Exploring outcomes of public health nurse-facilitated breastfeeding support groups

Breastfeeding groups have been identified in national and international policy as an important support mechanism for increasing breastfeeding duration. The aim of this study was to estimate the value of public health nurse- (PHN) facilitated breastfeeding group support. The study was informed by methodology used to calculate a social return on investment (SROI). Data were collected from primary and secondary stakeholders using focus group, joint and individual interviews. Mothers reported improved mental health and increased duration of breastfeeding, and PHNs reported being more knowledgeable about breastfeeding, being able to offer a better service and experiencing higher job satisfaction. PHNs who did not facilitate groups but whose clients attended reported reduced workload and improvements in access to information. Family and friends reported more positive attitudes to breastfeeding. PHN-facilitated breastfeeding groups have benefits for mothers, PHNs and for society; therefore, a more systematised and geographically equitable approach to their implementation in Ireland should be promoted.