全国家庭访视服务质量改进计划提高了母乳喂养的开始率和持续时间。
National Quality Improvement Initiative in Home Visiting Services Improves Breastfeeding Initiation and Duration.
机构信息
Division of Global Health Equity (MC Arbour and S Atwood), Brigham and Women's Hospital, Boston, Mass.
Education Development Center, Inc (M Mackrain and E Fitzgerald), Waltham, Mass.
出版信息
Acad Pediatr. 2019 Mar;19(2):236-244. doi: 10.1016/j.acap.2018.11.005. Epub 2018 Nov 3.
OBJECTIVE
To improve breastfeeding through home visiting.
METHODS
From 2013 to 2016, the Home Visiting Collaborative Improvement and Innovation Network (HV CoIIN) enrolled 15 home visiting agencies serving 1000 families in 7 states. Using the Breakthrough Series Collaborative model, HV CoIIN faculty taught a theory of change and continuous quality improvement (CQI) skills, as well as facilitating opportunities for networked learning.
RESULTS
HV CoIIN improved home visitors' breastfeeding competencies and use of data to inform practice. Breastfeeding initiation increased from 47% to 61%. Exclusive breastfeeding of 3-month-old babies increased from 10% to 13.5%, and for babies 6 months old it increased from 5% to 8%.
CONCLUSIONS
Home visiting programs can improve breastfeeding among participants with very low baseline breastfeeding rates. Continuous quality improvement and the Breakthrough Series Collaborative model can be used to improve home visiting services in ways that advance national public health priorities.
目的
通过家访提高母乳喂养率。
方法
2013 年至 2016 年，家访合作改进和创新网络（HV CoIIN）招募了 15 家家访机构，为 7 个州的 1000 个家庭提供服务。HV CoIIN 教师利用突破性系列合作模式，教授变革理论和持续质量改进（CQI）技能，并为网络学习创造机会。
结果
HV CoIIN 提高了家访人员的母乳喂养能力，并利用数据来指导实践。母乳喂养的初始比例从 47%增加到 61%。3 个月大婴儿的纯母乳喂养比例从 10%增加到 13.5%，6 个月大婴儿的纯母乳喂养比例从 5%增加到 8%。
结论
家访项目可以提高基线母乳喂养率非常低的参与者的母乳喂养率。持续质量改进和突破性系列合作模式可以用于改进家访服务，以推进国家公共卫生重点。
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