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Implementing two national responsibilities of the revised UNICEF/WHO Baby-Friendly Hospital Initiative: A two-country case study.
Mukuria-Ashe, Altrena; Klein, Alyssa; Block, Charlotte; Nyambo, Kanji; Uyehara, Malia; Mtengowadula, George; Nyirongo, Godwin; Mansimov, Adil; Okenov, Samat; Alvey, Jeniece.
Afiliación
  • Mukuria-Ashe A; USAID Advancing Nutrition, Arlington, Virginia, USA.
  • Klein A; Save the Children USA, Washington, District of Columbia, USA.
  • Block C; USAID Advancing Nutrition, Arlington, Virginia, USA.
  • Nyambo K; John Snow, Inc. (JSI) Research & Training Institute, Inc., Arlington, Virginia, USA.
  • Uyehara M; USAID Advancing Nutrition, Arlington, Virginia, USA.
  • Mtengowadula G; NCBA CLUSA, Washington, District of Columbia, USA.
  • Nyirongo G; Independent Consultant, Lilongwe, Malawi.
  • Mansimov A; USAID Advancing Nutrition, Arlington, Virginia, USA.
  • Okenov S; John Snow, Inc. (JSI) Research & Training Institute, Inc., Arlington, Virginia, USA.
  • Alvey J; SP Trainers & Research Consultants, Lilongwe, Malawi.
Matern Child Nutr ; 19(1): e13422, 2023 01.
Article en En | MEDLINE | ID: mdl-36176183
The 2018 implementation guidance for the Baby-Friendly Hospital Initiative (BFHI) recommends institutionalising the ten Steps through nine national responsibilities for universal coverage and sustainability. As countries adapt BFHI programmes to this paradigm shift away from traditional designation programmes, documenting and sharing policy and programme experience are critical and currently sparse. This qualitative case study included desk reviews of published and grey literature on BFHI programming, national plans and policy documents specific to the selected national responsibilities for universal coverage and key informant (KI) interviews across a range of actors. In the Kyrgyz Republic, the case study explored responsibility 5, development and implementation of incentives and/or sanctions, and responsibility 6 in Malawi, providing technical assistance (TA). In both countries, the three sustainability responsibilities (national monitoring [7] communication and advocacy [8] and financing [9]) as they relate to the universal coverage of the targeted responsibilities were also explored. Thirty-eight respondents in the Kyrgyz Republic described approaches that were used in the health system, including BFHI designation plaques, performance-based financing and financial sanctions. However, currently, there are no formal incentives and sanctions. In Malawi, TA was utilised for national planning and to introduce quality improvement processes. Forty-seven respondents mostly described provisions of TA in building and strengthening the capacity of providers. More programmatic evidence to demonstrate which types of incentives or sanctions can be effective and sustained and more documentation of how TA is provided across multiple aspects of implementation are needed as countries institutionalise BFHI.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Lactancia Materna / Promoción de la Salud Tipo de estudio: Qualitative_research Límite: Female / Humans Idioma: En Revista: Matern Child Nutr Asunto de la revista: CIENCIAS DA NUTRICAO / PERINATOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos 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 / Promoción de la Salud Tipo de estudio: Qualitative_research Límite: Female / Humans Idioma: En Revista: Matern Child Nutr Asunto de la revista: CIENCIAS DA NUTRICAO / PERINATOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido