title: Compliance of a Baby-Friendly Designated Hospital in Ghana With the WHO/UNICEF Baby and Mother-Friendly Care Practices
creator: Agbozo, Faith
creator: Ocansey, Doris
creator: Atitto, Prosper
creator: Jahn, Albrecht
subject: ddc-610
subject: 610 Medical sciences Medicine
description: Background: Although the Baby-Friendly Hospital Initiative has improved breastfeeding rates globally, weak monitoring still affects hospital-level implementation.    Research aim: To reassess compliance of a Baby-Friendly Hospital with the Ten Steps to Successful Breastfeeding, International Code of Marketing of Breast-milk Substitutes, HIV and Infant Feeding, and Mother-Friendly Care following the WHO/UNICEF global criteria.    Methods: In this cross-sectional, prospective, mixed-methods study (N = 180), clinical staff (n = 60), pregnant women (n = 40), postpartum mothers (n = 60), and mothers of babies in intensive care (n = 20) were randomly selected from one urban secondary-level public hospital in Ghana designated as Baby-Friendly in 2004 but never reassessed. Data were collected through interviews, document reviews, and observations using the revised WHO/UNICEF external reassessment tool and analyzed quantitatively using the Baby-Friendly Hospital Initiative computer tool. Scores higher than 80% signified a pass (high compliance). Scores rated as low (< 50%) and moderate (50–80%) signified noncompliance.    Results: The facility passed the criteria for full compliance with the International Code (86%) but failed other components. Compliance with the Ten Steps was moderate (55%). Step 7 about rooming-in (84%) and Step 9 about human milk substitutes (100%) were passed, whereas Step 1 about written breastfeeding policies (0%), Step 2 about staff training (7%), and Step 4 about early breastfeeding initiation (31%) were met the least. Compliance with Mother-Friendly Care (34%) and HIV and Infant Feeding (47%) were low. Main implementation gaps were unavailability of policies and staff’s inadequate knowledge about Baby-Friendly practices.    Conclusions: Improving staff training and maternal counseling, routinely reassessing designated facilities, and providing  technical support in problematic areas might sustain implementation.
publisher: Sage Science Press
date: 2020
type: Article
type: info:eu-repo/semantics/article
type: NonPeerReviewed
format: application/pdf
identifier: https://archiv.ub.uni-heidelberg.de/volltextserverhttps://archiv.ub.uni-heidelberg.de/volltextserver/29132/1/10.1177_0890334419848728.pdf
identifier: DOI:10.11588/heidok.00029132
identifier: https://doi.org/10.1177/0890334419848728
identifier: urn:nbn:de:bsz:16-heidok-291321
identifier:   Agbozo, Faith ; Ocansey, Doris ; Atitto, Prosper ; Jahn, Albrecht  (2020) Compliance of a Baby-Friendly Designated Hospital in Ghana With the WHO/UNICEF Baby and Mother-Friendly Care Practices.  Journal of Human Lactation, 36 (1).  pp. 175-186.  ISSN 0890-3344 (Druck-Ausg.), 1552-5732 (Online-Ausg.)     
relation: https://archiv.ub.uni-heidelberg.de/volltextserver/29132/
rights: info:eu-repo/semantics/openAccess
rights: http://archiv.ub.uni-heidelberg.de/volltextserver/help/license_urhg.html
language: eng