Breastfeeding rates in the UK are consistently low, campaigners and NGOs are frustrated at policymaking inertia, and current research shows inequity of access to breastfeeding support; both based on levels of disadvantage and ethnic background. Impact on Urban Health commissioned Bremner & Co to undertake a comprehensive policy and practice review to understand these challenges and guide their role in addressing systemic barriers. The review aimed to amplify the voices of those shaping the system, from health practitioners to policymakers, and uncover opportunities for meaningful change.
Our Approach
We conducted an in-depth analysis involving extensive stakeholder engagement and data synthesis. We held interviews with health visitors, local authorities, campaigners, midwives, and NGOs to capture their diverse perspectives on breastfeeding barriers, including cultural considerations, funding gaps, and workplace challenges. This qualitative research was paired with a review of existing academic and grey literature to ensure a well-rounded understanding of the landscape. By navigating a complex and sensitive topic, we provided a nuanced and actionable perspective on the systemic inequities affecting breastfeeding outcomes.
Key Outcomes
Our breastfeeding landscape review revealed systemic inequities and sparked critical conversations about potential interventions, emphasising the urgent need for improved policy, funding, and cultural support for breastfeeding mothers, particularly in disadvantaged communities. Our findings contributed to wider advocacy efforts, including the Food Foundation’s ‘Barriers to Breastfeeding’ report and in their podcast series.
Testimonials
“We didn’t want just ‘another’ study on breastfeeding. We wanted to better understand how the environment in which women are making decisions about infant feeding impact their choices. This research fills an important gap by shedding light on the wider views of people working in and around breastfeeding. We were taken aback by the complexity of the some of the issues at play, but there is a real appetite and desire for change in this sector. We’re now using those findings to look at potential routes for impact.
Dayna was extremely thoughtful navigating the sensitive and contentious landscape of infant feeding; she successfully engaged with a wide range of stakeholders, from politicians to health practitioners. Her passion and determination shone throughout the process. A great report that we’re now looking to publish.”
Carole Coulon, Portfolio Manager, Impact on Urban Health
I worked with Dayna on several projects in my role as Research Engagement Manager at The Food Foundation, and it was always a pleasure. Dayna is thoughtful, committed, and focussed, and has an incredible ability to synthesise and analyse huge amounts of data, and then present it in an accessible way. Her research played a crucial part in the Food Foundation’s recent report on breastfeeding – her work provided a unique and important insight into a sensitive and complex area.
Annie Connolly, Research and Engagement Officer, Food Foundation
Whilst the academic and grey literature told us a lot about why women are being failed by the breastfeeding support system – it was hearing from those on the ground that brought such a richness to this piece of work. The midwives who want more time to support women, the NGO’s who are underfunded but providing invaluable advice and the MP’s who are frustrated by the lack of policy progress. It was a moving, heartbreaking and powerful piece of work, and we look forward to continuing to work with Impact on Urban Health to see where they can have the most impact.
Dayna Brackley, Partner, Bremner & Co
Our Services
Policy change demands insight, strategy, and the ability to navigate complex systems. Our landscape reviews go beyond traditional research, capturing diverse stakeholder perspectives and identifying tangible opportunities for action. By bridging policy, practice, and lived experience, we help organisations like Impact on Urban Health shape meaningful, systemic change. If you need to map a policy landscape and uncover opportunities for action, we can help.
Looking to uncover opportunities for impactful change in your field? Partner with us to gain fresh insights and transform your strategies.
