Perspectives on financial incentives to health service providers for increasing breastfeeding and smoking quit rates during pregnancy: a mixed methods study

Pat Hoddinott, Gill Thomson, Heather Morgan, Nicola Crossland, Graeme Stewart MacLennan, Fiona Dykes, Fiona Stewart, Linda Bauld, Marion Kay Campbell

Research output: Contribution to journalAbstract


In the UK, the prevalence of smoking in pregnancy and breastfeeding has shown only modest improvement in over 15 years. Conditional financial incentives for meeting targets, either payments or penalties, delivered to care providers at individual or system level and aligned to health policy goals are therefore attractive as a potential solution.Our systematic reviewer of provider incentive interventions to i) improve smoking cessation in pregnancy outcomes, ii)breastfeeding outcomes and iii) change other healthy behaviours (weight management, exercise, alcohol and addictions), in all age groups and both sexes are reported elsewhere (Morgan et al. 2015). The aim of this study was to explore the acceptability, mechanisms and consequences of provider incentives for smoking cessation and breastfeeding as part of the Benefits of Incentives for Breastfeeding and Smoking cessation in pregnancy (BIBS)study (Morgan et al. 2015).
Original languageEnglish
Pages (from-to)113
Number of pages2
JournalMaternal and Child Nutrition
Issue numberSupplement S2
Early online date10 Dec 2015
Publication statusPublished - Dec 2015



  • Breastfeeding
  • Financial incentives
  • Health service providers

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