bfhi-.pptx

baby friendly hospital initiatives

1. Baby-Friendly Hospital Initiative 1

2. Introduction Baby friendly Hospital Initiative was launched in 1992 in INDIA. The 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. R Dh@ker, Asst. Professor, RCN 2

3. R Dh@ker, Asst. Professor, RCN 3 Cont…introduction 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 t rends of b ottle f eeding

4. R Dh@ker, Asst. Professor, RCN 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.

5. R Dh@ker, Asst. Professor, RCN 5

6. R Dh@ker, Asst. Professor, RCN 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)

7. R Dh@ker, Asst. Professor, RCN 7 Cont…introduction 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

8. R Dh@ker, Asst. Professor, RCN 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.

9. R Dh@ker, Asst. Professor, RCN 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.

10. R Dh@ker, Asst. Professor, RCN 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.

11. R Dh@ker, Asst. Professor, RCN 11 Ten steps to successful breastfeeding (revised 2018)- WHO

12. R Dh@ker, Asst. Professor, RCN 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.

13. R Dh@ker, Asst. Professor, RCN 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.

14. R Dh@ker, Asst. Professor, RCN 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. Thank you