MCHbest. NPM 4: Breastfeeding
Strategy. Group Education
Approach. Promote the use of group education for pregnant women around breastfeeding practices.
Overview. Group education may impact breastfeeding attitudes and perceptions, as well as on exclusive breastfeeding initiation and duration.1,2
Evidence. Mixed Evidence. There is a mixture of both positive and inconclusive evidence on group education and its influence on increasing both breastfeeding initiation and exclusivity at 6 months. However, this strategy still appears to be effective in many settings. Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. Mother/family (through home visitors, community health workers, and health care providers).
Outcome. Initiation, Duration, and Exclusivity. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the "Intervention Results" for each study.
Examples from the Field. There are currently 14 ESMs across all states/jurisdictions that use this strategy directly or intervention components that align with this strategy. Access descriptions of these ESMs through the MCH Digital Library. You can use these ESMs to see how other Title V agencies are addressing the NPM.
Sample ESMs. Using the approach “Promote the use of group education for pregnant women around breastfeeding practices,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies):
Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4).
1 Martin-Iglesias, S., Santamaría-Martín, M. J., Alonso-Álvarez, A., Rico-Blazquez, M., del Cura-Gonzalez, I., Rodríguez-Barrientosn, R. & Durand-Rincón, I. (2018). Effectiveness of an educational group intervention in primary healthcare for continued exclusive breast-feeding: PROLACT study. BMC pregnancy and childbirth, 18(1), 59.
2 Finch, C., & Daniel, E. L. (2002). Breastfeeding education program with incentives increases exclusive breastfeeding among urban WIC participants. Journal of the Academy of Nutrition and Dietetics, 102(7), 981.