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Project Completion Report Revitalization of Baby Friendly Hospital Initiatives (BFHI)

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Project Completion Report Revitalization of Baby Friendly Hospital Initiatives (BFHI) Project Completion Report Revitalization of Baby Friendly Hospital Initiatives (BFHI) Project Period: 2012-2016 Submitted to Dr. A. B. M. Muzharul Islam Director Institute of Public Health Nutrition (IPHN) & Line Director, National Nutrition Services (NNS) Mohakhali, Dhaka. Submitted by Dr. S K Roy Senior Scientist and Chairperson Bangladesh Breastfeeding Foundation (BBF) Room # 197-200, Ground Floor, Institute of Public Health (IPH) Building, Mohakhali, Dhaka-12012. Acknowledgement Revitalization of Baby Friendly Hospital Initiative (BFHI) (2012 through 2016) has been carried out throughout the country to document the updates of the BFHI status conducted in pre 592 health facilities in Bangladesh. The initiation of revitalization of baby friendly hospital initiative was a directive from the Honorable Prime Minister, people’s Republic of Bangladesh in world breastfeeding week 2010. However, it would have been futile to accomplished this hard but interesting task without the kind support and active assistance of many peoples from the hospitals, MOHFW, DGHS, DGFP, NNS and IPHN in participation. We extent our sincere thanks to them here in with. We remain highly grateful to the Director, Institute of Public Health Nutrition (IPHN) and Line Director, National Nutrition Services (NNS) including the PM & DPM of NNS in charge of BFHI and their active team for their guidance & providing necessary information with all their support importantly in conducting the project successfully. We extend our gratitude to all the resource personael (doctors of all medical college and hospitals) & appreciate much for their crucial assisstance in conducting the BFHI training very successfully. Thus enabling us in completing the report. We would also like to duly acknowledge all participants of the training program including all the members of hospitals, MCWC and Upazilla Health Complex for the successful completion of BFHI training in their respectives areas. Special thanks go to our BFHI monitoring team for assissting us in assessing the current BFHI status maintaining all the qualities of the training. We would like to express our deepest appreciation to member of BOT, BBF particularly for their participation in training, assessment and valuable inputs in developing of manuals and related materials. I also appreciate their kind co-operation, constant encouragement and valuable suggestions which helped us in carring out this phase of BFHI project activities. Special appriciations are due for the Director, BBF for her extensive effort and full guidance for the team work to complete this hard task very successfully. We express our heartly thanks to Program Manager of BFHI, BFHI team, and BBF members for their extended and valuable support in conducting the project acivities as per the work plan very effectively. Finally pay special thanks go to BBF BFHI field coordination team who managed the hard bits work completing the difficult task successfully and provide us the detailed information from their respective fields very efficiently and in time. Dr. S. K. Roy Senior Scientist and Chairperson, Bord of trustees Bangladesh Breastfeeding Foundation 2 Table of Contents Page No Acknowledgement .................................................................................................................... 2 Abbreviatios used ..................................................................................................................... 4 List of Tables ............................................................................................................................ 5 List of Figures ........................................................................................................................... 5 Sum up of the total project ...................................................................................................... 6 Executive Summery ................................................................................................................. 7 Introduction .............................................................................................................................. 9 Ten Steps to Successful Breastfeeding ......................................................................... 10 Goal of BFHI: ......................................................................................................................... 11 Objectives of the Project: ...................................................................................................... 11 Methodology: .......................................................................................................................... 11 Steps for Baby Friendly Hospital Initiative ..................................................................... 12 Planned Activities................................................................................................................... 13 List of Logistics used in the Project...................................................................................... 13 Activity-1: Sharing meeting to Revitalize Baby Friendly Hospitals in Bangladesh ........ 15 Activity–2: a 20-hour course (4 days) Training of the trainers (TOT), ............................ 17 Activity -3: 4 days training on BFHI of the maternity staff of the health facilities. ........ 23 Place of Training: ............................................................................................................... 24 Category of Participants.................................................................................................... 24 Major areas or topics has been covered in 4 days training program: .......................... 24 Procedure: .......................................................................................................................... 25 Result of all 592 health facilities ....................................................................................... 28 Monitoring & Evaluation of the Training ........................................................................... 32 Lession Learned from 4 days training ................................................................................. 33 Key Recommendations from the participants of the training: .......................................... 33 Activity -4: Formation of BFHI committee ......................................................................... 34 Activity -5: Practice of BFHI 10 steps in health facilities ................................................... 37 Activity-6: Assessment of Health Facilities .......................................................................... 40 Activity-7: Certification and Dissimination of BFHI ......................................................... 48 Limitations of the project:..................................................................................................... 58 Concluation: ........................................................................................................................... 58 Overall Recommendations of BFHI Project ........................................................................ 58 Annexure ................................................................................................................................. 60 3 Abbreviatios used BBF = Bangladesh Breastfeeding Foundation BFHI = Baby Friendly Hospital Initiative EBF = Exclusive Breastfeeding CF = Complementary Feeding BMS = Breast Milk Ssubstitute FWV = Family Welfare Visitor GYN = Gynecology IPHN = Institute of Public Health Nutrition IPH = Institute of Public Health IYCF = Infant and Young Child Feeding LMC = Lactation Management Corner MCH = Medical College Hospital UHC = Upazila Health Complex MCWC = Mother and Child Welfare Centre MO = Medical Officer MOHFW = Ministry of Health and Family Welfare MoU = Memorandum of understanding MTEPI = Medical Technician of EPI NNS = National Nutrition Survey PEDs = Pediatrics SFWV = Senior Family Welfare Visitor TOT = Training of trainers UFPO = Upazilla Family Planning Officer UNICEF = United Nations Children's Fund WHO = World Health Organization SOE = Summery of Expenditure HF = Health Facilities TOT = Training of trainers 4 List of Tables Table 1: Target reach and duration of the project: ................................................................... 10 Table 2: Detailed Framework .................................................................................................. 27 Table 3: Overview of the project ............................................................................................. 28 Table 4: Division wise distribution of health facilities recieved training ................................ 28 Table 5: Number of Assessors in seven Divisions................................................................... 41 List of Figures Figure 1: Process of Revitalization of BFHI............................................................................ 11 Figure 2: Diagram showing flow of the project activity 3 (4 days Training on BFHI) ........... 25 Figure 3: Number of health facilities trained on BFHI; n = 592 (Phase wise) ........................ 29 Figure 4: Overall difference in knowledge between pre and post test in percentage (out of 592 health facilities) ........................................................................................................................ 29 Figure 5: 52% of health facilities accredited as ‘Baby-Friendly’ ........................................... 44 Figure 6: % Distribution
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