1. ©2013 Baby-Friendly USA, Inc.
The 2016 BFHI Guidelines and Evaluation Criteria
November 16, 2017
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2. ©2013 Baby-Friendly USA, Inc.
OBJECTIVES
Participants will be able to:
Describe the two key changes found in the 2016 Guidelines and Evaluation Criteria
Describe 2 WHO Guidelines both titled “Protecting, Promoting and Supporting Breastfeeding in facilities providing maternity and newborn services”
One is proposed
One is final
Describe the location of BFHI safety information
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3. ©2013 Baby-Friendly USA, Inc.
SPEAKER DISCLOSURES
The speaker discloses employment with Baby-Friendly USA, Inc.
There are no other conflicts of interest.
This presentation is not supported by any funds from companies that violate the International Code of Marketing of Breastmilk Substitutes.
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4. ©2013 Baby-Friendly USA, Inc.
US DATA
467 Designated Facilities (11/10/17)
667 working towards designation
282 facilities in the Discovery Phase
65 facilities in the Development Phase
114 facilities in the Dissemination Phase
197 facilities in the Designation Phase
22.38% (892,000) births in BFHI Hospitals
~3100 total birthing facilities in US
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5. ©2013 Baby-Friendly USA, Inc.
New Mexico DATA
7 Designated Facilities (11/10/17)
19 working towards designation
7 facilities in the Discovery Phase
1 facilities in the Development Phase
8 facilities in the Dissemination Phase
8 facilities in the Designation Phase
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6. ©2013 Baby-Friendly USA, Inc.
The 2016 Guidelines and Evaluation Criteria
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7. GUIDEINES AND EVALUATION CRITERIA Updated - July 2016
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8. GUIDELINES AND EVALUATION CRITERIA Updated - July 2016
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9. Guideline - the standard of care to strive to achieve for all patients
GUIDELINES AND EVALUATION CRITERIA
Updated - July 2016
Guideline - the standard of care to strive to achieve for all patients
Criteria for Evaluation – the minimum standard that must be achieved in order to become designated as Baby-Friendly
The GEC are based on the Ten Steps to Successful Breastfeeding and the International Code of Marketing of Breast Milk Substitutes. The are organized in Ten Step oder. Each Step has at least 1 Guideline and each Guideline as at least one Evaluation Criteria.
The Guidelines represent the standard of care you should strive to achieve for all patients. The criteria for evaluation is the minimum standard for that step that must be achieved for Baby-Friendly designation.
Always strive to achieve 100%.
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10. The Guideline states “all mothers…”
GUIDELINES AND EVALUATION CRITERIA
Updated - July 2016
The Guideline states “all mothers…”
The Criteria for Evaluation states “80% will report…”
Always strive to achieve 100%.
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11. GUIDELINES AND EVALUATION CRITERIA - Summary of Changes
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12. Well-trained staff provides current, evidence-based care.
GUIDELINES AND EVALUATION CRITERIA - FUNDAMENTAL PRINCIPLES
Well-constructed, comprehensive policies effectively guide staff to deliver evidence-based care.
Well-trained staff provides current, evidence-based care.
Monitoring of practice is required to assure adherence to policy.
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13. GUIDELINES AND EVALUATION CRITERIA - FUNDAMENTAL PRINCIPLES
Breastfeeding has been recognized by scientific authorities as the optimal method of infant feeding and should be promoted as the norm within all maternal and child health care facilities.
The most sound and effective procedural approaches to supporting breastfeeding and human lactation in the birthing environment that have been documented in the scientific literature to date should be followed by the health facility.
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14. GUIDELINES AND EVALUATION CRITERIA - FUNDAMENTAL PRINCIPLES
The health care delivery environment should be neither restrictive nor punitive and should facilitate informed health care decisions on the part of the mother and her family.
The health care delivery environment should be sensitive to cultural and social diversity.
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15. GUIDELINES AND EVALUATION CRITERIA - FUNDAMENTAL PRINCIPLES
The mother and her family should be protected within the health care setting from false or misleading product promotion and/or advertising which interferes with or undermines informed choices regarding infant health care practices. .
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16. GUIDELINES AND EVALUATION CRITERIA - FUNDAMENTAL PRINCIPLES
When a mother has chosen not to breastfeed, when supplementation of breastfeeding is medically indicated, or when supplementation is chosen by the breastfeeding mother (after appropriate counseling and education), it is crucial that safe and appropriate methods of formula mixing, handling, storage, and feeding are taught to the parents.
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17. Recognition as a Baby-Friendly institution should have
GUIDELINES AND EVALUATION CRITERIA - FUNDAMENTAL PRINCIPLES
Recognition as a Baby-Friendly institution should have
both national and international credibility and prestige,
so that it is marketable to the community, increases demand, and
thereby improves motivation among facilities to participate in the Initiative.
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18. GUIDELINES AND EVALUATION CRITERIA - FUNDAMENTAL PRINCIPLES
Participation of any facility in the U.S. BFHI is entirely voluntary and is available to any institution providing birthing services.
Each participating facility assumes full responsibility for assuring that its implementation of the BFHI is consistent with all of its safety protocols.
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19. GUIDELINES AND EVALUATION CRITERIA - Numbering System
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20. GUIDELINES AND EVALUATION CRITERIA - Step 2 Changes
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21. GUIDELINES AND EVALUATION CRITERIA - Step 3 Changes
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22. GUIDELINES AND EVALUATION CRITERIA - Step 5 Clarification
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23. GUIDELINES AND EVALUATION CRITERIA - Step 6 Clarification
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24. GUIDELINES AND EVALUATION CRITERIA - Step 9 Clarification
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25. GUIDELINES AND EVALUATION CRITERIA – Appendix A Clarification
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26. GUIDELINES AND EVALUATION CRITERIA – Appendix B Clarification
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27. DRAFT 2017 Global Requirements
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28. DRAFT 2017 Global Requirements
In October 2017, the WHO proposed some new ideas for implementing the BFHI globally. The final document has not yet been published.
This is a global document meant to address a wide variety of challenges experienced by all countries around the world.
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29. GUIDELINE: Updated Evidence
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30. DRAFT 2017 Global Requirements
STAY THE COURSE!!!!
Once WHO finalizes the guidance, BFUSA will review new requirements and update our GEC and relevant materials.
The current Guidelines will remain in effect until BFUSA public issues new standards for the US. Facilities will be given an appropriate implementation timeframe for meeting any new standards.
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31. ©2013 Baby-Friendly USA, Inc.
Safety of BFHI Practices
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32. ©2013 Baby-Friendly USA, Inc.
Safety Page on Website
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33. ©2013 Baby-Friendly USA, Inc.

34. Safety of BFHI Practices
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35. Safety of BFHI Practices
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36. Safety of BFHI Practices
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37. Safety of BFHI Practices
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38. For More Information Visit our Website

39. Thank you for all you do to care for the mothers and babies you serve!
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