MCHbest. NPM 4: Breastfeeding
Strategy. Provider Training (Stand-Alone)
Approach. Provide training to health care providers around breastfeeding best practices.
Overview. There has been promising research to show that intensive breastfeeding education for health care practitioners may increase breastfeeding initiation rates. This training for providers may have less of an impact on exclusive breastfeeding rates.1,2
Evidence. Emerging. There is some evidence of the effectiveness for provider training only on breastfeeding initiation and exclusivity at 6 months. More research is needed for conclusive results. Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. Provider/Practice.
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 6 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 “Provide training to health care providers around breastfeeding best 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 that these examples also tease out addressing health equity by focusing on providers from minority groups as a possible way to more effectively influence vulnerable families to breastfeed:
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 Rosen-Carole, C., Allen, K., Thompson, J., Martin, H., Goldstein, N., & Lawrence, R. A. (2019). Prenatal Provider Support for Breastfeeding: Changes in Attitudes, Practices and Recommendations Over 22 Years. Journal of Human Lactation, 0890334419830996.
2 Grossman X, Chaudhuri J, Feldman-Winter L, et al. Hospital Education in Lactation Practices (Project HELP): does clinician education affect breastfeeding initiation and exclusivity in the hospital? Birth. 2009; 36(1):54-59.