Reassessment of a designated baby-friendly health facility in Greater Accra Region, Ghana
Doris Ocansey1,2,&, Faith Agbozo1
1Ghana Health Service, Tema, Ghana, 2University of Health and Allied Sciences, Ho, Ghana
Doris Ocansey, Ghana Health Service, Tema, University of Health and Allied Sciences, Ho, Ghana
breastfeeding is a key component of infant health through the reduction of morbidity and mortality. In an effort to protect, promote and support breastfeeding the Baby Friendly Hospital Initiative (BFHI) was introduced in 1991, with the development of indicators for evaluating its implementation. For a facility to be designated as baby friendly, it goes through a process and after successful designation, there is periodic reassessment to evaluate adherence to the indicators. In 2015, we reassessed a metropolitan- level health facility in the Greater Accra region which was designated as baby friendly in 2004 to determine whether the ten steps to successful breastfeeding and the international code of marketing breastmilk substitutes referred to as the Code were adhered to.
a cross-sectional observational study with 90 respondents comprising 30 postpartum
mothers, 20 pregnant women, 30 clinical staff and 10 mothers with babies
in neonatal intensive-care were randomly selected and interviewed by a trained
assessor using the WHO/UNICEF BFHI tools for external assessment. The WHO/UNICEF
BFHI reassessment statistical tool which was used for data analysis records
in percentages. Adherence rates were classified as low (0-49%), moderate
or high (90-100).
overall, adherence to the BFHI was low (38%). Compliance to the ten steps
to successful breastfeeding was low (42%); however, there was a high score
(100%) for step 9 (no artificial teats or pacifiers). Moderate scores (60%),
and (75%) were recorded for steps: 3 (information on breastfeeding to pregnant
women), 7 (practice rooming in) and 10 (referral to breastfeeding groups
in the communities) respectively. Low scores (0%), (4%), (27%), (32%), (8%)
for the remaining steps; 1 (written policy on breastfeeding), 2 (training
all staff), 5 (show mothers how to breastfeed), 6 (give infant no food or
drink), 8 (breastfeed on demand) respectively. The Code Recorded a moderate
though a low score (15%) was recorded for code 4 (importance of not giving
samples of infant formula to mothers).
the facility adhered poorly to the ten steps to successful breastfeeding and the Code of BFHI. Frequent monitoring and evaluation of the facility and capacity building of staff is recommended.
1st Ghana Field Epidemiology and Laboratory Training Programme Scientific conference (Accra)
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