Exploring the demographic and healthcare factors associated with breastfeeding in Ireland; a gap analysis to develop a national infant-feeding survey tool.

Breastfeeding rates in Ireland are among the lowest globally, and the targets outlined in the National Breastfeeding Action Plan (2016-2023) are not being met. Currently, data collection systems do not allow for measuring adherence to national recommendations. Since 2003, the Health Service Executive has recommended exclusive breastfeeding for the first six months, with continued breastfeeding along with complementary foods until at least two years. However, there is no national data on breastfeeding prevalence beyond three months of age.

This study aims to leverage data from the Health Service Executive, the Health Information Quality Authority, the Central Statistics Office, and an academic and public involvement collaboration to better understand:

- The low rates of breastfeeding in Ireland

- Improved methods for collecting infant-feeding data in the future

Using a mixed-methods study design, we explore the association between demographic characteristics, healthcare-related variables, and breastfeeding outcomes quantitatively. Qualitative analyses of responses to two large surveys help explore potential explanations for these statistical associations. Moreover, qualitative insights from service users provide understanding of the characteristics, practices, and behaviors associated with breastfeeding.

Ultimately, this research will contribute to achieving the objectives of the Health Service Executive's National Breastfeeding Action Plan. It will guide the optimal use of resources to improve breastfeeding rates in Ireland and effectively monitor breastfeeding trends.