A Realistic Evaluation of Two Training Programs on Implementing Skin-to-Skin as a Standard of Care

What is it about?

Realistic evaluation was used to examine the real-world effectiveness of two 5-day training techniques on sustained optimal skin-to-skin practices that support Step 4 of the revised Baby-Friendly Hospital Initiative (BFHI). Education alone was insufficient to effect sustainable practice change. Exposure to the 5-day immersion model (Practice, Reflection, Education and training, Combined with Ethnography for Sustainable Success, or PRECESS) alone or combined with education was an effective strategy to change and sustain the standard of care for skin-to-skin practice.

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Why is it important?

The PRECESS method shows promise as a way of creating changes in hospital practice and improving breastfeeding rates and better outcomes in maternal child health.