creators_name: Nigam, R creators_name: Chandorkar, RK creators_name: Bhagwat, AK creators_name: Dixit, S creators_name: Yesikar, V creators_name: Sinha, U creators_id: richamanish2007@yahoo.co.in editors_name: Kakkilaya, Srinivas type: journale datestamp: 2010-09-13 03:56:29 lastmod: 2011-03-11 08:57:40 metadata_visibility: show title: Critical Appraisal of Baby Friendly Hospital Initiatives among the beneficiaries of Indore Urban - A Comparative Study ispublished: pub subjects: OJHAS full_text_status: public keywords: Baby Friendly Hospitals, Essesntial criteria, Breastfeeding abstract: Background: Majority of the women in M.P who breastfeed their babies throw away the colostrum before they begin actual feed. Only 14.9% females feed their babies with in 1/2 an hour (National Family Health Survey-3). In Indore 2 hospitals have been given designation of baby friendly hospital (BFH) namely M.Y. hospital (MYH) which is a tertiary care center, attached to Medical College and District hospital (DH). Objectives: (1) To assess the process of implementation of baby friendly hospital initiative programme. (2) Knowledge, Attitude, Practice regarding breast feeding amongst the beneficiaries. Methods: A comparative study was conducted between two BFH and two NBFH (Non Baby Friendly Hospitals) of Indore. The respondents were categorized into health care providers and beneficiaries. A pretested questionnaire was used to interview the respondents which was made taking into consideration the essential 10 Criteria of BFHI Programme. Results: 89% in BFH and 97% in NBFH were having positive attitude towards colostrum feeding. 81% postnatal mothers in BFH and 96% in NBFH were having knowledge about benefits of exclusive breast feeding. 21% postnatal mothers in BFH and 39% in NBFH initiated breast feeding within ½ an hour. 64 % of mothers in BFH and 62 % mothers in NBFH were practicing exclusive breast Feeding. Conclusion: The above findings show that although designated as BFH, the breast feeding practices remained poor as compared to NBFH. There is an utmost need to reinforce training and constant monitoring of health care providers regarding BFHI. date: 2009-11-15 date_type: published publication: Online Journal of Health and Allied Sciences volume: 8 number: 3 publisher: Dr. B.S. Kakkilaya refereed: TRUE referencetext: 1. National Family Health Survey- 3(2005 -2006), Fact Sheet Provisional Data. 2. Review draft December 2004. Original BFHI guidelines 1992 3. Dasgupta A, Bhattacharya S Das M Chowdhury K M Saha S. Comparative study before and after introduction of BFHI in CNMC, Calcutta. Journal of the Indian Medical Association 1997 Jun;95(6):169-71,195. 4. Sanjay B Rao, Sachin K Ajmera, Medha Bhide, Neetu Khatanhar, VR Badhwar. Impact of Baby Friendly Hospitals on the Knowledge, Attitude and Practice of Breast Feeding, BMJ. 2006;332:133-34 5. Malla KK, Malla T, Manandhar DS. 2007 Knowledge, Attitude and Practices of Mothers Regarding Breastfeeding: A hospital based study. JNPS (Journal of Nepal Paediatric Society) Issue 1, Vol 26 (Jan-June 2007):9-15 6. Athavale AV, Athavale SA, Deshpande SG, Zodpey SP, Sangole S. Initiation of Breast-Feeding By Urban Women. Health and Population-Perspectives and Issues 2004;27(2):117-125 7. Shilpa, Lalitha, Prakash A, Rao S. BFHI in a tertiary care hospital: Does being baby friendly affect lactation success. Indian J Pediatr. 2009 Jun;76(6):655-7 8. Okolo SN, Ogbonna C. Knowledge, attitude and practice of health workers in Keffi local government hospitals regarding Baby-Friendly Hospital Initiative (BFHI) practices. Eur J Clin Nutr. 2002 May;56(5):438-41 citation: Nigam, R and Chandorkar, RK and Bhagwat, AK and Dixit, S and Yesikar, V and Sinha, U (2009) Critical Appraisal of Baby Friendly Hospital Initiatives among the beneficiaries of Indore Urban - A Comparative Study. [Journal (On-line/Unpaginated)] document_url: http://cogprints.org/6951/1/2009-3-3.pdf