背景:2009年,世界卫生组织和联合国儿童基金会发布了经修订的爱婴医院倡议(BFHI)一揽子计划,以鼓励所有医疗机构推广纯母乳喂养的建议。北欧和魁北克工作组将BFHI的范围扩大到包括新生儿病房。
目的:确定南非新生儿病房对“新生儿病房爱婴医院倡议”(Neo-BFHI)中概述的建议的遵守程度。
方法:在这项横断面调查中,样本包括公立和私立医院的新生儿病房(N=33)。使用EasyTrial软件,采用Neo-BFHI自评问卷收集数据.将数据转移到MSExcel(版本15.5127.1000)中,并用社会科学统计软件包24版进行分析。
结果:南非Neo-BFHI依从性的中位数为77分。公立医院新生儿病房得分(85)高于私立医院(73)。获得认可的爱婴医院的新生儿病房的依从性得分高于未经认可的病房。该国在指导原则1(尊重母亲)和步骤5(母乳喂养支持)方面的遵守得分最高(100、90),分别。然而,它在步骤4(加强袋鼠母亲护理)和步骤7(母婴“团结”)上得分较低(71,58),分别。1级和2级护理设施得分明显高于3级。
结论:尽管南非成功实施了Neo-BFHI建议,私立医院的BFHI认可设施数量较少,且依从性低于公立医院.应制定战略以加强和改进BFHI认证和合规性,尤其是在私立医院。
BACKGROUND: In 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.
OBJECTIVE: To 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.
METHODS: In 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.
RESULTS: The 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.
CONCLUSIONS: Although 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.