Baseline status regarding compliance with neo-BFHI recommendations in South African neonatal wards: a cross-sectional survey

BMC Health Services Research

Research

Ragnhild Maastrup¹  Laura N. Haiek²  Madimetja Nyaloko³  Welma Lubbe³  Lisa Springer³ 

[1] Department of Neonatology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark;Ministère de la Santé et des Services sociaux, Direction générale de la santé publique, Quebec, Canada;Department of Family Medicine, McGill University, Montreal, Quebec, Canada;St. Mary’s Hospital, St. Mary’s Research Centre, Montreal, Quebec, Canada;NuMiQ Research Focus Area, North-West University South Africa, Potchefstroom, South Africa;

关键词: Baby-Friendly Hospital Initiative;    Breastfeeding;    Compliance;    Neonatal wards;    Infant;    Kangaroo mother care;   

DOI  :  10.1186/s12913-023-09396-6

 received in 2022-12-20, accepted in 2023-04-12,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundIn 2009, the World Health Organization and the United Nations Children’s Fund issued a revised Baby-friendly Hospital Initiative (BFHI) package to encourage all healthcare facilities to promote the advice of exclusive breastfeeding. The scope of the BFHI was expanded to include neonatal units by the Nordic and Quebec Working Group.AimTo determine the level of compliance with the recommendations outlined in the “Baby-friendly Hospital Initiative for neonatal wards” (Neo-BFHI) in the South African neonatal wards.MethodIn this cross-sectional survey, the sample included neonatal wards (N = 33) from public and private hospital facilities. Using EasyTrial software, the Neo-BFHI self-assessment questionnaire was utilized to collect the data. The data was transferred to MS Excel (version 15.0.5127.1000) and analysed with the Statistical Package for Social Sciences version 24.ResultsThe South African median score for Neo-BFHI compliance was 77. Neonatal wards in public hospitals scored higher (85) than those in private hospitals (73). Neonatal wards in hospitals that were accredited Baby-friendly had higher compliance scores than those without accreditation. The country had the highest compliance scores (100, 90) on Guiding Principle 1 (respect towards mothers) and step 5 (breastfeeding support), respectively. However, it scored low (71, 58) on steps 4 (enhancing kangaroo mother care) and 7 (maternal infant “togetherness”), respectively. Level 1 and 2 care facilities scored significantly higher than level 3.ConclusionAlthough South Africa successfully implemented the Neo-BFHI recommendations, private hospitals had a smaller number of BFHI-accredited facilities and lower compliance than public hospitals. Strategies should be developed to strengthen and improve BFHI accreditation and compliance, particularly in private hospitals.

【 授权许可】

CC BY   
© The Author(s) 2023