The revitalization and scale-up of the Baby-Friendly Hospital Initiative in Malawi

Autor: Patricia R. Welch, Florence Bwanali, Justine A. Kavle, Sarah Straubinger, Janet Guta, Susan Kambale, Natalia Mapongo, Kanji Nyambo
Rok vydání: 2018
Předmět:
0301 basic medicine
Counseling
Financing
Government
Health Knowledge
Attitudes
Practice
Malawi
Inservice Training
United Nations
breastfeeding
Health Personnel
Breastfeeding
Mothers
Context (language use)
Supplement Articles
Health Promotion
World Health Organization
Early initiation
Baby‐Friendly Hospital Initiative
03 medical and health sciences
0302 clinical medicine
Nursing
Health facility
Patient Education as Topic
infant and young child feeding
Medicine
Childbirth
Humans
030212 general & internal medicine
030109 nutrition & dietetics
Nutrition and Dietetics
business.industry
Child survival
Public Health
Environmental and Occupational Health
Infant
Newborn
Obstetrics and Gynecology
Hospitals
Breast Feeding
Pediatrics
Perinatology and Child Health
Christian ministry
Female
Supplement Article
breastfeeding initiation
implementation science
scale up
business
Breast feeding
Program Evaluation
Zdroj: Maternal & Child Nutrition
ISSN: 1740-8709
Popis: The Baby‐Friendly Hospital Initiative (BFHI) has shown to strengthen health providers' skills in the provision of breastfeeding counselling and support, which have led to improvements in breastfeeding outcomes. In Malawi, where BFHI was introduced in 1993 but later languished due to losses in funding, the Maternal and Child Survival Program supported the Malawi Ministry of Health (MOH) in the revitalization and scale‐up of BFHI in 54 health facilities across all 28 districts of the country. This paper describes the revitalization and scale‐up process within the context of an integrated health project; successes, challenges, and lessons learned with BFHI implementation; and the future of BFHI in Malawi. More than 80,000 mothers received counselling on exclusive breastfeeding following childbirth prior to discharge from the health facility. Early initiation of breastfeeding was tracked quarterly from baseline through endline via routine MOH health facility data. Increases in early initiation of breastfeeding were seen in two of the three regions of Malawi: by 2% in the Central region and 6% in the Southern region. Greater integration of BFHI into Malawi's health system is recommended, including improved preservice and in‐service trainings for health providers to include expanded BFHI content, increased country financial investments in BFHI, and integration of BFHI into national clinical guidelines, protocols, and nutrition and health policies.
Databáze: OpenAIRE
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