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Implementing and revitalizing the Baby-Friendly Hospital Initiative
Randa Saadeh1, Carmen Casanovas
1World Health Organization, Geneva, Switzerland. saadehr@who.int
Insights
The Baby-Friendly Hospital Initiative (BFHI) promotes breastfeeding for infant health. This global effort by WHO and UNICEF has successfully increased exclusive breastfeeding rates and improved infant survival worldwide.
Area of Science:
- Global Health
- Maternal and Child Health
- Public Health Policy
Background:
- The Baby-Friendly Hospital Initiative (BFHI) was established by the World Health Organization (WHO) and UNICEF in the 1990s.
- It is a key component of the Global Strategy for Infant and Young Child Feeding, endorsed in 2002.
- BFHI aims to ensure optimal infant nutrition and health through supportive hospital practices.
Purpose of the Study:
- To review the progress and impact of the BFHI over approximately 18 years.
- To describe the streamlining and revision of BFHI materials and criteria.
- To highlight the continued support for BFHI implementation towards global health goals.
Main Methods:
- The abstract describes a global initiative and its outcomes, implying a review of existing data and program reports.
- It mentions the revision of materials based on country experiences and new research.
- Focus on policy implementation and coordination through national authorities.
Main Results:
- Significant progress has been made in implementing BFHI globally, with most countries establishing coordinating bodies.
- Increased rates of exclusive breastfeeding have been observed, leading to improved infant health and survival.
- The initiative has been updated with revised materials, criteria (including considerations for HIV/AIDS), and enhanced guidance.
Conclusions:
- The BFHI has demonstrated success in promoting breastfeeding and improving infant health outcomes.
- The initiative has been adapted to incorporate new evidence and address evolving challenges.
- Continued global support for BFHI is crucial for achieving international health and development goals.
Abstract:
The Baby-Friendly Hospital Initiative (BFHI) was launched in the 1990s by the World Health Organization (WHO) and UNICEF as a global effort with hospitals, health services, and parents to ensure babies are breastfed for the best start in life. It is one of the Operational Targets of the Global Strategy for Infant and Young Child Feeding endorsed in 2002 by the Fifty-Fifth World Health Assembly and the UNICEF Executive Board. After about 18 years, great progress has been made, and most countries have breastfeeding authorities or BFHI coordinating groups. The BFHI has led to increased rates of exclusive breastfeeding, which are reflected in improved health and survival. Based on this progress, the Initiative was streamlined according to the experience of the countries and materials were revised. The new package consolidated all WHO and UNICEF materials into one package, reflected new research and experience, revisited the criteria used for the BFHI in light of HIV/ AIDS, reinforced the International Code of Marketing of Breast-Milk Substitutes, provided modules for mother-friendly care, and gave more guidance for monitoring and reassessment. WHO and partners will continue to give support to BFHI implementation as one essential effort contributing to achievement of the Millennium Development Goals.
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