Promoting Breastfeeding-Friendly Hospital Practices

Freney, Emily P.; Johnson, Donna B.; Knox, Isabella

doi:10.1177/0890334415594381

Cited by 7 publications

(4 citation statements)

References 18 publications

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“…Barriers included protected time to participate in the collaborative, few opportunities to co-design the collaborative, lack of information sharing and coordination of care between sectors, and lack of data on the sustainability of the results due to the temporary nature of the collaborative [ 58 , 81 , 82 ]. The evaluation tends to focus more on the outcomes rather than the learning methodology and associated costs.…”

Section: Resultsmentioning

confidence: 99%

Aiming for quality: a global compass for national learning systems

Sarakbi

Mensah-Abrampah

Kleine-Bingham

et al. 2021

Health Res Policy Sys

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Introduction Transforming a health system into a learning one is increasingly recognized as necessary to support the implementation of a national strategic direction on quality with a focus on frontline experience. The approach to a learning system that bridges the gap between practice and policy requires active exploration. Methods This scoping review adapted the methodological framework for scoping studies from Arksey and O’Malley. The central research question focused on common themes for learning to improve the quality of health services at all levels of the national health system, from government policy to point-of-care delivery. Results A total of 3507 records were screened, resulting in 101 articles on strategic learning across the health system: health professional level (19%), health organizational level (15%), subnational/national level (26%), multiple levels (35%), and global level (6%). Thirty-five of these articles focused on learning systems at multiple levels of the health system. A national learning system requires attention at the organizational, subnational, and national levels guided by the needs of patients, families, and the community. The compass of the national learning system is centred on four cross-cutting themes across the health system: alignment of priorities, systemwide collaboration, transparency and accountability, and knowledge sharing of real-world evidence generated at the point of care. Conclusion This paper proposes an approach for building a national learning system to improve the quality of health services. Future research is needed to validate the application of these guiding principles and make improvements based on the findings.

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Section: Resultsmentioning

confidence: 99%

Aiming for quality: a global compass for national learning systems

Sarakbi

Mensah-Abrampah

Kleine-Bingham

et al. 2021

Health Res Policy Sys

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“…The BFHP did not create a first-of-its-kind project but instead implemented successful facets of other programs, such as the SOFT approach (see Table 1), and used an evidence-based foundation. Across the United States, several local and state health departments have implemented similar methods and programs to improve maternity care practices (Freney, Johnson, & Knox, 2016; Oklahoma State Department of Health, 2013). Accordingly, some key activities used within the BFHP can be duplicated, and similar program successes may be achieved by other states.…”

Section: Discussionmentioning

confidence: 99%

Key Program Findings and Insights From the Baby-Friendly Hawaii Project

et al. 2017

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Background Breastfeeding is the optimal method for infant feeding. In the United States, 81.1% of mothers initiate breastfeeding; however, only 44.4% and 22.3% of mothers are exclusively breastfeeding at 3 and 6 months, respectively. Research aim The Centers for Disease Control and Prevention provides guidance and funding to state health departments to support strategies to improve breastfeeding policies and practices in the hospital, community, and worksite settings. In 2010, the Hawaii State Department of Health received support from the Centers for Disease Control and Prevention to launch the Baby-Friendly Hawaii Project (BFHP) to increase the number of Hawaii hospitals that provide maternity care consistent with the Ten Steps to Successful Breastfeeding and increase the rate of women who remain exclusively breastfeeding throughout their hospital stay. Methods For this article, we examined the BFHP’s final evaluation report and Hawaii breastfeeding and maternity care data to identify the role of the BFHP in facilitating improvements in maternity care practices and breastfeeding rates. Results Since 2010, 52 hospital site visits, 58 trainings, and ongoing technical assistance were administered, and more than 750 staff and health professionals from BFHP hospitals were trained. Hawaii’s overall quality composite Maternity Practices in Infant Nutrition and Care score increased from 65 (out of 100) in 2009 to 76 in 2011 and 80 in 2013, and Newborn Screening Data showed an increase in statewide exclusive breastfeeding from 59.7% in 2009 to 77.0% in 2014. Conclusion Implementation and findings from the BFHP can inform future planning at the state and federal levels on maternity care practices that can improve breastfeeding.

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“…ASI eksklusif memiliki banyak manfaat dari segi kesehatan dan ekonomi terutama untuk ibu, bayi, dan masyarakat (Freney, Johnson, & Knox, 2016). Beberapa bukti menunjukkan bahwa ASI eksklusif memiliki pengaruh terhadap perekonomian negara maju maupun berkembang melalui pencegahan biaya kesehatan.…”

Section: Pendahuluanunclassified

“…Beberapa bukti menunjukkan bahwa ASI eksklusif memiliki pengaruh terhadap perekonomian negara maju maupun berkembang melalui pencegahan biaya kesehatan. Namun beberapa bukti ini telah gagal menjadikan menyusui sebagai prioritas bagi para pembuat kebijakan di negara maju dan berkembang (Carroll, Buccini, & Pérez-Escamilla, 2018;Freney et al, 2016;Gupta, Suri, Dadhich, Trejos, & Nalubanga, 2019). Angka menyusui mengalami peningkatan yang sangat lambat.…”

Section: Pendahuluanunclassified

Kelompok Pendamping Stimulasi Produksi Asi (Kp-Stipasi) Berbasis Community Support Di Kelurahan Karangroto Semarang

Wuriningsih¹,

Khasanah

Sari

2019

Kumawula

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Air susu ibu (ASI) merupakan nutrisi terbaik untuk kesehatan bayi. World Health Organisation (WHO) dan United Nations Children’s Fund(UNICEF) merekomendasikan pelaksanaan inisiasi menyusui dini (IMD), pemberian ASI eksklusif selama 6 bulan pertama kehidupan, dan terus menyusui sampai usia 24 bulan sebagai strategi penting untuk mengurangi kematian bayi, khususnya di negara berkembang. Tujuan kegiatan Kelompok Pendamping Stimulasi Produksi ASI (KP-STIPASI), yaitu meningkatkan pemahaman, kesadaran, dan keterampilan ibu hamil di Kelurahan Karangroto untuk mempersiapkan proses menyusui dan ASI eksklusif. Metode pelaksanaan terdiri dari sosialisasi, peningkatan kompetensi, latihan ketrampilan, monitoring dan evaluasi. Hasil kegiatan menunjukkan bahwa terbentuknya forum diskusi kader kesehatan dengan fokus kegiatan pada ibu hamil untuk mempersiapkan proses menyusui di bawah binaan Puskesmas Bangetayu, meningkatnya kemampuan dan ketrampilan kader kesehatan dalam menstimulasi produksi ASI dari 25% menjadi 87%, meningkatkan prenatal breastfeeding self efficacydari 35% menjadi 85%. KP-STIPASI berbasis community supportmenjadi strategi yang tepat untuk memberdayakan masyarakat dalam meningkatkan kesiapandan keyakinan ibu hamil untuk menyusui eksklusif (prenatal breastfeeding self efficacy). Kegiatan PKM selanjutnya diharapkan dapat mengembangakan KP-STIPASI berbasis community supportdi seluruh RW Kelurahan Karangroto. Kegiatan tidak hanya berfokus pada ibu hamil, namun juga pada ibu yang memiliki anak berusia di bawah dua tahun (baduta) dan ibu menyusui.

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Promoting Breastfeeding-Friendly Hospital Practices

Abstract: This learning collaborative approach was valued by participants. Future efforts can be guided by these evaluation findings.

Cited by 7 publications

References 18 publications

Aiming for quality: a global compass for national learning systems

Aiming for quality: a global compass for national learning systems

Key Program Findings and Insights From the Baby-Friendly Hawaii Project

Kelompok Pendamping Stimulasi Produksi Asi (Kp-Stipasi) Berbasis Community Support Di Kelurahan Karangroto Semarang

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