Abstract
Abstract
Background
In 2009, the World Health Organization and the United Nations Children’s Fund issued a revised Baby-friendly Hospital Initiative (BFHI) package to encourage all healthcare facilities to promote the advice of exclusive breastfeeding. The scope of the BFHI was expanded to include neonatal units by the Nordic and Quebec Working Group.
Aim
To determine the level of compliance with the recommendations outlined in the “Baby-friendly Hospital Initiative for neonatal wards” (Neo-BFHI) in the South African neonatal wards.
Method
In this cross-sectional survey, the sample included neonatal wards (N = 33) from public and private hospital facilities. Using EasyTrial software, the Neo-BFHI self-assessment questionnaire was utilized to collect the data. The data was transferred to MS Excel (version 15.0.5127.1000) and analysed with the Statistical Package for Social Sciences version 24.
Results
The South African median score for Neo-BFHI compliance was 77. Neonatal wards in public hospitals scored higher (85) than those in private hospitals (73). Neonatal wards in hospitals that were accredited Baby-friendly had higher compliance scores than those without accreditation. The country had the highest compliance scores (100, 90) on Guiding Principle 1 (respect towards mothers) and step 5 (breastfeeding support), respectively. However, it scored low (71, 58) on steps 4 (enhancing kangaroo mother care) and 7 (maternal infant “togetherness”), respectively. Level 1 and 2 care facilities scored significantly higher than level 3.
Conclusion
Although South Africa successfully implemented the Neo-BFHI recommendations, private hospitals had a smaller number of BFHI-accredited facilities and lower compliance than public hospitals. Strategies should be developed to strengthen and improve BFHI accreditation and compliance, particularly in private hospitals.
Publisher
Springer Science and Business Media LLC
Reference28 articles.
1. World Health Organization, UNICEF. Baby-friendly Hospital Initiative: Revised, updated and expanded for integrated care. Section 4, Hospital self-appraisal and monitoring. Geneva, Switzerland: World Health Organization; 2009. http://www.who.int/nutrition/publications/infantfeeding/9789241594998_s4.pdf Accessed 02 May 2019.
2. Nyaloko MJ, Lubbe W, Minnie K. Perceptions of mothers and community members regarding breastfeeding in public spaces in Alexandra, Gauteng Province, South Africa. The Open Public Health Journal. 2020;13:582–94. https://doi.org/10.2174/1874944502013010582.
3. Sankar MJ, Sinha B, Chowdhury R, Bhandari N, Taneja S, Martine J, Bahl R. Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis. Acta Paediatr. 2015;104:3–13.
4. World Health Organization. Breastfeeding and the use of human milk. J Am Acad Peadiatrics. 2012;115(Suppl 2):496.
5. World Health Organization. Implementation guidance: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: the revised baby-friendly hospital initiative; 2018. https://apps.who.int/iris/bitstream/handle/10665/272943/9789241513807-eng.pdf Accessed 26 September 2022.