Between September and December 2014 we have conducted a global online survey to 45,000 children healthcare professionals to identify discrepancies and regional trends on everyday practice, compliance with guidelines, education gaps and preferred education sources in a number of areas including, HPV and Meningitis Vaccinations, Rare Diseases, Breastfeeding and Skin Care. 667 healthcare experts, mostly general pediatricians (45.24%) responded from 84 countries. Most respondents were clinically active at general hospitals (29.89%), children’s hospitals (23.65%), private practice (18.7 %), university (17.77 %), and primary care (7.26%).

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Between September and December 2014 we have conducted a global
online survey to 45,000 children healthcare professionals to identify
discrepancies and regional trends on everyday practice, compliance with
guidelines, education gaps and preferred education sources in a number of
areas including, HPV and Meningitis Vaccinations, Rare Diseases,
Breastfeeding and Skincare.
667 healthcare experts, mostly general pediatricians (45.24%) responded
from 84 countries. Most respondents were clinically active at general
hospitals (29.89%), children’s hospitals (23.65%), private practice (18.7 %),
university (17.77 %), and primary care (7.26%).
2014 Global online Survey to child
healthcare professionals

2. TEST
2 / 48
General Pediatrician
General Practitioner
Specialist
Nurse
Trainee
Other
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
General Pediatrician 45.24%
General Practitioner 3.17%
Specialist 31.75%
Nurse 4.76%
Trainee 1.59%
Other 13.49%
Q3 Type of Healthcare provider

3. TEST
3 / 48
General Pediatrician
General Practitioner
Specialist
Nurse
Trainee
Other
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
General Pediatrician 45.24%
General Practitioner 3.17%
Specialist 31.75%
Nurse 4.76%
Trainee 1.59%
Other 13.49%
Q3 Type of Healthcare provider

4. TEST
4 / 48
General Pediatrician
General Practitioner
Specialist
Nurse
Trainee
Other
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
General Pediatrician 45.24%
General Practitioner 3.17%
Specialist 31.75%
Nurse 4.76%
Trainee 1.59%
Other 13.49%
Q3 Type of Healthcare provider

5. 5 / 48
Private Practice
Primary Care
Children's Hospital
General Hospital
University
Other
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Private Practice 18.70%
Primary Care 7.26%
Children's Hospital 23.65%
General Hospital 27.98%
University 17.77%
Other 4.64%
Q4 Primary work environment

6. Q5 Years of practice
6 / 48
0-5
6-10
11-15
16-20
21-25
25 +
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
0-5 11.11%
6-10 9.52%
11-15 8.73%
16-20 22.22%
21-25 21.43%
25 + 26.98%

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1-49
50-99
100-199
200-299
300-399
400-499
500+
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
1-49 15.08%
50-99 15.87%
100-199 23.81%
200-299 13.49%
300-399 9.52%
400-499 4.76%
500+ 17.46%
Q6 Number of children visiting your practice per month

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Infant
Skincare...
Breastfeeding
Network`
Rare Diseases
Network
Vaccines
Network
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Infant Skincare Network 26.41%
Breastfeeding Network 33.33%
Rare Diseases Network 37.52%
Vaccines Network 43.53%
Q8 Would you like to join the special interest networks of
the Excellence in Pediatric Institute? Choose one or more
of the following:

9. 9 / 48
Conference Sessions
Webinars online
Accredited
eLearning...
Dedicated
Websites
Publications
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Conference Sessions 32.08%
Webinars online 9.43%
Accredited eLearning sessions on demand 21.70%
Dedicated Websites 12.26%
Publications 24.53%
Q9 Which educational format do you prefer?

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Yes
No
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Yes 75.24%
No 24.76%
Q11 Is your online profile and information about your work /
research as a pediatrician important to your professional
reputation?

11. Linked-in
profile (or...
Google search
results for...
Presence on
Research Gat...
Mention on
blogs and...
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Linked-in profile (or similar sites) 38.89%
Google search results for your name 51.11%
Presence on Research Gate (or similar sites) 41.11%
Mention on blogs and online Forum 17.78%
Q12 Which of the following are particularly important to your
professional reputation?
Choose one or more of the following:
11 / 48

12. 12 / 48
Always
Never
Depending on
age and prof...
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Always 37.23%
Never 7.91%
Depending on age and profile of child and family 54.86%
Q13 Under what circumstances do you recommend /
advocate HPV Vaccination to parents?

13. 13 / 48
It is less
important th…
My patients are
not at risk
Safety
It is not
included in …
I do not have any
concerns
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
It is less important than other vaccines 2.15%
My patients are not at risk 4.30%
Safety 31.18%
It is not included in the National Vaccination Program 33.33%
I do not have any concerns 29.03%
Q14 Do you have any concerns about the HPV
vaccine? Check all that apply

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They consider it as import...
They consider
it as not...
They are not aware of the…
They are not considering...
They do not wish to disc…
They believe HPV vaccines...
They don’t consider the...
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
They consider it as important and necessary 21.98%
They consider it as not important and not necessary 6.59%
They are not aware of the vaccine 37.36%
They are not considering infection as possible for the child in the forthcoming years 12.09%
They do not wish to discuss sex related issues 9.89%
They believe HPV vaccines are linked to increased promiscuity in society 2.20%
They don’t consider their child to be at risk 9.89%
Q15 Which one of the following statements represents the
view of the majority of parents visiting your practice
regarding the HPV vaccine?

15. 15 / 48
YES they are
available, b...
YES and they are
included...
NO they are not
availabl...
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
YES they are available, but they are not included in the National Vaccination Program 47.19%
YES and they are included in the National Vaccination Program 37.08%
NO they are not available and they are not included in the national vaccination program 15.73%
Q16 Are HPV Vaccines available in your country? Are they
included in the National Vaccination program?

16. 16 / 48
Through schools
Through
private...
Both through
schools and...
Not available
Other
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Through schools 12.64%
Through private practices and Hospitals 51.10%
Both through schools and practices / hospitals 19.78%
Not available 14.65%
Other 1.83%
Q17 In which places are HPV vaccinations delivered to
adolescents in your country?

17. 17 / 48
Social and cultural...
Lack of awareness
Not included in the natio...
Parents concerns of...
Safety concerns
Practitioners
are not...
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Social and cultural barriers 24.14%
Lack of awareness 42.53%
Not included in the national vaccination program 41.38%
Parents concerns of high volume of vaccines 14.94%
Safety concerns 26.44%
Practitioners are not advising parents to vaccinate 20.69%
Q18 Which of the following barriers to full HPV
vaccination exist in your country?

18. 0-19%
20-39%
40-59%
60-79%
80%+
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
18 / 48
Answer Choices Responses
0-19% 21.85%
20-39% 9.23%
40-59% 10.17%
60-79% 15.63%
80%+ 43.13%
Q19 What percent of children visiting your practice do you
vaccinate against meningitis?

19. 19 / 48
Hib
Meningococcal
Meningitis A
Meningococcal
Meningitis C
Meningococcal
Meningitis W135
Meningococcal
Meningitis Y
Pneumococcal
Meningitis
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Hib 87.01%
Meningococcal Meningitis A 28.57%
Meningococcal Meningitis C 45.45%
Meningococcal Meningitis W135 19.48%
Meningococcal Meningitis Y 16.88%
Pneumococcal Meningitis 72.73%
Q20 Which forms of meningitis do you vaccinate against
routinely? (select all applicable)

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Plain
Polysaccharide
Conjugate
Polysaccharide
Do not Know
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Plain Polysaccharide 2.60%
Conjugate Polysaccharide 75.32%
Do not Know 22.08%
Q21 Which type of vaccine do you use mostly against
meningitis?

21. 21 / 51
Weekly
Monthly
Quarterly
Annually
Biannually
None
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Weekly 2.03%
Monthly 2.40%
Quarterly 10.72%
Annually 25.32%
Biannually 19.96%
None 39.56%
Q22 In your practice, how often do you see cases of
meningococcal septicemia ?

22. 22 / 48
Submit a form to
my local...
Submit a form to
the main...
There isn’t any
system i...
Do not know
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Submit a form to my local hospital 20.99%
Submit a form to the main country's registry for meningitis 61.73%
There isn’t any system in place to register a meningitis case 7.41%
Do not know 9.88%
Q23 What is the official process in your country for you to
register a meningitis case?

23. 23 / 48
Rare diseases are impossib...
No point of learning abo...
I would like to know more...
I am likely to see at least...
Rare diseases are progress...
I would like to learn abo...
There is useful guida...
Some lysosomal
storage...
I know the clinical...
I know how to effectively...
I know what diagnostic...
I have good facilities f...
I know where to refer a...
I have already pre-diagnos...
0 1 2 3 4 5 6 7 8 9 10
Q24 How closely do the following statements
match your view of rare diseases?

24. 24 / 48
No point of learning about them as I will never see such a
patient
29.41% 41.18% 10.29% 13.24% 5.88% 0.00% 2.25
I would like to know more about those rare diseases
which have approved treatments
2.94% 0.00% 2.94% 8.82% 47.06% 38.24% 5.12
I am likely to see at least one such patient in my clinic 4.35% 4.35% 8.70% 8.70% 39.13% 34.78% 4.78
Rare diseases are progressive so early diagnosis is
important
0.00% 0.00% 2.90% 8.70% 46.38% 42.03% 5.28
I would like to learn about rare diseases which have
approved treatment in my country
0.00% 1.49% 2.99% 8.96% 47.76% 38.81% 5.19
There is useful guidance available for pre- diagnosis 4.41% 14.71% 10.29% 23.53% 32.35% 14.71% 4.09
Some lysosomal storage diseases have available effective
treatments
0.00% 6.06% 9.09% 22.73% 43.94% 18.18% 4.59
I know the clinical symptoms of lysosomal storage
diseases
2.94% 16.18% 13.24% 27.94% 26.47% 13.24% 3.99
I know how to effectively collect family history in order to
suspect a genetic disease
4.35% 13.04% 2.90% 23.19% 37.68% 18.84% 4.33
I know what diagnostic tests are needed for pre-
diagnosis of a lysosomal storage disease
7.46% 19.40% 13.43% 23.88% 26.87% 8.96% 3.70
I have good facilities for a pre-diagnosis of a
lysosomal storage disease
22.06% 26.47% 16.18% 16.18% 16.18% 2.94% 2.87
I know where to refer a patient with suspected
lysosomal storage disease
11.94% 11.94% 5.97% 14.93% 40.30% 14.93% 4.04
I have already pre-diagnosed a lysosomal storage disease
case
34.33% 23.88% 10.45% 8.96% 8.96% 13.43% 2.75
0 Strongly
Disagree
Disagree Slightly
Disagree
Slightly
Agree
Agree 5
Strongly
Agree
Weighted
Average
Rare diseases are impossible to diagnose for non-
specialists
10.14% 17.39% 20.29% 20.29% 23.19% 8.70% 3.55
Q24 How closely do the following statements
match your view of rare diseases?

25. 25 / 48
Weekly
Monthly
Quarterly
Annually
Biannually
None
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Weekly 5.30%
Monthly 15.72%
Quarterly 26.52%
Annually 24.62%
Biannually 14.77%
None 13.07%
Q25 How often do you refer patients to specialists
because of the possibility of a rare disease?

26. 26 / 48
Angiokeratoma
Bone crises
Bone pain
Cardiomyopathy
Elevated blood
pressure
Elevated fasting
plas...
Elevated HbA1C
levels
Fatigue
Feeding
difficulties
Fever
Growth
retardation
Hypercholestero
laemia
Hypohidrosis
Muscle pain
Pain in hands
and feet
Persistent
cough
Post prandial
abdominal...
Anemia
Q26 In general examination which of the following symptoms
would you associate with a lysosomal storage disease?

27. 27 / 48
Post prandial
abdominal pain
Scoliosis
Tachycardia
Thrombocytopenia
Tinnitus
Vertigo
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Anemia 36.36%
Angiokeratoma 16.67%
Bone crises 19.70%
Bone pain 27.27%
Cardiomyopathy 78.79%
Elevated blood pressure 10.61%
Elevated fasting plasma glucose 15.15%
Elevated HbA1C levels 9.09%
Fatigue 48.48%
Feeding difficulties 54.55%
Fever 9.09%
Growth retardation 75.76%
Hypercholesterolaemia 31.82%
Hypohidrosis 18.18%
Muscle pain 37.88%
Pain in hands and feet 22.73%
Persistent cough 7.58%
Post prandial abdominal diarrhoea 18.18%
Post prandial abdominal pain 13.64%
Q26 In general examination which of the following symptoms
would you associate with a lysosomal storage disease?

28. 28 / 48
Scoliosis 31.82%
Tachycardia 18.18%
Thrombocytopenia 27.27%
Tinnitus 15.15%
Vertigo 19.70%
Q26 In general examination which of the following symptoms
would you associate with a lysosomal storage disease?

29. 29 / 48
Yes, I know and
I have e...
Yes, I know and
I do not...
No I do not
know them
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Yes, I know and I have easy access to them 44.12%
Yes, I know and I do not have easy access to them 26.47%
No I do not know them 29.41%
Q27 Do you know which are the specialist centers in your country
to refer any suspected cases? Do you have easy access to
specialist centers for rare diseases?

30. 30 / 48
Very good
Moderate
Not good
Does not exist
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Very good 11.59%
Moderate 23.19%
Not good 33.33%
Does not exist 31.88%
Q28 How would you describe the efficiency of the national
reimbursement policy for rare diseases in your country?

31. 31 / 48
0-10%
11-25%
26-50%
51-75%
76-100%
Answer Choices Responses
0-10% 9.98%
11-25% 14.36%
26-50% 28.72%
51-75% 30.82%
76-100% 16.11%
Q29 What percentage of parents ask you questions
regarding infant skincare

32. 32 / 48
Daily
Every other day
Only when
visibly dirty
I make no
recommendations
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Daily 60.00%
Every other day 29.23%
Only when visibly dirty 6.15%
I make no recommendations 4.62%
Q30 How often do you recommend families bathe their
babies at home?

33. 33 / 48
Verbal Instructions
30% 40%
Recommend online resources None
0% 10% 20% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Verbal Instructions 83.08%
Printed Materials 13.85%
Recommend online resources 3.08%
None 0.00%
Q31 How do you educate parents regarding infant skincare
at home? Please choose all that apply
Printed Materials

34. 34 / 48
Provided by
international
pediatric
associations
Provided by national
pediatric associations
Provided by industry -
Recommendations on the
optimum use ...
Based on my clinical
experience if have shaped
my own practices to...
Answer Choices Responses
Provided by international pediatric associations 30.77%
Provided by national pediatric associations 12.31%
Provided by industry - Recommendations on the optimum use of their products 13.85%
Based on my clinical experience if have shaped my own practices to recommend on the simple every day issues that parents are asking for 43.08%
Q32 Are you following any guidelines in your practice
regarding infant skincare?

35. 35 / 48
Gentle formula
Clinical testing/Clin...
Mild as water
Natural/organic
formula
Free of additives li...
Endorsement from medical...
Product formulated f...
Hypoallergenic
Product especially f...
Natural ingredients
Tear-free formula
Brand name
Others
0 1 2 3 4 5 6 7 8 9 10
Q33 When you are looking to confirm product safety for
babies, please rank these statements or claims for assuring
you of the product safety

36. 36 / 48
Mild as water 9.43% 11.32% 26.42% 33.96% 18.87% 3.42
Natural/organic formula 10.91% 7.27% 23.64% 36.36% 21.82% 3.51
Free of additives like preservatives, fragrance, alcohol,
colorants etc.
3.64% 3.64% 20.00% 36.36% 36.36% 3.98
Endorsement from medical organisations 1.75% 19.30% 19.30% 40.35% 19.30% 3.56
Product formulated for babies with sensitive/eczema skin 5.45% 1.82% 14.55% 43.64% 34.55% 4.00
Hypoallergenic 0.00% 10.53% 14.04% 36.84% 38.60% 4.04
Product especially for newborns 5.36% 5.36% 17.86% 41.07% 30.36% 3.86
Natural ingredients 8.77% 14.04% 14.04% 38.60% 24.56% 3.56
Tear-free formula 7.27% 14.55% 18.18% 43.64% 16.36% 3.47
Brand name 14.29% 12.50% 28.57% 33.93% 10.71% 3.14
Others 32.14% 3.57% 46.43% 14.29% 3.57% 2.54
1 - Not at all
assuring
2 3 4 5 - Totally
assuring
Weighted
Average
Gentle formula 7.55% 11.32% 37.74% 20.75% 22.64% 3.40
Clinical testing/Clinically Proven 1.79% 8.93% 12.50% 28.57% 48.21% 4.13
Q33 When you are looking to confirm product safety for
babies, please rank these statements or claims for assuring
you of the product safety

37. 37 / 48
Using an emollient on...
Disposable cleansing wi...
If there is a family histo...
Natural oil is beneficial f...
Mineral oil is beneficial f...
Water only is enough to...
0 1 2 3 4 5 6 7 8 9 10
Fully
disagree
Slightly
disagree
Neither agree or
disagree (not
sure)
Slightly
agree
Fully
agree
Weighted
Average
Using an emollient on healthy baby skin from birth onwards can protect
the skin barrier
3.51% 14.04% 21.05% 35.09% 26.32% 3.67
Disposable cleansing wipes are appropriate for use on babies 15.52% 37.93% 13.79% 20.69% 12.07% 2.76
If there is a family history of Atopic Dermatitis, using emollient on baby’s
skin from birth onwards can help mitigate future risk of or severity of
atopic dermatitis
3.45% 8.62% 15.52% 36.21% 36.21% 3.93
Natural oil is beneficial for use on baby skin 5.36% 17.86% 17.86% 35.71% 23.21% 3.54
Mineral oil is beneficial for use on baby skin 15.25% 16.95% 37.29% 20.34% 10.17% 2.93
Water only is enough to cleanse newborn babies 5.17% 18.97% 13.79% 32.76% 29.31% 3.62
Q34 (1) What is your level of agreement with the
following statements?

38. 38 / 48
Irritant dermatitis
Jacquet’s erosive diap...
Candidiasis or other fungal
Intertrigo
Congenital syphilis
Psoriasis Langerhans
cell...
Eczema
Irritant diaper...
Acrodermatitis enteropathica
Allergic reactions
Bullous impetigo
Bacterial or
staff...
Folliculitis
Contact dermatitis
Seborrheic dermatitis
0 1 2 3 4 5 6 7 8 9 10
Q35 I have noticed a trend that the prevalence of the
following skin conditions in the diaper area are:

39. 39 / 48
Irritant dermatitis 13.56% 33.90% 52.54% 2.39
Jacquet’s erosive diaper dermatitis 41.07% 46.43% 12.50% 1.71
Candidiasis or other fungal 16.95% 45.76% 37.29% 2.20
Intertrigo 24.56% 52.63% 22.81% 1.98
Congenital syphilis 81.36% 15.25% 3.39% 1.22
Psoriasis 34.48% 58.62% 6.90% 1.72
Langerhans cell histiocytosis 43.10% 56.90% 0.00% 1.57
Eczema 8.47% 38.98% 52.54% 2.44
Irritant diaper dermatitis 22.03% 28.81% 49.15% 2.27
Acrodermatitis enteropathica 47.46% 49.15% 3.39% 1.56
Allergic reactions 6.67% 35.00% 58.33% 2.52
Bullous impetigo 34.48% 56.90% 8.62% 1.74
Bacterial or staff infections 40.00% 38.33% 21.67% 1.82
Folliculitis 29.31% 55.17% 15.52% 1.86
Contact dermatitis 13.56% 35.59% 50.85% 2.37
Seborrheic dermatitis 17.24% 50.00% 32.76% 2.16
Decreasing Staying the same Increasing Weighted Average
Q35 I have noticed a trend that the prevalence of the
following skin conditions in the diaper area are:

40. 40 / 48
Maintaining proper skin ...
Babies may sleep better...
High quality disposable...
Alcohol free disposal wip...
Disposable diapers are...
Keeping baby's bottom dry a...
Disposable diapers are ...
Diaper rash is a common ski...
Irritant diaper rash ...
0 1 2 3 4 5 6 7 8 9 10
Q36 (2) What is your level of agreement with the
following statements?

41. 41 / 48
Irritant diaper rash is caused by prolonged contact of urine and
faeces
1.75% 8.77% 0.00% 26.32% 63.16% 4.40
Fully
disagree
Slightly
disagree
Neither agree or
disagree
Slightly
agree
Fully
agree
Weighted
Average
Maintaining proper skin pH can help prevent diaper rash 1.72% 1.72% 10.34% 24.14% 62.07% 4.43
Babies may sleep better when using super-absorbent diapers
overnight
7.05% 0.76% 2.10% 4.57% 85.52% 4.61
High quality disposable diaper helps to prevent skin
irritation/rash
7.25% 0.00% 0.00% 0.21% 92.54% 4.71
Alcohol free disposal wipes are a safe alternative to washcloth
and water for cleansing the diaper area
8.93% 21.43% 16.07% 33.93% 19.64% 3.34
Disposable diapers are safe for use on babies 1.69% 5.08% 27.12% 30.51% 35.59% 3.93
Keeping baby's bottom dry and clean are keys to preventing diaper
rash
1.69% 0.00% 6.78% 13.56% 77.97% 4.66
Disposable diapers are a more hygienic alternative to cloth diapers 5.00% 8.33% 26.67% 30.00% 30.00% 3.72
Diaper rash is a common skin condition 5.17% 5.17% 10.34% 31.03% 48.28% 4.12
Q36 (2) What is your level of agreement with the
following statements?

42. 42 / 48
Yes
No
Some times
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Yes 21.31%
No 44.26%
Some times 34.43%
Q37 Are the families you support provided with free
samples of skincare products to use at home?

43. 43 / 48
Yes
No
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Yes 40.63%
No 59.38%
Total
Q38 Has there been any new policies on Breastfeeding (positive
or negative) that have been introduced in your country in the
previous year?

44. 44 / 48
Yes and I am
well aware o...
Yes but I am not
aware of...
Sometimes when I
know that ...
No
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Yes and I am well aware of all latest evidence 73.02%
Yes but I am not aware of all latest evidence 23.81%
Sometimes when I know that the mother would like to breastfeed 1.59%
No 1.59%
Q39 Do you strongly advocate breastfeeding to mothers? And do
you feel confident that you know all latest evidence to help
explain the benefits of breastfeeding?

45. 45 / 48
Never
If milk
production i...
Always
I leave it up to
mothers t...
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Never 31.25%
If milk production is low 51.56%
Always 0.00%
I leave it up to mothers to decide 17.19%
Q40 Under which circumstances do you recommend formula milk
to new mothers?

46. 46 / 48
Insufficient milk supply
Nipple pain
and soreness
Lack of
support of...
Lack of
support from...
Other
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Insufficient milk supply 77.78%
Nipple pain and soreness 25.40%
Lack of support of healthcare professionals immediately after the birth 19.05%
Lack of support from wider society (i.e. stigmatisation connected to breastfeeding in public) 12.70%
Other 11.11%
Q41 Which of the following barriers to breastfeeding are most
commonly cited by the mothers you support?

47. 47 / 48
0-25%
26-50%
51-75%
76-100%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
0-25% 12.41%
26-50% 17.11%
51-75% 31.39%
76-100% 39.10%
Q42 What percentage of the mothers you support exclusively
breastfeeding for the first 6 months

48. 48 / 48
Parent education an...
Health Care Professional...
Health policy developments...
Other
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Answer Choices Responses
Parent education and support through pregnancy and immediately after birth 53.97%
Health Care Professional Education and adoption adherence to national breastfeeding guidelines 15.87%
Health policy developments that support breastfeeding at home, in the workplace and in wider society 26.98%
Other 3.17%
Q43 In your view what is the most important action that will
have the greatest impact on breastfeeding rates?