A meta-ethnographic study of health care staff perceptions of the WHO/UNICEF Baby Friendly Health Initiative

BackgroundImplementation of the Baby Friendly Health Initiative (BFHI) is associated with increases in breastfeeding initiation and duration of exclusive breastfeeding and ‘any’ breastfeeding. However, implementation of the BFHI is challenging.AimTo identify and synthesise health care staff perceptions of the WHO/UNICEF BFHI and identify facilitators and barriers for implementation.MethodSeven qualitative studies, published between 2003 and 2013 were analysed using meta-ethnographic synthesis.FindingsThree overarching themes were identified. First the BFHI was viewed variously as a ‘desirable innovation or an unfriendly imposition’. Participants were passionate about supporting breastfeeding and improving consistency in the information provided. This view was juxtaposed against the belief that BFHI represents an imposition on women's choices, and is a costly exercise for little gain in breastfeeding rates. The second theme highlighted cultural and organisational constraints and obstacles to BFHI implementation including resource issues, entrenched staff practices and staff rationalisation of non-compliance. Theme three captured a level of optimism and enthusiasm amongst participants who could identify a dedicated and credible leader to lead the BFHI change process. Collaborative engagement with all key stakeholders was crucial.ConclusionsHealth care staff hold variant beliefs and attitudes towards BFHI, which can help or hinder the implementation process. The introduction of the BFHI at a local level requires detailed planning, extensive collaboration, and an enthusiastic and committed leader to drive the change process. This synthesis has highlighted the importance of thinking more creatively about the translation of this global policy into effective change at the local level.     

The participation of social services in youth justice systems in Europe

This article considers the participation of social services in youth justice systems in 11 European countries. In international children's rights instruments, the importance of the assessment of the background situation of juvenile defendants is acknowledged. In this article, three models for social work participation are proposed, on the basis of the distinction between adversarial and inquisitorial legal traditions and welfare and justice approaches towards youth justice. In the welfare model, social workers play the most active role in the youth justice process, whereas in the justice model, social workers have the least active role. In between, a mixed model can be found in which social workers play an active role in the youth justice system only to some extent.     

Direct Valuation of Personal Care by Households

This paper valued the quantity of child, sick, and elderly care provided by households using a new, direct measure. Such measures add to the literature that estimates the size of the contribution of non-market work by household members, particularly women, and to literature about valuation of childcare. This production remains unvalued in standard national income accounts. Traditional attempts to quantify this care multiplied care-giver hours by a wage rate, a method that suffers from several drawbacks, including omitting the contributions of anything but labor, the inability to handle joint production, and the use of an arbitrary wage rate. This study avoided these problems by valuing the amount of care with its market price based on data from a small urban area. The mean value was $3,547 annually (97 percent of it childcare) for all sample households and $9,610 for those providing care. The results afforded evidence of scale economies in parental childcare and quantified care furnished by different kinds of providers.     

Motivational postures and compliance with environmental law in Australian agriculture

Motivational posture theory is applied and extended to the context of Australian agriculture and environmental regulation. Regulatory failure in this area has been observed but little was known of the compliance attitudes and behaviours of farmers prior to this study. Agriculture covers over 60% of Australia’s land surface so this information is vital if environmental sustainability is to be achieved. A mail survey of 5235 farmers across Australia was conducted to examine motivational postures and attitudes to government, environmental problems, environmental laws and regulations and farm management behaviours. Four postures are empirically derived: one associated with compliance, here labelled “Aligned”, and three associated with non- or creative compliance: one Disengaged, one Game playing and one Resistant. Analysis of the characteristics of each group demonstrates that motivational postures are related to place, jurisdiction and degree of regulatory alignment: the degree of agreement between regulatees and regulators on the latter’s role and on the content, process and aims of regulatory interventions. Game players eschew a role for government. The Aligned support both government and regulations. Postures were predictive of beyond compliance behaviour. The Aligned were more likely to undertake beyond compliance behaviours and Game players least likely. Fiscal limitations were identified as restricting beyond compliance behaviours by many farmers. Environmental regulations are often contentious and therefore these findings may be helpful to authorities to more effectively engender compliance so that on-ground outcomes may be secured.     

Positive Attitudes Toward Disabled People: Disabled and Nondisabled Persons' Perspectives

This article addresses the differing perceptions that disabled and nondisabled persons may have of what constitutes '"positive" attitudes and behaviors toward people with physical disabilities. Quantitative and qualitative data are presented to suggest that the strain that frequently occurs during interactions between disabled and nondisabled individuals may derive more from misunderstandings of one another's expectations than from negative intentions. Suggestions are made, methodologically, for ways that these areas of misunderstanding can be isolated empirically, and conceptually, for ways that information can be exchanged to correct these misunderstandings.     

Social Factors in the Development of Autobiographical Memory: The State of the Art

This review addresses theory and research on the role of self understanding, language, theory of mind, attachment security, and parental style in children’s autobiographical memory development. Social‐cognitive factors appear to interact with parental style in producing children’s first verbal memories. Emotional factors, such as attachment security, may also prove to be critical for the socialization of life histories. Further longitudinal studies will be necessary to examine individual differences in the growth of this complex and multiply determined skill.     

Transitions in welfare participation and female headship

This study uses data from the 1990, 1992, 1993 and 1996 panels of the Survey of Income and Program Participation to examine how welfare policies and local economic conditions contribute to women's transitions into and out of female headship and into and out of welfare participation. It also examines whether welfare participation is directly associated with longer spells of headship. The study employs a simultaneous hazards approach that accounts for unobserved heterogeneity in all of its transition models and for the endogeneity of welfare participation in its headship model. The estimation results indicate that welfare participation significantly reduces the chances of leaving female headship. The estimates also reveal that more generous welfare benefits do not directly contribute to headship but rather contribute indirectly to headship by increasing the chances that a mother will enter welfare and consequently remain a single mother for longer. More generous Earned Income Tax Credit benefits are associated with more stable arrangements for both headship and welfare participation. Other measures of welfare policies, including indicators for the adoption of welfare waivers and the implementation of Temporary Assistance for Needy Families programs, are generally not significantly associated with headship or welfare receipt. Better economic opportunities are estimated to increase headship but reduce welfare participation among unmarried mothers.