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Table 1 Baby Friendly Initiative core hospital and community aspects

From: Stakeholders’ views of the Baby Friendly Initiative implementation and impact: a mixed methods study

10 steps to successful breastfeeding [6]

7-point Baby Friendly Initiative for sustained breastfeeding in the community [9]

1a. Comply fully with the International Code of Marketing of Breast-milk Substitutes and relevant World Health Assembly resolutions.

1b. Have a written infant feeding policy that is routinely communicated to staff and parents.

1c. Establish ongoing monitoring and data-management systems.

2. Ensure that staff have sufficient knowledge, competence and skills to support breastfeeding.

3. Discuss the importance and management of breastfeeding with pregnant women and their families.

4. Facilitate immediate and uninterrupted skin-to-skin contact and support mothers to initiate breastfeeding as soon as possible after birth.

5. Support mothers to initiate and maintain breastfeeding and manage common difficulties.

6. Do not provide breastfed newborns any food or fluids other than breast milk, unless medically indicated.

7. Enable mothers and their infants to remain together and to practice rooming-in 24 h a day.

8. Support mothers to recognize and respond to their infants’ cues for feeding.

9. Counsel mothers on the use and risks of feeding bottles, teats and pacifiers.

10. Coordinate discharge so that parents and their infants have timely access to ongoing support and care.

1. Have a written breastfeeding policy that is routinely communicated to all healthcare staff.

2. Train all staff involved in the care of mothers and babies in the skills necessary to implement the policy.

3. Inform all pregnant women about the benefits and management of breastfeeding.

4. Support mothers to initiate and maintain breastfeeding.

5. Encourage exclusive and continued breastfeeding, with appropriately timed introduction of complementary foods.

6. Provide a welcoming atmosphere for breastfeeding families.

7. Promote co-operation between healthcare staff, breastfeeding support groups and the local community.