Article Text

Download PDFPDF

Protocol for establishing an infant feeding database linkable with population-based administrative data: a prospective cohort study in Manitoba, Canada
  1. Nathan Christopher Nickel1,2,
  2. Lynne Warda3,4,
  3. Leslie Kummer5,
  4. Joanne Chateau1,
  5. Maureen Heaman6,
  6. Chris Green1,7,
  7. Alan Katz1,2,8,
  8. Julia Paul9,
  9. Carolyn Perchuk7,
  10. Darlene Girard7,
  11. Lorraine Larocque10,
  12. Jennifer Emily Enns1,2,
  13. Souradet Shaw11
  14. The Manitoba Infant Feeding Database Development Team
  1. 1 Department of Community Health Sciences, Max Rady College of Medicine, Rady Faculty of Health Sciences, Universityof Manitoba, Winnipeg, Manitoba, Canada
  2. 2 Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, Manitoba, Canada
  3. 3 Department of Pediatrics and Child Health, Max Rady College of Medicine, Rady Faculty of Health Sciences, Universityof Manitoba, Winnipeg, Manitoba, Canada
  4. 4 Injury Prevention and Child Health, Public Health Program, Winnipeg Regional Health Authority, Winnipeg, Manitoba, Canada
  5. 5 Academic General Pediatrics, Division of General Pediatrics and Adolescent Health, University of Minnesota, Minneapolis, Minnesota, USA
  6. 6 College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
  7. 7 Population & Public Health, Winnipeg Regional Health Authority, Winnipeg, Manitoba, Canada
  8. 8 Department of Family Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada
  9. 9 Field Services Training Unit, Health Security Infrastructure Branch, Public Health Agency of Canada, Ottawa, Ontario, Canada
  10. 10 Department of Public Health, Northern Health Region, Thompson, Manitoba, Canada
  11. 11 Department of Surveillance and Epidemiology, Winnipeg Regional Health Authority, Winnipeg, Manitoba, Canada
  1. Correspondence to Dr Nathan Christopher Nickel; Nathan_Nickel{at}cpe.umanitoba.ca

Abstract

Introduction Breast feeding is associated with many health benefits for mothers and infants. But despite extensive public health efforts to promote breast feeding, many mothers do not achieve their own breastfeeding goals; and, inequities in breastfeeding rates persist between high and low-income mother–infant dyads. Developing targeted programme to support breastfeeding dyads and reduce inequities between mothers of different socioeconomic status are a priority for public health practitioners and health policy decision-makers; however, many jurisdictions lack the timely and comprehensive population-level data on infant-feeding practices required to monitor trends in breastfeeding initiation and duration. This protocol describes the establishment of a population-based infant-feeding database in the Canadian province of Manitoba, providing opportunities to develop and evaluate breastfeeding support programme.

Methods and analysis Routinely collected administrative health data on mothers’ infant-feeding practices will be captured during regular vaccination visits using the Teleform fax tool, which converts handwritten information to an electronic format. The infant-feeding data will be linked to the Manitoba Population Research Data Repository, a comprehensive collection of population-based information spanning health, education and social services domains. The linkage will allow us to answer research questions about infant-feeding practices and to evaluate how effective current initiatives promoting breast feeding are.

Ethics and dissemination Approvals have been granted by the Health Research Ethics Board at the University of Manitoba. Our integrative knowledge translation approach will involve disseminating findings through government and community briefings, presenting at academic conferences and publishing in scientific journals.

  • infant feeding
  • breastfeeding
  • administrative data
  • linked data
  • data linkage
  • baby friendly
  • bfhi

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Footnotes

  • Contributors The study was conceived by NCN, the principal investigator on the original funded grant. NCN, LW, MH, AK and CG participated in designing the study and were listed as collaborators on the grant. NCN, JC and LW were involved in recruiting participating study sites, and NCN and JC are working with study sites on data collection processes. JC and JP are involved in data cleaning and verification. NCN, LK and JEE drafted the manuscript. All authors contributed to critically revising the manuscript for important intellectual content, gave their final approval and agreed to be accountable for all aspects of the work, and they will participate in future interpretation of the data and drafting of further manuscripts arising from this work.

  • Funding This work was supported by a New Investigator Operating Grant from Research Manitoba (Formerly Manitoba Health Research Council) - New Investigator Operating Grant Number 796. It is part of the Developmental Origins of Chronic Disease in Children Network (DEVOTION) and was supported in part by the Lawson Foundation (GRT2015-6).

  • Competing interests None declared.

  • Ethics approval Health Ethics Research Board at the University of Manitoba.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Collaborators The Manitoba Infant Feeding Database Development Team: Joanne Chateau, Lawrence Elliott, Darlene Girard, Janet Grabowski, Christopher Green, Maureen Heaman, Alan Katz, Lisa Labine, Lorraine Larocque, Janice Loe, Eunice Lunsted, Teresa Mayer, Nathan C Nickel, Pam Noseworthy, Julia Paul, Carolyn Perchuk, Dawn Ridd, Elske Hildes Ripstein, Linda Romphf, Rob Santos, Geert t’Jong, Lynne Warda.