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How to use the Neo-BFHI package
Tools for self-appraisal, monitoring, the external assessment process,
and education material.
Laura Haiek, MD, MSc (Quebec, Canada) Me+e Ness Hansen, RN, Midwife, MP, IBCLC (Norway)
Leena Hannula, RN, Midwife, PhD (Finland) Aino Ezeonodo, RN, CEN, CNICN, MHC (Finland)
For the Nordic and Quebec Working Group
2nd Neo-‐BFHI Conference May 19, 2015
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BFHI Package (2009)
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Core document
Educational material
Self-Appraisal Tool
Assessment Tool
Neo-‐BFHI Package EdiAon 2015
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Neo-‐BFHI Core document with recommended standards and criteria -‐ Example Original Step 4 Expansion: Encourage early, conAnuous and prolonged mother-‐infant skin-‐to-‐skin contact/KMC Ra>onale, 4 Standards, 9 Criteria (measurable)
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AccreditaFon process
BFHI DesignaAon Nat. Authority
External evaluaAon On-‐site visit 2-‐3 days Team of assessors Every 3-‐5 years.
Published criteria Evidence-‐based Achievable Measurable
ConAnuous improvement Training
Self-‐assessment Monitoring
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Neo-‐BFHI Self-‐Appraisal Tool to assess recommended standards and criteria -‐ Example
Step 6 Original and Expansion : Give newborn infants no food or drink other than breast milk, unless medically indicated. 3 Self-‐Appraisal Ques0ons
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Neo-‐BFHI Self-‐Appraisal Tool
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Assessment Tool for Neo-‐BFHI designaAon Five ques0onnaires: Head nurse, Review, Observa0on, Staff (clinical and non-‐clinical) & Mothers
Confiden0al
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Assessment Tool for Neo-‐BFHI designaAon Computarised tool with 5 quesAonnaires and summary tables
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Monitoring Tool to assess standards and criteria
Tailored to needs…
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IntegraFng the Neo-‐BFHI to the BFHI…
• Neo-‐BFHI follows closely the original BFHI and therefore... – It is more likely to be supported by the WHO/UNICEF – Is or can be included in global strategies and naFonal plans – Can use the same accreditaFon process (infrastructure and authority, assessors, etc.)
• But...designaFon process will likely vary between countries
ORIGINAL BFHI NEO-BFHI
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Neo-‐BFHI EducaAonal materials for decision-‐makers and staff
Consists of 3 hours of educaFonal materials 1) Background and history of Neo-‐BFHI • The raFonale for expanding the BFHI 2) The three Guiding principals and the ten Neo-‐BFHI Steps • The research evidence behind the steps • The pracFce guidelines in brief for each step
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Neo-‐BFHI EducaAonal materials for decision-‐makers and staff -‐ Example
Step 4 Expansion: Encourage early, conAnuous and prolonged mother-‐infant skin-‐to-‐skin contact/KMC
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QuesFons or comments?
Working group, Uppsala, Septembre 2011
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