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This document outlines the Baby-Friendly USA self-appraisal tool designed for hospitals and birth centers to review their practices regarding breastfeeding support and the implementation of the WHO/UNICEF
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How to fill out baby-friendly hospital initiative self-appraisal

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How to fill out Baby-Friendly Hospital Initiative Self-Appraisal Tool

01
Obtain the Baby-Friendly Hospital Initiative Self-Appraisal Tool from the official website or designated authority.
02
Familiarize yourself with the 10 Steps to Successful Breastfeeding, which are the foundational elements of the initiative.
03
Gather relevant data and documents about your hospital’s current policies and practices related to breastfeeding and mother-baby care.
04
Assess each section of the tool by answering the questions honestly based on your hospital's practices.
05
Collaborate with key stakeholders such as healthcare providers, nursing staff, and management during the appraisal process to ensure a comprehensive review.
06
Document areas of strength as well as weaknesses that need improvement.
07
Develop an action plan based on the findings from the self-appraisal to address any identified gaps.
08
Review and update the appraisal periodically to track progress and make necessary adjustments.

Who needs Baby-Friendly Hospital Initiative Self-Appraisal Tool?

01
Hospitals and healthcare facilities seeking Baby-Friendly designation.
02
Healthcare providers involved in maternity and newborn care.
03
Policy makers focusing on maternal and child health.
04
Quality improvement teams aiming to enhance breastfeeding support.
05
Organizations promoting breastfeeding and maternal health initiatives.
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Give newborn infants no food or drink other than milk unless medically indicated. Practise rooming in – allow mothers and infants to remain together – 24 hours a day. Encourage breastfeeding on demand. Give no artificial teats or pacifiers (also called dummies or soothers) to breastfeeding infants.
The Baby Friendly Initiative is a global program of UNICEF and the World Health Organization which works with health services to improve practice so that parents are enabled and supported to make informed choices about how they feed and care for their babies.
This self-appraisal tool has been developed for use by maternity facilities, to evaluate how their current practices measure up to the Ten Steps to Successful Breastfeeding and readiness for assessment for Baby Friendly Health Initiative (BFHI) accreditation.
It aims at improving the care of pregnant women, mothers and newborns at health facilities that provide maternity services for protecting, promoting and supporting breastfeeding, in ance with the International Code of Marketing of -milk Substitutes.
The Baby-friendly Hospital Initiative (BFHI) is a global effort launched by WHO and UNICEF to implement practices that protect, promote and support breastfeeding. It was launched in 1991 in response to the Innocenti Declaration.
Conclusion. The global evidence consistently supports the conclusion that adherence to the BFHI Ten Steps has a positive impact on short‐term, medium‐term and longer‐term BF outcomes across geographies.
To date, research on the Baby-Friendly tenets has produced conflicting results. Some studies have suggested that supplementation with formula — a no-no ing to the initiative — actually bolstered breastfeeding, since less stress might lead to a more robust milk supply. Others have found no such benefits.
Infographics Ten steps 1. Hospital Policies. Ten steps 2. Staff competency. Ten steps 3. Antenatal care. Ten steps 4. Care right after birth. Ten steps 5. Support mothers with breastfeeding. Ten steps 6. Supplementing. Ten steps 7. Rooming-in. Ten steps 8. Responsive feeding.

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The Baby-Friendly Hospital Initiative Self-Appraisal Tool is a resource designed to help hospitals assess their practices regarding breastfeeding and baby-friendly policies. It provides a framework for evaluating how well the institution is adhering to the principles of the Baby-Friendly Hospital Initiative.
Hospitals and maternity facilities that are participating in the Baby-Friendly Hospital Initiative are required to file the Self-Appraisal Tool as part of their assessment process for achieving or maintaining Baby-Friendly designation.
To fill out the Self-Appraisal Tool, facilities must review their current practices, gather data related to breastfeeding support, and respond to the questions in the tool based on their findings. It typically involves collaboration among staff from various departments within the hospital.
The purpose of the Self-Appraisal Tool is to provide a structured method for hospitals to evaluate their compliance with the Baby-Friendly standards, identify areas for improvement, and enhance the support they provide for breastfeeding mothers and infants.
The Self-Appraisal Tool requires reporting on various aspects of breastfeeding support practices, staff training, patient education, and maternity care policies. Facilities need to provide evidence of their adherence to the 'Ten Steps to Successful Breastfeeding' outlined by the Baby-Friendly Hospital Initiative.
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