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The Baby Box scheme in Scotland

A study of public attitudes and social value

Bibliographic Data

ID19506238
AuthorsZoe Skea (0000-0003-4685-4266, Health Services Research Unit University of Aberdeen Aberdeen UK, corresponding author), Agata Kostrzewa (0000-0001-8460-2508, Health Services Research Unit University of Aberdeen Aberdeen UK), Louise Locock (0000-0002-8109-1930, Health Services Research Unit University of Aberdeen Aberdeen UK), Mairead Black (0000-0002-6841-8601, Obstetrics and Gynaecology, Aberdeen Maternity Hospital, Institute of Applied Health Sciences University of Aberdeen Aberdeen UK), Heather Morgan (0000-0002-6118-8911, Postgraduate Education Group, Institute of Applied Health Sciences University of Aberdeen Aberdeen UK), Mandy Ryan (0000-0001-6643-9129, Health Economics Research Unit University of Aberdeen Aberdeen UK)
Year2022
Volume25
Issue6
Pages3307-3314
Publication date2022-12-01
Open AccessYes
TypeARTICLE
VenueHealth Expectations (JOURNAL)
Journal identifiersISSN: 1369-6513 • E-ISSN: 1369-7625
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hex.13639
PMID36305528
OpenAlexW4307493191
LanguageEN
Citations received1
References cited10

BACKGROUND: The Scottish Government introduced a free Baby Box scheme for all new parents in 2017, modelled on the Finnish scheme, to give every baby 'an equal start in life'. There is little evidence that it results in better health outcomes, but there has been limited research into different perspectives and discourses on such schemes. METHODS: Four focus groups were conducted with 21 parents in North-East Scotland. Recordings were transcribed verbatim, anonymized and analysed thematically with NVivo 12 software. Our thematic analysis was both inductive and deductive-remaining open to themes identified by participants themselves but also informed by the social policy literature on universalism and social cohesion. RESULTS: Across all the focus groups, we found a high degree of positivity about the principle of the Baby Box scheme, and for the most part the practical value of the contents. This was remarkably consistent across different communities and backgrounds. There was little evidence of the strongly polarized views present in media reporting. Parents seemed considerably less focused than the media on safety and health outcomes, and more focused on practical, material and social impacts. They reported little in the way of feeling patronized or monitored by the government. CONCLUSION: Our findings have important implications for future economic evaluations of the baby box. Such evaluations should broaden the valuation space beyond health outcomes to allow for the value of feelings of inclusion, solidarity and being part of a community. PATIENT OR PUBLIC CONTRIBUTION: This small project was designed in response to parent views already collected in the early roll-out of the Baby Box scheme in Scotland, about their priorities and responses to the scheme. Additional views were sought on the topic guide for the focus groups, and local community groups advised us on recruitment and the best timing and location for the focus groups to be held. The focus groups themselves were conducted as research, but with the intent of ensuring parent views featured more prominently in a debate that has been largely dominated by clinical and public health perspectives

Feeling · Focus group · Political science · Politics · Qualitative research · Social science · Sociology · Solidarity · Thematic analysis · Universalism · Child Welfare and Adoption · Family Support in Illness · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Psychology · Social Psychology

  • The Baby Box scheme in Scotland

    Open Access•Zoe Skea, Agata Kostrzewa et al.•Health Expectations•2022

  • The Baby Box scheme in Scotland

    Open Access•Zoe Skea, Agata Kostrzewa et al.•Health Expectations•2022

  • Popular preferences for a fully means-tested welfare provision model

    Open Access•Dimitri Gugushvili, Wim Van Oorschot•International Journal of…•2020

  • Sources of stigma for means-tested government programs

    Open Access•Jenny Stuber, Jennifer Stuber et al.•Social Science & Medicine•2006

Citations per year0.25
Citation span2022 - 2022 (1)
Highly citedNo

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