Fiona Dykes
Dados Biográficos
| ID | 319198 |
|---|---|
| NOME | Fiona Dykes |
| PRENOMES | Fiona |
| SOBRENOME | Dykes |
| ASSINATURA | DYKES F |
| AFILIAÇÕES | University of Lancashire |
| ORCID | 0000-0002-2728-7967 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 22 |
| TOTAL DE CITAÇÕES | 31 |
| TOTAL COMO AUTOR | 22 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2002 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2022 |
| ÍNDICE H | 1 |
Scaling up breastfeeding in England through the Becoming Breastfeeding Friendly initiative (BBF)
Breastfeeding is the most accessible and cost-effective activity available to public health and has been shown to be one of the most effective preventive measures mothers can take to protect their children's health. Despite the well-documented benefits, the UK has one of the lowest breastfeeding rates in the world. The Becoming Breastfeeding Friendly (BBF) toolkit was developed through highly structured technical and academic collaboration, led b…
Unicef UK Baby Friendly Initiative
Although breastfeeding is known to improve health, economic and environmental outcomes, breastfeeding initiation and continuation rates are low in the United Kingdom. The global WHO/UNICEF Baby Friendly Hospital Initiative (BFHI) aims to reverse declining rates of breastfeeding by shifting the culture of infant feeding care provision throughout hospital maternity settings. In the United Kingdom, the global BFHI has been adapted by UNICEF UK refle…
Adapting breastfeeding support in areas of socio-economic deprivation
Findings suggest that while PSs are commissioned to focus on those most in need, there is limited discussion, collection, or use of knowledge about women's lives to develop needs-led service delivery. The key recommendation is the development of a social ecological tool to facilitate the use and application of contextual knowledge
The ABA intervention for improving breastfeeding initiation and continuation
The UK has low breastfeeding rates, with socioeconomic disparities. The Assets-based feeding help Before and After birth (ABA) intervention was designed to be inclusive and improve infant feeding behaviours. ABA is underpinned by the behaviour change wheel and offers an assets-based approach focusing on positive capabilities of individuals and communities, including use of a Genogram. This study aimed to investigate feasibility of intervention de…
Exchanging breastmilk
The exchange of maternal milk has been the subject of increasing popular media discussion, and many people have turned to health care providers for guidance—providers who in turn seek a more internationally and scholarly informed context. Historical and cultural considerations of wet nursing, including a more formalized milk kinship ethos, have emerged globally in recent years. Infant feeding was identified specifically as a “problem” by influent…
A realist qualitative study to explore how low‐income pregnant women use Healthy Start food vouchers
Healthy Start is the UK government's food voucher programme for low-income pregnant women and young children. It was introduced in 2006, but the impact of the programme on nutritional outcomes remains understudied. This study sought to explore potential outcomes of the Healthy Start programme (including intended and unintended outcomes) and develop explanations for how and why these outcomes might occur. A realist review preceded this study, in w…
Breast pumps as an incentive for breastfeeding
Increasing breastfeeding rates would improve maternal and child health, but multiple barriers to breastfeeding persist. Breast pump provision has been used as an incentive for breastfeeding, although effectiveness is unclear. Women's use of breast pumps is increasing and a high proportion of mothers express breastmilk. No research has yet reported women's and health professionals' perspectives on breast pumps as an incentive for breastfeeding. In…
Understanding communication pathways to foster community engagement for health improvement in North West Pakistan
The major lines of communication and influence in the local community described are placed within the wider literature on community engagement in health improvement. The process of maximisation of local cultural knowledge as part of a community engagement effort is one that has application well beyond the particular setting of this study
Faircloth, C.Militant Lactivism? Attachment Parenting and Intensive Motherhood in the UK and France, Oxford
La Leche League (LLL) is a global breastfeeding support organisation founded in 1956 in the USA when breastfeeding rates in the USA had fallen to an all time low of around 20%. It has now expanded globally, reaching 200,000 people per month in over 64 countries through trained volunteers who offer mother-to-mother support through groups, phone or via the internet. Their ten point philosophy is explicit in encouraging physical and emotional closen…
Development and implementation of a nutrition intervention programme in North West Pakistan
Maternal and infant malnutrition is prevalent in rural regions of NW Pakistan. This article reports on the use of a combination of a realist Context-Mechanism-Outcome framework and participatory appraisal methods to facilitate the development of a locally sensitive and responsive nutritional intervention programme. Data were gathered through a series of focus group (FG) discussions with local lady health workers, as well as pregnant and breastfee…
Giving me hope
Breastfeeding peer support has been identified as a key intervention to help improve breastfeeding and exclusive breastfeeding rates. The World Health Organization, and, in the UK, the National Institute for Health and Clinical Excellence, recommend the implementation of sustainable peer support programmes. As part of an evaluation into a comprehensive breastfeeding peer support service in north-west England, in-depth interviews were conducted wi…
Women's Sense of Coherence related to their infant feeding experiences
Given the overwhelming evidence for the benefits of breastfeeding, and yet the low prevalence rates in the UK, it is crucial to understand the influences on women's infant feeding experiences to target and promote effective support. As part of an evaluation study of the implementation of the UNICEF UK Baby Friendly Initiative (BFI) Community Award within two primary (community-based) care trusts in North West England, 15 women took part in an in-…
From Tradition to Modernity
Addressing the learning deficit in breastfeeding
This paper summarizes the findings of the learning needs assessment described in this issue. Limitations and strengths are discussed. The paper describes a national, multi-sectoral, multidisciplinary picture. Our respondents may over-represent those with an interest in breastfeeding; if so, the true picture may be even more problematic than described here. Major deficits were identified in the knowledge and skills of practitioners from all backgr…
Assessing learning needs for breastfeeding
Breastfeeding has a major contribution to make to public health, yet the UK, like many other developed countries, has low rates of breastfeeding. A contributing factor is that practitioners are ill-prepared to support breastfeeding women. There is a mismatch between the care professionals provide and the support women desire. A national breastfeeding learning needs assessment (LNA) was carried out in England to provide a comprehensive picture of …
The education of health practitioners supporting breastfeeding women
The protection, promotion and support of breastfeeding has now become a major international priority as emphasized in the Global Strategy for Infant and Young Child Feeding. Health practitioners, such as midwives, nurses and doctors, have a key role to play in providing support to breastfeeding women. This paper provides a critical discussion of educational requirements of health practitioners to equip them for their supportive role. The effectiv…
The development and delivery of a practice‐based breastfeeding education package for general practitioners in the UK
Growing acceptance that measurable improvements in public health, particularly in lower-income groups, could be achieved by increasing the incidence of breastfeeding has focused attention on the current lack of educational provision in breastfeeding issues for many health professionals. An audit of general practitioners in one area of northern England revealed an interest in receiving breastfeeding training. Department of Health funding was obtai…
An evaluation of the breastfeeding support skills of midwives and voluntary breastfeeding supporters using the Breastfeeding Support Skills Tool (BeSST)
The promotion of breastfeeding has been established as a global public health issue. Despite this global agenda, breastfeeding initiation and duration rates remain low in many countries. The lack of provision of adequate support to the breastfeeding mother is an important contributory factor to shorter duration of breastfeeding. Health professionals and voluntary breastfeeding supporters are in a prime position to work collaboratively to provide …
Supply' and 'demand
Training Breastfeeding Peer Supporters
Government funded breastfeeding peer support projects
In 1999, the Government, Department of Health in England, UK established the Infant Feeding Initiative. As part of this initiative, 79 1‐year infant feeding projects were selected for funding. The funded projects specifically centred upon practice innovation and evaluation in relation to promoting breastfeeding and supporting breastfeeding women in socially excluded communities. The DH recently commissioned a comprehensive evaluation of the 79 pr…
Western Medicine and Marketing
I conducted a longitudinal phenomenological study in England to explore the perceptions of 10 lactating women related to the nature of their breast milk and their ability to exclusively breast-feed their babies. The women viewed breast-feeding as a mechanical manufacturing process, and they carefully monitored the output of breast milk. Health care professionals contributed to the women's perceptions and displayed mechanistic assumptions in relat…
Western Medicine and Marketing
I conducted a longitudinal phenomenological study in England to explore the perceptions of 10 lactating women related to the nature of their breast milk and their ability to exclusively breast-feed their babies. The women viewed breast-feeding as a mechanical manufacturing process, and they carefully monitored the output of breast milk. Health care professionals contributed to the women's perceptions and displayed mechanistic assumptions in relat…
Training Breastfeeding Peer Supporters
Government funded breastfeeding peer support projects
In 1999, the Government, Department of Health in England, UK established the Infant Feeding Initiative. As part of this initiative, 79 1‐year infant feeding projects were selected for funding. The funded projects specifically centred upon practice innovation and evaluation in relation to promoting breastfeeding and supporting breastfeeding women in socially excluded communities. The DH recently commissioned a comprehensive evaluation of the 79 pr…
An evaluation of the breastfeeding support skills of midwives and voluntary breastfeeding supporters using the Breastfeeding Support Skills Tool (BeSST)
The promotion of breastfeeding has been established as a global public health issue. Despite this global agenda, breastfeeding initiation and duration rates remain low in many countries. The lack of provision of adequate support to the breastfeeding mother is an important contributory factor to shorter duration of breastfeeding. Health professionals and voluntary breastfeeding supporters are in a prime position to work collaboratively to provide …
Supply' and 'demand
Addressing the learning deficit in breastfeeding
This paper summarizes the findings of the learning needs assessment described in this issue. Limitations and strengths are discussed. The paper describes a national, multi-sectoral, multidisciplinary picture. Our respondents may over-represent those with an interest in breastfeeding; if so, the true picture may be even more problematic than described here. Major deficits were identified in the knowledge and skills of practitioners from all backgr…
Assessing learning needs for breastfeeding
Breastfeeding has a major contribution to make to public health, yet the UK, like many other developed countries, has low rates of breastfeeding. A contributing factor is that practitioners are ill-prepared to support breastfeeding women. There is a mismatch between the care professionals provide and the support women desire. A national breastfeeding learning needs assessment (LNA) was carried out in England to provide a comprehensive picture of …
The education of health practitioners supporting breastfeeding women
The protection, promotion and support of breastfeeding has now become a major international priority as emphasized in the Global Strategy for Infant and Young Child Feeding. Health practitioners, such as midwives, nurses and doctors, have a key role to play in providing support to breastfeeding women. This paper provides a critical discussion of educational requirements of health practitioners to equip them for their supportive role. The effectiv…
The development and delivery of a practice‐based breastfeeding education package for general practitioners in the UK
Growing acceptance that measurable improvements in public health, particularly in lower-income groups, could be achieved by increasing the incidence of breastfeeding has focused attention on the current lack of educational provision in breastfeeding issues for many health professionals. An audit of general practitioners in one area of northern England revealed an interest in receiving breastfeeding training. Department of Health funding was obtai…
From Tradition to Modernity
Women's Sense of Coherence related to their infant feeding experiences
Given the overwhelming evidence for the benefits of breastfeeding, and yet the low prevalence rates in the UK, it is crucial to understand the influences on women's infant feeding experiences to target and promote effective support. As part of an evaluation study of the implementation of the UNICEF UK Baby Friendly Initiative (BFI) Community Award within two primary (community-based) care trusts in North West England, 15 women took part in an in-…
Giving me hope
Breastfeeding peer support has been identified as a key intervention to help improve breastfeeding and exclusive breastfeeding rates. The World Health Organization, and, in the UK, the National Institute for Health and Clinical Excellence, recommend the implementation of sustainable peer support programmes. As part of an evaluation into a comprehensive breastfeeding peer support service in north-west England, in-depth interviews were conducted wi…
Development and implementation of a nutrition intervention programme in North West Pakistan
Maternal and infant malnutrition is prevalent in rural regions of NW Pakistan. This article reports on the use of a combination of a realist Context-Mechanism-Outcome framework and participatory appraisal methods to facilitate the development of a locally sensitive and responsive nutritional intervention programme. Data were gathered through a series of focus group (FG) discussions with local lady health workers, as well as pregnant and breastfee…
Faircloth, C.Militant Lactivism? Attachment Parenting and Intensive Motherhood in the UK and France, Oxford
La Leche League (LLL) is a global breastfeeding support organisation founded in 1956 in the USA when breastfeeding rates in the USA had fallen to an all time low of around 20%. It has now expanded globally, reaching 200,000 people per month in over 64 countries through trained volunteers who offer mother-to-mother support through groups, phone or via the internet. Their ten point philosophy is explicit in encouraging physical and emotional closen…
Breast pumps as an incentive for breastfeeding
Increasing breastfeeding rates would improve maternal and child health, but multiple barriers to breastfeeding persist. Breast pump provision has been used as an incentive for breastfeeding, although effectiveness is unclear. Women's use of breast pumps is increasing and a high proportion of mothers express breastmilk. No research has yet reported women's and health professionals' perspectives on breast pumps as an incentive for breastfeeding. In…
Understanding communication pathways to foster community engagement for health improvement in North West Pakistan
The major lines of communication and influence in the local community described are placed within the wider literature on community engagement in health improvement. The process of maximisation of local cultural knowledge as part of a community engagement effort is one that has application well beyond the particular setting of this study
Exchanging breastmilk
The exchange of maternal milk has been the subject of increasing popular media discussion, and many people have turned to health care providers for guidance—providers who in turn seek a more internationally and scholarly informed context. Historical and cultural considerations of wet nursing, including a more formalized milk kinship ethos, have emerged globally in recent years. Infant feeding was identified specifically as a “problem” by influent…
A realist qualitative study to explore how low‐income pregnant women use Healthy Start food vouchers
Healthy Start is the UK government's food voucher programme for low-income pregnant women and young children. It was introduced in 2006, but the impact of the programme on nutritional outcomes remains understudied. This study sought to explore potential outcomes of the Healthy Start programme (including intended and unintended outcomes) and develop explanations for how and why these outcomes might occur. A realist review preceded this study, in w…
The ABA intervention for improving breastfeeding initiation and continuation
The UK has low breastfeeding rates, with socioeconomic disparities. The Assets-based feeding help Before and After birth (ABA) intervention was designed to be inclusive and improve infant feeding behaviours. ABA is underpinned by the behaviour change wheel and offers an assets-based approach focusing on positive capabilities of individuals and communities, including use of a Genogram. This study aimed to investigate feasibility of intervention de…
Unicef UK Baby Friendly Initiative
Although breastfeeding is known to improve health, economic and environmental outcomes, breastfeeding initiation and continuation rates are low in the United Kingdom. The global WHO/UNICEF Baby Friendly Hospital Initiative (BFHI) aims to reverse declining rates of breastfeeding by shifting the culture of infant feeding care provision throughout hospital maternity settings. In the United Kingdom, the global BFHI has been adapted by UNICEF UK refle…
Adapting breastfeeding support in areas of socio-economic deprivation
Findings suggest that while PSs are commissioned to focus on those most in need, there is limited discussion, collection, or use of knowledge about women's lives to develop needs-led service delivery. The key recommendation is the development of a social ecological tool to facilitate the use and application of contextual knowledge
Scaling up breastfeeding in England through the Becoming Breastfeeding Friendly initiative (BBF)
Breastfeeding is the most accessible and cost-effective activity available to public health and has been shown to be one of the most effective preventive measures mothers can take to protect their children's health. Despite the well-documented benefits, the UK has one of the lowest breastfeeding rates in the world. The Becoming Breastfeeding Friendly (BBF) toolkit was developed through highly structured technical and academic collaboration, led b…
Medicine (21 obras) · Breastfeeding (18 obras) · Breastfeeding Practices and Influences (17 obras) · Nursing (17 obras) · Pediatrics (17 obras) · Political science (11 obras) · Child Nutrition and Feeding Issues (9 obras) · Economic growth (7 obras) · Psychology (7 obras) · Public relations (7 obras)