[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.
Abstract:
Breastfeeding is one of the oldest and most useful practices for human race. It is crucial for optimal newborn development and yet the stigma built around it has proven to be devastating for its implementation over the years. For the past few decades, numerous studies have been conducted to shed light on the countless benefits of breastfeeding and to cast off the taboo around it. In 1991 the World Health Organization, together with the United Nations International Children's Emergency Fund, created the Baby-Friendly Hospital Initiative (BFHI) with the aim of protecting, promoting and strengthening breastfeeding in hospitals and health centers, through the implementation of 10 steps to successful breastfeeding. There are a number of requirements that must be fulfilled in order to implement this initiative. However, due to local and regional characteristics of each health care unit, a certain degree of adequacy of these steps is required for its implementation. Therefore, at the Instituto Mexicano del Seguro Social (Mexican Institute for Social Security), seven steps and three annexes have been adapted for their implementation in the first level health care units of this institution.
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