BABY FRIENDLY HOSPITAL INITIATIVE
Baby Friendly Hospital initiative was launched by UNICEF and WHO in 1992 in India, as part of Innocenti Declaration on breast feeding. The initiative is the global effort to implement that protects, promote, and support breast feeding. To help in the implementation of initiative different tools and materials were developed field tested and provided, including a course for maternity staff, a self appraisal tool, and an external assessment stool. Besides promotion of breast feeding , BFHI in India also proposes to provide; Improved antenatal care. Mother friendly delivery services. Standardized institutional support of immunization. Diarrhea management. Promotion of healthy growth and good nutrition. Widespread availability and adoption of family planning.
Aims and objectives: Promote breast feeding in all hospitals and other health facilities where deliveries are conducted. Promote other baby friendly activities such as antenatal care, immunization, essential newborn care and management of diarrhea and acute respiratory tract infections. Ten steps to establish a BFHI 1. Have a written breastfeeding policy that is routinely communicated to all health care staff. 2. Train all health care staff in skills necessary to implement this policy. 3. Inform all pregnant women about the benefits and management of breastfeeding.
4. Help mothers initiate breastfeeding within one half-hour of birth. 5. Show mothers how to breastfeed and maintain lactation, even if they should be separated from their infants. 6. Give newborn infants no food or drink other than breast milk, unless medically indicated. 7. Practice rooming in - that is, allow mothers and infants to remain together 24 hours a day. 8. Encourage breastfeeding on demand. 9. Give no artificial nipples or pacifiers (soothers) to breastfeeding infants. 10. Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic. BENEFITS Cost benefits. Reduction of malnutrition. Improved survival of low birth weight children. Decease in infection rate. Rooming in and demand feeding make nursery care easier. Hospitals get public recognition.