ArticlePublic health nutrition2025
Breastfeeding counselling mentorship programme feasibility: a mixed-methods study.
Article in Public health nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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15 authors.
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Abstract
objectivesTo determine the feasibility of implementing a facility-based breastfeeding counselling (BFC) mentorship programme and its effect on mentee confidence and client perceptions of BFC.
settingMbagathi County Referral Hospital in Nairobi, Kenya.
participantsHealth facility management, health workers (twenty-one mentees and seven mentors), 120 pregnant women in the third trimester who attended an antenatal care (ANC) appointment at Mbagathi Hospital and reported receiving BFC during a visit in the 2 weeks prior and 120 postpartum women in the postnatal care ward who delivered a full-term infant and reported receiving BFC.
designMixed-methods study incorporating online surveys, client exit interviews, key informant interviews and focus group discussions. The 4-month intervention involved facility-wide orientations, selection and training of mentors, assigning mentees to mentors and implementing mentorship activities.
resultsThe programme successfully maintained 90·5 % mentee retention (19/21) over 4 months. At baseline, mentees demonstrated high knowledge (94 % questions answered correctly), which was maintained at endline (92 %). Mentees showed significant improvement in confidence counselling on breastfeeding and infant feeding (67 % at baseline
conclusionsBFC mentorship was feasible in this setting and was associated with improved health worker confidence in BFC. The programme can be successfully implemented with supportive facility leadership, well-matched mentors and mentees and adaptable mentorship approaches.
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