becoming breastfeeding friendly in germany –results and
TRANSCRIPT
Becoming Breastfeeding Friendly in Germany – Results and Lessons Learnt
National BreastfeedingWeek
6.10.2021
Maria FlothkötterHealthy Start – Young Family Network
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Introduction
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▸Population: 83 Mio
▸federal, democratic parliamentary republic since 1949within the European Union
▸High income country, poor breastfeeding rates
▸national Breastfeeding Committee since 1994
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Exclusively breastfed after 4 months (%)
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0
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30
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Educational status of the mother Age of mother at birth Smoked during pregnancy
%
Yes
No
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30
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Research projekt: BECOMING BREASTFEEDING FRIENDLY (BBF)
Breastfeeding Gear Modell a Pérez-Escamilla et al. Adv Nutr 2012
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Breastfeeding Gear Model – the framework• 8 gears (= key action areas) at work and in
harmony for large-scale improvement in a country’s national breastfeeding program
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BBF Index = expresses the degree of
Breastfeeding Friendliness
Between 0 and 3:
0 = framework missing3 = framework excellent
Gear score
Total Score
Methodology: Benchmarks, Scoring und BBF-Index
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Scoring of 54 Benchmarks in 8 Gears (8 key areas of action)
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Methodology: Scoring
Legislation: ex. Benchmark 7
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Scoring
BBF process in Germany
1. Meeting (5.–6.3.2018)1. Meeting (5.–6.3.2018)
2. Meeting (14.5.2018)2. Meeting (14.5.2018)
3. Meeting(11.9. + 1.10. + 21.11.2018)3. Meeting(11.9. + 1.10. + 21.11.2018)
4. Meeting (29.1.2019)4. Meeting (29.1.2019)
5. Meeting (27.-28.3.2019)5. Meeting (27.-28.3.2019)
Scoring continued
Development of recommendations
Development of recommendations continued
BBF Conference (5.6.2019)Publication and dissemination of BBF results
Recommendations, finalised
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BBF Expert Committee
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How Breastfeeding Friendly is your country,
The Nederlands?
Choose between 0 and 3:
0 = low breastfeeding friendly environment3 = high breastfeeding friendly environment
Mentimeter
Your guess requested!
Results
▸Plenty of singleactivities, quality?
▸Few coordination
▸No overarchingstrategy
▸Weak awareness
Low impact
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Advocacy
1,3 PoliticalWill2,0
Legislationand Policies
2,6
Funding andResources
2,3Training andProgramme
Delivery1,6
Promotion
1,0
Research and
Evaluation0,9
Total score
NATIONAL BREASTFEEDING STRATEGY
Key recommendations
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Kommunikationsstrategie zur Stillförderung
Kommunikationsstrategie zur Stillförderung
Kommunikationsstrategie zur Stillförderung
National Breastfeedingcommunication campaign
• Standards in Care andEducation of (Health) Professionals
• Municipal Care Network (Chains)
Breastfeeding & WorkMarketing of breastmilk substitutes
Establishing a BreastfeedingMonitoring System
Advocacy
1,3 PoliticalWill2,0
Legislationand Policies
2,6
Funding andResources
2,3Training andProgramme
Delivery1,6
Promotion
1,0
Research and
Evaluation0,9
What has happened with the BBF recommendations?
1. National conference on results and implementation
2. PR activities increasing awareness enhancing “political pressure”
3. Political decisions on:- National Breastfeeding Strategy(participatory process)
- Breastfeeding coordination unit- Communication campaign- Breastfeeding monitoring- “new” breastfeeding committee
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Lessons learned
▸Profound understanding on the “mechanics” of breastfeeding promotion within our national (political) system
focus on improving the structures of the given system (not creating additional “interventions”)
▸Stakeholder involvement was challenging (time, consensus), but the key factor for successful implementation
▸adequate resources for research and data evaluation to relieve the committee members
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Further information ...
https://www.gesund-ins-leben.de/info/healthy-start-young-family-network/
becoming-breastfeeding-friendly/
bmel.de/breastfeeding-strategy
https://ysph.yale.edu/bfci/
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