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Becoming Breastfeeding Friendly Case-Studies: Evidence-Based Briefs

Recognizing the potential of sharing experiences and stories to promote change in the nutrition field, the case studies are: 

  • A rich and versatile component of the Becoming Breastfeeding Friendly (BBF) toolbox. 
  • Real-world examples of what other countries have done to enable their breastfeeding environments.
  • Information for policymakers, stakeholders, and breastfeeding advocates on the what, how, and why others have successfully translated knowledge into policies and programs. 
  • Intended to be an informative and practical tool for evidence-based breastfeeding scaling up efforts.

Three categories of case study:

  1. Examples: small illustrations to help with understanding and score the benchmarks. They are a resource for the BBF director and committees and are in the operational manual and website - See Gears and Benchmarks
  2. Evidence-based briefs (EBBs): narrative pieces of a larger case study, typically related to an individual gear and provide options of how BBF recommendation(s) could be implemented. EBBs are targeted to country committee members and policy makers and are housed in searchable format on the archive page.
  3. Full Case studies (under development): target policy makers because they are a complex collection of EBBs that focus on how countries implemented legislation, policies, programs, and trainings using data to drive decision making. They will be also found on the BBF website.

Using EBBs to explore breastfeeding interventions: linking research to policy:

Each EBB addresses what interventions have been developed to improve breastfeeding, how to operationalize actions effectively and why it has the potential to generate a wide variation in breastfeeding outcomes depending on the local context. These are not systematic reviews but rather illustrations of how other countries have improved their breastfeeding friendly environments.

EBBs can be used for:
  • Understanding key policy issues and potential solutions
  • Monitoring process and evaluating impact (to ultimately influence policy-making processes);
  • Identifying areas for improvement and refining solutions; and
  • Supporting a selected plan of action using evidence. 

Each EBB is classified as: Strong evidence, Emerging evidence, Promising evidence, or Discouraged (See Figure 1 in sidebar) and is organized as follows:

  1. Description & Context - aim and target population of the intervention 
  2. Main components – “step-by-step” explanation including how the components were delivered
  3. Evidence of Implementation Strategy –identifies measurable outcomes and strategies that demonstrate how the implementation happened
  4. Cost and cost-effectiveness –including unit cost and total cost for implement and scaling up (where available) or any other relevant cost data that could be useful in the translating process.
  5. Additional info–Perceptions and experiences of interested people, benefits and potential damages, scaling up considerations, barriers to implement and equity considerations.

Committee members are encouraged to take these classifications into account when thinking about whether an intervention is viable. The EBBS may or may not be generalizable, but they unpack how complex interventions can work, showcase real-world examples of how others working in similar contexts have sought improvement, and can help shape a broad, honest policy dialogue.  

Using case studies to inform the development of recommendations and actions

The EBBs are organized by gear and key words. Go to the Case Studies archive page to search for key words. See Figure 2 in sidebar for how the EBBs can be used to inform the development of initial recommendations to be presented at Meeting 3 and the recommended actions for Meeting 4.

Type of EBBs
Use of EBBs for developing recommendations and supporting actions

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