262095 Baby-Friendly Hospital Initiative: Analysis of Hospital Processes During Policy Implementation

Sunday, October 28, 2012

Sarah Van Wagenen, MPH(c) , Department of Health Science, Brigham Young University, Provo, UT
Renae Bowen, MPH(c) , Department of Health Science, Brigham Young University, Provo, UT
Victor Arredondo, MPH(c) , Department of Health Science, Brigham Young University, Provo, UT
Background: Mothers must be supported immediately after birth to establish breastfeeding. This support can most successfully be achieved through breastfeeding support policies, such as the Baby-Friendly Hospital Initiative (BFHI) by the World Health Organization. Despite the evidence that supports the implementation of BFHI, hospitals may be hesitant to pursue becoming Baby-Friendly because of perceived barriers. A greater understanding of the available support and best practice examples from other hospitals may provide additional incentive to increase the quality and effectiveness of care which improves infant health outcomes.

Objective: The purpose of this study is to analyze implementation best practices of BFHI for hospitals in the U.S. Similarly, the study includes evaluation of how to navigate the stakeholder structure that influences these best practices.

Methods: The analysis consisted of a literature review regarding three hospitals' implementation processes. A numerical breakdown of how each hospital scored in multiple aspects of its implementation was conducted. Scoring each of the hospitals led to identifying which of the three hospitals was most successful in developing comprehensive hospital policies that support breastfeeding.

Results: In reviewing the transition of Boston Medical Center, Moanalua Medical Center and University of Utah Hospitals from birthing centers to “Baby-Friendly” designation, eight consistent trends were identified.

Conclusion: Through analysis of research, a model system was provided for hospitals to refer to during the implementation process of BFHI. As hospitals take responsibility and support mothers' decisions to breastfeed rates of breastfeeding will increase.

Learning Areas:
Administer health education strategies, interventions and programs
Administration, management, leadership
Implementation of health education strategies, interventions and programs
Public health or related nursing
Public health or related organizational policy, standards, or other guidelines
Public health or related public policy

Learning Objectives:
1. Evaluate Baby-Friendly Hospital Initiative implementation in U.S. hospitals. 2. Discuss benefits of hospitals becoming Baby-Friendly. 3. Identify best practices for Baby-Friendly Hospital Initiative implementation among U.S. hospitals.

Keywords: Breast Feeding, Hospitals

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the co-author on several published papers involving social media and public health uses. I am currently an MPH student and have worked as a research assistant for 2 years. Among my interests have been the strategies of improving maternal and child health particularly in regards to breastfeeding.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.