Mark S Scher, Sonika Agarwal, Charu Venkatesen
Clinical decisions in fetal-neonatal neurology II: Gene-environment expression over the first 1000 days presenting as "four great neurological syndromes"
Seminars in fetal & neonatal medicine
healthcare providers play important roles supporting breastfeeding although insufficient actual breastfeeding support healthcare providers china little research conducted understand chinese healthcare providers perceived barriers providing breastfeeding support especially rural china study aims identify perceived barriers providing breastfeeding support northwestern rural china study conducted period march 2018 december 2018 fortyone healthcare providers recruited purposive sampling two rural counties northwest china close proximity share similar demographic features participants included obstetriciangynecologists midwives nurses village doctors township village maternal child health workers qualitative data collected oneonone indepth semistructured interviews focus group discussions transcripts thematically analyzed analysis interview data resulted four themes participants perceived barriers supporting breastfeeding 1 lack medical resources within inadequate staffing lack financial incentives discussed 2 lack clear specific responsibility assignment within one takes lead mutual buckpassing discussed 3 healthcare providers lack relevant expertise within lack knowledge skills low prestige village healthcare providers discussed 4 difficulties accessing mothers within medical equipment shortages reduce services utilization mothers housing situation mothers mobility cultural barriers discussed study identified hcps perceived barriers providing breastfeeding support unique chinas trilevel healthcare system challenges like staffing financial incentives hard swiftly tackle recommendations include mhealth enhancement clarified responsibilities incentives tailored training research crucial evaluate strategies rural northwestern china comparable underdeveloped areas nationwide