The Baby-Friendly Hospital Initiative (BFHI) has support from numerous policy and regulatory bodies, and has been shown to be an effective intervention to encourage women to initiate breastfeeding at the time of birth. Uptake of the BFHI has been slow in the United States (US). A significant gap in knowledge of factors that promote or block BFHI adoption and implementation exists. Therefore, the aim of this project was to identify the greatest barriers to and facilitators of the adoption and implementation of the BFHI in the US. This was a cross-sectional study using a purposive sample of perinatal health care specialists in multiple states across the US. Respondents were recruited via statewide or regional breastfeeding organizations and invited to complete an online survey. 256 respondents from twelve states completed the survey. Many organizational and policy factors that support adoption and implementation of the BFHI were identified. Some of the main facilitators of adoption and implementation included sufficient resources, workforce training, participation in statewide perinatal quality improvement collaboratives, and clearly stated goals from organizational leaders. Some of the barriers were a lack of financial support from outside organizations, insufficient organizational resources to support the costs of the program, and lack of buy-in from clinicians. This study lays the groundwork for further inquiries into the targeted identification of the greatest barriers and facilitators of adoption and implementation of the BFHI and can provide guidance to administrators and clinicians.
| Identifer | oai:union.ndltd.org:VANDERBILT/oai:VANDERBILTETD:etd-12042017-152857 |
| Date | 05 December 2017 |
| Creators | Howe-Heyman, Abigail |
| Contributors | Melanie Lutenbacher, Frances Likis, Mary Dietrich, Sharon Karp |
| Publisher | VANDERBILT |
| Source Sets | Vanderbilt University Theses |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.library.vanderbilt.edu/available/etd-12042017-152857/ |
| Rights | unrestricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to Vanderbilt University or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
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