Accreditation for Hospitals

To ‘ensure that the Baby-Friendly standards are implemented logically and efficiently’, the following stages have to be followed.

Register of intent
  • Form to be signed by the Director
Implementation visit

The aim of this visit is:

  • To provide orientation and guidance to the program
  • To discuss the challenges
  • To guide for the elaboration of an action plan
Certificate of commitment: FIRST AWARD

This certificate will be awarded if the following conditions are fulfilled:

  • A written Baby-Friendly policy covering the 10 Steps and the Code
  • A completed action plan
  • Infant feeding statistics at baseline (forms)
  • Application form (for the Certificate of commitment') signed by the Director
Stage 1: Assessment: MECHANISMS

Assesses the mechanisms that have been developed to enable the standards to be implemented and maintained:

  • Communication of the Baby-Friendly Policy to the public and the staff
  • The mechanism for collecting infant feeding statistics
  • The mechanism for allocating and recording staff attendance at the SBFC Campaign education and training programme (Ref. to Forms)
  • The mechanism for educating all pregnant women about the benefits and management of breastfeeding
  • The mechanism for ensuring that new mothers receive information and support to breastfeed successfully
  • Written information for pregnant women and new mothers
  • Hypoglycaemia policy and reluctant feeder guidelines
  • Implementation of the International Code of Marketing of Breastmilk Substitutes: declaration of adherence to the International Code (and subsequent resolutions), and proof of purchase of infant formulae and breastmilk fortifiers.

This includes a visit in the health center to assess:

  • Staff training records
  • Staff knowledge
  • Staff practical skills

This includes a visit in the hospital to assess:

  • Pregnant women knowledge
  • Postnatal care and follow-on received by mothers
  • Practical skills acquired by mothers
Full Accreditation stage: FINAL EXTERNAL ASSESSMENT
  • This is the final stage, which requires completion of the all the previous stages, and final evaluation by external assessors, in view of the official WHO/UNICEF accreditation.
  • The accreditation is valid for 3 years. The standard achieved needs to be maintained (including the implementation of the ‘Code’), and to be re-assessed for renewing the accreditation.
  • All accredited facilities must collect breastfeeding statistics and must audit compliance with their policy (and thereby the Ten Steps) and submit the results to the Baby-Friendly Initiative national office every year. The results of the audit should be used to ensure that high standards are being maintained and improved.
  • A suspected drop in standards could lead to an accredited Baby-Friendly facility being re-assessed on one or more standards at any point. As a last resort, the award could be withdrawn.