Yazar "Armut, Ceren" seçeneğine göre listele

Listeleniyor 1 - 1 / 1
  • Küçük Resim
    Öğe
    Breastfeeding Promotion and Baby?Friendly Health Facilities in Turkey: A Systematic Approach to Scale up the Program
    (2019) Çaylan, Nilgün; Kılıç, Melek; Kayhan Tetik, Burcu; Armut, Ceren; Tezel, Başak
    Abstract: Objectives: In Turkey, Breastfeeding Promotion and Baby?Friendly Health Facilities Program (BFHF)was launched in 1991 with the collaboration of the Ministry of Health (MoH) and United NationsInternational Children’s Emergency Fund (UNICEF). Since 2002, the program has been extended fromhospitals to the primary health care services and the community level. This paper aims to present thecurrent status of BFHF and development of new strategies to revitalize the program and thus, tocontribute to the progress.Materials and Methods: All information about health facilities and provinces was collected from thedatabase of the Child and Adolescent Health Department. Discussions about Initiative with stakeholderinstitutions and baby?friendly advocates took place in the National Breastfeeding Committee Meetingand in Annual Breastfeeding Symposium. Then a SWOT (strengths, weaknesses, opportunities, threats)analysis of the Program was performed by the working group. Using this analysis results, new strategiesand course of action were identified.Results: The current number of baby?friendly hospitals has reached a total of 1051(69.42% of allhospitals). Of those, 46 were maternity hospitals, which were 93.50% approved as baby?friendly at theend of 2017. Between 2008 and 2017, 120 (%11.42) of those pre?certified hospitals were reassessed.Between 2002 and 2013, all 81 provinces have been designated Baby?Friendly Provinces. Since 2008, 61 ofthe 81 provinces have been designated Golden Baby?Friendly Provinces and 95% of Family MedicineUnits have been certified as baby?friendly. According to the SWOT analysis result, the main strength ofthe program was strong recognition and support of the BFHF by the government. The difficulties inmaintaining of baby?friendly standards in health facilities and inadequate reassessment of pre?certifiedfacilities were determined as the main weaknesses of the BFHF by the working group.Conclusion: To protect, promote and support breastfeeding effectively and to reach the national andglobal breastfeeding goals, interventions should be planned in a combination of settings byconcurrently involving health policies, health systems, home, family and the community.