From: Perspectives about the baby friendly hospital/health initiative in Australia: an online survey
Macro level | ||
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Components related to the BL model | Findings related to each component | Recommendation examples |
1. External environment | 1.1 Influence of infant formula industry via their formula promotion advertising 1.2 Influence of societal attitudes 1.3 Influence of social media | ● Minimising the impact of formula promotion on mothers, families, and communities ● Ensuring that formula industry act responsibly within social media context ● Improving public support of breastfeeding by improving societal knowledge and acceptance of breastfeeding ● Improving the breastfeeding messages on social media |
2. Leadership support | 2.1 Government support and intervention 2.2 Policy support and implementation to facilitate uptake and implementation of the BFHI 2.3 Organisational leadership to facilitate uptake and implementation of the BFHI | ● Government intervention to promote the BFHI ● Establishment of supportive policies to facilitate uptake and implementation of the BFHI ● Evaluating and improving current policies and guidelines ● Strengthening the WHO Code implementation by legislation ● Develop and engage credible leadership to implement change ● Providing adequate and essential resources |
3. Mission and strategies | 3.1 Setting strategies to achieve the BFHI accreditation 3.2 Setting strategies to maintain reaccreditation 3.3 Establishment of plans to check feedbacks to ensure maintenance of Ten Steps | ● Increasing number of accredited facilities ● Prioritising facilities with lower than optimum breastfeeding rates (e.g. initiation rate) for potential BFHI accreditation ● Prioritising facilities where best standard (Ten Steps) are not well established and/or practiced for potential BFHI accreditation ● Checking feedback from health professionals, stakeholders, and consumers |
4. Organisation culture | 4.1 Organisational culture support of the BFHI uptake and implementation | ● Organisational cultural change -changing attitudes and practices-might be essential to implement the BFHI ● Staff attitudes towards breastfeeding must align with the BFHI standards |
Micro level | ||
5. Management practices | 5.1 Supportive management to implement the BFHI | ● Develop and engage reliable and supportive management ● Managers must support staff to implement the BFHI by allocating required resources (e.g. free available educational materials) within facilities |
6. Systems | 6.1 Promotion of multidisciplinary team involvement 6.2 Establishment of an interdisciplinary team approach 6.3 Improvement in referral systems | ● Establishing strategies to harmonize involvement among professional groups towards BFHI ● Improving inter professional collaboration ● Ensuring the referral of mothers to supportive breastfeeding groups post discharge to ensure continuous care |
7. Structure | 7.1 Continuous monitoring of the BFHI 7.2 Implementing structural change within related facilities to improve care 7.3 Implementing structural change in models of care to improve care | ● Establishment of formal organisational structures to evaluate and/or monitor implementation of the BFHI ● Establishment and promotion of breast-milk banks within maternity facilities ● Promotion of continuous midwifery models of care |
8. Work unit climate | 8.1 Improving communication and/or interaction skills between healthcare staff and mothers | ● Providing a continuous relationship between mothers and staff during the care period ● Improving communication skills between healthcare staff and mothers ● Improving interaction skills between healthcare staff and mothers |
9. Motivation | 9.1 Motivating organisations and/or individuals to facilitate uptake and implementation of the BFHI | ● Reinforcing the public health impacts of the BFHI to motivate individuals and organisations ● Using motivating agents to ensure forward movement with the BFHI implementation |
10. Task requirements and individual skills/abilities | 10.1 Improving breastfeeding and BFHI related knowledge amongst staff, mothers, family members, and community | ● Educating staff about the benefits of the Ten Steps ● Establishment of compulsory breastfeeding training programs for staff ● Providing up to dated and easily accessible training resources for staff |
11. Individual needs and values | 11.1 Addressing mothers’ needs and values 11.2 Addressing staff’s needs and values | ● Addressing cultural differences in BFHI guidelines ● Providing culturally appropriate compassionate care for mothers ● Identifying staff needs to provide resources accordingly |
12. Individual and organisational performance | 12.1 Successful uptake and/or implementation of the BFHI | ● Achieving successful uptake of the BFHI ● Achieving successful implementation of the BFHI |