A Survey of Knowledge, Attitudes, and Practices of Providers and Staff at Al-Zahraa University Hospital Regarding the Baby-Friendly Hospital Initiative and the International Code of Marketing Breast Milk Substitutes

El-Ghany, Somaya Mohamed Abd; Ahmed, Eman Almorsy; Salem, Iman Mohmmad Wahby; Eslam, Sahar Ahmed; El-Taweel, Amal; Cadwell, Karin

doi:10.1891/1058-1243.28.4.210

Cited by 6 publications

(5 citation statements)

References 14 publications

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“…Many different sorts of educational and training interventions were covered in the research. These were focused on improving both knowledge of breastfeeding, increasing support for the BFHI and improving attitudes towards breastfeeding [ 23 , 24 , 107 , 108 ] across many countries. Training improved hospitals’ compliance with the Ten Steps in Italy [ 108 ] the UK [ 109 ] and Canada [ 110 ].…”

Section: Resultsmentioning

confidence: 99%

Improving breastfeeding support through the implementation of the Baby-Friendly Hospital and Community Initiatives: a scoping review

Walsh¹,

Pieterse

Mishra

et al. 2023

Int Breastfeed J

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Background Improved breastfeeding practices have the potential to save the lives of over 823,000 children under 5 years old globally every year. The Baby-Friendly Hospital Initiative (BFHI) is a global campaign by the World Health Organization and the United Nations Children’s Fund, which promotes best practice to support breastfeeding in maternity services. The Baby-Friendly Community Initiative (BFCI) grew out of step 10, with a focus on community-based implementation. The aim of this scoping review is to map and examine the evidence relating to the implementation of BFHI and BFCI globally. Methods This scoping review was conducted according to the Joanna Briggs Institute methodology for scoping reviews. Inclusion criteria followed the Population, Concepts, Contexts approach. All articles were screened by two reviewers, using Covidence software. Data were charted according to: country, study design, setting, study population, BFHI steps, study aim and objectives, description of intervention, summary of results, barriers and enablers to implementation, evidence gaps, and recommendations. Qualitative and quantitative descriptive analyses were undertaken. Results A total of 278 articles were included in the review. Patterns identified were: i) national policy and health systems: effective and visible national leadership is needed, demonstrated with legislation, funding and policy; ii) hospital policy is crucial, especially in becoming breastfeeding friendly and neonatal care settings iii) implementation of specific steps; iv) the BFCI is implemented in only a few countries and government resources are needed to scale it; v) health worker breastfeeding knowledge and training needs strengthening to ensure long term changes in practice; vi) educational programmes for pregnant and postpartum women are essential for sustained exclusive breastfeeding. Evidence gaps include study design issues and need to improve the quality of breastfeeding data and to perform prevalence and longitudinal studies. Conclusion At a national level, political support for BFHI implementation supports expansion of Baby-Friendly Hospitals. Ongoing quality assurance is essential, as is systematic (re)assessment of BFHI designated hospitals. Baby Friendly Hospitals should provide breastfeeding support that favours long-term healthcare relationships across the perinatal period. These results can help to support and further enable the effective implementation of BFHI and BFCI globally.

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Section: Resultsmentioning

confidence: 99%

Improving breastfeeding support through the implementation of the Baby-Friendly Hospital and Community Initiatives: a scoping review

Walsh¹,

Pieterse

Mishra

et al. 2023

Int Breastfeed J

View full text Add to dashboard Cite

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“…Healthcare workers who have inadequate knowledge may give misleading advice to mothers about breastfeeding. On the other hand, good knowledge may not always translate to good practice as observed in a previous study 19 …”

Section: Discussionmentioning

confidence: 79%

“…Some previous studies reported the majority of healthcare workers as having positive attitudes towards BFHI; however, the of attitude was not detailed. 18,19 Half of the healthcare workers in this study were considered to have good practice of BFHI, and the practice was significantly better among the nurses. This finding is not surprising, considering the pattern of knowledge and attitude among them as both knowledge and attitude are major determinants of practice.…”

Section: Discussionmentioning

confidence: 92%

“…On the other hand, good knowledge may not always translate to good practice as observed in a previous study. 19 For the sustainability of BFHI, regular monitoring and evaluation are essential as a complement to training healthcare workers on the Initiative. Linking mothers to support groups was particularly low among the participants in this study.…”

Section: Discussionmentioning

confidence: 99%

“…Information given to mothers about breastfeeding may be significantly influenced by these perceptions. Some previous studies reported the majority of healthcare workers as having positive attitudes towards BFHI; however, the assessment of attitude was not detailed 18,19 …”

Section: Discussionmentioning

confidence: 99%

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Assessment of the Baby‐Friendly Hospital Initiative showed suboptimal knowledge and a low exclusive breastfeeding rate in Ogun State, Nigeria

Abdul,

Agbede,

Adekoya

et al. 2023

Acta Paediatrica

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AimImplementing the Baby‐Friendly Hospital Initiative (BFHI) programme has been fraught with challenges globally. The study aimed to assess the implementation of the BFHI and breastfeeding practices in healthcare facilities in Ogun State, Nigeria.MethodsIt was a questionnaire‐based cross‐sectional study carried out between August and October 2019 among 100 healthcare workers and 110 mothers from health facilities in Ijebu‐Ode Local Government Area of Ogun State, Nigeria.ResultsNearly two‐thirds (61.0%) of the healthcare workers were community health workers while the others were nurses. Less than a quarter (23.8%) of the healthcare workers had ever attended breastfeeding educational programmes since they started working. About half of the healthcare workers had good knowledge, attitude and practice of BFHI. Nurses had a significantly better practice of BFHI than community health workers. Understaffing was a major limitation to the implementation of BFHI. The mothers had an exclusive breastfeeding rate of 47%.ConclusionThe knowledge, attitude, and practice of BFHI were suboptimal and the exclusive breastfeeding rate among the mothers was low. There is a need to improve staff strength, training and re‐training of staff, as well as regular monitoring and evaluation of healthcare facilities on the implementation of BFHI.

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Determinants of Tangible Breastfeeding Support Among Health Workers: A Multicenter Cross-Sectional Study

Alao,

Ibrahim,

Elo-Ilo

et al. 2024

J Hum Lact

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Background: Breastfeeding is crucial in providing infants with needed nutrition and immunity to foster their healthy growth and development; yet, optimal support from health workers is critical for it to be successful. Aim: To determine factors influencing tangible breastfeeding support among health workers in Nigeria. Methods: This cross-sectional study was conducted in Nigeria’s six geopolitical zones between August 2022 and February 2023 among health workers ( N = 2,922). Data were gathered through an interviewer-administered, validated questionnaire. Significant factors of tangible breastfeeding support were identified through multivariable logistic regression, and corresponding odds ratios with 95% confidence intervals were reported. Results: The mean age of the health workers was 28.6 ( SD = 9.3) years. Just 45% (1,316) achieved optimal scores for tangible breastfeeding support. Only 31.4% (918) of lactation support providers/specialists practice tangible breastfeeding support and half (50.6%, 1,479) had a favorable attitude towards providing tangible breastfeeding support. About two-fifths (39.3%, 1,148) engaged caregivers in reviewing breast milk storage procedures, whereas, 54.6% (1,595) and 78.0% (2,279) of health workers assisted with breast pumps and breastfeeding attachment respectively. The odds of having optimal tangible breastfeeding support were higher for health workers aged 52 years or older compared to those aged under 20 years (aOR 1.88, 95% CI [1.13, 3.12]), a positive attitude (aOR 1.43, 95% CI [1.22, 1.69]), availability of a breastfeeding champion (aOR 1.47, 95% CI [1.21, 1.79]), 1.69]), provision of breast-pump videos (aOR; 2.33, 95% CI [1.85, 2.95]), and hand-expression videos (aOR; 1.41, 95% CI [1.02, 1.79]). (duplication) Conclusion: Health workers’ tangible breastfeeding support in Nigeria is suboptimal and is driven by age, service level, attitude, availability of breastfeeding champions, and appropriate practice aids. Targeted interventions to improve health workers’ attitudes, technical skills, provision of aids, and task shifting to non-specialists are needed for optimal tangible breastfeeding support.

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A Survey of Knowledge, Attitudes, and Practices of Providers and Staff at Al-Zahraa University Hospital Regarding the Baby-Friendly Hospital Initiative and the International Code of Marketing Breast Milk Substitutes

Cited by 6 publications

References 14 publications

Improving breastfeeding support through the implementation of the Baby-Friendly Hospital and Community Initiatives: a scoping review

Improving breastfeeding support through the implementation of the Baby-Friendly Hospital and Community Initiatives: a scoping review

Assessment of the Baby‐Friendly Hospital Initiative showed suboptimal knowledge and a low exclusive breastfeeding rate in Ogun State, Nigeria

Determinants of Tangible Breastfeeding Support Among Health Workers: A Multicenter Cross-Sectional Study

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