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Barriers and Facilitators for Exclusive Breastfeeding within the Health System and Public Policies from In-Depth Interviews to Primary Care Midwives in Tenerife (Canary Islands, Spain)

Author

Listed:
  • Seila Llorente-Pulido

    (PhD Programme in Public Health and Epidemiology, Preventive Medicine and Public Health and Microbiology Department, Faculty of Medicine, Universidad Autónoma de Madrid, 28029 Madrid, Spain
    Servicio Canario de Salud, Gerencia de Atención Primaria de Tenerife, Primary Health Care San Isidro, 38611 Tenerife, Spain)

  • Estefanía Custodio

    (CIBER Infectious Diseases (ISCIII), 28029 Madrid, Spain
    National Centre for Tropical Medicine, Health Institute Carlos III, 28029 Madrid, Spain)

  • María Rosario López-Giménez

    (Preventive Medicine and Public Health and Microbiology Department, Faculty of Medicine, Universidad Autónoma de Madrid, 28029 Madrid, Spain)

  • Laura Otero-García

    (Nursing Department, Faculty of Medicine, Universidad Autónoma de Madrid, 28029 Madrid, Spain
    CIBER Epidemiology and Public Health (CIBERESP-ISCIII), 28029 Madrid, Spain
    National School of Public Health, Health Institute Carlos III, 28029 Madrid, Spain)

Abstract

The aim of this study is to describe the perspectives of Primary Care midwives regarding factors that benefit or are detrimental to exclusive breastfeeding (EBF) within the health system and public policies. The study was carried out in Tenerife (Canary Islands, Spain) and is based on qualitative methodology. Twenty in-depth interviews were carried out with midwives who work in Primary Care centres in Tenerife, using a content analysis approach. The transcript data were then encoded following an inductive approach. The factors, according to midwives, that affect EBF, with regard to the healthcare system, are related to training of healthcare professionals in breastfeeding and their support to women during pregnancy, childbirth and postnatal care. Regarding public policies, midwives believe the maternity leave periods in Spain, together with a lack of laws and social policies to protect EBF are detrimental. The findings from our study show that there is a need to boost training and the role of professionals in EBF and, at the same time, promote protective policies that foster equality, favouring, among other issues, the work-life balance.

Suggested Citation

  • Seila Llorente-Pulido & Estefanía Custodio & María Rosario López-Giménez & Laura Otero-García, 2021. "Barriers and Facilitators for Exclusive Breastfeeding within the Health System and Public Policies from In-Depth Interviews to Primary Care Midwives in Tenerife (Canary Islands, Spain)," IJERPH, MDPI, vol. 19(1), pages 1-27, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2021:i:1:p:128-:d:709445
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    References listed on IDEAS

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    1. Seila Llorente-Pulido & Estefanía Custodio & Maria Rosario López-Giménez & Belén Sanz-Barbero & Laura Otero-García, 2021. "Barriers and Facilitators for Exclusive Breastfeeding in Women’s Biopsychosocial Spheres According to Primary Care Midwives in Tenerife (Canary Islands, Spain)," IJERPH, MDPI, vol. 18(7), pages 1-22, April.
    2. Antonio Jesús Ramos-Morcillo & David Harillo-Acevedo & David Armero-Barranco & César Leal-Costa & José Enrique Moral-García & María Ruzafa-Martínez, 2020. "Barriers Perceived by Managers and Clinical Professionals Related to the Implementation of Clinical Practice Guidelines for Breastfeeding through the Best Practice Spotlight Organization Program," IJERPH, MDPI, vol. 17(17), pages 1-17, August.
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