China and comparable underdeveloped areas nationwide.

Indexed as

Breast FeedingHealth PersonnelChildChinaFemaleHumansMothersPregnancyQualitative ResearchBreastfeedingHealthcare providerPerceived barrierQualitative researchRural China

Identifiers

PMID38570781
PMCPMC10993573
OpenAlexW4393854821

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.