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    Welcome to the adapted
    UNICEF/WHO 20-Hour Course for
    supporting health facilities to become designated & awarded as internationally recognized
    Baby-Friendly Hospitals


    How This Course Will Work

    Section 3: Promoting Breastfeeding in Baby Friendly hospitals

           A 20 hour course for maternity staff

           It is composed of an introductory session (adapted from section 2 of the Baby friendly tool pack)

           There are 15 sessions

           Each session is composed of video followed by text matter in Pdf that you will read, then the slides.

           At the end of each session there are a set of activities followed by a summary  of the session

           Once you are sure of yourself you can go on to the multiple choice test that will allow you to go on to the next session. You get three tries to pass but go back to registration if you do not pass the 0% correct answer cut off.

           The session should not take more than 60-90 minutes to complete. If you do one session a day excluding week ends then it will take you 2-3 weeks to complete the entire curse. The administrators allow you 12 weeks from the time of registration to complete the course, after which you will need to register from the beginning.



    Make your own schedule based on the session outlined

    Session 1: BFHI: a part of the Global Strategy

    Session 2: Communication skills

    Session 3: Promoting breastfeeding during pregnancy – Step 3

    Session 4: Protecting breastfeeding

    Session 5: Birth practices and breastfeeding - Step 4

    Session 6: How milk gets from breast to baby

    Session 7: Helping with a breastfeed - Step 5

    Session 8: Practices that assist breastfeeding – Steps 6, 7, 8, & 9

    Session 9: Milk supply

    Session 10: Infants with special needs

    Session 11: If baby cannot feed at the breast – Step 5

    Session 12: Breast and nipple concerns

    Session 13: Maternal health concerns

    Session 14: On-going support for breastfeeding mothers – Step 10

    Session 15: Making your hospital Baby-Friendly

     Clinical practice 1 – Observing and assisting breastfeeding

    Clinical practice 2 – Talking with a pregnant women

    Clinical practice 3 - Observing hand expression and cup feeding



    Slides adapted from UNICEF and WHO Baby-Friendly Hospital Initiative Revised Updated and Expanded for Integrated Care: Section 3 Breastfeeding Promotion and Supporting a Baby Friendly Hospital- A 20-Hour course for Maternity Staff- by MCFC IN COLLABORATION WITH MCH/Moh- Egypt


    Revised, Updated and Expanded for Integrated Care: 20 Hour Course replaced the 18 hour course of the early 1990s



                    With all that has been learned since BFHI was launched, as well as new challenges such as HIV/AIDS, countries and reviewers requested that the tools be updated to:

      • Reflect new knowledge & experience
      •  Uphold the Code and include support for non-BF mothers
      •  Provide optional modules on:
        •      HIV and infant feeding
        •      Mother-friendly care
      •  Give added guidance for monitoring and reassessment 



    The Course is part of the Baby-friendly Hospital Initiative Revised Set of Training & Assessment Materials:

    Section 1: Background and Implementation

    Section 2: Course for hospital decision-makers

    Section 3: “20 hour” course for maternity staff

    Section 4: Hospital Self-Appraisal & Monitoring

    Section 5: External Assessment & Reassessment


    Section 1: Background & Implementation:

    1.1          Country Level Implementation

    1.2          Hospital Level Implementation

    1.3          The Global Criteria for BFHI

    1.4          Compliance with the International Code of Marketing

    1.5          Baby-friendly Expansion & Integration Options

    1.6          Resources, References & Websites


    Section 4: Hospital Self-Appraisal and Monitoring

    4.1          Hospital Self-Appraisal

    4.2          Guidelines and Tools for     Monitoring


    Section 5: External Assessment and Reassessment:

    5.1          Guide for Assessors

                                    (Including slides and exercises for assessor   training and computer analysis tool)

    5.2          Hospital External Assessment Tool

    5.3          Guidelines & Tool

                                    For External Reassessment

    The updated expanded course aims at expanding Integration Options by:

           Strengthening of mother friendly

           Strengthening of early prolonged contact

           Strengthening of protection

           Giving HIV infants and needy infants special care

           Promoting & encouraging Community Based Initiatives

    Mother friendly

    Strengthening of mother friendly to include:

      1. Antenatal care with informed choices and intensive education 
      2. Safe access to safe transport, and trained birth attendant
      3. Infection control to prevent sepsis
      4. Birth friendly practices  to ensure normal vaginal delivery, light drinks, no restrictions on movement, choice of birthing position, use of non-medicated pain relief methods and encourage early skin to skin contact
      5. Family centred maternity care by allowing family member to present with mother throughout birth and delivery

    Early continuous uninterrupted skin-to-skin contact between mother & baby & later in neonatal units if preterm

           Early prolonged skin-to-skin contact at birth

           Kangaroo mother care: care of all new born through prolonged skin-to-skin contact over 24 hours

           KC of small, preterm and special needs babies who need more stimulation for optimal growth and development


    The revised updated course aims at strengthening protection

    -               Code implementation

    -               Code monitoring

    -               Code legislation

    -               Code enactment

    -               Protecting the rights of working breastfeeding mothers

    -               Making workplaces baby friendly


    How the course supports HIV dyads and infants needing special care

      • Awareness (reduction of risk behaviour)
      • Communication thro counselling for families
      • Infant feeding options – by supporting (even these mothers)  their rights to provide their babies with the best start in life by breastfeeding
      • Protection and support
      • Removing the stigma

    Examples of Community based initiatives (expanding BFHI beyond hospitals):

      • Primary health care
      • Community centres
      • Home deliveries
      • Mother Support group leaders






    v  Based on the updated BFHI Global Criteria

    v  Still focused on what mothers and staff know
    and can do and observations, rather than
    self-reporting by hospital management

    v  Revised to include added emphasis on the Code and support for non-breastfeeding mothers

    v  Revised to include optional “modules” on:

    v  HIV and infant feeding

    v  Mother-friendly care


    بسم الله الرحمن الرحيم

    و الوالدات يرضعن أولادهن حولين كاملين لمن أراد أن يتم الرضاعة و على المولود له رزقهن وكسوتهن بالمعروف لا تكلف نفس إلا وسعها لا تضار والدة بولدها و لا مولود له بولده“

                                          سورة البقرة الآية 233



  • Languages: English, Arabic

  • Course Coordinator: Ms. Riham Ibrahim
  • Course fees: Video Lectures: free
    Documents and presentations: free
    Course accomplishment statement: free To earn your certificate please attend a practical training course with an accredited and certified lactation consultant For more information contact, course coordinator for more details riham@mcfc.org.eg
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