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Observer Reporter  
September 27, 2005

10 hospitals, health centres certified as ‘baby-friendly’

THE Ministry of Health recently certified 10 hospitals and health centres around the island as being baby-friendly, as part of its programme to encourage breastfeeding among new mothers.

They are the Victoria Jubilee Hospital, Spanish Town, Linstead, Princess Margaret, Cornwall Regional, Andrew’s Memorial and Doctor’s Hospitals, Bustamante Hospital for Children, University Hospital of the West Indies, and the Faith Maternity Centre.

Director of the Nutrition Unit in the ministry Charmaine Edwards said the baby-friendly hospital initiative was jointly launched by the World Health Organisation (WHO) and the United Nations Children’s Fund (UNICEF), and intended for implementation in countries worldwide.

She told the government’s news agency, JIS News, that the initiative was geared towards “hospitals and health facilities, particularly those offering maternity services, to adopt practices which fully protect, promote and support exclusive breastfeeding from birth”.

While Jamaica has previously taken steps to start a national baby-friendly campaign, along with other countries, the present version of the WHO/UNICEF-approved initiative was based on 10 steps to successful breastfeeding, said Edwards.

The steps, she said, would act as a summary of the guidelines for health facilities and hospitals to practise.

She said the hospitals and health centres are required to:

. institute a written breastfeeding policy routinely, which should be communicated to all healthcare staff regularly;

. have healthcare staff trained in the skills necessary to implement the policy;

. inform all pregnant women about the benefits and the management of breastfeeding; . assist mothers in initiating breastfeeding within a half-an-hour of birth;

. show mothers how to breastfeed and how to maintain lactation even if they should be separated from their infant.

She said, too, that:

. newborn infants should not be given any food or drink other than breast milk unless it is medically indicated;

. rooming is to be practised, that is, mothers and infants should remain together 24 hours a day;

. breastfeeding is to be encouraged on demand;

. no artificial teats or pacifiers are to be used to begin breastfeeding infants; and

. there should be the establishment of breastfeeding support groups and mothers should be referred to these groups on discharge from the hospitals or clinics.

Edwards said a number of other hospitals were also in the process of being awarded baby-friendly status, with the Mandeville Regional Hospital already given a certificate of commitment, on account of taking steps toward becoming baby-friendly.

She also said the Annotto Bay, St Ann’s Bay, Alexandria, Savanna-la-Mar and Black River Hospitals are also seeking similar status.

In order for a hospital or health facility to be deemed baby-friendly, the institution is required to conduct a self-appraisal.

“After the facility is satisfied that it meets the standard, this achievement is then confirmed by using the internationally agreed standards. An external evaluation of the facility is then done, which could lead to the facility being awarded a global friendly plaque,” Edwards said.

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