Table 1 Summary of key interventions in BFHI process at CMC
Category | Key interventions |
|---|---|
Phase 1: Hospital policies and infrastructure | • Completion of WHO self-assessment tool • Revision of existing newborn policy • Drafting of new policies on EBF, skin-to-skin contact, and rooming-in • Revision of existing “no formula on the wards” policy • Construction of a private breastfeeding room for consultations and patient use |
Phase 2: Healthcare staff practices | • Formation of an EBF team to lead BFHI implementation process • Incorporation of EBF topics into institutional training for new hires and current staff • Implementation of rooming-in and skin-to-skin practices with patients • Allocation of expert lactation consultant to supervise midwife/nurse team • Addition of newborn flow sheet to electronic medical record to document feedings • Requirement of medical order by pediatrician for an infant to receive formula |
Phase 3: Patient education | • Addition of EBF session into prenatal education classes for expecting mothers • Provision of informational materials on breastfeeding and infant care at discharge • Availability of lactation consultant for post-discharge consultations five days a week • Creation of breastfeeding support phone line for questions 24 h a day |