Baby-friendly initiative: a blueprint to enable breastfeeding in hospital settings

Saurabh R. Shrivastava, Prateek S. Shrivastava, Jegadeesh Ramasamy


Worldwide, breastfeeding has been regarded as one of the most effective ways to ensure adequate health and survival of the child. In fact, World Health Organization (WHO) has proposed the practice of exclusive breastfeeding till the child attains age of six months as more than a million infant deaths have been reported globally in its absence. Multiple studies have revealed confirmatory evidences that breastfeeding is advantageous for both the mother and the child. Further, it has been estimated that an additional 1.5 million lives of under five children would be saved every year if all newborns are exclusively breastfed for first six months of their life.



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World Health Organization. 10 facts on breastfeeding, 2011. Available at: Accessed 22 March 2014.

WHO Guidelines. Baby-friendly hospital initiative: revised, updated and expanded for integrated care. In: WHO, eds. WHO Guidelines. Geneva: World Health Organization; 2009: 1-260.

Novaes JF, Lamounier JA, Franceschini SC, Priore SE. Effects of breastfeeding on children's health in the short and long run. J Brazilian Soc Food Nutr. 2009;34:139-60.

World Health Organization. Breastfeeding key to saving children’s lives, 2010. Available at: Accessed 22 March 2014.

Nkala TE, Msuya SE. Prevalence and predictors of exclusive breastfeeding among women in Kigoma region, Western Tanzania: a community based cross-sectional study. Int Breastfeed J. 2011;6:17.

Dearden K, Altaye M, de Maza I, de Oliva M, Stone-Jimenez M, Morrow AL et al. Determinants of optimal breastfeeding in peri-urban Guatemala City, Guatemala. Pan Am J Public Health. 2002;12:185-92.

Labbok MH. Global baby-friendly hospital initiative monitoring data: update and discussion. Breastfeed Med 2012;7:210-22.

Atchan M, Davis D, Foureur M. The impact of the baby friendly health initiative in the Australian health care system: a critical narrative review of the evidence. Breastfeed Rev. 2013;21:15-22.

Perez-Escamilla R. Evidence based breast-feeding promotion: the baby-friendly hospital initiative. J Nutr. 2007;137:484-7.

Saadeh RJ. The Baby-friendly hospital initiative 20 years on: facts, progress, and the way forward. J Hum Lact. 2012;28:272-5.

Lopes Sda S, Laignier MR, Primo CC, Leite FM. Baby-friendly hospital initiative: evaluation of the ten steps to successful breastfeeding. Rev Paul Pediatr. 2013;31:488-93.

Bettinelli ME, Chapin EM, Cattaneo A. Establishing the baby-friendly community initiative in Italy: development, strategy, and implementation. J Hum Lact. 2012;28:297-303.

Nyqvist KH, Haggkvist AP, Hansen MN, Kylberg E, Frandsen AL, Maastrup R et al. Expansion of the baby-friendly hospital initiative ten steps to successful breastfeeding into neonatal intensive care: expert group recommendations. J Hum Lact. 2013;29:300-9.

Semenic S, Childerhose JE, Lauziere J, Groleau D. Barriers, facilitators, and recommendations related to implementing the Baby-Friendly Initiative (BFI): an integrative review. J Hum Lact. 2012;28:317-34.

McKeever J, Fleur RS. Overcoming barriers to Baby-Friendly status: one hospital's experience. Hum Lact. 2012;28:312-4.