Although many people have a strong views on breastfeeding, usually based on some personal, family or friend experience and moreover, there is historic lack of sufficient breastfeeding training for many UK professionals, this can surely lead to general misinterpretations about what can effectively improve breastfeeding rates. It can be suggested that the purpose of community is to clear aims and priorities for the BF strategy and give an evident roles to all staff members (UNICEF, 2009).
With regard to HDA review and studies evaluation of UK studies presented in Table 1, interventions which have been found to be effective at increasing BF rates including:
4.1 Education and professional ...view middle of the document...
The rates of breastfeeding were significantly improved and in 2009 women in Bristol were 1.57 times more likely to breastfeed than in 2006 (Ingram et al, 2006) (Table 1).
4.2 Peer support
The existing BF community strategy has found the importance of peer support to be effective and suggested possible ways to increase support for BF mothers from peer support programmes.
Peer support initiatives including, for example, support from already BF mothers to the new mothers, telephone support lines or face to face support provided by paid peer supporters, have been found to be successful (UNICEF, 2009; UNICEF, 2013).
Table 1 indicates findings from Birmingham randomised controlled trial. With regard to this evaluation, the assessment of the effectiveness of an antenatal service and local breastfeeding peer support workers on initiation of breastfeeding was found ineffective and the intervention and control groups did not differ much in rates of the initiation of breastfeeding (69% vs. 68.1%) (MacArthur et al., 2009). However, due to the some limitation of presented trial, it can be determined, that this particular study findings are not representative enough to draw a final conclusion on the effectiveness of peer support workers in the community service. In addition, there are no other UK trials related to the topic area, which can evaluate the peer supporters role in the sustaining breastfeeding improvements.
According to the study findings, it can be suggested that the peer support service in the UK needed to be more intensive and the amount of advice already provided routinely in antenatal clinics allows, perhaps, additional gain from other interventions to increase sustaining breastfeeding rates (MacArthur et al., 2009).
4.3 It can be determined that community initiatives should provide outgoing support for continued BF to the mothers and the BF friendly venues in the communities, as well materials and information displayed for the BF families should be properly intended.
According to the UNICEF (2008) review of the Seven Points Plan for Sustaining Breastfeeding in the Community, written information intended for breastfeeding mothers in the BF friendly venues has to be accurate and effective to support BF and they must be...