Making your hospital

Baby Friendly
Session Objectives:

1. Explain what Baby-friend

practices mean;

2. Describe the process of BFHI

assessment;

3. Discuss how BFHI can be

included in existing
programmes.
Course Aims:
The aim of this course is that
every staff member will confidently
support mothers to succeed
with early and exclusive
breastfeeding, and that this facility
moves towards achieving Baby-
Friendly designation.

15/1
A Baby-friendly Hospital:
1. Implements the Ten Steps to Successful
Breastfeeding.

2. Accepts no free supplies or samples and

no promotional material from companies.
that manufacture or distribute breast milk
substitutes.

3. Fosters optimal feeding and care for those

infants that are not breastfed.
TEN Steps to successful BF
Step 1. Have a written BF policy that is
routinely communicated to all care staff.
Step 2. Train all health care staff in skills
necessary to implement this policy.
Step 3. Inform all pregnant women about
the benefits and management of
breastfeeding.
TEN Steps to successful BF
Step 4. Help mothers initiate BF within a half-
hour of birth.

Place babies in skin-to-skin contact with their

mothers immediately following birth for at
least an hour and encourage mothers to
recognize when their babies are ready to
breastfeed, offering help if needed.
TEN Steps to successful BF
Step 5. Show mothers how to
breastfeed and how to maintain
lactation even if they should be
separated from their mothers.

Step 6. Give newborn infants no food

or drinks other than breastmilk
unless medically indicated.
TEN Steps to successful BF

 Step7. Practise rooming-in allow

mothers and infants to remain
together 24 hours a day.

 Step8. Encourage breastfeeding

on demand.
TEN Steps to successful BF
 STEP 9. Give no artificial teats or
pacifiers (also called dummies or
soothers) to breastfeeding infants.

 STEP 10. Foster the establishment of

BF support groups and refer
mothers to them on discharge from
hospital or clinic.
How can we help to achieve this aim
 Protect, promote and support BF.

 Ensure that breast milk substitute are used

properly when necessary.

 Provide adequate information about infant

feeding.

 Prohibit advertising.

 Report breaches of the Milk Code.

Process of Baby-Friendly
Assessment
Self Appraisal

External Assessment

On going Monitoring

External Re-assessment
Process of Baby-Friendly
Assessment
 Self Appraisal

 External Assessment

 On going Monitoring

 External Re-assessment
Include BFHI in existing programs

 Can fit quality assurance programs

 Maybe a responsibility of:
> the mother and child services
> breastfeeding or infant feeding committee
>or a part of Quality committee
 Can be integrated with Safe Motherhood,
IMCI programs
Developing a Plan: 15/2

Step One

Where are
we now?
Developing a Plan: 15/3

Step Two
Where do we
want to be?
Developing a Plan: 15/4

Step Three

How will
we get
there?
Developing a Plan: 15/5

Step Four

How will
we know if
we are
there?
Developing a Plan: 15/6

Step Five

How will we sustain it?