Limitations
This intervention has several limitations. Due to financial constraints,
we could not adequately measure its impact on breastfeeding rates or on
the quality of breastfeeding support being offered by trained HPs. The
training program did not target directly attitudinal change but this is
planned for a near future and included in the training program for the
hospital staff (Blixt et al., 2014). An important limitation was not
being able to further extend the BFHI throughout the HD. It was
considered from the beginning, but opposition from various fronts was
high. This goal was therefore postponed to a second phase starting 2019.
Finally, this is a local intervention which may not be fully
reproducible in other environments.