University of Kent, Canterbury, UK.
Yale University, New Haven, Connecticut, USA.
Matern Child Nutr. 2023 Jan;19 Suppl 1(Suppl 1):e13393. doi: 10.1111/mcn.13393. Epub 2022 Jul 19.
The Becoming Breastfeeding Friendly (BBF) in Great Britain study was conducted during 2017-2019 comprising three country studies: BBF England, Wales and Scotland. It was part of an international project being coordinated during the same period by the Yale School of Public Health across five world regions to inform countries and guide policies to improve the environment for the promotion, protection and support of breastfeeding. This paper reports on the application of the BBF process that is based on an implementation science approach, across the countries that constitute Great Britain (England, Wales and Scotland). The process involves assessing 54 benchmarks across eight interlocking gears that drive a country's 'engine' towards a sustainable policy approach to supporting, promoting and protecting breastfeeding. It takes a consensus-oriented approach to the evaluation of benchmarks and the development of recommendations. This paper provides a critical overview of how the process was conducted, the findings and recommendations that emerged and how these were managed. We draw on critical theory as a theoretical framework for explaining the different outcomes for each country and some considerations for future action.
《英国促进母乳喂养友好（BBF）研究》于 2017-2019 年开展，包含英格兰、威尔士和苏格兰三个国家的研究。该研究是耶鲁大学公共卫生学院同期在全球五个地区协调开展的一个国际项目的一部分，旨在为各国提供信息并指导其制定政策，以改善促进、保护和支持母乳喂养的环境。本文报告了 BBF 流程在构成大不列颠（英格兰、威尔士和苏格兰）的国家中的应用。该流程基于实施科学方法，评估了 8 个相互关联的齿轮上的 54 个基准，这些基准推动了一个国家支持、促进和保护母乳喂养的可持续政策方法的“引擎”。它采用共识导向的方法评估基准和制定建议。本文提供了对流程实施、得出的发现和建议以及如何管理这些发现和建议的批判性概述。我们借鉴批判理论作为解释每个国家不同结果的理论框架，并提出了一些未来行动的考虑因素。
