Evidence map›Paper›PMID 41873414›Full record

ReviewInternational journal of women's health2026

Influence of Healthcare Worker Training on Support for Exclusive Breastfeeding: A Systematic Review.

Ashraf A'aqoulah, Gamar Bander Aldossari, Farah Kalmey

Abstract readReview
In one paragraph

Review in International journal of women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Ashraf A'aqoulahHealth Systems Management Department, College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.ORCID 0000-0002-9280-0958
Gamar Bander AldossariHealth Systems Management Department, College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Farah KalmeyKing Abdullah International Medical Research Center, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Initiation of breastfeeding is high in Saudi Arabia whereas the continuity of exclusive breastfeeding is low since there is a shortage of trained health professionals. Aim: This systematic review evaluates the influence of training healthcare professionals on breastfeeding outcomes in Saudi Arabia in comparison to WHO/UNICEF standard. Methods: A Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) systematic review was undertaken. Different databases were searched from 2000 to 2024. Participants in the study were experimental, quasi-experimental studies, cross-sectional studies, and qualitative studies that provided training to health professionals in breastfeeding support. Selection of studies, data extraction, and judgment of the quality of studies were performed by two reviewers using the JBI and Cochrane risk of bias tools. Results: A total of 21 studies were analyzed. Most of these studies reported appreciable gains in the knowledge and practical assistance of health care providers following structured training interventions. Interventions that used a combination of theoretical teaching and practical components were the most effective. In the Saudi context, the effects of training were seen in improved self-efficacy scores and increased counselling skills with some of the programs reporting up to 60% improvement. While most studies have demonstrated improvements in exclusive breastfeeding rates following training, several have highlighted persistent barriers, such as insufficient and inadequate hospital education and training, as well as inadequate institutional support, which may undermine the long-term sustainability of the program. Conclusion: They study demonstrates that ongoing structured training and combined policy action remains needed. Decision makers need to focus on providing training to health professionals in breastfeeding support results in quantifiable improvement in knowledge and practice. Mandatory BFHI-aligned training, institutional support, and policy integration are urgently needed to increase EBF rates in Saudi Arabia.

Indexed as

breastfeedinghealthcare trainingSaudi Arabia

Identifiers

PMID41873414
PMCPMC13005979

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