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The revitalization and scale‐up of the Baby‐Friendly Hospital Initiative in Malawi

The Baby‐Friendly Hospital Initiative (BFHI) has shown to strengthen health providers' skills in the provision of breastfeeding counselling and support, which have led to improvements in breastfeeding outcomes. In Malawi, where BFHI was introduced in 1993 but later languished due to losses in f...

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Published in:Maternal and child nutrition 2019-01, Vol.15 (S1), p.e12724-n/a
Main Authors: Kavle, Justine A., Welch, Patricia R., Bwanali, Florence, Nyambo, Kanji, Guta, Janet, Mapongo, Natalia, Straubinger, Sarah, Kambale, Susan
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cited_by cdi_FETCH-LOGICAL-c4154-5b610262a0acc4363bb5a883829d658d0d054cf33f3b66d76d4dc9c58e991b253
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description The Baby‐Friendly Hospital Initiative (BFHI) has shown to strengthen health providers' skills in the provision of breastfeeding counselling and support, which have led to improvements in breastfeeding outcomes. In Malawi, where BFHI was introduced in 1993 but later languished due to losses in funding, the Maternal and Child Survival Program supported the Malawi Ministry of Health (MOH) in the revitalization and scale‐up of BFHI in 54 health facilities across all 28 districts of the country. This paper describes the revitalization and scale‐up process within the context of an integrated health project; successes, challenges, and lessons learned with BFHI implementation; and the future of BFHI in Malawi. More than 80,000 mothers received counselling on exclusive breastfeeding following childbirth prior to discharge from the health facility. Early initiation of breastfeeding was tracked quarterly from baseline through endline via routine MOH health facility data. Increases in early initiation of breastfeeding were seen in two of the three regions of Malawi: by 2% in the Central region and 6% in the Southern region. Greater integration of BFHI into Malawi's health system is recommended, including improved preservice and in‐service trainings for health providers to include expanded BFHI content, increased country financial investments in BFHI, and integration of BFHI into national clinical guidelines, protocols, and nutrition and health policies.
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subjects Baby‐Friendly Hospital Initiative
Breast Feeding - psychology
Breast Feeding - statistics & numerical data
breastfeeding
breastfeeding initiation, implementation science, scale up
Counseling
Female
Financing, Government
Health Knowledge, Attitudes, Practice
Health Personnel - education
Health Promotion - methods
Hospitals
Humans
infant and young child feeding
Infant, Newborn
Inservice Training
Malawi
Mothers - education
Mothers - psychology
Patient Education as Topic - methods
Program Evaluation
Supplement
United Nations
World Health Organization
title The revitalization and scale‐up of the Baby‐Friendly Hospital Initiative in Malawi
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