Baby-Friendly Hospital Initiative (BFHI)

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Detailed Description

Baby-Friendly Hospital Initiative (BFHI) is a global initiative of the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) that encourages and recognizes hospitals and birthing centers that offer an optimal level of care for infant feeding and mother/baby bonding.

Expected Outcomes

Increased number and frequency of breastfeeding

Key Principles

  • Facility appraises current practice using the Self-Appraisal Tool and by studying the BFHI Guidelines and Criteria After identifying deficiencies, the facility develops a plan of action to fill gaps and meet BFHI Criteria Facility implements action plans and submits required documentation throughout the process. 
  • Facility requests an external assessment If external assessor determines the facility meets the Criteria, then they are designated.
  • Facility undergos reassessment every three years. 

*Please note, in the United States, the accrediting body for BFHI is Baby Friendly USA (BFUSA). In order to be designated, facilities must work through the 4-D Pathway as required by BFUSA. Please visit the BFUSAwebsitefor more information on the assessment process.

Tags

Hospitalizations , Infant health, Pregnancy, Breast-feeding

Cost Details

Dependent upon organization. BFUSA designation in the US does have required fees (see below). Fee Schedule

Key Steps for Implementation

Facility appraises current practice using the Self-Appraisal Tool and by studying the BFHI Guidelines and Criteria After identifying deficiencies, the facility develops a plan of action to fill gaps and meet BFHI Criteria Facility implements action plans and submits required documentation throughout the process Facility requests an external assessment If external assessor determines the facility meets the Criteria, then they are designated Facility undergos reassessment every three years

 

*Please note, in the United States, the accrediting body for BFHI is Baby Friendly USA (BFUSA). In order to be designated, facilities must work through the 4-D Pathway as required by BFUSA. Please visit the BFUSAwebsitefor more information on the assessment process.

Partnerships

Please contact Baby-Friendly USA for further information

Required Staffing (FTEs)

Variable depending upon the organization

Special Funding

Funding may be available through state or national programs offering assistance to facilities aiming to reachBaby-Friendly designation. North Carolina offers aMaternity Center Breastfeeding-Friendly Designationto help facilitate the adoption of incremental movement towards theTen Steps to Successful Breastfeeding.

Special Infrastructure

4-D Pathway Resources: https://www.babyfriendlyusa.org/get-started/4d-pathway-resources

Training

Training Requirements QA During the Developmental Phase process, facilities receive a comprehensive set of tools to assist in implementing the Ten Steps to Successful Breastfeeding. Baby Friendly USA provides technical assistance to the facility to create a plan for achieving Baby Friendly guidelines. All plans are reviewed and feedback is provided by Baby-Friendly USA before the facility moves to the next phase. Plans are reviewed and feedback is provided before the facility moves to the next phase. Training for maternity care staff that emphasizes content and staff competency. Training should include, at minimum, all 15 sessions identified by UNICEF/WHO which has been estimated to take approximately 20 hours. Depending on prior knowledge and experience this may take shorter or longer to complete.

Types of Staff

Doctors|Nurses|Hospital adminstrators|Staff educated in lactation|Other hospital staff

Return on Investment Details

Facilities should involve community partners that reach pregnant and new moms.

Outcome Measures

Increase the proportion of infants who are ever breastfed Increase the proportion of infants who are breastfed at 6 months Increase the proportion of infants who are breastfed at 1 year Increase the proportion of infants who are breastfed exclusively through 3 months Increase the proportion of infants who are breastfed exclusively through 6 months Reduce the proportion of breastfed newborns who receive formula supplementation within the first 2 days of life Increase the proportion of live births that occur in facilities that provide recommended care for lactating mothers and their babies

Process Measures

Guidelines and Evaluation Criteria: Implementation of the 4-D Pathway|Implementation of the Ten Steps to Breastfeeding and the International Code of Marketing of Breast-milk Substitutes (ii).

Additional Resources

The Ten Steps To Successful Breastfeeding: https://www.babyfriendlyusa.org/about-us/10-steps-and-international-code

4-D Pathway Resources: https://www.babyfriendlyusa.org/get-started/4d-pathway-resources

Baby-Friendly USA: https://www.babyfriendlyusa.org/

Website Url

Key Contacts

info@babyfriendlyusa.org

Snapshot

Topic
  • Women's health and wellbeing

  • Child health and wellbeing

  • Health System Transformation Oasis

Time

1-2 years

Difficulty

Moderately challenging

Cost

Moderate

Influence
  • Individual/family

Setting
  • Healthcare, public health department or health services

  • Childcare

ROI

To be determined

Geographic Context
  • Urban/large city

  • Suburban

  • Small town

  • Village

  • Rural

Geographic Unit
  • Country

Portfolio
  • Portfolio 1 (Improving mental/physical health with patients or workforce)

    This portfolio supports health care organizations focused on improving the physical and/or mental health of individuals for whom they feel directly responsible (e.g., patients and/or employees).

  • Portfolio 2 (Improving social/spiritual well-being with patients or workforce)

    This portfolio supports health care organizations to consistently screen for and address the social and spiritual drivers of health and wellbeing for patients and/or employees. Social drivers encompass socioeconomic factors, such as food, housing, or transportation, for example, while spiritual drivers include factors that contribute to a sense of purpose, meaning, self-worth, hope, and resilience.

  • Portfolio 3 (Improving community health and well-being together with partners for a specific issue)

    ​​​​In this portfolio, health care organizations work together with community partners to improve specific health and wellbeing outcomes for a place-based population.

Action Areas
  • Equity

    ​​​​​​Everyone deserves to have a fair and just opportunity to be healthier. This requires removing obstacles to health such as poverty, discrimination, and their consequences, including powerlessness and the lack of access to good jobs with fair pay, quality education and housing, safe environments, and health care.

  • Social determinants screening/referrals

    ​​​​​​Resources to help implement a type of internal assessment used by healthcare organizations to consistently screen for and address the social and spiritual drivers of health and wellbeing for a defined population, with a goal of ultimately connecting patients with community resources. Social drivers of population health include socioeconomic factors such as food, housing, education, transportation, and income, and social connectedness. Spiritual drivers include all factors that contribute to a sense of purpose, meaning, self-worth, hope, and resilience.

  • Care management

    Resources to help a set of activities that help improve patient care and reduce  medical services by “enhancing coordination of care, eliminate duplication, and helping patients and caregivers more effectively manage health conditions” as stated by the Robert Wood Johnson Foundation.  

  • Behavioral health integration

    Resources to help a strategy involving integrating behavioral health care into primary care through co-location or collaborative agreements. Integration boosts remission and recovery rates for patients with behavioral health issues.

  • Team-based care

    Resources to help implement a team-based healthcare strategy that seeks to maximize the assets each member brings to the team, including the patient, to create an optimal care experience before, during, and after clinical encounters.

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