a canadian perspective of baby friendly initiative … · a canadian perspective of baby friendly...
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BCCHistory� Est.in1991afterWorldSummitforChildren
� 1996BCCidentifiedasNationalAuthorityforWHO/UNICEFBabyFriendlyHospitalInitiative
� 1999Canada’sfirstBFIdesignatedhospital(Brome-Missisquoi-Perkins,Quebec)
� 2000BFICommunityCommitteeformed,beganBFIforCommunityHealthServices
� 2001BCCP/TCommitteeestablished
� 2006-5facilitiesdesignated(7intotal)� 2007-11facilitiesdesignated� 2008-18facilitiesdesignated� 2008BCCBoardrestructured� 2009-26facilitiesdesignated(10hospitals,2birthingcentres,14CHS)
� 2012–NationalsymposiumandBFIAssessortraining,BFIPracticeOutcomeIndicatorsCompleted
� 2013-BFIintegratedinQmentumStandardsforOBS/PerinatalServicesforAccreditationCanada
BFIDesignatedFacili5esinCanadaBC SK MB ON QC Total
Hospitals 2 1 3 6 12
BirthingCentres 7 7
Community/CLSC 1 1 16 92 110
Na=veHealthCenter 1 1
Total 2 1 2 19 106 130
InfantFeedingSurveillance� BCCdefinitions� CCHSdata(cautionwithsmallsamplesizeandrecallbias)
� MaternityExperiencesSurvey
� Nonationalinfantfeedingsurveillancesystem
InfantFeedingSurveillance
� TheBritishColumbiaPan-CanadianBreastfeedingJurisdictionalScan
� NLmonitoringdata,mandatoryforPublicHealth� NBinitiation,exclusivityanddischarge� NSinitiation,exclusivityandduration(pilot)� OntarioBORNandLDCP� ManitobaInfantFeedingDatabase� NunavutandSaskatchewandatacollectionsystems
Structure:Membership:PastChair
Chair/ActingChairChairElectTreasurerSecretary
Membersatlarge
BCCBoard
BCCProvincialTerritorial
ImplementationCommittee
BFIAssessmentCommittee
Newfoundland&Labrador� Baby-FriendlyCouncilofNL-designatedprovincialbodyforBFIimplementation
� ProvincialBreastfeedingConsultant(0.5position)� Annualprovincialgovernmentfunding� ProvincialBreastfeedingStrategicPlan(1999,2008,2014)
StrategicPlan2014-2017
PhysicianToolkit
>2100FacebookMembers
MetrobusAdsPosterCampaign
www.babyfriendlynl.ca§
Baby-FriendlyCouncilofNewfoundlandandLabrador
NewWebsite!
ResearchInitiatives
HealthProfessionalEducation
ProvincialResources
‘MakeBreastfeedingYourBusiness’
Toolkit
Mother-to-MotherSupportFacebookGroup
DelaytheBath>65,000viewson
NL� 2013-14BFISelf-AppraisalinallfourRHAs
� BFIeducation>600HealthCareProviders
� PhysicianToolKitresource
� Healthprofessionalassociationleadership/advocacy
NL� Strongresearchagenda
� BFhospitaldatafor30years(mandatoryforpublichealthtocollectBFdata-90%seenbypublichealth)
PrinceEdwardIsland� PEIBreastfeedingCoalitionhostedaProvincialSymposium2015
� BabyFriendlySteeringCommitteeestablishedbyHealthPEI2014toprovide:
NovaSco5a� ProvincialBreastfeedingSteeringCommittee(est1999)
� ProvincialBreastfeedingPolicy(est2005,revision2015)
� Thrive!governmentstrategyforhealthypublicpolicy2012(breastfeedingakeypriority)
NS
� ProvincialFormulaPurchaseAgreement
� Datacollection:� pilotprojectforcommunityexclusivityandduration
NewBrunswickTheNBBFIAdvisoryCommittee–provincialauthority� SupporttoHealthCareFacilities
� PolicyandProtocols
� PublicAwareness,EducationandBreastfeedingCommunitySupport
� Surveillance,ResearchandEvaluation
Quebec� 1997mandatedimplementation
ofBFI
� Provincialbreastfeedingguidelines2001topresent
� ProvincialPublicHealthProgram2003-2015mandatedtheimplementationofBFIforhospitalsandcommunity
� MinistèredelaSantéetdesServicesSociauxleadprovincialroleforBF
� ResponsibleforassessmentandcertificationofBFIinQuebec
Quebec� Quebechas106designatedfacilities
� 92CLSCsorcommunityhealthcenters� 7birthingcenters� 6hospitals� 1aboriginalhealthcenter
FirstBabyFriendlyAboriginalCentre� KanesatakeHealthCentre
� Peercounselor� 199532%initiationrate� 201190%initiationanddurationrates!
Ontario� BFIOntario
� provincialauthorityforBFIimplementationinOntario(over300people)� Knowledgeexchange:AskandAssessorandBFIexpo
� MinistryofHealthandLong-TermCare� Governmentgoaltoreducechildhoodobesityby20%by2018� 2009:ProvincialCouncilforMaternalandChildHealth(PCMCH)led
BreastfeedingSupportsexpertpanel� 2011:ImplementedtheBFIStatusperformanceindicatorforOntario’s36
PublicHealthUnits� 2013:HealthyKidsPanelreport,NoTimetoWait:TheHealthyKidsStrategy
http://www.health.gov.on.ca/en/common/ministry/publications/reports/healthy_kids/healthy_kids.pdf
ON� InOctober2013,Ontarioannouncednewinvestmentsof$2.5millioneachyear,2013to2016,forenhancedbreastfeedingsupports:
� Providing24-hourtelephoneaccesstoexpertsupportformotherswhoarebreastfeeding.� SupportingOntario'shospitalsandcommunityhealthcareorganizationswithtraining,tools,guidanceandresourcesandadoptclinicalbestpracticesininfantfeedingthatmeetBFIdesignationrequirements.� Targetedsupportformothersinpopulationgroupsthathavelowerratesofbreastfeeding.
ON� Ontario’sHumanMilkBank2013MtSinaiHospital,HospitalforSickChildrenandSunnyBrook� BreastfeedingMatters,aparent-friendlyresource,maintainedbyBestStartResourceCentre,updatedin2013� 2009:BetterOutcomesRegistryandNetwork(BORN)andrecentlyLDCPsupportscollectionofBFdata
Manitoba
� BabyFriendlyManitobadesignatedbyManitobaHealth,HealthyLiving&SeniorsastheprovincialauthorityforimplementingBFI
MB� BabyFriendlyMBResources(posters,cribcards,magnets,measuringtapes,BabiesBestChance,infantfeedingresources)
� BreastfeedingandBabyFriendlyinformationonMBHealthwebsite
� Congratulations!ManitobanowhastwoBFIdesignatedfacilities!
Saskatchewan� ProvincialTerritorialBCCrepresentation� ProvincialearlychildhoodassessmentservicessupportBFI
� ProvincialhandoutsforchildhealthclinicssupportBFI
� SaskatchewanhasoneCHSdesignatedBFI
Alberta� AlbertaBreastfeedingCommittee� MinistryrepresentationonABCandBCCPTCommittee
� CommunitybasedHumanMilkBank
� ProvincialSurveillance–inprocess
Alberta� AlbertaHealthServices(AHS)ProvincialSTORCBreastfeedingModuleWorkingGroup
� AHS2013provincialenvironmentalscan
� AHSonlinebreastfeedingmoduleforhealthcareproviders
� AHSHealthyParents,HealthyChildrenprintandonlineresources
Bri5shColumbiaBCBabyFriendlyNetworkdesignatedbyMinistryofHealthandMinistryofChildrenandFamilyDevelopmentastheimplementationcommitteefortheBFI
BC� HealthLinkBC-breastfeedinglabestablishedtobuildcapacityof24/7telehealthnursestomanagebreastfeedingenquiries.
� ProvincialFormulacontractsignedbyallhealthauthorities.
BC� ExpansionofBCWHumanMilk
Bank.MilkdepotsimplementedinonehealthauthoritywithplansforimplementationofdepotsinotherHA’s.
� PeertoPeermilksharingHCPresourcebeingdeveloped.
� ProposalsubmittedtoprovincialsteeringcommitteeforaProvincialBFIcoordinator.
Yukon� YukonGovernment’sCommunityNursingBranchiscommittedtoprovidingBFeducationtoallnursingstaff.
� NoBFIgroupandnoprovincial/territorialstrategiesforBFIimplementation
Nunavut� DepartmentofHealth&SocialServicesleadroleforBFservices
� FNIHB-CPNPandmat/childhealthprograms
� ParticipateonBCCP/Timplementationcommittee
� NoTerritorialBFcommitteeestablished
� NutritionFrameworkandPublicHealthStrategyspecifyBFisapriority
� MaternalandChildHealthSurveillanceSystem,collectingdataatbirth,6months&1year
Source:http://www.canadian-nurse.com/en/articles/issues/2009/june-2009/nursing-in-nunavut
NorthwestTerritory� Ministry,CPNP,healthservices,aboriginalhealthandmothersupportareworkingwithBFIAssessmentCommitteetobuildawarenesscapacity
� MemberofBCCPTCommittee� Capacitybuildingworkshopheld� BFICertificateofParticipationsignedbyMinisterofHealthandSocialServices
BCCfuturedirec5ons:� P/TImplementationCommitteeleadinBFIjourneytowarddesignation
� AssessmentCommitteearmslengthsupporttofacilities,buildingcapacityofPTmembers
� Focusedattentionforhospitalfacilities
� BCCsustainability(financialandgovernance)
� NeedforanationalBFIStrategy
� Codecomplianceandnationalformulacontracts,
� RobustnationalBFsurveillancesystem
� Internationalaccountability
IWKHealthCentreBFIhighlights:� Step2:MaDcoursemandatory
� Step3:informeddecisionmakingtools/resources
� Step4:Skintoskin(transfer/painfulprocedures)
� Step6:Medicalsupplementation&donormilk
� Step10:postpartumdischargeclinic
� TheCode:� NSInfantformulacontract
NSInfantFormulaContract� RFP
� Explicitrequirementr/ttheCode
� WeightingofEvaluationCriteria
� Pricing� HealthCanadarecommendationsversusrequirements
� Contract� Codeadherenceexpectations
� EducationofHCP� Labelling� Productadvertising� Donations� Pricing
Recommenda5ons:� Leadershipsupport� Interprofessionalteam� ConsultBCC� Marketresearch� Pricing� Requirementsversusrecommendations
� Legaladvice� Criticallyappraiseresearchmaterial
� Education� Communication� AccesstocontractfortheBCC
� Createfutureexpectations
� Developprovincial/nationalcontract