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Table 5 Levels of training provided to health and community staff

From: Using the behaviour change wheel to explore infant feeding peer support provision; insights from a North West UK evaluation

Level Length Target audience Topics covered
1 Half a day Staff not expected to have in-depth conversations with women/families (e.g. reception, kitchen, buildings, admin). Providing a welcoming breastfeeding environment; the benefits of breastfeeding (health and emotional); the WHO code; signposting to services/groups.
2 1 day Staff who have in-depth conversation with women and families (but not directly in relation to infant feeding support) (e.g. Children’s Centre staff, health care assistants). Level 1 training + how to have a mother-centred conversation; building/the importance of close and loving mother-infant relationships); responsive feeding; safe preparation of bottle feeds; co-sleeping practices; returning to work; and introduction of solid foods.
3 2 days Health and community staff who provide infant feeding support (i.e. peer supporters, midwives, health visitors).
For the volunteer peer supporters - the 2-day course was delivered over 6-weeks, 2-h/week.
Level 1, 2 + positioning and attachment; hand expression; when to refer for more specialist support; signs of successful breastfeeding; how to store breast-milk; feeding cues; support to other family members.