• The policy will be given to the nursery written in Arabic and English.
• All staff should receive orientation about the policy and its implementation.
• The policy should be part of the orientation package for any new employee.
• The nursery which accepted the policy should not accept any gifts, sponsorship or distribute promotional materials from any company manufacturing products that substitute breast milk.

• Each nursery has to decide the number of rooms/cubicles according to the size of the nursery.
• The room (s) provided should be clearly identified in the nursery.
• Each room should be provided with the following:
  • Good sanitary conditions (ventilation, light, cleanliness…)
  • Privacy (lockable room or cubicle)
  • Space for the room (minimum 1.2*1.5m)
  • Comfortable chair(s) with nearby small table
  • Waste bin(s)
  • Electric outlet(s) to plug breast pump(s)
  • Nearby access to running water (not necessarily in the same room)
  • Nearby refrigerator (optional)
  • Displaying brochures or posters about breastfeeding support groups in the community

Then trained nurse has the responsibility to train all other caregivers in the nursery about the objectives of the workshop including:

• Safe storage and handling of human milk (ref. to Appendix 6),
• Methods of feeding the breastfed baby,
• Individualized infant care plan
• Preparation and storage of infant formula (new guidelines),
• Introduction of solid foods.

N-B: Infant formula and solid foods should not be provided unless requested by the mother (documented in the individualized infant care plan).

The aim of Step 4 is to restore a breastfeeding culture, which could be done by:

• Mentioning breastfeeding first in all written and verbal communication when educating families regarding infant feeding.
• Displaying culturally appropriate posters with breastfeeding mothers.
• Conducting activities for children to learn about breastfeeding, including how mammals provide species-specific milk for their young.
• Using breastfeeding friendly educational material *
  • Books
  • Coloring books
  • Toys
  • Dolls

And also by actively rejecting the present bottle-feeding culture:

• Limiting the visibility of infant formula and related materials in the Nursery, including the use of bottles and/or pacifiers for dolls.
• Bottle feeding the babies away from the children’s area.
• Storing supplies of baby bottles and infant formula out of view of families.
• Prohibiting materials with pictures of baby bottles or those supplied by infant formula manufacturers

All the program components should be documented (including infant feeding statistics) to facilitate the accreditation process.