The effect of an area-based intervention on breastfeeding rates in Victoria, Australia

Kelaher, Margaret, Dunt, David, Feldman, Peter, Nolan, Andrea and Raban, Bridie 2009, The effect of an area-based intervention on breastfeeding rates in Victoria, Australia, Health policy, vol. 90, no. 1, pp. 89-93.

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Title The effect of an area-based intervention on breastfeeding rates in Victoria, Australia
Author(s) Kelaher, Margaret
Dunt, David
Feldman, Peter
Nolan, Andrea
Raban, Bridie
Journal name Health policy
Volume number 90
Issue number 1
Start page 89
End page 93
Total pages 5
Publisher Elsevier
Place of publication Amsterdam, Netherlands
Publication date 2009-04
ISSN 0168-8510
1872-6054
Keyword(s) partnership
health services
breastfeeding
Summary Objectives
Best Start is an area-based early childhood intervention where projects are developed and implemented through a community partnership. A core tenet of the initiative is that implementing projects through a partnership generates greater value than would be expected if projects were undertaken independently by partner members. In this study we examine whether: (1) Best Start is effective in increasing the proportion of infants being fully breastfed at 3 months and 6 months. (2) The quality of community partnerships is a potential mechanism for change.

Methods
Best Start was implemented in Victoria, Australia. The study examined breastfeeding rates before and after Best Start in sites with Best Start breastfeeding projects compared to the rest of state. The relationship between partnership quality scores and breastfeeding percentages was also examined. Both analyses controlled for socioeconomic and demographic differences and clustering by area.

Results
Best Start targeted some of the most socially disadvantaged communities in Victoria. In the 3 years of its operation, the rates of fully breastfeeding at 3 months (OR 1.30, 95% CI 1.14–1.47) and 6 months (OR 1.33, 95% CI 1.1–1.61) increased in Best Start sites compared to the rest of the state. Quality of partnership scores was positively associated with increased percentages of fully breastfeeding (3 months = OR 1.03, 95% CI 1.01–1.06; 6 months = OR 1.03, 95% CI 0.98–1.08).

Conclusions
These results suggest that area-based interventions are effective in increasing percentages of fully breastfeeding. The study also supported the idea that developing quality community partnerships had a positive influence on their success.
Language eng
Field of Research 111704 Community Child Health
130399 Specialist Studies in Education not elsewhere classified
Socio Economic Objective 970113 Expanding Knowledge in Education
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2008, Elsevier Ireland Ltd
Persistent URL http://hdl.handle.net/10536/DRO/DU:30017599

Document type: Journal Article
Collection: School of Nursing and Midwifery
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