Promotion of exclusive breastfeeding in Lebanon through perinatal education: a salutogenic approach
ENG - Background: The health benefits of Exclusive Breastfeeding (EFB) for mothers and infants have been well established. In Lebanon, interventions and research related to breastfeeding are scarce and the rate of breastfeeding is low. Peer support and social media platforms could be promising to im...
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| Tipo de recurso: | tesis doctoral |
| Estado: | Versión publicada |
| Fecha de publicación: | 2025 |
| País: | España |
| Institución: | CBUC, CESCA |
| Repositorio: | TDR. Tesis Doctorales en Red |
| OAI Identifier: | oai:www.tdx.cat:10803/694383 |
| Acceso en línea: | http://hdl.handle.net/10803/694383 |
| Access Level: | acceso abierto |
| Palabra clave: | Salutogènesi Salutogénesis Salutogenesis Lactància materna Lactancia materna Breastfeeding Xarxes socials Redes sociales Social media Suport entre iguals Apoyo entre iguales Peer support Sentit de coherència Sentido de coherencia Sense of coherence 618 |
| Sumario: | ENG - Background: The health benefits of Exclusive Breastfeeding (EFB) for mothers and infants have been well established. In Lebanon, interventions and research related to breastfeeding are scarce and the rate of breastfeeding is low. Peer support and social media platforms could be promising to improve breastfeeding outcomes. Objectives: To evaluate the effectiveness of a salutogenic intervention on breastfeeding initiation and rates of exclusive breastfeeding, sense of coherence and self-esteem in Lebanon. To achieve it, first it was crucial to evaluate the facilitators and barriers of breastfeeding among mothers. Methods: In Part 1, a generic inductive qualitative content analysis study was conducted on the discussions in a breastfeeding support group on social media in Lebanon during August 2020. Posts and comments were analyzed in two phases: first, identifying breastfeeding barriers, facilitators, and assets; second, examining community resilience in the breastfeeding context. In Part 2, a randomized controlled clinical trial was conducted from June 2022 until July 2023 involving 101 women residing in Lebanon. The intervention consists of participating in WhatsApp groups created by Infant Feeding Facilitators (IFHs) who supported the mothers from the antenatal period until 6 months postpartum. This adopted a salutogenic approach increasing the mothers' Sense of Coherence (SOC) encouraging them to self-identify their General Resistance Resources (GRRs), describe the coping mechanisms used, and express the role of breastfeeding in their lives. Chi-square tests, Wilcoxon tests, and non-parametric Quade tests were used. SPSS v.20.0 for Windows was utilized for the analysis. The significance level was set at p<0.05. Results: Barriers to breastfeeding included lack of support and supportive policies at mothers’ emotional stress. Facilitators and assets were peer relationships and advice sharing. After Beirut’s port explosion, foundation of community resilience through the collaboration of several stakeholders, healthcare professionals in facing this disaster emerged. A statistically significant change observed in SOC and Self-esteem and rates of EFB at the intervention group compared to control group (F=11.358, p=0.001), (F= 82.421; p=0.000) and (36.5% vs.10.2%, p=0.00). Conclusion: The salutogenic intervention demonstrated statistically significant improvements in SOC and self-esteem, that could explain the higher exclusive breastfeeding initiation and duration. This study underscores the importance of support systems based on the salutogenic model to enhance breastfeeding initiation and duration |
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