[Breastfeeding and infant feeding in the first level of attention]

Rosa María Santiago-Cruz1, Elina Alvarado-de Luzuriaga2, Marianne Gisselle Monroy-Azuara3

  • 1Instituto Mexicano del Seguro Social, División de Atención Prenatal y Planificación Familiar. Ciudad de México, México.

Insights

Breastfeeding offers crucial benefits for newborns, but stigma hinders its practice. The Baby-Friendly Hospital Initiative (BFHI) promotes breastfeeding through 10 steps, adapted locally for successful implementation.

Area of Science:

  • Public Health
  • Pediatrics
  • Maternal Health

Background:

  • Breastfeeding is vital for infant development but faces societal stigma.
  • The Baby-Friendly Hospital Initiative (BFHI) was established by WHO and UNICEF in 1991.
  • BFHI aims to protect, promote, and strengthen breastfeeding in healthcare settings.

Purpose of the Study:

  • To adapt the BFHI's 10 Steps to Successful Breastfeeding for implementation.
  • To address local and regional healthcare unit characteristics for BFHI adequacy.
  • To facilitate the integration of evidence-based breastfeeding support within the Mexican Institute for Social Security.

Main Methods:

  • Adaptation of the BFHI's 10 Steps to Successful Breastfeeding.
  • Development of three annexes to supplement the adapted steps.
  • Implementation strategy focused on first-level healthcare units.

Main Results:

  • Seven BFHI steps and three annexes were adapted for the Mexican Institute for Social Security.
  • The adapted framework addresses specific needs of first-level healthcare units.
  • This initiative aims to improve breastfeeding support and outcomes.

Conclusions:

  • Local adaptation of global health initiatives is essential for effective implementation.
  • The modified BFHI approach supports healthcare units in promoting breastfeeding.
  • This strategy can help overcome barriers to breastfeeding and improve newborn health.

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