BABY FRIENDLY HOSPITAL INITIATIVE.pptx

bfhi

1. BABY FRIENDLY HOSPITAL INITIATIVE Bandana Yadav M.Sc. Nursing,1 st Year (B-2023) B. P. Koirala Institute of Health Sciences, Dharan

2. INTRODUCTION Baby Friendly Hospital Initiative (BFHI) was launched in 1992 in India , A s a part of ' Innocenti declaration' on breastfeeding

3. INTRODUCTION (CONTD…) The historic Innocent Declaration on the promotion, protection and support of breastfeeding was produced and adapted by participants at the WHO/UNICEF policy makers' meeting on breastfeeding in the 1990s, held at the Spedale degli Innocenti , Florence, Italy, on July 30 to August 1st, 1990.

4. INTRODUCTION ( CONTD…) The global initiative was cosponsored by the USAID and SIDA. The baby friendly hospital campaign was launched by the WHO/UNICEF, in mid-1991 in Ankara to boost the breastfeeding practices and to counter the trends of bottle feeding.

5. INTRODUCTION ( CONTD…) The goals of the declaration included a call to the various governments in the word to act and create an environment for exclusive breastfeeding from birth of the baby till she/he is 6 months old and to continue breastfeeding with adequate complementary foods for up to two years.

6. INTRODUCTION (CONTD…) Baby friendly hospitals are required to adopt breast- feeding policy and to follow the "Ten steps of successful breastfeeding' as recommended by code of practice of WHO/ UNICEF.  

7. TEN STEPS OF SUCCESSFUL BREASTFEEDING 1. Have a written breastfeeding policy that is routinely communicated to all health care staff 2. Train all health care staff in skills necessary to implement this policy. 3. Inform all pregnant women about the benefits and management of breastfeeding.

8. TEN STEPS OF SUCCESSFUL BREASTFEEDING 4. Help mothers to initiate breastfeeding within half an hour of birth. 5. Show mothers how to breastfeed and how to maintain lactation even if they should be separated from their infants. 6. Give newborn infants no food or drink other than breast milk, unless medically indicated.

9. TEN STEPS OF SUCCESSFUL BREASTFEEDING (CONTD…) 7. Practice rooming-in. Allow mothers and infants to remain together 24 hours a day. 9. Give no artificial teats or pacifiers (also called dummies or soothers) to breastfeeding infants.  

10. TEN STEPS OF SUCCESSFUL BREASTFEEDING (CONTD…) 10. Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic.  

11. STEPS (CONTD…)   Indian hospitals are still in early stages of joining this movement . The National BPHI task force was formed in 1992, towards the efforts to improve the breastfeeding practices

12. STEPS (CONTD…) The task force comprising of Government of India, UNICEF WHO A nd professional organizations (TNAI, BPNI, NNE, IMA, FOGSI, IAP CMAL CHAI, IBFAN, ACASH) is working for evaluation of breastfeeding practices in the hospitals and appropriate certification as 'Baby Friendly Hospital.

13. STEPS (CONTD…) The certificate needs re-recognition on every two years to ensure the standard and quality for successful breastfeeding . Besides promotion of breastfeeding, baby friendly hospital initiative in India also proposes to provide:

14. STEPS (CONTD…) Improved antenatal care Mother friendly delivery services Standardized institutional support of immunization

15. STEPS (CONTD…) Diarrhea management Promotion of healthy growth and good nutrition Widespread availability and adoption of family planning.

16. STEPS (CONTD…) Government of India has made significant efforts to promote and protect breastfeeding by enacting a law "The Infant Milk Substitutes, Feeding Bottles and Infant Food Act, 1992:

17. STEPS (CONTD…) The act prohibits advertising of infant milk substitutes (IMS) and feeding bottles to public F ree sampling, hospital promotion and gifts of samples of IMS to health workers. Violation of the act can lead to fine or imprisonment.

18. INTEGRATED CHILD DEVELOPMENT SERVICES At present, the most important scheme in the field of child welfare is the Integrated Child Development Services (ICDS) scheme .

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20. ICDS ( Contd …) In pursuance of the national policy for children, Government of India started ICDS program in 1975, under the Ministry of Social and Women's Welfare.

21. ICDS ( Contd …) The ICDS program was initiated for the welfare of the children and development of human resources . It is designed for both preventive and development effort through a integrated package services .

22. ICDS ( Contd …) The beneficiaries of the program are children up to 6 years, adolescent girls (11-18 years), p regnant women , Nursing mothers and women of 15 to 45 years.

23. ICDS ( Contd …) ICDS scheme is working at village level in rural areas and also in urban and tribal areas . In 1975, number of ICDS projects was only 33, which was started on experimental basis .

24. ICDS ( Contd …) At present, the ICDS projects are functioning in 5422 blocks all over the country.

25. ICDS ( Contd …) The Kishori Shakti Yojna , Adolescent girls scheme is sanctioned in 2000 ICDS blocks as special interventions for the benefits of 3.51 lakhs adolescent girls in the age group of 11 to 18 years . NGOs are also involved in running Angan wadi centers in 67 ICDS projects. World Bank assisted ICDS projects are also working in some states.

26. Objectives The objectives of the ICDS scheme are : To improve the nutritional and health status of children in the age group of 0 to 6 years To lay the foundations for proper psychological, physic and social development of the child.

27. Objectives ( Contd …) To reduce mortality, morbidity, malnutrition and school dropout. To achieve an effective coordination of policy and implementation among the various departments working for the promotion of child development.

28. Objectives ( Contd …) To enhance the capability of the mother and to provide nutritional needs of the child through proper nutrition and health education.

29. Objectives ( Contd …) To achieve the above objectives the following package services are provided to different categories of beneficiaries . For Children Less than 3 Years Supplementary nutrition Immunization Health checkup Referral services.

30. Objectives ( Contd …) For Children in Age Group 3 to 6 Years Supplementary nutrition Immunization Health checkup Referral services Non-formal preschool education.

31. Objectives ( Contd …) For Adolescent Girls 11 to 18 Years Supplementary nutrition Nutrition and health education.

32. Objectives ( Contd …) For Pregnant Women Health checkup Immunization against tetanus Supplementary nutrition Nutrition and health education

33. Objectives ( Contd …) For Nursing Mothers Health checkup Supplementary nutrition Nutrition and health education.

34. Objectives ( Contd …) Other Women of 15 to 45 Years Age Group Nutrition and health education.

35. Delivery of Services The services are delivered by the Anganwadi worker (AWW) at the ICDS center for about 1000 population . She is assisted by local women, who are usually uneducated and unskilled person.

36. Delivery of Services ( Contd …) AWW has 4 months training in fundamentals of child development, nutrition, immunization, personal hygiene, environmental sanitation A ntenatal care, breastfeeding, care and treatment of common day to day illness I dentification and management of at-risk children, preschool education, functional literacy and record keeping.

37. Delivery of Services ( Contd …) The activities of AWW are supervised by a supervisor or mukhya sevika , who is a graduate and having special training for two months . Each supervisor is responsible for 20 to 25 AWWS.

38. Delivery of Services ( Contd …) The Child Development Project Officer (CDPO) is the in-charge of ICDS projects, supervises the activities of four mukhya sevika or supervisors.

39. Delivery of Services ( Contd …) The administrative unit of an ICDS project is the 'community development block' in rural areas, the tribal development block in tribal areas and a group of slums in urban areas.

40. Delivery of Services ( Contd …) ICDS scheme is an important aspect of child welfare to improve the health , Nutrition and E ducation status of the underprivileged children and mothers. It is much more than a health program.

41. Delivery of Services ( Contd …) The impact of program on the lives of children is evident in several important indicators, i.e . I ncreased birth weight , R educed incidence of malnutrition , I ncreased immunization coverage and A reduction in infant and child mortality rate in areas covered by the ICDS.

42. NATIONAL HEALTH MISSION The National Health Mission (NHM) encompasses its two submissions , the National Rural Health Mission (NRHM) and the newly launched National Urban Health Mission UHM ). The main programmatic components include health system strengthening in rural and urban areas,

43. NATIONAL HEALTH MISSION (CONTD…) Reproductive , Maternal- Neonatal- Child and Adolescent health(RMNCH and Communicable and Noncommunicable Diseases The NHM envisages achievement universal access to equitable, affordable and quality health Services that are accountable and responsive to people's needs.  

44. National Rural Health Mission National Rural Health Mission (NRHM) was launched by the Hon’ble Prime Minister of Government of India on 12 th April 2005 for the period of 7 years in (2005-2012 ). The mission seeks to improve rural health care delivery system on nutrition, sanitation, hygiene and safe drinking water by making necessary changes in basic health care delivery system .

45. National Rural Health Mission (CONTD…) It also brings the Indian system of medicine (AYUSH) to the main stream of health care.

46. National Rural Health Mission ( CONTD…) The main aim of NRHM is to provide accessible, Affordable, A ccountable, E ffective and R eliable primary health care and bridging the gap in rural health care through creation of a cadre of ASHA.

47. National Rural Health Mission (CONTD…) Strengthening of sub-centers, primary health centers (PHCs) and community health centers (CHCs) are important plan under NRHM . District becomes the core unit of planning, budgeting and implementation of programs.

48. National Rural Health Mission (CONTD…) According to NRHM plan all vertical health and family welfare programs at district level should be merged into one common 'District Health Mission' and at state level into 'State Health Mission ! There should be provision of mobile medical unit and public private partnership (PPP model) under this program.

49. National Rural Health Mission (CONTD…) Goals to be achieved by NRHM were formulated clearly. Role and responsibilities of ASHA, Angan wadi , and ANMS were well defined under this program . Monitoring and evaluation of activities is planned and done based on process indicators and outcome indicators of the mission.

50. National Rural Health Mission (CONTD…) Several new initiatives are launched to boost maternal- neonatal care under NRHM . They include Janani Suraksha Yoyana (JSY), Facility Based Newborn Care (FBNC), Home Based Neonatal Care (HBNC), Navjat Shishu Suraksha Karyakram (NSSK )

51. National Rural Health Mission (CONTD…) Janani Shishu Suraksha Karyakram (JSSK) and Rashtriya Bal Suraksha Karyakram (RBSK).

52. National Urban Health Mission (New Scheme) The National Urban Health Mission (NUHM) as a sub-mission of National Health Mission (NHM) has been approved by the Cabinet on 1st May, 2013.

53. National Urban Health Mission (New Scheme ) (CONTD…) NUHM envisages to meet health care needs of the urban population with the focus on urban poor, by making available to them essential primary health care services and reducing their out of pocket expenses for treatment .

54. National Urban Health Mission (New Scheme) (CONTD…) This will be achieved by strengthening the existing health care service delivery system, targeting the people living in slums and converging with various schemes relating to wider determinants of health like drinking water, sanitation, school education, etc.

55. National Urban Health Mission (New Scheme) (CONTD…) Implemented by the Ministries of Urban Development , Housing and Urban Poverty Alleviation, Human Resource Development and Women and Child Development.

56. India Newborn Action Plan (INAP) India Newborn Action Plan (INAP) was launched in September 2014 for accelerating the reduction of preventable neonatal death and still births in the country with the goal of attaining 'Single Digit Neonatal Mortality Rate (NMR) by 2030' and 'Single Digit Still Birth Rate (SBR) by 2030

57. India Newborn Action Plan (INAP) The India Newborn Action Plan (INAP) is India's committed response to the Global Every Newborn Action Plan (ENAP) launched in June 2014 to advance the Global Strategy for Women's and Children's Health.