A Scoping Review of Breastfeeding Peer Support Models Applied in Primary Healthcare Facilities

Abstract

Background: Exclusive breastfeeding during the first six months of an infant’s life is a primary recommendation by the World Health Organization (WHO) to promote optimal health and development. The successful implementation of this practice greatly depends on adequate maternal knowledge, a positive attitude toward breastfeeding, and appropriate interventions. One approach that is increasingly being adopted to improve breastfeeding practices is the peer support model, particularly when applied in primary healthcare facilities, as an effort to empower mothers through support from individuals with similar breastfeeding experiences.

Purpose: This review aims to map various peer support models for breastfeeding that have been implemented in primary healthcare facilities, and to examine how these approaches contribute to improving maternal knowledge, attitudes, and breastfeeding practices, particularly in the context of exclusive breastfeeding

Methods: This study employed a scoping review method of peer-reviewed literature. The literature search was conducted through electronic databases such as PubMed, Google Scholar, and the Cochrane Library for articles published within the last five years (2019– 2024). Selected studies were evaluated based on the peer support model approach, its integration into primary healthcare services, and its impact on exclusive breastfeeding practices.

Conclusion: Peer support models implemented in primary healthcare facilities hold great potential in enhancing the success of exclusive breastfeeding. Structured, sustainable, and community-based interventions need to be further developed to support the achievement of WHO’s breastfeeding targets.