National breastfeeding policy and action plan 20152020. The national breastfeeding policy and action plan 20152020 seeks to achieve such. Ten steps to successful breastfeeding revised 2018 who and unicef launched the babyfriendly hospital initiative bfhi to help motivate facilities providing maternity and newborn services worldwide to implement the ten steps to successful breastfeeding. Compliance with the babyfriendly hospital initiative for neonatal wards neobfhi.
Previous bfhi training and nurses knowledge, attitudes and practices regarding exclusive breastfeeding article in african journal of medicine and medical sciences 312. National implementation of the babyfriendly hospital. Th is study explores and describes the process of attaining babyfriendly designation from nurses perspectives. The bfhi physician course consisting of 3 hours of training covers the ten steps to baby friendly hospital certification for physicians. A purposive sampling design was used to recruit registered nurse participants in a large, safetynet. Since the babyfriendly hospital initiative bfhi was launched in 1991, it has served as a motivating force for maternity facilities around the world to implement policies and practices that support breastfeeding. Training for the babyfriendly hospital initiative for individuals purchasing training on your own. The babyfriendly hospital initiative in us hospitals.
Bfhi training and resource centre provides a variety of breastfeedinglactation courses, workshops and teaching aids to support health. Pdf compliance with the babyfriendly hospital initiative. May 2020 page 4 of 29 be reaudited every three years to maintain accreditation or every four years for services who meet the criteria refer to whounicef baby friendly hospital initiative revised, updated and. Organization who babyfriendly hospital initiative in the united states, ten steps to. Training bfhi in ireland does not provide training courses directly to hospitals. The basis of the bfhi is the adherence to the ten steps to successful. How to educate staff to meet the requirements of the 20 hour curriculum to support the steps to successful breastfeeding 15 education hours and 5 clinical.
The course materials were field tested in zimbabwe with a multi disciplinary group. We are committed to the promotion, protection and support of. How to educate staff to meet the requirements of the 20. Nutrition specialist at unicef, gave an overview of the process for these in depth. The completed training brochure or a copy of the training announcement must be attached. Ten steps unicefwho babyfriendly hospital initiative bfhi. However, there are likely to be various barriers to bfhi implementation. The process of becoming a babyfriendly hospital is outlined in section 1. In 1996, the first bfhi hospital was designated in the. The ten steps summarize a package of policies and procedures that facilities providing maternity.
Ten steps unicefwho babyfriendly hospital initiative. Introduction to bfhi and 10 steps of successful breastfeeding dr varsha atul shah lecture 1 2. These changes can be part of a comprehensive set of changes, such as those implemented in pursuit of bfhi baby friendly hospital initiative4 designation established by the world health organization. The bfi is a globally recognized, evidencebased approach to promote informed decisionmaking regarding infant feeding, with particular focus on. Studies show that when the baby friendly hospital initiative bfhi is implemented breastfeeding rates increase. Hospital selfappraisal tool for the whounicef babyfriendly hospital initiative and the global criteria one copy for each group of 46. The new zealand criteria for the baby friendly hospital initiative serves as the recognised standard, measuring adherence to each of. Bfhi is a global effort for improving the role of maternity services to enable mothers to breastfeed babies for the best start in life. In brazil, the babyfriendly hospital initiative bfhi proposes following the criteria, the ten steps to successful breastfeeding, international code of marketing of breastmilk substitutes and good birth and delivery practices. Since these practitioners had not yet attended the bfhi workshop, this greater effect may be expected, and would support the use of the video as part of bfhi training, perhaps with shorter workshops and more use of video for selfstudy. National implementation of the babyfriendly hospital initiative 2017 executive summary the babyfriendly hospital initiative bfhi was launched in 1991 as a global programme to incentivize maternity facilities throughout the world to adhere to the ten steps to successful breastfeeding and comply with the international code of. Upon completion of this course you will be awarded a. You must justify why you need the training and how it would benefit.
The baby friendly hospital initiative involves the implementation of a standard of care for mothers and infants in hospitalsbirthing centers, to optimize breastfeeding success right after birth. The baby friendly hospital initiative bfhi is a worldwide program of the world health organization and unicef, launched in 1991 following the innocenti declaration of 1990. Oct 2014 bfhi ireland bfhi ireland whounicef global criteria for external assessment step 1. The course materials were field tested in zimbabwe with a multidisciplinary group. Babyfriendly usa upholding the highest standards of. Revised, updated and expanded for integrated care 2006. Presented by lactation education resources learning plan for.
Bfhi ireland whounicef global criteria for external assessment. National guidelines for implementation of communitybased. Babyfriendly hospital initiative congress amis des bebes. The babyfriendly hospital initiative bfhi was launched by who and unicef in 1991, following the innocenti declaration of 1990. Posttest scores average 1520% higher than pretest scores. Breastfeeding and the baby friendly hospital initiative. The criteria for assessment is that the relevant staff have the knowledge, attitudes and skills necessary to implement the hospital policy and babyfriendly practices. A service of the national library of medicine, national institutes of health. Bfhi provider training individual babyfriendly courses 3 hours of training covers the ten steps. Training, such as this course, is usually needed early in the process.
Bfhi implementation guidance world health organization. The babyfriendly hospital initiative bfhi is a hospital accreditation program and pse change intervention that was created by the united nations childrens fund and the world health organization to recognize hospitals and birth centers around the world that offer an optimal level of care for infant feeding and motherbaby bonding. Revised baby friendly hospital initiative 2018 the. Baby friendly hospital training provided by first latch resources fifteen hours of online training course outline the big picture. Maternity care practices related to breastfeeding take.
Guidelines and evaluation criteria babyfriendly usa. The staff training record covers four types of training that may be important for facilities participating in the babyfriendly hospital initiative. The babyfriendly hospital initiative in us hospitals vergie hughes, rn, ms, ibclc, filca. March 2012page 3breastfeeding and the babyfriendly hospital initiative. Adherence to the bfhi ten steps has a positive impact on short. The role of the baby friendly hospital initiative bfhi is to protect, promote and support breastfeeding. Participate in hospital policy and procedure changes needed to meet bfhi requirements successfully interact with the baby friendly hospital initiative assessors impact hospitals across the u. This should include evidence of achievement of mandatory bfhi education. Critical management procedures to support breastfeeding. It is the wish of each and every parent that their children get the very best possible start in life. It focuses primarily on the barriers encountered through implementing.
Lactation education resources baby friendly hospital. The babyfriendly hospital initiative bfhi is a programme launched by who and unicef in 1991 to designate facilities offering maternity and newborn services that implement evidencebased strategies to become centres of breastfeeding support. Implementing baby friendly hospital initiative policy. Presented by lactation education resources learning plan. The original1992 bfhi guidelines were prepared by the staff of the united nations childrens fund unicef, the world health organization who, with assistance from wellstart international in developing the global criteria. In australia in 2006, the baby friendly hospital initiative became the baby friendly health initiative in order to more accurately reflect the expansion of the initiative into community health settings. The ten steps summarize a package of policies and procedures that facilities providing maternity and newborn services should implement to. This knowledge, attitude and skill is likely to be acquired through classroom sessions, reading. Guide to developing a national process for bfhi monitoring. This article reports on an empirical study of governmentdirected bfhi implementation in the new zealand public hospital system. The ten steps summarize a package of policies and procedures that facilities providing maternity and newborn services which support breastfeeding.
Procedures requiring separation of the mother and infant bathing, for. Educational videos for practitioners attending baby. It focuses primarily on the barriers encountered through implementing the first. The babyfriendly award process requires an onsite survey, which is conducted after the hospi tal or birthing center.
Bfhi training takes significant time and resources. Training request travel expense voucher pdf outofstate training procedure. Bfhi accreditation, with its focus on education and training, also aids recruitment and retention of staff through increased professional development opportunities and increased job satisfaction. As the accrediting body and national authority for the babyfriendly hospital initiative bfhi in the united states, babyfriendly usa bfusa is responsible for coordinating and conducting all activities necessary to confer the prestigious babyfriendly designation and ensure the widespread adoption of the bfhi in the us. Brazilian babyfriendly hospitals are reassessed triennially by external evaluators and annually by selfmonitoring. In canada, the bfhi is called the babyfriendly initiative bfi. Hivinfant feeding counselling training recommendations from. The original1992 bfhi guidelines were prepared by the staff of the united nations childrens fund unicef, the world health organization who, with assistance.
Th e babyfriendly hospital initiative is a global initiative that aims to protect, promote, and support breastfeeding. The babyfriendly hospital initiative bfhi was initiated by the world health organization who and unicef in 1991. Bfhi accreditation, with its focu s on education and training, also aids recruitment and retention of staff through increased professional development opportunities and increased job satisfaction. Bfhi in ireland does not provide training courses directly to hospitals. There is good evidence that implementing the baby friendly hospital initiative leads to increased breastfeeding rates at the time of hospital discharge. The international code of marketing of breastmilk substitutes 2017 update. Maternity care practices related to breastfeeding take place during the intrapartum hospital stay. May 27, 2014 baby friendly hospital initiative bfhi 3. Using the ten steps to breastfeeding success, hospitals are improving their policies and procedures that will ensure a. Whounicef babyfriendly hospital initiative bfhi training.
Who and unicef launched the babyfriendly hospital initiative bfhi to help motivate facilities providing maternity and newborn services worldwide to implement the ten steps to successful breastfeeding. What is bfhi worldwide programme of the world health organization and unicef, launched in 1991 following the innocenti declaration of 1990 global effort for improving the role of maternity services to enable mothers to breastfeed babies for the best start in life 4. Training enables staff to develop effective skills, give consistent messages and implement policy standards. To download a pdf file without opening it, right click your mouse, then save target as and file it in a suitable directory with a recognisable name. Bfhi in training, inadequate human recourses, and changes of.
This document contains the latest version of the guidance for implementing the babyfriendly hospital initiative bfhi 1 in facilities providing maternity and newborn services, as well as guidance for coordination and management of the bfhi at national or subnational where applicable level. The initiative supports the application of 10 steps to successful breastfeeding for hospitals and the 7 point plan for community health centres. Have a written breastfeeding policy that is routinely communicated to all health care providers and volunteers. This complex but exciting process holds the promise for a renewed and widespread commitment to the ten steps in our country for generations to come. The baby friendly hospital initiative bfhi, also known as baby friendly initiative bfi, is a worldwide programme of the world health organization and unicef, launched in 1992 in india following the adoption of the innocenti declaration on breastfeeding promotion in 1990. The necessary procedure will then be followed according. National breastfeeding policy and action plan 20152020 3 our children stand at the very heart of our families. Completion of this questionnaire is recommended for all maternity services prior to being accredited. Intent of the intervention the babyfriendly hospital initiative bfhi at boston medical center bmc is a researchtested intervention designed to implement hospital policies and procedures that support optimal breastfeeding practices. Discuss the rationale for professional, government and international policies that promote, protect and support breastfeeding in the united states. Nurses perspectives on the process of attaining baby.
Over 300 participants in the 2016 babyfriendly hospital initiative bfhi congress, representing countries and numerous nongovernmental organizations, donors and professional associations, provided invaluable insights to the successes of and challenges for the bfhi, and outlined many of the priorities for future activity. Since this training will probably not be as extensive, a simpler form can be devised for recording this information, with its format depending on what type of training is given. Babyfriendly usa upholding the highest standards of infant. The babyfriendly hospital initiative bfhi was developed by the world health organization who and the united nations childrens fund unicef to guide hospitals and health care workers in providing optimal breastfeeding support. External evaluation and selfmonitoring of the babyfriendly. Have a written breastfeeding policy that is routinely communicated to all health care staff. Bfhi at bmc addresses three levels of the socioecologic model.
It does this by providing a framework for baby friendly hospitals to operate within called the ten steps to successful breastfeeding. A crosssectional study in 36 countries article pdf available in maternal and child nutrition 152. At this point, babyfriendly usa conducts an onsite assessment. This is the worlds first major initiative for breastfeeding to cut across all. This major achievement is contributing to increases in breastfeeding and decreases in morbidity and mortality in every region. Bfhi accreditation, with its focus on education and training, also aids recruitment and. The initiative is a global effort to implement practices that protect, promote and support breastfeeding. Babyfriendly hospital initiative bfhi snaped toolkit. The health facility has a written policy that addresses all ten steps and protects breastfeeding. Previous bfhi training and nurses knowledge, attitudes and. Revised, updated and expanded for integrated care section 1 background and implementation preliminary version for country implementation january 2006 original bfhi guidelines developed 1992. The revitalization and scaleup of the babyfriendly hospital. Obtain babyfriendly hospital initiative bfhi designation.
The babyfriendly hospital initiative bfhi was launched to encourage maternity facilities worldwide to adopt the ten steps. Course guide babyfriendly hospital initiative ncbi bookshelf. The ten steps address facility policies, training, community outreach, and caring procedures for new mothers and babies. Effect on rates of breast feeding of training for the baby friendly hospital initiative.
Staff should update and submit their mandatory training checklist on an annual basis. Breastfeeding promotion and support in a babyfriendly hospital 20hour course 2009 acknowledgements development of the original 18hour course was a collaborative effort among staff at the united. To combat the worldwide decline in breastfeeding rates, the world health organization and unicef launched the babyfriendly hospital initiative in 1991. Follow the link below to view the available courses to purchase. Search for the key words bfhi, babyfriendly, and breastfeeding in the sites search engine, and look under resources, publications and links within the web site. Unicef, revised bfhi course and assessment tools, 2009.
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