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ASSESSMENT OF BABY FRIENDLY HOSPITAL INITIATIVE (BFHI) AT HEALTH CARE FACILITIES IN EAST JAVA
Pande Putu Januraga(1), Mellysa Koswara(1), Ngakan Putu Anom Harjana(1), Agnes Mallipu(2), Ardhiani Dyah Priamsari(2), Nindya Putri Pamungkas(2)

(1)Center for Public Health Innovation, Faculty of Medicine, Udayana University, (2)Global Alliance for Improved Nutrition (GAIN), Indonesia


Abstract

Background: Provision of early initiation of breastfeeding in health care facilities by applying ten steps to successful breastfeeding (STSB) is formally regulated; however, its implementation is still facing many problems. This study aimed to assess the implementation of 10 STSB in various health care facilities in East Java. Methods: Cross-sectional study with a total sample of 372 respondents consist of 242 health facility managers and 130 post-partum mothers for data validation was conducted from February until April 2019 in five districts in East Java covering Bondowoso, Jember, Probolinggo, Surabaya and Trenggalek. Data collected through questionnaire adapted from BFHI Unicef/WHO using Epicollect5 application. Results: The compliance of all steps in 10 STSB policy in the health care facilities at the five districts was below 30%. The criteria presented high compliance were step 8 (encouraging mother to breastfeed) and step 9 (breastfeeding support group) with mean compliance of 93% and 82% respectively. While the reminding implementation of other steps showed low conformity, the step 1 (written policy), step 2 (training to medical and nonmedical staff), step 4 (skin to skin contact), and step 7 (rooming-in practice) showed mean compliance of only 40.2%, 44.7%, 20.8% and 28.5% respectively. Regarding the validation result, some criteria pointed significance difference namely in step 3 (breastfeeding information), step 4 (skin to skin contact) and step 7 (rooming-in practice) where the health facility reported higher compliance compared to actual practices reported by mothers. Conclusion: Less than half of all health facilities in the five districts complied to all the 10 STSB with lowest mean compliance were regarding written policy, training, skin to skin contact and rooming-in practice. Future steps taken should be to encourage health facility manager to formulate 10 STSB policy and conduct training for staff to improve implementation of other steps.

Keywords: Breastfeeding, BFHI, 10 STSB

Topic: Public Health Issue

Link: https://ifory.id/abstract/m3WJgNMkrFvz

Conference: The 4th International Conference of Hospital Administration (ICHA 2019)

Plain Format | Corresponding Author (Nindya Putri Pamungkas)

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