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Discussion of the health benefits of breastfeeding within small groups.

Breastfeeding is as a key target in Sefton as rates fall well below the national average. This paper reports on an evaluation that set out to examine the usefulness of an interactive group session designed to explore the health benefits of breastfeeding. The session used a tool called the Breastfeeding Treasure Box, developed in the US but not previously evaluated. It consists of a box containing 14 items, each chosen to indicate a benefit of breastfeeding, together with a lesson plan. The evaluation was conducted in parentcraft sessions. Five staff with experience of delivering the session completed qualitative questionnaires and 48 clients completed questionnaires about their experiences. Overall, the tool was found to stimulate learning and change thinking about breastfeeding. Staff thought the tool could be used in a range of different situations and, although there was mixed opinion on who should deliver it, knowledge, experience and enthusiasm were seen as essential. Clients said the session was fun, they would recommend it to others and they learned health benefits. There is potential for further development of the tool to reflect the specific health benefits identified by the Baby Friendly Initiative, though messages about breastfeeding benefits would still need reinforcement at all opportunities using other resources.