Scoping Review of Baby-Friendly Hospital Initiative Compliance and Breastfeeding Initiation in Sri Lanka

Lokeesan, Laavanya; Martín, Elizabeth; Miller, Yvette D.

doi:10.1016/j.jogn.2021.12.005

Cited by 6 publications

(8 citation statements)

References 54 publications

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“…Some of the reviews are country specific, e.g. Korea [ 25 ], Australia, [ 26 , 27 ], the US [ 28 , 29 ] and the UK [ 8 ].…”

Section: Resultsmentioning

confidence: 99%

“…Barriers seen at a national level in Australia, included lack of uniformity in perception of the benefits of BFHI at all levels of the health system, leading to varied uptake of the BFHI across the country [ 25 ]. Also in Australia, there were complexities and prolonged processes of accreditation and re-accreditation, which were linked to varied sizes of health facilities and geography [ 40 ].…”

Section: Resultsmentioning

confidence: 99%

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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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“…Some of the reviews are country specific, e.g. Korea [ 25 ], Australia, [ 26 , 27 ], the US [ 28 , 29 ] and the UK [ 8 ].…”

Section: Resultsmentioning

confidence: 99%

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

show abstract

“…Step 2 [22,23]. Some of the reviews are country speci c, eg Korea [24] and Australia, [25,26], the US [27,28]; UK [8].…”

Section: Reviewsmentioning

confidence: 99%

Improving breastfeeding support through the implementation of the baby friendly hospital and community initiatives: a scoping review

Walsh

Pieterse

Mishra

et al. 2023

Preprint

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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 279 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 post-partum 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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“…Early breastfeeding is more likely with babies who weighed ≥2500g, who were born vaginally, in government hospitals, and were home-visited by a Public Health Midwife (Senarath et al, 2012), consistent with global literature (Sharma & Byrne, 2016;Yilmaz et al, 2017). The role of a wider range of possible circumstances that explain variations in early initiation of breastfeeding in Sri Lanka is not clear (Lokeesan et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

Predictors of early initiation of breastfeeding in women who birth in government hospitals in Sri Lanka: an assessment across socio-demographic and clinical measures

Lokeesan

Martín

Miller

2023

Preprint

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Introduction Early initiation of breastfeeding can be predicted by socio-demographic and clinical characteristics of birthing women, and health care support for breastfeeding. However, the relative influence of many of these characteristics on early initiation of breastfeeding has not been established in Sri Lanka. Therefore, we aimed to identify predictors of early initiation of breastfeeding across a wide range of socio-demographic and clinical characteristics. Methods A cross-sectional survey was conducted with women who had a live baby across four government hospitals in Sri Lanka. Women who were 12 hours post-birth and still admitted to the hospital were invited to participate. Data were collected by eliciting quantitative data through participant interviews and extracting additional information from their medical records. Contribution of socio-demographic and clinical characteristics to explaining variations in early initiation of breastfeeding was estimated using binary logistic regression analysis with simultaneous adjustment. Results The response rate was 83.8%, with 302 women participating. The proportion of women who initiated breastfeeding within one hour of birth was 64.5% (n=195). Women were more likely to initiate breastfeeding within one hour of birth if their body mass index was < 18.5 kg/m2 (OR: 4.17; 95% CI: 1.23-14.05), and less likely if they gave birth by elective caesarean section (OR: 0.27; 95% CI: 0.14-0.51), were administered antibiotics (OR: 0.4; 95% CI: 1.05-4.73) and had a baby with respiratory distress (OR: 0.08, 95% CI: 0.01-0.57). Conclusion Current intrapartum care practices associated with elective caesarean and antibiotic administration, and immediate care of babies with respiratory distress, should be critically reviewed for understanding the mechanisms underlying their negative impact on breastfeeding initiation in Sri Lanka.

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Scoping Review of Baby-Friendly Hospital Initiative Compliance and Breastfeeding Initiation in Sri Lanka

Cited by 6 publications

References 54 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

Improving breastfeeding support through the implementation of the baby friendly hospital and community initiatives: a scoping review

Predictors of early initiation of breastfeeding in women who birth in government hospitals in Sri Lanka: an assessment across socio-demographic and clinical measures

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