How much can Mexican healthcare providers learn about breastfeeding through a semi-virtual training? A propensity score matching analysis
Abstract Background Mexico has shown a worrisome decrease in breastfeeding indicators, especially in the lowest socioeconomic level. Improving breastfeeding protection, promotion, and support services through workforce development is a key area of intervention. The objective of this study is to asse...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-06-01
|
| Series: | International Breastfeeding Journal |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13006-020-00297-6 |
| _version_ | 1818307000985976832 |
|---|---|
| author | Mireya Vilar-Compte Rafael Pérez-Escamilla Meztli Moncada Diana Flores |
| author_facet | Mireya Vilar-Compte Rafael Pérez-Escamilla Meztli Moncada Diana Flores |
| author_sort | Mireya Vilar-Compte |
| collection | DOAJ |
| description | Abstract Background Mexico has shown a worrisome decrease in breastfeeding indicators, especially in the lowest socioeconomic level. Improving breastfeeding protection, promotion, and support services through workforce development is a key area of intervention. The objective of this study is to assess the influence on breastfeeding knowledge and abilities of a semi-virtual training for primary healthcare providers assisting beneficiaries of PROSPERA in Mexico, which is one of the largest conditional cash-transfer programs in the world. Methods Two independent cross-sectional samples of healthcare providers were drawn at baseline and post-intervention in three states of Mexico. Baseline data were collected among primary physicians, registered nurses and nurse technicians (i.e. unit of analysis) on July 2016 (n = 529) and post-training between March and April 2017 (n = 211). A 19-item telephone questionnaire assessed providers’ general knowledge about breastfeeding, breastfeeding benefits and clinical aspects of breastfeeding, clinical ability to solve problems and abilities to overcome breastfeeding challenges. The effects of the training were assessed through a propensity score matching (PSM) stratified by types of providers (i.e. physicians, registered nurses, nurse technicians). Results The PSM analysis showed significant improvements among all providers in the general knowledge about breastfeeding (around 20 percentage points [pp]) and knowledge about breastfeeding benefits (approximately 50 pp). In addition, physicians improved their knowledge about clinical aspects of breastfeeding (7 pp), while registered nurses improved in their ability to solve breastfeeding problems (14 pp) and in helping mothers overcome breastfeeding challenges (12 pp). Conclusions Promoting a breastfeeding enabling environment in Mexico to improve breastfeeding rates will require improving the knowledge and skills of healthcare providers. While a semi-virtual training showed large improvements in knowledge, developing skills among providers may require a more intensive approach. |
| first_indexed | 2024-12-13T06:51:26Z |
| format | Article |
| id | doaj.art-70d9d399f848470595b0d74e0ffae1b4 |
| institution | Directory Open Access Journal |
| issn | 1746-4358 |
| language | English |
| last_indexed | 2024-12-13T06:51:26Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
| record_format | Article |
| series | International Breastfeeding Journal |
| spelling | doaj.art-70d9d399f848470595b0d74e0ffae1b42022-12-21T23:56:08ZengBMCInternational Breastfeeding Journal1746-43582020-06-011511910.1186/s13006-020-00297-6How much can Mexican healthcare providers learn about breastfeeding through a semi-virtual training? A propensity score matching analysisMireya Vilar-Compte0Rafael Pérez-Escamilla1Meztli Moncada2Diana Flores3Research Institute for Equitable Development EQUIDE, Universidad IberoamericanaDepartment of Social and Behavioral Sciences, Yale School of Public HealthResearch Institute for Equitable Development EQUIDE, Universidad IberoamericanaResearch Institute for Equitable Development EQUIDE, Universidad IberoamericanaAbstract Background Mexico has shown a worrisome decrease in breastfeeding indicators, especially in the lowest socioeconomic level. Improving breastfeeding protection, promotion, and support services through workforce development is a key area of intervention. The objective of this study is to assess the influence on breastfeeding knowledge and abilities of a semi-virtual training for primary healthcare providers assisting beneficiaries of PROSPERA in Mexico, which is one of the largest conditional cash-transfer programs in the world. Methods Two independent cross-sectional samples of healthcare providers were drawn at baseline and post-intervention in three states of Mexico. Baseline data were collected among primary physicians, registered nurses and nurse technicians (i.e. unit of analysis) on July 2016 (n = 529) and post-training between March and April 2017 (n = 211). A 19-item telephone questionnaire assessed providers’ general knowledge about breastfeeding, breastfeeding benefits and clinical aspects of breastfeeding, clinical ability to solve problems and abilities to overcome breastfeeding challenges. The effects of the training were assessed through a propensity score matching (PSM) stratified by types of providers (i.e. physicians, registered nurses, nurse technicians). Results The PSM analysis showed significant improvements among all providers in the general knowledge about breastfeeding (around 20 percentage points [pp]) and knowledge about breastfeeding benefits (approximately 50 pp). In addition, physicians improved their knowledge about clinical aspects of breastfeeding (7 pp), while registered nurses improved in their ability to solve breastfeeding problems (14 pp) and in helping mothers overcome breastfeeding challenges (12 pp). Conclusions Promoting a breastfeeding enabling environment in Mexico to improve breastfeeding rates will require improving the knowledge and skills of healthcare providers. While a semi-virtual training showed large improvements in knowledge, developing skills among providers may require a more intensive approach.http://link.springer.com/article/10.1186/s13006-020-00297-6BreastfeedingTrainingEsIANMexico |
| spellingShingle | Mireya Vilar-Compte Rafael Pérez-Escamilla Meztli Moncada Diana Flores How much can Mexican healthcare providers learn about breastfeeding through a semi-virtual training? A propensity score matching analysis International Breastfeeding Journal Breastfeeding Training EsIAN Mexico |
| title | How much can Mexican healthcare providers learn about breastfeeding through a semi-virtual training? A propensity score matching analysis |
| title_full | How much can Mexican healthcare providers learn about breastfeeding through a semi-virtual training? A propensity score matching analysis |
| title_fullStr | How much can Mexican healthcare providers learn about breastfeeding through a semi-virtual training? A propensity score matching analysis |
| title_full_unstemmed | How much can Mexican healthcare providers learn about breastfeeding through a semi-virtual training? A propensity score matching analysis |
| title_short | How much can Mexican healthcare providers learn about breastfeeding through a semi-virtual training? A propensity score matching analysis |
| title_sort | how much can mexican healthcare providers learn about breastfeeding through a semi virtual training a propensity score matching analysis |
| topic | Breastfeeding Training EsIAN Mexico |
| url | http://link.springer.com/article/10.1186/s13006-020-00297-6 |
| work_keys_str_mv | AT mireyavilarcompte howmuchcanmexicanhealthcareproviderslearnaboutbreastfeedingthroughasemivirtualtrainingapropensityscorematchinganalysis AT rafaelperezescamilla howmuchcanmexicanhealthcareproviderslearnaboutbreastfeedingthroughasemivirtualtrainingapropensityscorematchinganalysis AT meztlimoncada howmuchcanmexicanhealthcareproviderslearnaboutbreastfeedingthroughasemivirtualtrainingapropensityscorematchinganalysis AT dianaflores howmuchcanmexicanhealthcareproviderslearnaboutbreastfeedingthroughasemivirtualtrainingapropensityscorematchinganalysis |