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KMID : 0892720030070020131
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Journal of the Korean Society of Maternal and Child Health
2003 Volume.7 No. 2 p.131 ~ p.143
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Assessment of Operational Conditions of Baby-Friendly Hospital Initiative and Promotion Strategy
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Lim Pu-Dol
Park Jung-Han
Lee Sang-Won
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Abstract
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Objectives :This study was conducted to assess the operational conditions of the hospitals that had been designated as Baby-Friendly Hospital Initiative(BFHI) by UNICEF and to develop a promotion strategy.
Methods : The authors visited 17 out of 20 hospitals (3 hospitals had refused to participate in this study) that had been designated as BFHI since 1993 in February 2002 and interviewed the persons in charge of BFHI and reviewed the relevant records. Authors defined the medical resources that are required for running the 10 steps of BFHI program as facilities (room for individual and group health education and counseling, breast-feeding space in recovery room after delivery and maternity ward for rooming-in) and manpower (assistant for breast-feeding in the recovery room, breast-feeding educator for health personnels and mothers, nursing personnels in the rooming-in ward and moderator of the breast-feeding mothers club).
Results : Eleven out of 20 BFHI hospitals were in Seoul and there was no BFHI hospital in Choongcheong Nam Do, Choongcheong Buk Do, Jeolla Buk Do, and Jeju Do. Eleven hospitals were the university-affiliated hospital, 15 were the resident training hospital, and 3 were the national hospital. There was no change in the medical resources except 1 hospital that had increased 1 nurse in the neonatal care unit to be designated as a BFHI hospital and 1 hospital that had increased 1 rooming-in maternity room after the designation. Average breast-feeding rate was decreased from 55.1% at the time of designation to 18.5% at the time of this study and the percentage of babies ever bottle-fed in the hospital was increased from 65.5% to 86.3%. There was 1 hospital that did not practice feeding colostrum and only 3 hospitals were operating rooming-in around the clock. Most needed medical resource to run the BFHI program was nursing staff.
Conclusions : It was found that the BFHI hospitals are not complying well with the 10 steps of BFHI program. To improve the operational conditions of BFHI hospitals and to promote BFHI, it is recommended to provide the BFHI hospital with financial incentive by increasing the medical fee reimbursement by the health insurance for nursing care of breast-feeding new-born baby, to persuade the national hospital to be designated as BFHJ hospital, and to give additional credit to the BFHI hospital in accrediting for a training hospital.
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KEYWORD
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baby-friendly hospital initiative, , operational conditions, promotion strategy, breast-feeding rate
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