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Towards integrated care in breastfeeding support: a cross-sectional survey of practitioners’ perspectives

Overview of attention for article published in International Breastfeeding Journal, June 2016
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • Among the highest-scoring outputs from this source (#32 of 367)
  • High Attention Score compared to outputs of the same age (93rd percentile)

Mentioned by

1 policy source
35 tweeters
15 Facebook pages


6 Dimensions

Readers on

99 Mendeley
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Towards integrated care in breastfeeding support: a cross-sectional survey of practitioners’ perspectives
Published in
International Breastfeeding Journal, June 2016
DOI 10.1186/s13006-016-0072-y
Pubmed ID

Stefanie Inge Rosin, Irena Zakarija-Grković


Integrated care is defined as concerted action of healthcare providers ensuring continuity of care within a patient-centered approach, thus contributing to healthcare efficiency and quality. Apart from the WHO/UNICEF Baby-Friendly Initiatives, integrated care has been poorly explored within the context of breastfeeding support. The aim of this study was to investigate the experience of breastfeeding support practitioners, identifying barriers and facilitators towards integrated care. A 62-item survey was conducted among 900 participants at 3 international breastfeeding conferences. Analysis included uni-and bivariate descriptive statistics, categorizing of mutually exclusive response groups and thematic networks analysis of responses to 18 open-ended items. Three-hundred-and-one participants (33 % response), from 34 predominantly industrialized countries (98 %) on nearly all continents, responded to the survey. Norwegian residents alone, felt sufficiently supported in providing breastfeeding support by other healthcare providers, the work environment, society, the media and their National Breastfeeding Committee (P < 0.05). Out of 11 suggested measures for effective breastfeeding promotion, 96 % of respondents ranked integrated care as the most important. The largest response group identified in open-ended items, as a major barrier to integrated care in breastfeeding support, was "lacking or failing health promotion strategies" (n = 454), followed by "a lack of vertically integrated care" (n =268), described mainly as unsatisfactory cooperation within healthcare. This inconsistency of care also impairs "shared decision-making" on infant feeding for parents, including accessibility of information and support (n = 265). Among other measures, 29 % of respondents recommended incentivizing integrated breastfeeding support within healthcare. Two figures, based on open-ended response evaluations, illustrate participants' ideas of the National Breastfeeding Committees' role in coordinating policies and protagonists towards integrated breastfeeding support, and a family-centered model of integrated care to facilitate successful breastfeeding. According to practitioners in breastfeeding support, integrated care is essential for successful breastfeeding. Quality and accessibility of breastfeeding support should be motivated by healthcare system incentives, to counter the reported lack of consistency of care within and beyond healthcare. To effectively integrate a continuum of breastfeeding support into healthcare and society, a policy consensus and strong political action are indispensable, with coordination by an empowered National Breastfeeding Committee.

Twitter Demographics

The data shown below were collected from the profiles of 35 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 99 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Ethiopia 1 1%
Ghana 1 1%
Unknown 97 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 22 22%
Student > Bachelor 16 16%
Student > Doctoral Student 10 10%
Researcher 10 10%
Student > Ph. D. Student 10 10%
Other 19 19%
Unknown 12 12%
Readers by discipline Count As %
Nursing and Health Professions 33 33%
Medicine and Dentistry 23 23%
Social Sciences 12 12%
Agricultural and Biological Sciences 3 3%
Computer Science 3 3%
Other 6 6%
Unknown 19 19%

Attention Score in Context

This research output has an Altmetric Attention Score of 31. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 June 2019.
All research outputs
of 15,879,174 outputs
Outputs from International Breastfeeding Journal
of 367 outputs
Outputs of similar age
of 269,758 outputs
Outputs of similar age from International Breastfeeding Journal
of 1 outputs
Altmetric has tracked 15,879,174 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 95th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 367 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 12.0. This one has done particularly well, scoring higher than 91% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 269,758 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 93% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them