scholarly journals How do breastfeeding workplace interventions work?: a realist review

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Kathrin Litwan ◽  
Victoria Tran ◽  
Kate Nyhan ◽  
Rafael Pérez-Escamilla

Abstract Background Women are representing an increasing share of the labor force, thus, raising the need to accommodate breastfeeding working mothers at the workplace. While there is an emerging body of evidence supporting the positive influence of workplace lactation programs on breastfeeding outcomes, there is a lack of literature on the mechanisms underlying those interventions. Aims of this realist review were three-fold: to uncover underlying mechanisms, determine who benefits the most from such interventions and important contextual factors influencing uptake. Methods Purposive bibliographic searches on Medline, Web of Science Core Collection, CINAHL, Global Health, LILACS, Global Index Medicus, Business Source Complete, Proquest Dissertations and Theses and Open Access Theses and Dissertations were conducted to identify relevant publications. Included publications (qualitative and quantitative) described interventions aiming to improve the breastfeeding behavior of working mothers, that were initiated by the employer, reported on breastfeeding outcomes and had a clearly defined workplace. Publications only focusing on maternity leave or that were not published in English, Spanish, Portuguese or German were excluded. A realist approach was followed to identify how workplace interventions work, who benefits the most and the important contextual factors. Results The bibliographic search yielded a total of 4985 possible publications of which 37 publications were included in the realist analysis. Effective workplace breastfeeding interventions activate three mechanisms: 1) awareness of the intervention, 2) changes in workplace culture, manager/supervisor support, co-worker support and physical environments, and 3) provision of time. Contextual factors such as the distance between the workplace and the infant and the type of workplace may influence the degree of activation of the underlying mechanisms for programs to positively impact breastfeeding outcomes. Conclusions In order to be effective, workplace breastfeeding interventions need to: raise awareness of the intervention(s) available among working mothers as well as their work environment, change the workplace culture, foster manager/supervisor support and co-workers support, provide enough time and adequate space and facilities for women to breastfeed or express breastmilk during the workday.

2004 ◽  
Vol 32 (4) ◽  
pp. 493-568 ◽  
Author(s):  
Susan C. Whiston ◽  
Briana K. Keller

Based on a developmental contextual perspective advocated by Vondracek, Lerner, and Schulenberg, this article provides a comprehensive review of the research published since 1980related to family of origin influences on career developmentandoccupational choice. Because individuals are most likely to seek assistance with career decisions from family members, it is important that counseling psychologists understand how families can have a positive influence and facilitate career development. Influential family contextual factors are identified within four developmentallevels (i.e., children, adolescents, college students/young adults, and adults). Across the lifespan, both family structure variables (e.g., parents’ occupations) and family process variables (e.g., warmth, support, attachment, autonomy) were found to influence a host of career constructs; however, the process by which families influence career development is complex and is affected by many contextual factors such as race, gender, and age. Based on this comprehensivereview, implicationsfor counselingresearch andpracticeare discussed.


2008 ◽  
Vol 23 (4) ◽  
pp. 7-34 ◽  
Author(s):  
Valérie Swaen ◽  
Ruben C. Chumpitaz

This research aims at analyzing the impact of consumers' perceptions of Corporate Social Responsibility (CSR) activities on their trust toward the company and at highlighting the underlying mechanisms and conditions of this impact. This paper is based on a questionnaire survey administered to a sample of 618 consumers about cosmetics and sportswear. Results show that consumers' perceptions of CSR activities have a positive influence on their trust toward the company, directly and indirectly through the influence on perceived quality of the products offered and consumer satisfaction.


Author(s):  
Vivian O. Omuemu ◽  
Scott A. Adamu

Background: Inadequate infant feeding practices is a major contributor to the high burden of childhood morbidity and mortality in many countries. Female participation in the labour sector has increased and many of them return to work soon after giving birth posing a significant barrier to breastfeeding. This study assessed the knowledge and practice of breastfeeding among working mothers in the Federal Capital Territory, Nigeria.Methods: This cross-sectional study was done among 360 working mothers selected by multistage sampling technique. Quantitative and qualitative data were collective using interviewer-administered questionnaire and key informant interview guide, respectively. Data was analyzed using Statistical Package for Scientific Solutions (SPSS) version 21.0 and significant level was set at p<0.05.Results: Two hundred and seventy-six (76.7%) of the respondents had good knowledge of breast feeding. More than three-quarters (77.2%) initiated breastfeeding within one hour of birth, 201 (55.8%) practiced exclusive breastfeeding correctly and 201 (55.8%) introduced complementary foods on time. Median duration of breastfeeding was 14.6 months. Less than half of them (41.7%) had good overall practice of breastfeeding. Level of education, sector of work, knowledge of breastfeeding and availability of on-site crèche were significantly associated with practice of breastfeeding. Common barriers to breastfeeding included poor spousal support, no paid maternity leave and non-availability of nearby crèches. Most of the organizations observed had a breast feeding policy.Conclusions: This study revealed a gap between the knowledge and practice of adequate breastfeeding among the respondents and identified some perceived barriers to optimal breastfeeding. 


2021 ◽  
Vol 7 (1) ◽  
pp. 70-72
Author(s):  
Wahyu Widayati Widayati

ABSTRAK Praktik ASI ekslusif masih jauh dari 90% di sebagian besar Negara berkembang, bahkan durasi menyusui sangat pendek dan data dari SDKI menunjukkan masih cakupan ASI ekslusif tahun 2012 di Indonesia baru mencapai 27%. Tingginya angka kegagalan menyusui pada ibu bekerja terjadi setelah selesai cuti bersalin terutama pada ibu menyusui yang bekerja disektor formal karena status kepegawaiannya mengikuti standar aturan hukum yang jelas bagi perkantoran atau perusahaan yang bersangkutan. Seperti pada SMA N 1 Pagelaran dimana terdapat 50% adalah pekerja ibu – ibu baik guru dan staf yang masih berada pada usia produktif dan menyusui. Pengabdian masyarakt ini bertyujuan untuk menuingkatkan pengetahuan ibu - ibu menyususi   yang berkerja di SMA N 1 Pagelaran dengan tehnik demontrasi pemberian edukasi teknik memerah, menyimpan dan menyiapkan ASI yang benar. Hasil dari pelaksanaan pengabdian masyarakat ini adalah didapatkan bahwa sebagian besar peserta pengabdian masyarakat meningkat pengetahuannya tentang teknik memerah, menyimpan dan memberikan ASI kepada anaknya.   Kata Kunci : Edukasi Memerah, Menyimpan dan Menyiapkan ASI     ABSTRACT The practice of exclusive breastfeeding is still far from 90% in most developing countries, even the duration of breastfeeding is very short and data from the IDHS show that exclusive breastfeeding in 2012 in Indonesia only reached 27%. The high rate of failure to breastfeed in working mothers occurs after maternity leave, especially for breastfeeding mothers who work in the formal sector because their employment status follows clear legal standards for the office or company concerned. As in SMA N 1 Pagelaran where 50% are working mothers, both teachers and staff who are still at the productive and breastfeeding age. This community service aims to increase the knowledge of breastfeeding mothers who work at SMA N 1 Pagelaran with dem,onstration technique, providing education on  how to express, store and prepare correct breast milk. The result of the implementation of this community service participants have increased their knowledge of techniques for expressing, storing and giving breast milk to their children.   Keywords :Education Expressing, Storing and Preparing Breastmilk


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ankur Srivastava ◽  
Nitin Gupta ◽  
Nripendra P. Rana

PurposeThis study investigates the role of consumer cosmopolitanism on consumer attitudes and purchase intentions (PIs) towards foreign and local brands.Design/methodology/approachThe responses were collected on a structured questionnaire through a consumer survey. The data were then analysed through structural equation modelling (SEM).FindingsThe results depict the positive influence of consumer cosmopolitanism on consumer attitudes towards foreign brands, which positively influences PIs towards foreign brands and negatively influences the PIs of local brands. Further, the mediating role of perceived quality was observed in explaining the consumer preference towards foreign and domestic brands.Practical implicationsFinally, the study concludes by providing implications for marketing scholars and managers of global and local brands.Originality/valueThe paper examines the underlying mechanisms related to consumer cosmopolitanism and its role in influencing the foreign and local brand purchase.


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