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Baby-friendly hospitals in Turkey: evaluation of adherence to the Ten Steps to Successful Breastfeeding

Eastern Mediterranean health journal, 2022-05, Vol.28 (5), p.352-361 [Peer Reviewed Journal]

COPYRIGHT 2022 World Health Organization ;Copyright World Health Organization 2022 ;ISSN: 1020-3397 ;EISSN: 1020-3397 ;DOI: 10.26719/emhj.22.021

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  • Title:
    Baby-friendly hospitals in Turkey: evaluation of adherence to the Ten Steps to Successful Breastfeeding
  • Author: Çaylan, Nilgün ; Kiliç, Melek ; Yalçin, Siddika ; Tezel, Basak ; Kara, Fatih
  • Subjects: Analysis ; Bottle feeding ; Breast feeding ; Breastfeeding & lactation ; Certification ; Children & youth ; Collaboration ; Committees ; Evaluation ; Health aspects ; Health care facilities ; Health facilities ; Health promotion ; Hospital facilities ; Hospitals ; Hospitals, Gynecologic and obstetric ; Laws, regulations and rules ; Management ; Marketing ; Methods ; Neonates ; Sustainability ; Sustainable development
  • Is Part Of: Eastern Mediterranean health journal, 2022-05, Vol.28 (5), p.352-361
  • Description: Background: The Baby-Friendly Hospital Initiative (BFHI) is a World Health Organization and United Nations Children's Fund joint global programme to protect, promote and support breastfeeding. Sustainability of the BFHI standards is important for health facilities and country-level implementation. Aims: To analyse the 2018-2019 external reassessment results of baby-friendly hospitals (BFHs) in Turkey. Methods: We included 414 BFHs. The Ten Steps to Successful Breastfeeding were divided into 2 groups: critical management procedures (Steps 1 and 2) and key clinical practices (Steps 3-10). Results: All 10 steps were fulfilled by 60.1% of the hospitals. Steps 3 and 2 had the lowest compliance rates (81.6% and 85.7%), and Steps 7 and 8 had the highest rates (97.1% and 98.1%). Caesarean section rates in the fourth quartile were associated with significantly lower adherence to Steps 3 and 10. The presence of another external reassessment within 5 years was associated with a significantly higher adherence rate to Step 3, and a significantly higher full implementation rate for the clinical practices. Hospitals that fully implemented management procedures had a significantly higher fulfilment percentage for all clinical practices. The western region had higher adherence rates for all the clinical practices than other regions. Conclusion: Reassessments seem useful for sustainability. Full compliance with Steps 1 and 2 is important for higher adherence to the clinical steps. Regional variations should be taken into account in the implementation of the programme. Keywords: Baby-Friendly Hospital Initiative, Ten Steps to Successful Breastfeeding, International Code of Marketing of Breastmilk Substitutes, reassessment, adherence rate, Turkey Citation: Çaylan N; Kiliç M; Yalçin S; Tezel B; Kara F. Baby-friendly hospitals in Turkey: evaluation of adherence to the Ten Steps to Successful Breastfeeding. East Mediterr Health J. 2022;28(5):352-361. Received: 21/04/21; accepted: 04/11/21
  • Publisher: Alexandria: World Health Organization
  • Language: English
  • Identifier: ISSN: 1020-3397
    EISSN: 1020-3397
    DOI: 10.26719/emhj.22.021
  • Source: GFMER Free Medical Journals
    Alma/SFX Local Collection
    ProQuest Central
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