Date of Graduation


Document Type


Degree Name

Bachelor of Science in Nursing

Degree Level





Scott, Allison

Committee Member/Reader

Shreve, Marilou

Committee Member/Second Reader

Vowell Johnson, Kelly


Background: The largest population of Marshallese immigrants in the Contiguous U.S. resides in Northwest Arkansas. Despite adequate access to healthcare, the Marshallese face many health disparities, perhaps partly due to the language barrier they face in healthcare settings and education. Regarding breastfeeding rates, women in the Marshall Islands have a significantly higher rate of exclusive breastfeeding than in Marshallese women residing in the U.S. who face cultural barriers. Breastfeeding is positively correlated to many benefits for infants and is recommended exclusively for at least 6 months by pediatric policy organizations.

Objective: The purpose of this research is to examine breastfeeding rates in Marshallese women after implementing a two part culturally significant educational intervention, including a video and a supplemental brochure, both prepared in the Marshallese language.

Methods: In this quasi-experimental retrospective study, data was collected and analyzed at a designated Baby-Friendly Hospital in Northwest Arkansas, pre- and post- intervention. The intervention included a seven minute long video providing techniques regarding latching skills and hand expression, as well as information regarding the benefits of breastfeeding for the mother-baby dyad and recommendations found in WHO guidelines. A second written tri-fold handout was utilized for the patients to take home to reinforce the teaching.

Results: Results were not statistically significant, likely due to sample size, however, there was a slight positive correlation between receiving the treatment and intent to breastfeed on discharge.

Conclusion: Previous and current research indicates a possible positive effect on improving breastfeeding discharge rates using culturally targeted education materials. It is hoped that the Baby-Friendly Hospital will continue to utilize the educational interventions to improve breastfeeding rates among the Marshallese population in Northwest Arkansas.


Marshallese, Marshall Islands, Pacific Islands, Breastfeeding, Maternal/baby, Micronesia