2014 trends survey of child health care professionals

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1 / 48 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

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Page 1: 2014 trends survey of Child health care professionals

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Between September and December 2014 we have conducted a globalonline survey to 45,000 children healthcare professionals to identifydiscrepancies and regional trends on everyday practice, compliance withguidelines, education gaps and preferred education sources in a number ofareas including, HPV and Meningitis Vaccinations, Rare Diseases,Breastfeeding and Skincare.

667 healthcare experts, mostly general pediatricians (45.24%) respondedfrom 84 countries. Most respondents were clinically active at generalhospitals (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

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TEST

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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

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TEST

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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

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TEST

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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

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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

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Q5 Years of practice

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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...

BreastfeedingNetwork`

Rare DiseasesNetwork

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:

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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?

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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

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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?

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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?

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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?

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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?

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Social and cultural...

Lack of awareness

Not included in the natio...

Parents concerns of...

Safety concerns

Practitionersare 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?

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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?

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Hib

Meningococcal Meningitis A

Meningococcal Meningitis C

Meningococcal Meningitis W135

Meningococcal Meningitis Y

PneumococcalMeningitis

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?

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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 ?

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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?

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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 lysosomalstorage...

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?

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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 5Strongly 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?

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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?

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Angiokeratoma

Bone crises

Bone pain

Cardiomyopathy

Elevated bloodpressure

Elevated fasting plas...

Elevated HbA1Clevels

Fatigue

Feeding difficulties

Fever

Growth retardation

Hypercholesterolaemia

Hypohidrosis

Muscle pain

Pain in handsand feet

Persistentcough

Post prandial abdominal...

Anemia

Q26 In general examination which of the following symptoms

would you associate with a lysosomal storage disease?

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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?

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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?

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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?

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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?

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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

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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?

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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

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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?

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Gentle formula

Clinical testing/Clin...

Mild as water

Natural/organicformula

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

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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

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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 ordisagree (notsure)

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?

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Irritant dermatitis

Jacquet’s erosive diap...

Candidiasis or other fungal

Intertrigo

Congenital syphilis

Psoriasis Langerhanscell...

Eczema

Irritant diaper...

Acrodermatitis enteropathica

Allergic reactions

Bullous impetigo

Bacterial orstaff...

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:

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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:

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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?

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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 ordisagree

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?

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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?

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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?

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Yes and I amwell 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?

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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?

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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?

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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

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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?