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Journal articles on the topic 'Baby Friendly Hospital Initiative (BFHI) policy'

Author: Grafiati

Published: 2 June 2025

Last updated: 31 July 2025

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1

International, Journal of Medical Science and Innovative Research (IJMSIR). "A Study to Assess Knowledge regarding baby friendly hospital Initiative (Bfhi) Policy among Nurses in A Selected Hospital, Bangalore." International Journal of Medical Science and Innovative Research (IJMSIR) 9, no. 4 (2024): 102–7. https://doi.org/10.5281/zenodo.15422761.

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<strong>Abstract</strong> The Baby Friendly Hospital Initiative (BFHI) was introduced in 1991 by UNICEF and the World Health Organization with the aim of endorsing and advancing breastfeeding. BFHI has established Ten Steps of Successful Breastfeeding as guidelines. The primary objective of BFHI policy is to advocate, safeguard, and bolster breastfeeding. Nurses hold a crucial responsibility in promoting and assisting breastfeeding, given their frequent interactions with mothers during prenatal and postnatal visits, where they can educate and advocate for breastfeeding. Therefore, it is impera

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Abolyan, Liubov V., Laura N. Haiek, Irina M. Pastbina, and Ragnhild Maastrup. "Compliance With the “Baby-Friendly Hospital Initiative for Neonatal Wards” in Russian Hospitals." Journal of Human Lactation 37, no. 3 (2021): 521–31. http://dx.doi.org/10.1177/08903344211002754.

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Background The expansion of the Baby-Friendly Hospital Initiative to neonatal wards, known as the Neo-BFHI, provides recommendations to support breastfeeding, as outlined in the Three Guiding Principles, the expanded Ten Steps, and the International Code for Marketing of Breast-Milk Substitutes. In 2017, Russia participated in an international survey about compliance with the Neo-BFHI. Research Aim To assess breastfeeding support policies and practices in Russian neonatal wards at the country and federal district level in accordance with the Neo-BFHI recommendations. Methods This study was a p

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Anandhy.K , Dr Anilet, Shamen Margaret., and Prof Achsha Shiny.A. "A Study to Evaluate the Effectiveness of a Self-Instructional Module on Knowledge Regarding Baby Friendly Hospital Initiative Policy Among Staff Nurses of the Pediatric and Obstetric Unit at Jeyaharan Hospital Nagercoil." INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH IN ENGINEERING AND MANAGEMENT 09, no. 07 (2025): 1–9. https://doi.org/10.55041/ijsrem50554.

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Introduction: The Baby-Friendly Hospital Initiative (BFHI), launched by the World Health Organization (WHO) and UNICEF in 1991, aims to promote, support, and protect breastfeeding through evidence-based maternity care practices. This global program encourages hospitals and maternity facilities to implement the "Ten Steps to Successful Breastfeeding" to ensure optimal infant feeding and mother-infant bonding. Despite proven benefits, implementation remains varied, highlighting the need for evaluating BFHI practices and outcomes. Statement of the Problem: A study to evaluate the effectiveness of

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Walsh, Aisling, Pieternella Pieterse, Zoe McCormack, Ellen Chirwa, and Anne Matthews. "Improving breastfeeding support through the implementation of the baby friendly hospital and community initiatives: a scoping review protocol." HRB Open Research 4 (January 4, 2021): 1. http://dx.doi.org/10.12688/hrbopenres.13180.1.

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Background: Improved breastfeeding practices have the potential to save the lives of over 823,000 children under 5 years old globally every year. Exclusively breastfeeding infants for the first six months would lead to the largest infant mortality reduction. The Baby-Friendly Hospital Initiative (BFHI) is a global campaign by the World Health Organization and the United Nations Children's Fund (UNICEF), which promotes best practice to support breastfeeding in maternity services. The Baby-Friendly Community Initiative (BFCI) is an extension of the BHFI’s 10th step of the Ten Steps to Successful

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Habte, Mahilet Berhanu, Misra Abdulahi, Michelle Plusquin, and Charlotte Cosemans. "Effectiveness of Baby-Friendly Hospital Initiative on Early Initiation and Exclusive Breastfeeding Practice: Systematic Review and Meta-Analysis." Nutrients 17, no. 14 (2025): 2283. https://doi.org/10.3390/nu17142283.

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Background: The Baby-Friendly Hospital Initiative (BFHI) promotes, protects, and supports optimal breastfeeding through facility-based strategies. While prior studies have examined individual BFHI components in specific contexts, global evidence on its overall impact remains limited. This systematic review and meta-analysis aimed to evaluate the BFHI’s effectiveness in improving early initiation and exclusive breastfeeding practices worldwide. Methods: A comprehensive search was conducted in PubMed, Web of Science, Scopus, and Google for English-language studies. Eligible studies included rand

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Bacciaglia, Meagan, and Hannah Neufeld. "Examining the Application and Use of the Baby-Friendly Hospital Initiative Within Rural and Urban Health Facilities in Canada and Australia Among Indigenous Mothers." Current Developments in Nutrition 6, Supplement_1 (2022): 1131. http://dx.doi.org/10.1093/cdn/nzac072.003.

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Abstract Objectives To prevent infant mortality and morbidity, the WHO and UNICEF established the Baby-Friendly Hospital Initiative (BFHI) to support breastfeeding initiation and duration by improving the quality of care provided in health facilities globally. Indigenous communities across the world report lower breastfeeding rates compared to non-Indigenous populations. There is very limited research surrounding the implementation of the BFHI to support Indigenous women. The objectives of this research are: to gather firsthand experiences of policymakers, administrators, and health care provi

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LeDrew, Michelle, Britney Benoit, Kathleen O'Grady, et al. "Promoting maternal-child health by increasing breastfeeding rates: a National Canadian Baby-Friendly Initiative Quality Improvement Collaborative Project." BMJ Open Quality 13, no. 1 (2024): e002537. http://dx.doi.org/10.1136/bmjoq-2023-002537.

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While breastfeeding has long been an important, globally recognized aspect of population health, disparities exist across Canada. The Baby-Friendly Initiative (BFI) is a WHO/UNICEF best-practice program that helps ensure families receive evidence-based perinatal care and is associated with improved breastfeeding rates. However, <10% of hospitals in Canada are designated as ‘Baby-Friendly’.The Breastfeeding Committee for Canada (BCC) aimed to increase the number of hospitals that moved towards BFI designation by implementing a National BFI Quality Improvement Collaborative Project. Key activ

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Kantorová, Lucia, Andrea Poloková, Michal Sýkora, Tereza Vrbová, Miloslav Klugar, and Jitka Klugarová. "Breastfeeding support and avoiding inappropriate breast milk substitute marketing in a neonatal ward in the Czech Republic: a best practice implementation project." JBI Evidence Implementation 21, S1 (2023): S47—S56. http://dx.doi.org/10.1097/xeb.0000000000000388.

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ABSTRACT Objectives: The aim of this implementation project was to improve breastfeeding support, and more specifically, to increase compliance with the Baby-Friendly Hospital Initiative (BFHI) and the requirements of the International Code of Marketing of Breastmilk Substitutes (the Code). Introduction: The Ten Steps to Successful Breastfeeding of the BFHI have been shown to improve breastfeeding outcomes at target hospitals. The Code is a minimum standard for the regulation of marketing practices related to breastfeeding support. Methods: We used the JBI evidence implementation model to iden

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Benoit, Britney, Christine Cassidy, Marsha Campbell-Yeo, et al. "Development of Interventions to Support Provincial Implementation of the Baby-Friendly Initiative: A Study Protocol." Nursing Reports 13, no. 4 (2023): 1731–41. http://dx.doi.org/10.3390/nursrep13040143.

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Breastfeeding is internationally recognized as the optimal form of infant nutrition. The Baby-Friendly Initiative (BFI) is an evidence-informed program that leads to improved breastfeeding outcomes. Despite the benefits of breastfeeding, Nova Scotia has one of the lowest breastfeeding rates in Canada. Additionally, only two birthing hospitals in the province have BFI designation. We aim to address this gap using a sequential qualitative descriptive design across three phases. In Phase 1, we will identify barriers and facilitators to BFI implementation through individual, semi-structured interv

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Kowara, Mellysa. "Improving Implementation of 10 STSB (Steps to Successful Breastfeeding) through BENEFIT (Breastfeeding Exclusively in Health Facility) Intervention in East Java, Indonesia." Amerta Nutrition 5, no. 2SP (2021): 10. http://dx.doi.org/10.20473/amnt.v5i2sp.2021.10-18.

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ABSTRAKLatar Belakang: Peningkatan cakupan ASI eksklusif dapat dilakukan dengan menerapkan 10 LMKM di fasilitas kesehatan. Berdasarkan hasil penilaian program 10 LMKM tahap 1 menunjukkan perlunya penguatan 10 LMKM terutama langkah 1 dan 2 sebagai prosedur pengelolaan kritis (Critical Management Procedural). Untuk menindaklanjuti temuan tersebut maka dijalankan Project BENEFIT untuk meningkatkan penerapan dari langkah-langkah tersebut. Proyek tersebut dilaksanakan pada tahun 2019 hingga 2020 di 5 kabupaten/kota di Jawa Timur yaitu Bondowoso, Jember, Probolinggo, Trenggalek dan Surabaya.Tujuan:

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Khalid Shafi, Faryal Nawab, Rozina Jabeen, and Waseem Jmalvi. "Evaluating the impact of baby-friendly Hospitals on mother’s knowledge and practices regarding breastfeeding in Karachi, Pakistan." JMMC 7, no. 2 (2019): 24–27. http://dx.doi.org/10.62118/jmmc.v7i2.14.

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Introduction: Breastfeeding is a natural way of feeding to a new born baby. World Health Organization launched a Baby Friendly Hospital initiative in 1992, to strengthen maternity practices to support breast-feedings. Currently, about 19250 hospitals world wide have achieved Baby Friendly Status. To evaluate the role of Baby Friendly Hospital Initiative on feeding and weaning practices of mothers in improving health status of children under five years of age Methodology: Cross sectional comparative study was done at baby friendly hospital (BFHI) and non-baby friendly hospital (Non BFHI)

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Konjarik, Z., and A. Pavičić Bošnjak. "Impact of baby friendly hospital initiative on breastfeeding rates in Đakovo." Paediatria Croatica 55, no. 3 (2011): 191–95. http://dx.doi.org/10.13112/pc.781.

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First implementation of the WHO/UNICEF Baby Friendly Hospital Initiative (BFHI) in Đakovo during 1996 significantly increased breastfeeding rates. Objective is to evaluate the effects of BFHI on breastfeeding rates in infants born in 2004 (before second BFHI) and 2008 (after second BFHI). Retrospective analysis included 356 mother-infant dyads. Breastfeeding rates at 1, 3, and 6 months were collected for 182 term infants born in 2004 and 174 term infants born in 2008. From 2004 to 2008, the rate of breastfeeding at 1, 3 and 6 months of age increased from 63.7% to 90.8%, from 40.1% to 61.5% and

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Rosner, Elisheva. "Baby-Friendly Hospital Initiative: Past, Present, and Future." Neonatal Network 43, no. 1 (2024): 6–11. http://dx.doi.org/10.1891/nn-2023-0036.

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Quality improvement is paramount in the nursing profession today, and there is increased awareness and focus on implementing evidence-based practices into nursing care. The Baby-Friendly Hospital Initiative (BFHI) is an evidence-based program that promotes and protects exclusive breastfeeding by encouraging breast milk feeds to infants from the time of birth. This article will discuss the history and current state of breastfeeding in the United States as well as an evidence-based change model that can be used to implement the BFHI to change the status quo and future of breastfeeding in the Uni

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Arellano, Faye. "The Baby Friendly Hospital Initiative in Canada: A Narrative Review." Undergraduate Research in Natural and Clinical Science and Technology (URNCST) Journal 7, no. 11 (2023): 1–8. http://dx.doi.org/10.26685/urncst.516.

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Breastfeeding offers substantial benefits to infant health, encompassing physical and neurodevelopmental aspects. National and international guidelines, such as those from the Canadian Paediatric Society (CPS) and World Health Organization (WHO), recommend exclusive breastfeeding for the first six months of life, followed by continued breastfeeding with complementary foods until two years of age or beyond. Despite these recommendations, Canada faces challenges in achieving optimal breastfeeding rates, with only 35% of parents exclusively breastfeeding until the recommended six-month mark. This

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Lamounier, Joel Alves, Roberto Gomes Chaves, Maria Albertina Santiago Rego, and Maria Cândida Ferrarez Bouzada. "BABY FRIENDLY HOSPITAL INITIATIVE: 25 YEARS OF EXPERIENCE IN BRAZIL." Revista Paulista de Pediatria 37, no. 4 (2019): 486–93. http://dx.doi.org/10.1590/1984-0462/;2019;37;4;00004.

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ABSTRACT Objective: To describe the experience of the 25-year-old trajectory of the Baby Friendly Hospital Initiative (BFHI) in Brazil. The first unit was implemented in 1992. Methods: Information and data were collected from publications on the World Health Organization (WHO), the United Nations International Children’s Emergency Fund (UNICEF) and the Ministry of Health websites and in national and international journals, about the period 1990-2017. The descriptors used were: “iniciativa hospital amigo da criança”, “hospital amigo da criança”, “baby friendly initiative hospital”, “aleitamento

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Nobari, Tabashir Z., Lu Jiang, May C. Wang, and Shannon E. Whaley. "Baby-Friendly Hospital Initiative and Breastfeeding Among WIC-Participating Infants in Los Angeles County." Journal of Human Lactation 33, no. 4 (2017): 677–83. http://dx.doi.org/10.1177/0890334417716118.

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Background: Breastfeeding rates among low-income infants lag behind national rates. Policies such as the Baby-Friendly Hospital Initiative (BFHI) improve breastfeeding and may benefit low-income populations such as those who participate in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). A recent effort exists to increase the number of Baby-Friendly designated hospitals in Los Angeles County (LAC). Research aim: This study aimed to determine whether the BFHI effort has had a beneficial effect on Baby-Friendly hospital practices in LAC hospitals and to determin

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Silva, Osvaldinete Lopes de Oliveira, Marina Ferreira Rea, Sonia Isoyama Venâncio, and Gabriela dos Santos Buccini. "The Baby-Friendly Hospital Initiative: increasing breastfeeding and decreasing infant mortality in Brazil." Revista Brasileira de Saúde Materno Infantil 18, no. 3 (2018): 481–89. http://dx.doi.org/10.1590/1806-93042018000300003.

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Abstract Objectives: to estimate the population attributable fraction of preventable infant mortality rates due to changes in breastfeeding (BF) indicators attributable to the Baby Friendly Hospital Initiative (BFHI). Methods: an estimate on the impact of BFHI in reducing infant mortality with an inferential level of plausibility, using secondary data from the II Breastfeeding Prevalence Survey of 2008. Initially, the effect of BFHI on breastfeeding in the first hour of life, exclusive breastfeeding, and any breastfeeding based on the prevalence of the outcomes among infants born in BFHI or no

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Zakarija-Grković, Irena, Marija Boban, Sunčana Janković, Anamarija Ćuže, and Tea Burmaz. "Compliance With WHO/UNICEF BFHI Standards in Croatia After Implementation of the BFHI." Journal of Human Lactation 34, no. 1 (2017): 106–15. http://dx.doi.org/10.1177/0890334417703367.

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Background: The primary goal of the Baby-Friendly Hospital Initiative (BFHI) is to create conditions in maternity facilities that enable women to initiate and sustain the practice of breastfeeding exclusively. Research aim: This study aimed to determine hospital practices and breastfeeding rates before and after BFHI implementation and assess compliance with UNICEF/World Health Organization (WHO) standards for seven of the BFHI’s Ten Steps to Successful Breastfeeding ( Ten Steps). Methods: Mothers of healthy, term infants ( N = 1,115) were recruited from the postnatal ward of the University Ho

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Hawkins, Summer Sherburne, Ariel Dora Stern, Christopher F. Baum, and Matthew W. Gillman. "Evaluating the impact of the Baby-Friendly Hospital Initiative on breast-feeding rates: a multi-state analysis." Public Health Nutrition 18, no. 2 (2014): 189–97. http://dx.doi.org/10.1017/s1368980014000238.

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AbstractObjectiveTo evaluate the impact of the Baby-Friendly Hospital Initiative (BFHI) on breast-feeding initiation and duration overall and according to maternal education.DesignQuasi-experimental study using data from five states (Alaska, Maine, Nebraska, Ohio, Washington) that participated in the Pregnancy Risk Assessment Monitoring System from 1999 to 2009. Using differences-in-differences models that included year and hospital fixed effects, we compared rates of breast-feeding initiation and duration (any and exclusive breast-feeding for ≥4 weeks) before and after BFHI accreditation betw

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Lamounier, Joel Alves, Luciano Borges Santiago, Márcia Caetano Christina Romano, Regina Pereira Da Silva, Renara Guedes Araujo, and Roberto Gomes Chaves. "Public Health Policies and Breastfeeding: outcomes related to the Baby-Friendly Hospital Initiative in Brazil." World Nutrition 12, no. 4 (2021): 83–135. http://dx.doi.org/10.26596/wn.2021124136-175.

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Objective: This study aims to describe the outcomes of public policies in favor of breastfeeding related to the Baby-Friendly Hospital Initiative from 1992 to 2020 in Brazil. Methods: This is a descriptive study with information and data gathered from August 2020 to August 2021 through searching in Portuguese and English, in Brazilian Federal Government and other sources for the period of 1990 to 2021. Descriptors used included baby-friendly hospital, baby-friendly hospital initiative, baby-friendly and breastfeeding. Results: When the Baby-Friendly Hospital Initiative (BFHI) was l

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MacEnroe, Trish. "Debunking the Misunderstandings of the Baby-Friendly Hospital Initiative and Designation Requirements." Clinical Lactation 9, no. 4 (2018): 208–11. http://dx.doi.org/10.1891/2158-0782.9.4.208.

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Sensational headlines and messages surrounding breastfeeding in the media are leaving the public confused. There are also myths being circulated about the Baby-Friendly Hospital Initiative (BFHI) that are causing some to question the value and safety of its practices. The most effective means for clarifying the confusion is to dispel the myths and explore the facts. An accurate understanding of the importance of breastfeeding, the BFHI requirements, the impact and interrelationship of each of the Ten Steps to Successful Breastfeeding, as well as good breastfeeding management practices, ensures

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Haiek, Laura N. "Measuring compliance with the Baby-Friendly Hospital Initiative." Public Health Nutrition 15, no. 5 (2011): 894–905. http://dx.doi.org/10.1017/s1368980011002394.

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AbstractObjectiveThe WHO/UNICEF Baby-Friendly Hospital Initiative (BFHI) is an effective strategy to increase breast-feeding exclusivity and duration but many countries have been slow to implement it. The present paper describes the development of a computer-based instrument that measures policies and practices outlined in the BFHI.DesignThe tool uses clinical staff/managers’ and pregnant women/mothers’ opinions as well as maternity unit observations to assess compliance with the BFHI's Ten Steps to Successful Breastfeeding (Ten Steps) and the International Code of Marketing of Breastmilk Subs

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Ortiz, Priscilla Nunes, Rafaela Borges Rolim, Mateus Freire Lima e. Souza, et al. "Comparing breast feeding practices in baby friendly and non-accredited hospitals in Salvador, Bahia." Revista Brasileira de Saúde Materno Infantil 11, no. 4 (2011): 405–13. http://dx.doi.org/10.1590/s1519-38292011000400007.

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OBJECTIVES: to compare compliance with Steps 4 to 10 of "The Steps to Successful Breastfeeding" in two hospitals accredited by the Baby-Friendly Hospital Initiative (BFHI group) with two not yet accredited hospitals in Salvador. METHODS: a cross-sectional study was conducted with 100 women in BFHI-accredited hospitals and 103 women in non-BFHI-accredited hospitals by collecting data on their obstetric history, any breast feeding counseling received during antenatal care, and data on delivery and hospitalization. Data were obtained by applying questionnaires and reviewing patients' medical char

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Mathema, Smriti, and Sabina Shrestha. "Knowledge and Attitude of Nursing Staff on Baby-friendly Hospital Initiative Practices in a Tertiary Hospital." Journal of Kathmandu Medical College 9, no. 2 (2020): 87–91. http://dx.doi.org/10.3126/jkmc.v9i2.35528.

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Background: Within a hospital setting, health professionals play a key role in providing the right information on breastfeeding and often this source are the nurses who have the primary opportunity to counsel, support and educate mothers on breastfeeding. The Baby Friendly Health Initiative (BFHI) has helped to motivate facilities providing maternity and newborn services worldwide to better support breastfeeding. Objective: The aim of this study is to help identify the knowledge gaps on the BFHI practices among nursing staff in a tertiary care center in Kathmandu. Methodology: A to

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Esbati, Anahita, Margaret Barnes, Amanda Henderson, and Jane Taylor. "Legislation, policies and guidelines related to breastfeeding and the Baby Friendly Health Initiative in Australia: a document analysis." Australian Health Review 42, no. 1 (2018): 72. http://dx.doi.org/10.1071/ah16067.

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Objectives The aim of the present study was to assess the extent to which publicly available legislation, policy and guidelines related to breastfeeding and the Baby Friendly Health Initiative (BFHI) underpin and support the uptake and implementation of the BFHI in Australia. Methods Altheide’s document analysis model (sample, data collection, data organisation, data analysis and report) was used to source and analyse publicly available legislation, policies and guidelines in Australia that were related to breastfeeding and the BFHI at national, state and professional organisational levels. Re

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Chabot, Guylaine, and Marie Lacombe. "Factors Influencing the Intention of Perinatal Nurses to Adopt the Baby-Friendly Hospital Initiative in Southeastern Quebec, Canada: Implications for Practice." Nursing Research and Practice 2014 (2014): 1–8. http://dx.doi.org/10.1155/2014/603964.

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Nurses play a major role in promoting the baby-friendly hospital initiative (BFHI), yet the adoption of this initiative by nurses remains a challenge in many countries, despite evidences of its positive impacts on breastfeeding outcomes. The aim of this study was to identify the factors influencing perinatal nurses to adopt the BFHI in their practice.Methods. A sample of 159 perinatal nurses from six hospital-based maternity centers completed a survey based on the theory of planned behavior. Hierarchical multiple linear regression analyses were performed to assess the relationship between key

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Benjamin-Neelon, Sara, Sarah Gonzalez-Nahm, and John L. Pearce. "County-Level Health and Demographic Factors and Baby-Friendly Hospital Initiative Facility Birth Rates in the Contiguous US." Current Developments in Nutrition 4, Supplement_2 (2020): 942. http://dx.doi.org/10.1093/cdn/nzaa054_014.

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Abstract Objectives The Baby-Friendly Hospital Initiative (BFHI) is a global effort designed to protect and promote breastfeeding. The BFHI designation in hospitals and birthing facilities may help reduce disparities in breastfeeding in low-resource, vulnerable communities in the US. As such, we evaluated associations between county-level health and demographic factors and birth rates in both established and emerging BFHI facilities. We hypothesized that birth rates among counties with a higher-income, largely White population would be associated with more established BFHI facility births but

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Walsh, Aisling, Pieternella Pieterse, Zoe McCormack, Ellen Chirwa, and Anne Matthews. "Improving breastfeeding support through the implementation of the baby friendly hospital and community initiatives: a scoping review protocol." HRB Open Research 4 (April 23, 2021): 1. http://dx.doi.org/10.12688/hrbopenres.13180.2.

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Background: Improved breastfeeding practices have the potential to save the lives of over 823,000 children under 5 years old globally every year. Exclusively breastfeeding infants for the first six months would lead to the largest infant mortality reduction. The Baby-Friendly Hospital Initiative (BFHI) is a global campaign by the World Health Organization and the United Nations Children's Fund (UNICEF), which promotes best practice to support breastfeeding in maternity services. The Baby-Friendly Community Initiative (BFCI) is an extension of the BHFI’s 10 th step of the Ten Steps to Successfu

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Dumas, Louise, and Maria-Teresa Hernandez-Aguilar. "BFHI News Brief: News From the Baby-Friendly Hospital Initiative Network." Journal of Human Lactation 35, no. 2 (2019): 381. http://dx.doi.org/10.1177/0890334419830995.

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Hernández-Aguilar, Maria-Teresa, and Louise Dumas. "BFHI News Brief: News From the Baby-Friendly Hospital Initiative Network." Journal of Human Lactation 35, no. 4 (2019): 820. http://dx.doi.org/10.1177/0890334419866174.

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Ojofeitimi, E. O., O. A. Esimai, O. O. Owolabi, Oluwabusi, O. F. Olaobaju, and T. O. Olanuga. "Breast Feeding Practices in Urban and Rural Health Centres: Impact of Baby Friendly Hospital Initiative in Ile-Ife, Nigeria." Nutrition and Health 14, no. 2 (2000): 119–25. http://dx.doi.org/10.1177/026010600001400204.

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The present study was carried out to assess the impact of the Baby Friendly Hospital Initiative (BFHI) on breast feeding practices. The variables used to evaluate the BFHI centre included time of initiation of breastfeeding (BF) after delivery, intended duration of BF, adoption of exclusive breastfeeding (EBF) in relation to educational status, location of health centre, and knowledge and practice of positioning the child at the breast. Observation, questionnaire and interview techniques were employed to collect the data among 217 and 214 nursing mothers (NMs) from Urban and Rural Health Centr

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Arslanian, Kendall J., Mireya Vilar-Compte, Graciela Teruel, et al. "How much does it cost to implement the Baby-Friendly Hospital Initiative training step in the United States and Mexico?" PLOS ONE 17, no. 9 (2022): e0273179. http://dx.doi.org/10.1371/journal.pone.0273179.

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The Baby-Friendly Hospital Initiative (BFHI) has been shown to increase breastfeeding rates, improving maternal and child health and driving down healthcare costs via the benefits of breastfeeding. Despite its clear public health and economic benefits, one key challenge of implementing the BFHI is procuring funding to sustain the program. To address this need and help healthcare stakeholders advocate for funds, we developed a structured method to estimate the first-year cost of implementing BFHI staff training, using the United States (US) and Mexico as case studies. The method used a hospital

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Jacob, Sujamol, Simi Prasadchandran Seetha, and Yesodha Sujatha. "Effectiveness of baby friendly hospital initiative implementation on timely initiation of breast feeding - a comparative study." International Journal Of Community Medicine And Public Health 4, no. 3 (2017): 646. http://dx.doi.org/10.18203/2394-6040.ijcmph20170733.

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Background: Breast milk is unquestionably the best milk for new born baby. As per UNICEF and WHO, immediate initiation and exclusive breast feeding for six months are essential for reducing infant and neonatal mortality and malnutrition and improving young child survival. In a study conducted by Indian Association of Pediatrics (IAP) in 2009 showed that there has been an alarming decline in breast feeding practices over years. This created great concern and Ministry of Health and Family Welfare decided to revive the BFHI programme, a global movement that aims to give every baby the best start

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GOOSSENS L, DE COEN K, KEYMEULEN A, et al. "Het Baby-Friendly Hospital Initiative (BFHI) kritisch bekeken." Tijdschrift voor Geneeskunde, no. 9 (2011): 450–54. http://dx.doi.org/10.47671/tvg.67.09.2000964.

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Durocher, Keri, Kimberley T. Jackson, Richard Booth, Panagiota Tryphonopoulos, and Kelly Kennedy. "Breastfeeding experiences of patients in baby-friendly certified hospital settings: protocol for a scoping review." BMJ Open 13, no. 10 (2023): e076568. http://dx.doi.org/10.1136/bmjopen-2023-076568.

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IntroductionThe Baby-friendly Hospital Initiative is a global programme that is meant to support breastfeeding within organisations. Most of the current literature is focused on implementation and uptake of the programme; however, little is known about the patient experience of breastfeeding within these settings. By exploring this current gap in the literature, we may discover important contextual elements of the breastfeeding experience. The objective of this protocol is to provide a framework for a scoping review where we aim to understand the extent and type of evidence in relation to the

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Timalsina, Indira. "Knowledge and practice among nurses regarding breastfeeding in a hospital with baby-friendly hospital initiative." Journal of Patan Academy of Health Sciences 7, no. 3 (2020): 113–21. http://dx.doi.org/10.3126/jpahs.v7i3.33835.

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Introduction: The baby-friendly hospital initiative is a global program launched by WHO and UNICEF in 1991 to encourage hospitals, mainly maternity wards to implement practices that protect, promote, and support breastfeeding. This study aimed to assess Knowledge and Practice regarding breastfeeding of BFHI among Nurses. Method: A cross-sectional analytical study design was used among nurses of Maternity, Children, Gynaecology, and Postpartum wards of Patan Hospital, from January 2019 to February 2020. Data on knowledge of baby-friendly hospital initiative and breastfeeding was collected

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Shahbar, Anwaar, Suhad Bahijri, Janet Weber, and Noura M.S. Eid. "A Longitudinal Study on Breastfeeding Practice among Women Living in Western Saudi Arabia." International Journal of Child Health and Nutrition 8, no. 4 (2019): 136–44. https://doi.org/10.6000/1929-4247.2019.08.04.4.

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This paper presents a longitudinal study of breastfeeding at two private hospitals in Jeddah, Saudi Arabia. Soliman Fakeeh (SF) follows the WHO's baby-friendly hospital initiative (BFHI), Saudi Germany Hospital (SGH) does not. Participants were 102 women in both hospitals (52 BFHI, 50 non-BFHI). Two semi-quantitative questionnaires, translated into Arabic, were used at baseline and one month postpartum. Results showed that most women in the study have initiated breastfeeding but turned to mixed feedings after one month. We also found that self-efficacy has the biggest influence on breastfe

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Korade, Rajendra Sadanand, Leena Ajay Dhande, Manisha Laxman Bendhari, and Archana B. Patel. "Can Re-training in Baby Friendly Hospital Initiative (BFHI) Improve Breast Feeding Indicators?" Indian Journal of Pediatrics 83, no. 5 (2015): 475–76. http://dx.doi.org/10.1007/s12098-015-1896-y.

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MacEnroe, Trish. "The Baby-Friendly Hospital Initiative." Breastfeeding Medicine 5, no. 5 (2010): 247–48. http://dx.doi.org/10.1089/bfm.2010.0035.

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Melo, Brena Carvalho Pinto de, Glaucia Virgínia de Queiroz Lins Guerra, Judith Correa, Dafne Barcala, Leila Katz, and Vilneide Maria Santos Braga Diégues Serva. "Breastfeeding promotion during the COVID-19 pandemic in northeastern Brazil." World Nutrition 13, no. 2 (2022): 57–61. http://dx.doi.org/10.26596/wn.202213257-61.

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Early COVID-19 delivery room reports routinely described maternal and neonatal physical distancing, in both confirmed or suspected cases. Immediately, breastfeeding experts expressed their concern for the potential catastrophic consequences of such separation, with great potential for breastfeeding discontinuity, particularly in low- and middle-income countries. In this manuscript, we report a positive experience of early breastfeeding promotion and maintenance in labour and delivery room, from the time of the first cases of COVID-19, confirmed or suspected, at a Baby Friendly Hospital Initiat

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Muda, Siti Mariam, Nur Qurratu Ain Zahra Mahamad Zanudin, and Muzaitul Akma Mustapa Kamal Basha. "Knowledge, Attitude and Practice of Exclusive Breastfeeding among Primipara at Baby Friendly Hospital (BFHI)." Jurnal Islam dan Masyarakat Kontemporari 23, no. 1 (2022): 104–15. http://dx.doi.org/10.37231/jimk.2022.23.1.652.

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The reduction in exclusive breastfeeding rates around the world is a cause of great concern. Implementing a baby-friendly hospital initiative programme, on the other hand, could support in the promotion and maintenance of breastfeeding. This study aimed to determine the level of knowledge, attitude, and practice of exclusive breastfeeding among primipara mothers who delivered their child at a baby friendly hospital (BFHI). A cross-sectional research design was conducted involving 74 participants at BFHI in Pahang between January to February 2021. A set of self-administered questionnaire consis

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Factors, Associated with Breastfeeding Patterns in Western Saudi Arabia: A. Literature Review, and M.S. Eid Noura. "Factors Associated with Breastfeeding Patterns in Western Saudi Arabia: A Literature Review." International Journal of Child Health and Nutrition 8, no. 4 (2019): 145–53. https://doi.org/10.6000/1929-4247.2019.08.04.5.

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According to literature initiation of breastfeeding is common but exclusive breastfeeding is last one month post delivery in most Saudi women, where continuation to exclusively breastfeed is still challenging. This review discussed breastfeeding patterns, factors associated, and possible approaches to prolong breastfeeding duration in Saudi Arabia. Our review has shown that the early introduction of formula makes the mixed-feeding the most popular feeding method used among the Saudi population. The most frequent reason reported was insufficient milk followed by medical and lifestyle factors. Y

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Gallegos-Martínez, Josefina, Jaime Reyes-Hernández, Fátima de San Carlos Torres-Carreón, Blanca Esther Cuéllar-Miranda, Adriana Leite, and Carmen Gracinda Scochi. "Factors and survival of exclusive breastfeeding in preterm infants upon discharge at six months of age." Journal of Nursing Education and Practice 10, no. 8 (2020): 30. http://dx.doi.org/10.5430/jnep.v10n8p30.

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Introduction and objective: Reducing the neonatal mortality rate in half is an objective proposed by WHO for the year 2025 through coverage strategies from the prenatal stage, delivery, birth, and hospitalization, one of these low-cost strategies is exclusive breastfeeding (EBF) in preterm infants, that contributes to the prevention of neonatal mortality, a population that contributes in the first place to neonatal mortality. The objective of this study was to identify the frequency and survival of exclusive breastfeeding and related factors in premature infants of two referral hospitals, one

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Chamberlain, Marie. "A Baby-Friendly Hospital Initiative in northern China." Nursing Ethics 4, no. 6 (1997): 511–18. http://dx.doi.org/10.1177/096973309700400607.

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In the People’s Republic of China, an approach has been adopted to ensure that all children born as a result of the one-child policy are healthy. The World Health Organization/United Nations Children’s Fund (WHO/UNICEF) has encouraged the Chinese Government to embrace this philosophy. Part of this approach has resulted in an attempt to increase the breastfeeding rates. This report describes a visit by two nursing faculty members of a Canadian university to an urban hospital maternity unit in the northeast of China, where the staff were attempting to incorporate this philosophy into their mater

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Brimdyr, Kajsa, Ann-Marie Widström, Karin Cadwell, Kristin Svensson, and Cynthia Turner-Maffei. "A Realistic Evaluation of Two Training Programs on Implementing Skin-to-Skin as a Standard of Care." Journal of Perinatal Education 21, no. 3 (2012): 149–57. http://dx.doi.org/10.1891/1058-1243.21.3.149.

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The authors used realistic evaluation to examine the real-world effectiveness of two 5-day training techniques on sustained optimal skin-to-skin practices that support Step 4 of the revised Baby-Friendly Hospital Initiative (BFHI). The authors found that education alone was insufficient to effect sustainable practice change. Exposure to the 5-day immersion model (Practice, Reflection, Education and training, Combined with Ethnography for Sustainable Success, or PRECESS) alone or combined with education was an effective strategy to change and sustain the standard of care for skin-to-skin practi

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Ndiokwelu, Chika I., Odinakachukwu I. C. Nwosu, Peace Nwanneka Ani, Annastecia Ogechi Chizike, and Maduforo Aloysius Nwabugo. "Impact of the Baby Friendly Hospital Initiative (BFHI) Programme on Breast-Feeding Knowledge, Attitude and Practices of Mothers." Pakistan Journal of Nutrition 15, no. 3 (2016): 244–48. http://dx.doi.org/10.3923/pjn.2016.244.248.

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Ekele, BA, H. Ahmed, and K. AI- Hassan. "The impact of baby friendly hospital initiative (bfhi) on the pattern of breast feeding in Sokoto, northern Nigeria." Sahel Medical Journal 4, no. 2 (2001): 86. http://dx.doi.org/10.4103/1118-8561.148064.

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Zarshenas, Mahnaz, Yun Zhao, Jane A. Scott, and Colin W. Binns. "Determinants of Breastfeeding Duration in Shiraz, Southwest Iran." International Journal of Environmental Research and Public Health 17, no. 4 (2020): 1192. http://dx.doi.org/10.3390/ijerph17041192.

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A prospective cohort study was conducted in Shiraz in the south west of Iran to investigate breastfeeding from birth to six months of age. Mothers were recruited in a face-to-face interview within 48 h of giving birth in three public and two private hospitals (n = 700). They were then followed-up at 4, 12, 16, and 26 weeks postpartum in local Maternal and Child Health Clinics. Upon being discharge from hospital, 98.7% of mothers were breastfeeding and 74.3% were ‘fully’ breastfeeding, but only 29.9% of mothers had breastfed ‘exclusively’ since birth. The median duration of ‘full’ breastfeeding

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Furman, Lydia, Andrea Arendt, Ryan Everett, Breanne Haviland, Michael Monsour, and Reena Oza-Frank. "Ohio First Steps for Healthy Babies: A Program Supporting Breastfeeding Practices in Ohio Birthing Hospitals." Ohio Journal of Public Health 3, no. 1 (2020): 19–27. http://dx.doi.org/10.18061/ojph.v3i1.9017.

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Background: Ohio First Steps for Healthy Babies (First Steps) is a free, voluntary statewide designation program coadministered by the Ohio Department of Health and the Ohio Hospital Association that promotes breastfeeding-supportive maternity practices aligned with the Baby-Friendly Hospital Initiative (BFHI).Materials and Methods: We examined Ohio birthing hospitals’ participation in First Steps, and changes in breastfeed-ing rates at hospital discharge, over the first 12 quarters of the program (July 15, 2015, to July 14, 2018) for all 110 licensed Ohio birthing hospitals. The 81 (73.6%) th

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Stavroula, Stivanaki, and Frengidou Elisavet. "Practices of Baby friendly Hospitals: Case study of starting breastfeeding at a public hospital a public hospital and a private clinic in the city of Chania." Rostrum of Asclepius 16, no. 3 (2017): 225–40. https://doi.org/10.5281/zenodo.821640.

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<strong>ABSTRACT</strong> <strong>Introduction: </strong>Breast milk has an unquestionable value. It has been documented through numerous studies that hospital practices have a decisive impact on successful breastfeeding. The Baby Friendly Hospital Initiative (BFHI) has a measurable and proven effect on exclusive breastfeeding. <strong>Aim: </strong>The aim of the present study was to investigate in which extent the "10 Steps" for Successful Breastfeeding as well as the International Code for Marketing Substitutes of Breast Milk were implemented through the self-reported experience of mothers.

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