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Implementing two national responsibilities of the revised UNICEF/WHO Baby‐Friendly Hospital Initiative: A two‐country case study.
- Source :
- Maternal & Child Nutrition; Jan2023, Vol. 19 Issue 1, p1-14, 14p
- Publication Year :
- 2023
-
Abstract
- The 2018 implementation guidance for the Baby‐Friendly Hospital Initiative (BFHI) recommends institutionalising the ten Steps through nine national responsibilities for universal coverage and sustainability. As countries adapt BFHI programmes to this paradigm shift away from traditional designation programmes, documenting and sharing policy and programme experience are critical and currently sparse. This qualitative case study included desk reviews of published and grey literature on BFHI programming, national plans and policy documents specific to the selected national responsibilities for universal coverage and key informant (KI) interviews across a range of actors. In the Kyrgyz Republic, the case study explored responsibility 5, development and implementation of incentives and/or sanctions, and responsibility 6 in Malawi, providing technical assistance (TA). In both countries, the three sustainability responsibilities (national monitoring [7] communication and advocacy [8] and financing [9]) as they relate to the universal coverage of the targeted responsibilities were also explored. Thirty‐eight respondents in the Kyrgyz Republic described approaches that were used in the health system, including BFHI designation plaques, performance‐based financing and financial sanctions. However, currently, there are no formal incentives and sanctions. In Malawi, TA was utilised for national planning and to introduce quality improvement processes. Forty‐seven respondents mostly described provisions of TA in building and strengthening the capacity of providers. More programmatic evidence to demonstrate which types of incentives or sanctions can be effective and sustained and more documentation of how TA is provided across multiple aspects of implementation are needed as countries institutionalise BFHI. Key messages: 1.National policies and national and subnational plans need to be effectively communicated throughout the health system and systematic coordination are important to institutionalising Baby‐Friendly Hospital Initiative (BFHI).2.Technical assistance, commonly provided for professional competency building, could support hospital practices, procedures and management.3.Understanding the motivations of providers and health systems and monitoring key indicators are important for incentives and sanctions to be effective.4.Documenting and sharing programmatic experiences are critical as countries adopt the new BFHI guidance.5.Multisectoral advocacy for the ten Steps is needed to secure national and local commitment and funding across and beyond the health system. [ABSTRACT FROM AUTHOR]
- Subjects :
- HEALTH policy
MATERNAL health services
HEALTH services administration
BREASTFEEDING promotion
MOTIVATION (Psychology)
TIME
HOSPITAL health promotion programs
REGULATORY approval
ACQUISITION of data
INTERVIEWING
MEDICAL care
HUMAN services programs
RESPONSIBILITY
QUALITATIVE research
PROFESSIONAL competence
RESEARCH funding
MEDICAL records
COMMUNICATION
CONSUMER activism
DESCRIPTIVE statistics
LABOR incentives
QUALITY assurance
INTERPROFESSIONAL relations
ENDOWMENTS
DATA analysis software
PAY for performance
BUDGET
COVID-19 pandemic
Subjects
Details
- Language :
- English
- ISSN :
- 17408695
- Volume :
- 19
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Maternal & Child Nutrition
- Publication Type :
- Academic Journal
- Accession number :
- 160783325
- Full Text :
- https://doi.org/10.1111/mcn.13422