Malith Kumarasinghe, Manuj C Weerasinghe
Reconstitution of oral antibiotic suspensions for paediatric use in households: a cross-sectional study among caregivers of 3-5-year-old children from a selected district, Sri Lanka
BMC pediatrics
despite benefits breastfeeding bf rates remain lower public health targets particularly among lowincome black populations communitybased breastfeeding peer counselor bpc programs shown increase bf sought examine whether implementation bpc program obstetric clinical setting serving lowincome patients associated improved bf initiation exclusivity quasiexperimental time series study pregnant postpartum patients receiving care implementation bpc program teaching hospital affiliated prenatal clinic role bpc staff included bf classes prenatal counseling postnatal support including inhospital assistance phone triage discharge records reviewed 3 time points immediately hire bpc staff 2008 1year postimplementation 2009 5 years postimplementation 2014 primary outcomes rates breastfeeding initiation exclusivity prior hospital discharge secondary outcomes included whether infants received mostly breastmilk inpatient admission 6 weeks postdelivery bivariable multivariable analyses utilized appropriate 302 patients included 523 identified nonhispanic black 99 medicaidfunded prenatal care improvement rates bf initiation exclusive bf postpartum hospitalization improved 3 distinct time points examined increasing 137 2008 32 2014 2009 aor 248 95ci 113543 2014 aor 182 95ci 124265 finding driven improved exclusive bf patients identified black 94 2008 229 2009 379 2014 p 001 inpatient bf exclusivity significantly increased tenure bpc program lowincome clinical setting findings demonstrate bpc program particularly effective method address bf disparities among lowincome black populations