The WIN Project is a three year USAID funded comprehensive reproductive health project which is implemented through a partnership with Russia Ministry of Health in three demonstration sites: Novgorod and Perm cities and Berezniki, Perm region. The focus of WIN interventions is on maternal and newborn health and nutrition, including promotion of exclusive breastfeeding. Before project interventions began, two surveys were conducted: a household survey of populations in the three cities, and a facility survey, which interviewed providers and clients in all participating facilities in the three cities. Significant inconsistencies between reports on breast-feeding and related practices from providers and clients were found. While breastfeeding is nearly universal, it is rarely exclusive. Many women could define exclusive breastfeeding, but few providers actually counseled women to breastfeed exclusively for the first 6 months. Only 28% of postpartum women said they fed ‘on demand’, only 38% reported that they were rooming-in with babies, half of all women reported that they experienced skin-to-skin contact immediately after the birth, 40% of all postpartum women reported that they first breast-fed their baby within an hour of delivery. The series of integrated training courses were designed to update and strengthen providers’ clinical practices and counseling skills. Ten steps of successful breast-feeding and Baby Friendly Hospital Initiative (BFHI) were used as effective practical approaches to implement proven and necessary practices in facilities. In a year period 3 out of 4 participating maternities have introduced all 10 steps of successful breastfeeding and applied to get a BFHI degree.
Learning Objectives: 1. Recognize inconsistencies between reports from health care providers and clients on practices 2. Assess the role of information about women’s opinions of the care they currently receive 3. Evaluate Baby Friendly Hospital Initiative as an effective approach to implement proven breast-feeding practices
Keywords: Breast Feeding,
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