Update information- and diagram

1. Baby-Friendly
Hospital Initiative
1R Dh@ker, Asst. Professor, RCN

2. Introduction
• Baby friendly Hospital Initiative was launched
in 1992 in INDIA.
• The history Innocenti declaration on the
promoting, protection and support of
breastfeeding was produced and adapted by
participants at the WHO/ UNICEF policy
maker’s meeting on breast feeding in 1990s.
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3. Cont…introduction
• The GLOBAL initiative was co- sponsored by
the USAID and SIDA.
• The baby friendly hospital camping was
launched by the WHO/ UNICEF in mid 1991
in Ankara to boost the breastfeeding practices
and to counter the trends of bottle feeding
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4. • Since its launching BFHI has grown, with
more than 152 countries around the world
implementing the initiative.
• The initiative has measurable and proven impact,
increasing the likelihood of babies being
exclusively breastfed for the first six months.
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6. • The programme, launched in Kerala in March
1993, is hospital .
• Manoncourt said of the 1,372 baby friendly
hospitals in India 65 per cent are in Tamil Nadu
and Kerala.
• Dr Elsie Philip, state co-ordinator of BFHI, said
the rates of breast-feeding initiation within a day
is 92 per cent in Kerala (compared to 78.7
percent in Tamil Nadu and the national average
of 37.1 per cent)
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7. • Baby friendly hospital are required to adopted
breast feeding policy and follow the
“ ten step of Successful breastfeeding”
as recommended by code of practice of WHO/
UNICEF
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Cont…introduction

8. Have a written breastfeeding policy that is
routinely communicated to all health care staff.
Train all health care staff in skills necessary to
implement this policy.
Inform all pregnant women about the benefits and
management of breastfeeding.
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9. Cont…BHIF Policies
Help mothers initiate breastfeeding within one
half-hour of birth.
Show mothers how to breastfeed and maintain
lactation, even if they should be separated from
their infants.
Give newborn infants no food or drink other than
breast milk, unless medically indicated.
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10. Practice rooming in - that is, allow mothers and
infants to remain together 24 hours a day.
Encourage breastfeeding on demand.
Give no artificial nipples or pacifiers (soothers) to
breastfeeding infants.
Foster the establishment of breastfeeding support
groups and refer mothers to them on discharge from
the hospital or clinic.
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11. Ten steps to successful
breastfeeding
(revised 2018)- WHO
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12. • Critical management procedures
– 1a. Comply fully with the International Code of
Marketing of Breast-milk Substitutes and relevant World
Health Assembly resolutions.
– 1b. Have a written infant feeding policy that is routinely
communicated to staff and parents.
– 1c. Establish ongoing monitoring and data-management
systems.
– 2. Ensure that staff have sufficient knowledge,
competence and skills to support breastfeeding.
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13. Ten steps to successful breastfeeding (revised 2018)- WHO
• Key clinical practices
– 3. Discuss the importance and management of
breastfeeding with pregnant women and their families.
– 4. Facilitate immediate and uninterrupted skin-to-skin
contact and support mothers to initiate breastfeeding as
soon as possible after birth.
– 5. Support mothers to initiate and maintain
breastfeeding and manage common difficulties.
– 6. Do not provide breastfed newborns any food or
fluids other than breast milk, unless medically
indicated.
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14. Ten steps to successful breastfeeding (revised 2018)- WHO
• Key clinical practices
– 7. Enable mothers and their infants to remain together
and to practise rooming-in 24 hours a day.
– 8. Support mothers to recognize and respond to their
infants’cues for feeding.
– 9. Counsel mothers on the use and risks of feeding
bottles, teats and pacifiers.
– 10. Coordinate discharge so that parents and their infants
have timely access to ongoing support and care.
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25. • Indian hospital are till in early stages of joining
this movement. The National BFHI task force
was formed, in 1992, towards the efforts to
improve the breastfeeding practices.
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26. • The task force comprising of Govt. of INDIA,
UNICEF, WHO and Professional Organization
( TNAI, BPNI, NNF, IMA, FOGSI, IAP, CMAI,
CHAI, IBFAN, ACASH) is working for
evaluation of breastfeeding practices in the
hospitals and appropriate certification as
“ Baby Friendly Hospital” .
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28. • The certificate needs re-recognition on every
two years to ensure the standard and quality for
successful breastfeeding.
• Beside promotion of breastfeeding, BFHI in
INDIA also proposed to provide:-
– Improved antenatal care
– Mother friendly delivery services.
– Diarrhea management
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29. – Standardize institution support of
immunization
– Promotion of healthy growth and good
nutrition
– Widespread availability and adoption of
family planning
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30. Cont…
• Govt. of India has made significantly efforts to
promote and protect breastfeeding by enacting a law
“The Infant Milk Substitutes, Feeding Bottles and
Infant Food Act,1992”.
• The act prohibits advertizing of infant milk
substitutes (IMS) and feeding bottles to public, free
sampling, hospital promotion and gifts of samples of
IMS to health workers.
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31. Abbreviation
• WHO
• UNICEF
• USAID
• SIDA
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WHO - World Health organization
UNICEF - United nation international
children’s emergency fund
USAID - United State agency for international
development
SIDA- Swedish international development
cooperation