bfhi and primary health care dr.khalid iqbal ... · baby friendly hospital initiative (bfhi)...

BFHI AND PRIMARY BFHI AND PRIMARY HEALTH CAREHEALTH CARE

DR.KHALID IQBALDR.KHALID IQBALNeonatologistNeonatologist & Lactation Consultant& Lactation Consultant

Dubai Dubai Hospital, DUBAI.Hospital, DUBAI.

BABY-FRIENDLY WAY

BABY FRIENDLY HOSPITAL INITIATIVE (BFHI)

FACILITY-BASED

MATERNITY - BASED

NEED FOR MORE ATTENTION

STEP 10

Step 10 has not achieved full implementation in a wide variety of settings

THE EXPANSION AND INTEGRATION

1. TO CREATE MORE CREATIVE AND SUPPORTIVE MOTHER AND BABY-FRIENDLY CARE

2. TO REDUCE POST-DISCHARGE LACTATION FAILURE

BREASTFEEDING PROCESS

STAGE 1 INITIATION – LABOUR SUITE

STAGE 2 ESTABLISHMENT – POSTNATAL WARDS

STAGE 3 MAINTAINING BREASTFEEDING AND SUSTAINABILITY (Step 10)

(Primary Health Centres and Community Health Education)

BFHI AND PRIMARY HEALTH CARE CENTRES

CONTINUATION OF BABY FRIENDLY PRACTICES

MAINTAINING EXCLUSIVE BREASTFEDING

EXPANSION AND INTEGRATION POSSIBILITIES

PRIMAY HEALTH CARE CENTRES

To promote links between hospitals and healthcentres with regard to shared MCH care, followed by the closely related baby-friendlyhospital initiative (BFHI)

PRIMARY HEALTH CENTRES

WELL VISIT BABIES WITH ILLNESS

Vaccinations and Treating minor ailments & Referrals

Monitoring

WELL VISITS

METABOLIC SCREENING –5th DAY

ASSESSMENT OF BREASTFEEDING AND GROWTH MONITORING

VACCINATION

RE-EVALUATING THE FEEDING PRACTICES, ASSISTING IF NEEDED, MAINTAINING BREASTFEEDING.

FEEDING PRACTICES

1. EXCLUSIVE BREASTFEEDING

2. MIXED FEEDING

3. BOTTLE-FEEDING

1. EXCLUSIVE BREASTFEEDING

SUPPORT TO CONTINUE FOR 6 MONTHS AND

ABOUT COMPLEMENTARY FEEDING

2. MIXED FEEDING

REASON TO SUPPLEMENT:

NOT ENOUGH MILK SYNDROME

WORKING MOTHERS

ADVICE FROM RELATIVES/FRIENDS

3. BOTTLE-FEEDING

REASON:

NO MILK/NOT ENOUGH MILK

WORKING MOTHERS

MATERNAL MEDICATION

BABY DID NOT SUCK

3. BOTTLE-FEEDING

MANAGEMENT

1.COUNSELLING- Hazards of bottle-feeding

2. RE-LACTATION

WEIGHT REDUCED

REASON

IMPROPER FEEDING

USING OLD GROWTH CHARTS

TREATMENT OF MINOR AILMENT

JAUNDICE

DIARRHOEA

10 STEPS TO OPTIMAL BREASTFEEDING IN PRIMARY HEALTH CARE

1. HAVE A WRITTEN BREASTFEEDING POLICY

2. TRAIN ALL MEDICAL STAFF IN THE SKILLS NECESSARY FOR LACTATION MANAGEMENT

3. DURING A WELL VISIT, ALWAYS EVALUATE THE MOTHERS’ FEEDING PRACTICES AND ASSIST THEM AS NEEDED

4. WHEN AN INFANT IS SEEN DUE TO ANY ILLNESS, APPROPRIATE BREASTFEEDING ADVICE MUST BE GIVEN IN ADDITION TO MEDICAL TREATMENT

5. IF AN INFANT IS SICK AND HOSPITALISATION IS NEEDED, REFER TO THE HOSPITAL WHERE 24-HOUR ROOMING-IN IS PRACTISED.

6. THE PARENTS SHOULD BE PROVIDED PROPER HEALTH EDUCATION WITH WRITTEN AND VERBAL INFORMATION ABOUT BENEFITS AND MANAGEMENT OF BREASTFEEDING.

7. DEMAND FEEDING, EXCLUSIVE BREASTFEEDING AND APPROPRIATE COMPLIMENTARY FEEDING WILL BE FACILITATED.

8. ALL MOTHERS WILL BE TAUGHT HOW TO EXPRESS BREASTMILK MANNUALLY AND HOW TO STORE IT APPROPRIATELY SPECIALLY FOR WORKING MOTHERS

9. FOR BOTTLE-FED BABIES, MOTHERS WILL BE TAUGHT HOW TO INITIATE RE-LACTATION AND RE-ESTABLISH BREASTFEEDING.

10. PROVIDE INFORMATION AND CONTACTS ABOUT COMMUNITY SUPPORT GROUPS AVAILABLE.

THANK YOU