Improving breastfeeding knowledge, attitudes, and practices of WIC clinic staff.
OBJECTIVE
This study was conducted to assess the impact of a breastfeeding promotion clinic environment project implemented by the state of Mississippi on breastfeeding knowledge, attitudes, and practices of WIC clinic staff.


METHODS
Thirteen pairs of matched intervention and comparison WIC clinics participated in the study. Clinical and administrative staff completed pre-test and post-test self-administered questionnaires in 1998 and 1999.


RESULTS
A total of 397 staff members provided pre-test data, and 277 staff members provided post-test data. Before project implementation, the intervention and comparison groups were similar overall. The majority of staff had positive attitudes/beliefs about breastfeeding, but gaps in knowledge and practices were noted. Post-test data showed that the project improved knowledge, attitudes/beliefs, and confidence/practice of intervention clinic staff.


CONCLUSIONS
Clinic environment projects, which combine physical improvements and staff training, are effective in promoting support for breastfeeding among public health clinic staff. Similar interventions may contribute to the overall effectiveness of breastfeeding promotion programs.
Khoury
Amal J
AJ
Center for Community Health, University of Southern Mississippi, Hattiesburg, MS 39406, USA. amal.khoury@usm.edu
Hinton
Agnes
A
Mitra
Amal K
AK
Carothers
Cathy
C
Foretich
Camille
C
D001291:Attitude of Health Personnel; D001942:Breast Feeding; D003376:Counseling; D004502:Education, Medical, Continuing / Q000458:organization & administration; D004509:Education, Nursing, Continuing / Q000458:organization & administration; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000592:standards*; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration*; D008430:Maternal-Child Health Centers / Q000592:standards; D008922:Mississippi; D011361:Professional Competence; D015397:Program Evaluation; D011637:Public Health Nursing / Q000193:education / Q000592:standards; D012944:Social Support; D012947:Social Work / Q000193:education / Q000592:standards; D011795:Surveys and Questionnaires; D000078329:Workforce