10 design elements for breastfeeding information and support
The World Health Organization advises mothers to exclusively breastfeed their newborn babies for at least 6 months. In the Netherlands, a recent assessment of breastfeeding practices showed that 69% of the mothers start breastfeeding after birth. After one week this number declines to 58%, and to 47% after a month. At 6 months only 19% of babies are still breastfed.
Low rates of sustained breastfeeding are linked to challenges many mothers encounter during the first weeks, such as pain during breastfeeding or concerns about milk production. As a result, many mothers don’t stick to the breastfeeding aspirations and goals they set during or even before pregnancy. Mothers of newborns in the Netherlands indicated that they did not always get, or experience, the support they needed from care professionals, or know where to get breastfeeding guidance, especially after the support from maternity care ended. In this context, 10 design-elements for breastfeeding information and support were developed in collaboration with mothers of newborns and professionals.
These design-elements include the following recommendations: A) to define and adjust breastfeeding information to 1) the target audience and 2) the phase of breastfeeding, B) to address 3) personal breastfeeding attitudes or expectations, 4) personal breastfeeding wishes or goals, 5) possible actions and 6) good examples, C) to take into account, 7) the partner and broader social environment, 8) the basic needs of the baby, 9) the health care system, and D) to consider 10) the form of support. Elements 3, 4, 5, and 6 were based on behavior change theories on how to transfer from “knowing” to actually being motivated and perform and sustain breastfeeding.
Health organizations and professionals were encouraged to apply the 10 design-elements when providing (online) information and support to pregnant women and mothers of newborns about breastfeeding. For example, Centering Pregnancy, a new form of group care for pregnant women led by midwives, recently used the 10 design-elements. During Centering Pregnancy group sessions, pregnant women are encouraged to openly discuss both the advantages and challenges of breastfeeding and how they might overcome the latter. The group sessions have shown to have a positive effect on the uptake of breastfeeding. Centering Pregnancy has now recently applied the 10 design-elements in visual breastfeeding conversation cards, to help encourage discussions of solutions for breastfeeding-related challenges and activities that pregnant women can perform to prepare for breastfeeding.
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Engaging Men in Nurturing Care A Roadmap for Systemic Change
The Engaging Men in Nurturing Care: A Roadmap for Systemic Change provides a practical, evidence-informed framework for strengthening men’s and fathers’ involvement in early childhood care and development. Developed through the EMiNC initiative, the Roadmap responds to persistent gender inequalities in caregiving, where structural barriers—such as limited leave policies, workplace norms, and service design—continue to limit fathers’ participation. It highlights the critical role of engaged fatherhood in improving child development outcomes, supporting family well-being, and advancing gender equality across societies.
Grounded in a multi-level, systems-based approach, the Roadmap outlines how change can be driven simultaneously across policies, services, workplaces, communities, and public narratives. It offers actionable guidance for policymakers, practitioners, training institutions, and civil society actors to transform professional practices, engage fathers directly, adapt parenting programmes, and influence workplace and policy environments. Drawing on tested interventions from across Europe, it combines research, practical tools, and real-world examples to support context-specific adaptation and scaling.
Ultimately, the Roadmap positions father engagement not as a standalone issue, but as a key lever for systemic change. By promoting shared caregiving, challenging gender norms, and building strong cross-sector partnerships, it contributes to more inclusive, responsive early childhood systems. It calls for coordinated action across sectors to create the enabling conditions in which all caregivers can participate fully—ensuring better outcomes for children, families, and society as a whole.
Published in:
2026
Organization(s):
International Step by Step Association,
Language:
Engaging Men in Nurturing Care A Roadmap for Systemic Change
The Engaging Men in Nurturing Care: A Roadmap for Systemic Change provides a practical, evidence-informed framework for strengthening men’s and fathers’ involvement in early childhood care and development. Developed through the EMiNC initiative, the Roadmap responds to persistent gender inequalities in caregiving, where structural barriers—such as limited leave policies, workplace norms, and service design—continue to limit fathers’ participation. It highlights the critical role of engaged fatherhood in improving child development outcomes, supporting family well-being, and advancing gender equality across societies.
Grounded in a multi-level, systems-based approach, the Roadmap outlines how change can be driven simultaneously across policies, services, workplaces, communities, and public narratives. It offers actionable guidance for policymakers, practitioners, training institutions, and civil society actors to transform professional practices, engage fathers directly, adapt parenting programmes, and influence workplace and policy environments. Drawing on tested interventions from across Europe, it combines research, practical tools, and real-world examples to support context-specific adaptation and scaling.
Ultimately, the Roadmap positions father engagement not as a standalone issue, but as a key lever for systemic change. By promoting shared caregiving, challenging gender norms, and building strong cross-sector partnerships, it contributes to more inclusive, responsive early childhood systems. It calls for coordinated action across sectors to create the enabling conditions in which all caregivers can participate fully—ensuring better outcomes for children, families, and society as a whole.
button[src="https://cdn.prod.website-files.com/694724257114b734f4bb749a/6985cfd8a00c77551ab945be_SoF%20Report%20Updated_Sept2025.pdf"][label="Download in English"]
Published in:
2026
Organization(s):
International Step by Step Association,
Language:
Supporting families for nurturing care: Training resource package for home visiting practices
This training package equips trainers of home visiting professionals with essential knowledge, skills, and tools to deliver consistent, high-quality pre-service and in-service training.
Developed by UNICEF ECARO and the International Step by Step Association (ISSA), it builds on almost ten years of collaboration and earlier home visiting modules (2017–2025). The goal is to strengthen home visiting as a key community health service supporting families from pregnancy to early childhood.
The package includes three guides: General Overview, Foundational Training, and Extended Training, each offering adaptable materials such as session plans, slides, and handouts based on nurturing and family-centered care.
It combines two main areas: (1) programmatic knowledge on child development, health, nutrition, and parental wellbeing, and (2) practical skills such as communication, relationship building, observation, problem-solving, and cultural responsiveness.
Grounded in adult learning principles, the training encourages reflection, peer learning, and practical application, fostering the professional growth of trainers and home visitors while improving the quality of home visiting services.
Trainer Guide: General Overview
Trainer Guide: Foundational Training
Trainer Guide: Extended Training
button[src="https://cdn.prod.website-files.com/694724257114b734f4bb749a/6985cff74ab2bbd98fabe605_SUPPORTING%20FAMILIES%20FOR%20NURTURING%20CARE%20Training%20Resource%20Package%20for%20Home%20Visiting%20Practices_0.pdf"][label="Download the Resource Package"] button[src="https://clearinghouse.unicef.org/sites/ch/files/ch/teams-ECARO-Planning-ECA%20Knowledge%20at%20UNICEF-Guide%201.General%20Overview-2.0.pdf"][label="Trainer Guide: General Overview"] button[src="https://clearinghouse.unicef.org/sites/ch/files/ch/teams-ECARO-Planning-ECA%20Knowledge%20at%20UNICEF-Guide%202.Foundational%20training-2.0.pdf"][label="Trainer Guide: Foundational Training"] button[src="https://clearinghouse.unicef.org/sites/ch/files/ch/eams-ECARO-Planning-ECA%20Knowledge%20at%20UNICEF-FT_2025_PowerPoints_Day_I%20-2.0.pptx"][label="PPT"] button[src="https://clearinghouse.unicef.org/sites/ch/files/ch/teams-ECARO-Planning-ECA%20Knowledge%20at%20UNICEF-FT_2025_PowerPoints_Day_I%20-2.0.pdf"][label="PDF"] button[src="https://clearinghouse.unicef.org/sites/ch/files/ch/eams-ECARO-Planning-ECA%20Knowledge%20at%20UNICEF-FT%202025_PowerPoints_Day%20II-2.0.pptx"][label="PPT"] button[src="https://clearinghouse.unicef.org/sites/ch/files/ch/teams-ECARO-Planning-ECA%20Knowledge%20at%20UNICEF-FT%202025_PowerPoints_Day%20II-2.0.pdf"][label="PDF"] button[src="https://clearinghouse.unicef.org/sites/ch/files/ch/eams-ECARO-Planning-ECA%20Knowledge%20at%20UNICEF-FT%202025_PowerPoints_Day%20III-2.0.pptx"][label="PPT"] button[src="https://clearinghouse.unicef.org/sites/ch/files/ch/teams-ECARO-Planning-ECA%20Knowledge%20at%20UNICEF-FT%202025_PowerPoints_Day%20III-2.0.pdf"][label="PDF"] button[src="https://clearinghouse.unicef.org/sites/ch/files/ch/eams-ECARO-Planning-ECA%20Knowledge%20at%20UNICEF-FT%202025_PowerPoints_Day%20IV-2.0.pptx"][label="PPT"] button[src="https://clearinghouse.unicef.org/sites/ch/files/ch/teams-ECARO-Planning-ECA%20Knowledge%20at%20UNICEF-FT%202025_PowerPoints_Day%20IV-2.0.pdf"][label="PDF"] button[src="https://clearinghouse.unicef.org/sites/ch/files/ch/eams-ECARO-Planning-ECA%20Knowledge%20at%20UNICEF-FT%202025_PowerPoints_Day%20V-2.0.pptx"][label="PPT"] button[src="https://clearinghouse.unicef.org/sites/ch/files/ch/teams-ECARO-Planning-ECA%20Knowledge%20at%20UNICEF-FT%202025_PowerPoints_Day%20V-2.0.pdf"][label="PDF"] button[src="https://clearinghouse.unicef.org/sites/ch/files/ch/teams-ECARO-Planning-ECA%20Knowledge%20at%20UNICEF-Guide%203.Extended%20training-2.0.pdf"][label="Trainer Guide: Extended Training"] button[src="https://clearinghouse.unicef.org/sites/ch/files/ch/eams-ECARO-Planning-ECA%20Knowledge%20at%20UNICEF-ET%20Day%20I-2.0.pptx"][label="PPT"] button[src="https://clearinghouse.unicef.org/sites/ch/files/ch/teams-ECARO-Planning-ECA%20Knowledge%20at%20UNICEF-ET%20Day%20I-2.0.pdf"][label="PDF"] button[src="https://clearinghouse.unicef.org/sites/ch/files/ch/eams-ECARO-Planning-ECA%20Knowledge%20at%20UNICEF-ET_Day%20II%20merged-2.0.pptx"][label="PPT"] button[src="https://clearinghouse.unicef.org/sites/ch/files/ch/teams-ECARO-Planning-ECA%20Knowledge%20at%20UNICEF-ET_Day%20II%20merge-2.0.pdf"][label="PDF"] button[src="https://clearinghouse.unicef.org/sites/ch/files/ch/eams-ECARO-Planning-ECA%20Knowledge%20at%20UNICEF-ET_Day%20III%20merged-2.0.pptx"][label="PPT"] button[src="https://clearinghouse.unicef.org/sites/ch/files/ch/teams-ECARO-Planning-ECA%20Knowledge%20at%20UNICEF-ET_Day%20III%20merge-2.0.pdf"][label="PDF"]Published in:
2025
Organization(s):
ISSA, UNICEF ECARO
Language:
Contact:
Ayca Alayli, aalayli@issa.nl