Building social capital through breastfeeding peer support: Insights from an evaluation of a voluntary breastfeeding peer support service in North-West England

Background: Peer support is reported to be a key method to help build social capital in communities. To date there are no studies that describe how this can be achieved through a breastfeeding peer support service. In this paper we present findings from an evaluation of a voluntary model of breastfeeding peer support in North-West England to describe how the service was operationalized and embedded into the community. This study was undertaken from May, 2012 to May, 2013. Methods: Interviews (group or individual) were held with 87 participants: 24 breastfeeding women, 13 peer supporters and 50 health and community professionals. The data contained within 23 monthly monitoring reports (January, 2011 to February 2013) compiled by the voluntary peer support service were also extracted and analysed. Results: Thematic analysis was undertaken using social capital concepts as a theoretical lens. Key findings were identified to resonate with ’bonding’, ‘bridging’ and ‘linking’ forms of social capital. These insights illuminate how the peer support service facilitates ‘bonds’ with its members, and within and between women who access the service; how the service ‘bridges’ with individuals from different interests and backgrounds, and how ‘links’ were forged with those in authority to gain access and reach to women and to promote a breastfeeding culture. Some of the tensions highlighted within the social capital literature were also identified. Conclusions: Horizontal and vertical relationships forged between the peer support service and community members enabled peer support to be embedded into care pathways, helped to promote positive attitudes to breastfeeding and to disseminate knowledge and maximise reach for breastfeeding support across the community. Further effort to engage with those of different ethnic backgrounds and to resolve tensions between peer supporters and health professionals is warranted

Institutions and inflows of foreign direct investment: a fuzzy-set analysis

This study addresses the essential question of causal complexity and diversity related to the influence of institutions on the direct investments (FDI) of multinational enterprises. Using a relatively new methodological approach of fuzzy-set analysis, and 47 host countries from the period 1999 to 2003, the paper analyses how and why countries with different degrees of membership in different institutional constraints either attract or do not attract FDI. The findings show that institutional factors have diverse influences. Similar institutions may even be associated with different outcomes if different regional categories of countries are examined. Countries may neither be attractive nor unattractive owing to the presence or absence of a single institutional factor. Instead, the outcome usually results from a combination of institutional conditions. Moreover, there typically are several possible paths to a specific outcome. The study confirms some of the propositions of previous theory, but, most importantly, it explains why earlier research has provided conflicting conclusions related to institutional factors. The study also offers an approach for future international business research to apply fuzzy-set methods and develop mid-range theories. Journal of International Business Studies (2008) 39, 652–669. doi:10.1057/palgrave.jibs.8400371