ERA UNVERSITY

ERA COLLEGE OF NURSING

SEMINAR
ON
BABY FRIENDLY HOSPITAL
INITIATIVE

SUBMITTED TO SUBMITTED BY
MS.POOJA CHAND UMAIRAH BASHIR
ASSISTANT PROFESSOR MSC(N) IST YEAR
ERA COLLEGE OF NURSING ERACOLLEGE OF NURSING
LUCKNOW LUCKNOW

SUBMITTED ON -
BABY FRIENDLY HOSPITAL INITIATIVE(BFHI)

INTRODUCTION

Baby friendly hospital initiative was launched in India 1992As part of

“InnocentiDeclaration” on breastfeeding.
The historic innocenti 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 1900s, held at the
spedaledelgiinnocenti, Florence, Italy on July 30 to August 1st 1990.
The global initiative was co-sponsored by the USAID and SIDA.
The baby friendly hospital campaign was launched by the WHO/UNICEF in
mid-1991 at Ankara to boost the breastfeeding practices & to counter the trends
of bottle feeding.
The baby friendly hospital initiative (BFHI) is a joint effort of the WHO and the
United Nations Children Funds (UNICEF) to counter age, promote and support
breastfeeding as the model for optimum infant nutrition.
Research indicates that baby friendly designated hospitals have higher rates for
breastfeeding initiation and exclusive then hospitals that are not baby friendly
designates(Abrahams And Labok,2009; Merewood, Mehta, Chamberlain &
Others, 2005)

Key dates in the history of breastfeeding and BHFI

1991- Launching of Baby-friendly Hospital Initiative
2000- WHO Expert Consultation on HIV and Infant Feeding
2001- WHO Consultation on the optimal duration of exclusive breastfeeding
2002- Endorsement of the Global Strategy for Infant and Young Child Feeding
by the WHA
2005- Innocenti Declaration 2005
2006- Revision of BFHI documents

 The program, launched in Kerala in March 1993, in hospital.

 Manoncourt said of the 1,372 baby friendly hospital in India 65% are in
Tamil Nadu and Kerala.

 Dr. Elsie Philip, state coordinator of BFHI, said the rate of breast-feeding
initiation within a day is 92% in Kerala (compared to 78.7% in Tamil
Nadu and the national average of 37.1% )

DEFINITION:
The feeding of an infant or young child with breast milk directly from female
human breasts rather than from a baby bottle or other container.

Goals of BFHI:
 To transform hospitals and maternity facilities into breastfeeding
conductive environments.
 To end the practice of distribution of free and low cost supplies of breast-
milk substitutes to maternity ward and hospital.
AIM:
 Protection, promote and support of breastfeeding.
 Ensures the proper use of breast-milk substitutes, when necessary.
 Provides adequate information about infant feeding.
 Prohibits the advertising or any other form of promotion of breast-milk
substitution.

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.

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.
4.Help mothers to initiate breastfeeding within half an hour of birth.
5.Show mothers how to breast-fed 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.
7.Practice rooming-in .Allow mothers and infants to remain together 24 hours a
day.
8.Encourage breastfeeding on demand.
9.Give no artificial treats or pacifiers (also called dummies or soothers) to
breastfeeding infants.
10.Foster the establishment of breastfeeding support groups and refer mother to
them on discharge from the hospital or client.
Besides promotion of breastfeeding baby friendly hospitals initiative in
India also proposes to provide:
  Improved antenatal care.
 Mother friendly delivery services.
 Standardized institutional support of immunization.
 Diarrhea management.
 Promotion healthy growth and good nutrition.
 Widespread availability and adoption of family planning.

enacting Govt. of india has made significant efforts to promote and

protect breastfeeding by a law “ the infant milk substitutes, feeding
bottles and infant food act, 1992 ” the act prohibits advertising of infant
milk substitution IMS and feeding bottles to public, fee sampling
,hospital promotion and gifts of samples of IMS to health workers.
Violation the act can lead to find or imprisonment

The role of the hospital administrator in BFHI:

 Becomes familiar with the BFHI processes.
 Decide where responsibility lies within the hospital structure. This can be
coordinating committee, working group, multidisciplinary team etc.
 Establish the process within the hospital of working with the identified
responsible body.
 Work with key hospital staff to fill in the self-appraisal tool using the
global criteria and interpret results.
 Support staff in decision taking to achieve baby friendliness.
 Facilitate any BFHI related training that may be needed.
 Collaborate with national BFHI coordination group and ask for an
external assessment team when the hospital is ready for assessment.
 Encourage staff to sustain adherence to the ten steps arraigning for
refresher training and periodic monitoring and reassessment.

Benefits to the Baby:

 Perfect nutrition
 Higher IQ
 Complete food for the first six months
  Emotional bonding
 Prevents infection
 Prevents chronic diseases
 Easily digested
Benefits to the Mother:
 Reduces post-delivery bleeding and anemia
 Helps delay next pregnancy
 Protective effect against breast and ovarian cancer
 Helps to lose weight
 Emotional bonding
 Needs no preparation

RESEARCH INPUT
This study was conducted by TRINIE MOORE ,ROBIN GAULD and SHEILA
WILLIAMS at New Zealand public hospital,published on 23 April 2007, the aim
of the study was the developing and communicating BF policy to staff and
providing the necessary training for staff in order to be able to implement the
BFHI methodology used was purposive and using a content analysis
technique,key themes were drawn from the transcribed interview data.Sample
six hospital organisations and include one very large urban tertiary hospital
that serves over 1 million people.Where 50% people are intersected to know
about BFHI and extending the number of interviewers would not have yielded
further knowledge.

SUMMARY
Give newborn infants no food or drink other than breast milk unless medically
indicated. Practise rooming in-allow mothers and infants to remain together -24
hours a day.Encourage breastfeeding on demand. Give no artificial teats or
pacifiers(also called dummies or soothers)to breastfeeding infants

CONCLUSION
• Through the studies analyzed,the BFHI showed effectiveness in
increasing breatfeeding in many regions of the world, contributing to the
reduction of infant morbidity and mortality.
BIBLIOGRAPHY
• Wilson David,HockenberryJ.Marilyn; Wong’s Essential of PEDIATRIC
NURSING; First South Asia Edition; page no.185-186.
• Datta Parul; PEDIATRIC NURSING ; second edition ; JAPEE BROTHERS
Medical publishers;page no.24-25.

REFRENCES
.http://www.who.int/nutrition/topics/infantfeeding/en/index.html
2.http://www.who.int/child-adolescent-health/topics/prevention-
care/child/nutrition/en/index.html
3.http://www.unicef.org/nutrition/index-breastfeeding.html