<p>Breastfeeding impacts on the health of both the mother and infant and has been noted as being influenced by physiological, physical, socio-economic and environmental factors. The undisputed benefit of exclusive breastfeeding for both the mother and child has led to the global prioritisation of the promotion, protection and support of breastfeeding with the adoption of the Baby Friendly Hospital Initiative (BFHI) strategy. Baby Friendly Hospital (BFH) status is awarded to a maternity unit when they are found to be complying with set criteria (&ldquo / Ten Steps to successful Breastfeeding&rdquo / ). South Africa has implemented a re-evaluation system for retention of accreditation status, by reassessing accredited facilities every three years. The respective provinces are tasked with monitoring the implementation of BFHI in their public health facilities. Internal monitoring reports, completed by the Western Cape Provincial Department of Health, reflect erosion of key steps between national reassessments. Aim: To describe the experiences, challenges and successes of BFHI implementation in the BFH accredited facilities in the Cape Town geographical health district. Methodology: An explorative qualitative study was conducted. One key informant interview, ten in-depth interviews with champions for BFHI in the maternity facilities and two focus group discussions with frontline staff working at these facilities were used to collect data. The data was analysed using thematic content analysis to identify the main themes related to the successes and challenges experienced with the maintenance of the required practices related to BFHI accreditation. Results: Participants reported that the implementation of the BFHI impacted positively on the health of both mothers and infants. Fewer children were being admitted for common childhood illnesses such as diarrhoea subsequent&nbsp / to BFHI implementation. Mothers were recovering more quickly after delivery and less complications related to delivery, such as postpartum bleeding, were observed after the implementation of BFHI. BFHI implementation had a positive impact on the attitudes of maternity staff to breastfeeding promotion, protection and support. Subsequent to being awarded BFH status, facilities are tasked with maintaining the implemented practices. Challenges to maintaining the practices included lack of implementation of BFHI practices at clinics, lack of support from facility managers and support staff such as counsellors. The internal assessments implemented as supportive monitoring structures are considered by participants to be a demotivating process and concerns were raised about non nursing staff assessing&nbsp / nursing practices. Conclusion: The potential impact of this strategy on infant and maternal health must be realized by the implementers of BFHI, before the strategized aim is achieved. Co-ordination and support by all role players is vital to the success and elimination of challenges experienced with implementation and maintenance of the BFH strategy.</p>

Thesis (M.S.)--University of Wyoming, 2009. / Title from PDF title page (viewed on Apr. 16, 2010). Includes bibliographical references (p. 71-75).

Thesis (MNutr)--Stellenbosch University, 2012. / Please refer to full text for abstract.

Bakgrund: Amning främjar hälsan hos både mammor och barn oavse7 var de bor i världen. Syfte: Syftet var a7 undersöka hur mammor i Sverige upplever råden och stödet kring sin amning från hälso- och sjukvårdspersonal. Metod: En intervjustudie genomfördes under våren 2021 med tio kvinnor med erfarenhet av amning, bosa7a i Sverige. Kvinnorna var mellan 27 och 43 år och rekryterades genom sociala medier online. Under intervjun användes en semi-strukturerad frågeguide. Intervjuerna varade mellan 20 och 52 minuter och skedde via datorprogrammet Zoom. Intervjuerna transkriberades och analyserades med innehållsanalys. Resultat: Analysen mynnade ut i två övergripande teman; Empatiskt förhållningssä7 samt Negligerande och okunskap vilka illustrerade kvinnornas upplevelser av personalens bemötande rörande amning. Dessa teman visar a7 närvarande personal som ser varje individ, pålitlig information och a7 bli stärkt i och få tilltro till sin amning skapade tillit till vården, medan stressad eller oengagerad personal, brist på information och hjälp, och känslor av ensamhet gav upphov till en övergripande känsla av övergivenhet. Även hälsoproblem både fysiska och psykiska gjorde a7 amningsperioden kunde kännas tung och svår. Slutsats: Kvinnornas upplevelser av vårdpersonalens bemötande kring amning illustrerar två upplevelsevärldar som handlar om Empatiskt förhållningssä7 versus Negligerande och okunskap, med konsekvenser som kan vara avgörande för hur väl amningen faller ut. Individanpassat amningsstöd är av central betydelse för a7 främja amning. / <p>Betyg i Ladok 210601.</p>

Background: Breastfeeding protects against a variety of adverse health outcomes for mothers and babies. Global best practices, known as the Baby-Friendly Hospital Initiative (BFHI), have been developed to support the initiation and exclusivity of breastfeeding during the post-delivery hospital stay. The aims of this study were to explore the literature related to the impact of the BFHI on breastfeeding disparities in the U.S.; compare the impact of exposure to these best practices on exclusive breastfeeding rates in Appalachian and non-Appalachian hospitals; and to understand knowledge, perceptions, and barriers to breastfeeding of postpartum mothers receiving care in a Northeast Tennessee OB/GYN clinic and regional International Board Certified Lactation Consultants’ (IBCLCs®) knowledge, perceptions, and barriers to implementation of the BFHI. Methods: A scoping review was completed to explore literature related to exposure to the BFHI and breastfeeding disparities using the Levac, Colquhoun, and O’Brien methodology. A linear regression analysis of Maternity Practices in Infant Nutrition and Care (mPINC) breastfeeding best practice scores and breastfeeding rates at discharge was conducted comparing this relationship in Appalachian and non-Appalachian hospitals. Finally, a qualitative study was conducted using semi-structured interviews and thematic analysis to gather information from postpartum mothers and regional IBCLCs®. Results: The BFHI has been found to reduce both geographic and racial/ethnic disparities in the U.S., but there are limited studies examining this topic. While there was a significant negative relationship between Appalachian hospitals and exclusive breastfeeding rates at discharge (p=0.0003), there was no significant difference in the relationship between total mPINC scores and exclusive breastfeeding rates at hospital discharge between the two designations (0.4539). Furthermore, both postpartum patients and regional IBCLCs® reported that support, education, and self-efficacy were all necessary to assist mothers on their infant feeding journey. Implications: These findings highlight the need for studies examining the impact of the BFHI on breastfeeding disparities. Research also needs to be conducted to better understand breastfeeding rates in economically distressed, rural areas of the country. Ultimately, risk-stratified interventions supporting the specific needs of a population should be identified or developed to support and empower postpartum mothers to achieve their infant feeding goals.

Darbo tikslas – įvertinti Naujagimiui palankios ligoninės principų įtaką pacienčių pasitenkinimui sveikatos priežiūros paslaugomis. Uždaviniai: 1) įvertinti pacienčių lūkesčius ir pasitenkinimą sveikatos priežiūros paslaugomis Kauno medicinos universiteto klinikų gimdymo stacionare įgyvendinant naujagimiui palankios ligoninės principus. 2) įvertinti pacienčių lūkesčius ir pasitenkinimą sveikatos priežiūros paslaugomis Vilniaus miesto universitetinės ligoninės gimdymo stacionare. 3) palyginti pacienčių lūkesčius ir pasitenkinimą sveikatos priežiūros paslaugomis gautomis Kauno medicinos universiteto klinikose ir Vilniaus miesto universitetinės ligoninėje gimdymo stacionaruose. Tyrimo metodika. Tyrimas buvo vykdomas 2009 m. vasario – kovo mėn.. Atrinktoms moterims, gimdžiusioms Kauno Medicinos Universiteto Akušerijos ir ginekologijos klinikoje ir Vilniaus miesto Universitetinės Antakalnio ligoninės moterų klinikoje, paštu buvo išsiųsti klausimynai. Išsiųsta 640 anketų, atsako dažnis – 94,4 proc. Anketinių duomenų analizei naudotas kompiuterinis SPSS 13.0 statistinis versijos paketas. Rezultatai. Kauno Medicinos Universiteto Klinikų gimdymo stacionare moterų lūkesčiai tapatūs su Naujagimiui palankios ligoninės principais. Jos patenkintos suteikiamomis komforto sąlygomis, teikiama informacija, aukštu medicininio personalo žinių lygiu. Vilniaus miesto universitetinės ligoninės gimdymo stacionare moterys atskirtos nuo savo naujagimių, neužtikrinta sėkmingo žindymo pradžia... [toliau žr. visą tekstą] / Aim of the study – to evaluate influence of Baby-Friendly Hospital Initiative (BFHI) on patients satisfaction with health services. Objectives: 1) to evaluate patients expectations and satisfaction with health services at Kaunas University Hospital birth center which is implementing BFHI; 2) to evaluate patients expectations and satisfaction with health services at Vilnius University Hospital birth center; 3) to compare patients expectations and satisfaction with health services at Kaunas University Hospital and Vilnius University Hospital birth centers. Methods. The study was conducted in February–March 2009. Selected sample of women who underwent deliveries at Kaunas University Hospital (Department of Obstetrics and Gynecology) and at Vilnius University Hospital (Women Clinic of Antakalnis Hospital) received questionnaires via mail. Altogether 640 questionnaires were sent, the response rate reached 94.4%. Statistical data analysis was performed using „SPSS for Windows 13.0“ software. Results. Patients expectations at Kaunas University Hospital birth center meets the BFHI principles. Women are satisfied with provided comfort, information, and high competence of medical staff. At Vilnius University Hospital birth center women are separated from their babies, therea are no conditions for successful inititation of breastfeeding, poor staff communication. Conclusions. The comparison of patients expectations at Kaunas and Vilnius universities hospitals birth centers revealed no... [to full text]

Bakgrunn: Norskehelsemyndigheter anbefaler i tråd med WHO / UNICEF at spedbarn bør få morsmelk som eneste næring i de første seks levemånedene. Ammingen bør opprettholdes gjennom hele det første leveåret samtidig med at fast føde introduseres. Rutiner ved føde-/ barselavdelingene har stor innvirkning på etablering og varighet av ammingen. Bruk av tilleggsnæring uten medisinsk grunnkan føretil at færre mødre fullammer og at de har en kortere ammeperiode. Mål: Studere endring av rutiner som fremmer amming ved norske fødeenheter med et spesielt fokus på perioden1991-2009, rett før og etter lanseringen av Mor-barn-vennlig initiativ (MBVI). Beskrive situasjonen med den fortløpende registreringen av amming og spedbarn som får tilleggsnæring ved landets fødeenheter. Metode: Ammeundersøkelsen som er gjennomført hvert 9. år, er en deskriptiv tverrsnitt studie. Fødeenhetene besvarte et tilsendt spørreskjema med spørsmål om avdelingens ammerutiner for det forutgående år, retrospektivt. En fortløpende registreringpå tilsendt registreringsskjema, av amming og bruk av tillegg til 20 friske, fullbårne barn ved hver fødeenhet, tilsammen 984 barn, ble gjort prospektivt. Resultat: Fødeenhetenes rutinerhar i hovedsak endret seg i tråd med helsemyndighetenes anbefalinger, bortsett frapraksis med å gi tilleggsnæring til friske, fullbårne barn som skal ammes. Registreringen av amming og bruk av tilleggbekrefter svarene fra Ammeundersøkelsen. 30 % av de registrerte barna fikk tilleggsnæring minst en gang under barseloppholdet, og de fleste fikk det av en ikke medisinsk grunn. Konklusjon: Unødig bruk av tilleggsnæring er en indikator på at avdelingens ammepraksis ikke fungerer tilfredsstilende. / Background: In concurrence with the World Health Organization and UNICEF, Norwegian health authorities recommend exclusive breastfeeding for infants during the first six months of life. Thereafter, recommendations suggest the continuance of breastfeeding for the first year of life, while introducing complementary food. Routines in maternity wards have a huge impact on the establishment and duration of breastfeeding. Consequently, supplemental nutrition that lacks medical justification may reduce exclusive breastfeeding, and associates with early termination of breastfeeding. Objective: This study aimed to examine changes in maternity ward routines with regard to breastfeeding, focusing particularly on the period between 1991 and 2009, immediately before and after Norway launched the Baby-Friendly Hospital Initiative. In addition we examined the continuous registration of breastfeeding and the provision of breast-milk substitutes in the maternity units. Methods: Norway conducts a descriptive and cross-sectional National Breastfeeding Survey (Ammeundersøkelsen) every 9th year. The 53 head midwifes responded retrospectively to a questionnaire about their units’ breastfeeding practices the preceding year. In addition each unit registered breastfeeding and the use of breast milk substitutes for 20 healthy term infants, a total of 984 infants, prospectively. Results: Except for non-medical use of breast-milk substitutes, changes in breastfeeding routines mostly adhered to health authority recommendations. The registration of breastfeeding and breast-milk substitutes confirms our findings. Thirty percent of registered babies received breast-milk substitutes at least once during their stay in the maternity ward, and most received a substitute due to a non-medical reason. Conclusion: The use of breast-milk substitutes for non-medical reasons indicates that hospitals’ breastfeeding routines are not satisfactory. / <p>ISBN 978-91-86739-97-3</p>

Magister Scientiae (Nutrition Management) - MSc(NM) / The Ministry of Health in Malawi promotes exclusive breastfeeding for the first six months of life and continued breastfeeding with appropriate complementary feeding up to two years or beyond. This policy applies to all children unless there are medical indications. Baby Friendly Hospital Initiative (BFHI) is a strategy that contributes to the attainment of this policy. BFHI is a strategy to increase early and exclusive breast feeding rates among mothers. This study is a pilot to evaluate the success of the BFHI initiative in Malawi.Study design. A cross- sectional cohort study of women and their infants, 0-5 months,attending BFHI and non-BFHI accredited health facilities in Blantyre district of Malawi ] between the period from 28th April to 30th September, 2008 was conducted.Data Collection: An in-depth face-to-face interview using an open-ended structured questionnaire was conducted among 202 mothers of infants within the first week of birth.A convenient sample of 102 mothers was selected from prima gravida mothers at a semiurban BFHI accredited facility while the other 100 were from semi-urban non-BFHI accredited facilities. This sample was used for the descriptive component of the study.From the 202 mothers, 30 from the BFHI and 30 from the non-BFHI Accredited health facility(s) were selected randomly as the sample for the longitudinal cohort of the study at 3 and 5 months respectively.Analysis of results: Data was analyzed using SPSS for Windows. Frequencies were tallied for categorical variables and mean standard deviations were computed for continuous variables. Chi-square p-values with health facility type as classification were computed to determine the difference between BFHI and non-BFHI accredited health facility groups for all relevant variables.Results Exclusive breastfeeding rates differed significantly (p- value, 0.0000) within one week after birth (99% for the BFHI versus 68% for the non-BFHI facilities).Thirty percent of the mothers from the BFHI accredited health facility practiced exclusive breastfeeding up to 5 months as compared to none of the mothers in non-BFHI accredited health facilities.All 202 mothers had ever breast feed in both facilities throughout the 5 months study period.Mothers and mothers-in-law were the significant source of complementing breast milk before 6 months of age,[ 25% more influence of mothers and mothers in-law in the non-BFHI accredited facility when compared to BFHI accredited facility].Conclusion:The BFHI strategy has the potential to successfully influence mothers to adhere to global and national recommendations on optimal breastfeeding practices. Special efforts should be made to continue support of and provide information to new mothers during the first week after delivery and unto few months after birth as mothers seem to introduce complementary foods early and prior to the recommended period of 6 months.

Magister Public Health - MPH / World Health Organisation and UNICEF recommend exclusive breastfeeding (EBF) for the first six months and continuation of breastfeeding for two years and beyond. Despite this recommendation, EBF rates have not been optimal globally, with coverage ranging from 1% - 23% in Europe to 0.3% - 73% in sub Saharan Africa. In Zambia, despite recording an increase in EBF during the first six months of life from 61% (2007) to 73% (2014), there is a rapid decline in EBF as infants get older during the first six months, from 94% among infants aged less two (02) months to 45% among infants aged 4 to 5 months. This study explored mothers’ experiences, perceptions and attitudes towards existing Behavioural Change Communication (BCC) interventions and the possible influence thereof on the adoption of exclusive breastfeeding among mothers of infants under six months in Tazara and Chilonga areas of Mpika district.

Thesis (MPH.) -- University of Limpopo, 2022 / Background: The Mother baby friendly initiative (MBFI) is an initiative that was launched in 1991 as a global programme to create an environment that enables and supports women to breastfeed their infants, providing advice to mothers and practical assistance to promote breastfeeding. This initiative plays an important role in improving infant’s nutritional status, growth, development and health for both mother and infant and supports exclusive breastfeeding. MBFI aims at increasing breastfeeding rate by supporting, protecting and promoting breastfeeding in health facilities. Aim: of the study is to explore the knowledge and challenges related to the implementation of the mother-baby friendly initiative at Standerton hospital. Method: A qualitative descriptive design was used to explore the knowledge and challenges related to the implementation of the mother-baby friendly initiative at selected hospital. Purposive sampling of the healthcare providers were the target population for the study as they are responsible for the implementation of MBFI in the hospital. In this research, data collected were in a form of interviews, audiotapes and written notes from interviews. Tesch’s eight steps in data analysis was used to analyse data. Results: The studies key theme and sub theme give the study’s findings and perspective of the issues found. The studies key theme were: 1. Knowledge of participants on MBFI at Standerton hospital, 2. Views about current practices of MBFI at Standerton –hospital and 3. Challenges regarding MBFI implementation at Standerton. MBFI was considered significant in the facility, however, due to inconsistences and challenges faced by the nurses the initiative was not fully implemented to improve breastfeeding rates. Conclusion: the study conclude that nurse’s had some knowledge on the MBFI initiative as they understood their role in breastfeeding advocacy and enhancing maternal and child health. There were significant challenges in MBFI implementation such as shortage of staff, lack of resources and training that hindered MBFI compliance and mothers not receiving the full benefits of the initiative, which contribute to decreased breastfeeding rates within the facility.