WHO Collaborating Centre for Public Health Nursing and Midwifery: Case Studies

The case study allows in-depth consideration of one or two specific issues using information from several sources. This makes it possible to:

  • succinctly align activity and outcome
  • identify effective practice and suggest changes that will have an impact
  • measurable results that show how the problem is solved.

Click on the title of the case study in the table below to view the full text.


Title of case study and publication dateSummary
A social marketing campaign to address smoking in pregnancy across Erewash, England
(March 2020)
A programme approach was developed which included the recruitment of a Champion Midwife to support the team to implement evidence-based practice and to deliver a social marketing campaign to 1) Reach out to women who are thinking of conceiving and 2) Highlight the risks to pregnant smokers and their partners/ families.
An integrated approach to improving breastfeeding rates in the East Riding of Yorkshire
(March 2020)
The World Health Organisation (WHO) recommends that all babies are exclusively breastfed for the first six months of life. The benefits of breastfeeding are well established through global and national evidence (WHO 2011). Breastfeeding support is an area of practice that Health Visiting services can lead to improve the long-term outcomes for children (Public Health England 2018).
An integrated approach to improving breastfeeding rates in North Yorkshire
(March 2020)
This study provides an account on the progress around improving the initiation and duration of breastfeeding among mothers in North Yorkshire. The UK has one of the lowest breastfeeding rates in the world which is why it has become a national priority. Breastfeeding is high on the Public Health Agenda featuring within Public Health England’s Best Start in Life National Priority (PHE 2016). Research published in the Lancet in 2016 presented resounding evidence of the unique role of breastmilk as the optimal food for infants and this has continued to be advocated in the State of Child Health Report (RCPCH 2017).
The delivery of the Youth Awareness of Mental Health (YAM) programme in secondary schools in County Durham: an approach to build resilience and meet the emotional and mental health needs of children and young people in County Durham
(March 2020)
The Youth Awareness of Mental Health Programme (YAM) is a universal programme, delivered in secondary schools to 13-14-year olds (year 9). Originating in Sweden, research shows that delivery of the programme can facilitate the adoption of positive life choices. YAM has also been demonstrated to reduce depression, anxiety, self-harm/suicide attempts and improved peer connectedness and social resilience. YAM encourages peer learning and increases people’s confidence and knowledge about mental health, stigma and empathy. It has also been shown to encourage adults to listen to young people and their stories.
Dietitian-led intensive lifestyle intervention programme for children identified as overweight or obese by NCMP in the London borough of Brent: an overview
(June 2020)
‘Fit4Health’ was designed to offer support to children identified as overweight and obese by the National Child Measurement Programme (NCMP). Provided by Dietitians and Nutrition Assistants, the programme encouraged positive lifestyle changes for the whole family through good nutrition and physical activity.
The multi-professional Early Action Partnership Health Team: making changes from the bottom up
(August 2020)
The Lambeth Early Action Partnership (LEAP) was one of five bids which won National Lottery Community Funding to provide early intervention and prevention services for pregnant women and children under 4 living in disadvantaged areas in Lambeth, South London. The LEAP Public Health Specialist designed an innovative interprofessional Health Team which was tasked with exploring how the primary care professionals who provide care for pregnant women and their families could work better together. The Health Team, which was commissioned in 2017, is comprised of four front-line clinicians (a local GP, a Health Visitor and two midwives from the local Trusts) who were seconded from their front-line jobs one day a week. The team was designed to have a flat hierarchy and to work autonomously to identify barriers to seamless inter-professional working and develop low-cost solutions.
School nursing services providing public health during the challenges of Covid-19
(August 2020)
Due to the Covid-19 pandemic in line with national guidance (www.gov.uk), schools have been closed to external visitors and have only a limited number of children accessing school. The School Nurse Team looked at alternative ways to deliver face to face sessions and decided to hold a virtual health session which would be recorded as a video and then sent into schools as an efficient and effective alternative.
Virtual delivery of the healthy child programme during Covid-19
(April 2020)
Examples of how midwives and health visitors are continuing to carry out the Healthy Child Programme from 0-5 and 5-19. Includes new birth visits, safeguarding, homeless families, and additional health needs.

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