I propose to take Questions Nos. 1000, 1406 to 1422, inclusive, and 1424 to 1426, inclusive, together.
Some of the matters raised by the deputy are largely encompassed in the recent Health Service Executive publication entitled Breastfeeding in a Healthy Ireland: the HSE Breastfeeding Action Plan 2016 - 2021.
This Action Plan sets out the priority areas to be addressed over the next 5 years to improve breastfeeding supports, to enable more mothers in Ireland to breastfeed and to improve health outcomes for mothers and children in Ireland. The Action Plan outlines the actions needed to enhance breastfeeding rates and provide skilled supports to mothers, through our maternity services, hospitals, primary care services and in partnership with voluntary breastfeeding organisations and other stakeholders.
These actions include the implementation of policies at hospital and community level; investment in breastfeeding training and skills development for healthcare staff; the provision of additional lactation specialist posts; and partnership working to promote a culture that accepts and supports breastfeeding. The Action Plan is available at www.breastfeeding.ie/Uploads/breastfeeding-in-a-healthy-ireland.pdf.
I am also pleased to advise the deputy that breastfeeding initiatives are also reflected in the Creating a Better Future Together: National Maternity Strategy 2016-2026. This national strategy emphasised the importance of dedicated staff, such as the HSE National Breastfeeding Coordinator and the wider team of lactation consultants, and statutory and voluntary supports, in promoting and supporting breastfeeding in Ireland. It referred to the National Breastfeeding Coordinator that works with a national committee to oversee the implementation of breastfeeding action plans and monitors progress in relation to breastfeeding targets; liaising with local breastfeeding committees, maternity hospitals, community health services and voluntary breastfeeding organisations.
Initiatives referred to in the national strategy included an annual National Breastfeeding Week, the HSE website www.breastfeeding.ie, and an on-line Ask the Expert support service provided by International Board Certied Lactation Consultants. Other initiatives mentioned included breastfeeding support groups, the development of a breastfeeding competencies framework, and a breastfeeding policy for primary care teams and community healthcare settings.
Moreover, the National Maternity Strategy reiterated that along with practical supports that can be provided to mothers, such as supports to continue breastfeeding on return to the workplace, a broader societal change is required in order to promote a more positive culture around breastfeeding. This should support women to feel condent about their choice to breastfeed. The Maternity Strategy emphasised that this includes engaging extended family members and childminders who, perhaps due to not being aware of the importance of breastfeeding, may not be best informed to support a family’s choice to feed their baby expressed breast milk while in their care. It referred to breastfeeding promotion campaigns that should be tailored and targeted to help the wider community, including family members, childminders and employers, to play their role in improving Ireland’s breastfeeding initiation and duration rates.
I want to also assure the deputy that the recently published Dept. of Justice and Equality National Strategy for Women and Girls 2017 - 2020: creating a better society for all, contains two actions on increasing the proportion of mothers who breastfeed.
One of the actions is to extend provision for breastfeeding breaks under employment legislation (currently available to mothers of children under 6 months). The other action is to implement the HSE National Breastfeeding Action Plan 2016 - 2021 to advance public support of breastfeeding.
Finally, as the range of questions from the deputy relate in the main to service issues, I have arranged for them to be referred to the Health Service Executive for direct reply to the Deputy.