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The revitalization and scale-up of the Baby-Friendly Hospital Initiative in Malawi.
Kavle, Justine A; Welch, Patricia R; Bwanali, Florence; Nyambo, Kanji; Guta, Janet; Mapongo, Natalia; Straubinger, Sarah; Kambale, Susan.
Afiliación
  • Kavle JA; USAID's Maternal and Child Survival Program/PATH, Washington, District of Columbia.
  • Welch PR; USAID's Maternal and Child Survival Program/PATH, Washington, District of Columbia.
  • Bwanali F; USAID's Maternal and Child Survival Program/PATH Malawi, Lilongwe, Malawi.
  • Nyambo K; USAID's Maternal and Child Survival Program/PATH Malawi, Lilongwe, Malawi.
  • Guta J; Department of Nutrition, HIV and AIDS, Malawi Ministry of Health, Lilongwe, Malawi.
  • Mapongo N; Department of Nutrition, HIV and AIDS, Malawi Ministry of Health, Lilongwe, Malawi.
  • Straubinger S; USAID's Maternal and Child Survival Program/PATH, Washington, District of Columbia.
  • Kambale S; Child and Adolescent Health and Nutrition, World Health Organization (WHO), Country Office, Lilongwe, Malawi.
Matern Child Nutr ; 15 Suppl 1: e12724, 2019 01.
Article en En | MEDLINE | ID: mdl-30748119
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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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Lactancia Materna / Educación del Paciente como Asunto / Hospitales / Madres Tipo de estudio: Evaluation_studies / Guideline Aspecto: Implementation_research Límite: Female / Humans / Newborn País/Región como asunto: Africa Idioma: En Revista: Matern Child Nutr Asunto de la revista: CIENCIAS DA NUTRICAO / PERINATOLOGIA Año: 2019 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Lactancia Materna / Educación del Paciente como Asunto / Hospitales / Madres Tipo de estudio: Evaluation_studies / Guideline Aspecto: Implementation_research Límite: Female / Humans / Newborn País/Región como asunto: Africa Idioma: En Revista: Matern Child Nutr Asunto de la revista: CIENCIAS DA NUTRICAO / PERINATOLOGIA Año: 2019 Tipo del documento: Article Pais de publicación: Reino Unido