Evidence supports the health and economic benefits of breastfeeding, and the positive impact of the Baby Friendly Health Initiative (BFHI) on increasing breastfeeding rates and improving breastfeeding outcomes. The BFHI is a World Health Organization and United Nations International Children’s Emergency Fund initiative to promote, support and maintain breastfeeding. The BFHI was updated in 2018 and includes the Ten Steps to Successful Breastfeeding (the Ten Steps 2018) and the International Code of Marketing of Breast-milk Substitutes (the WHO Code). Despite policy and guideline support for breastfeeding and the BFHI, there are currently only 70 accredited hospitals, healthcare centres and regional clusters in Australia, accounting for 23% of maternity facilities. This research aimed to explore health professionals and other stakeholders’ perspectives on the uptake and implementation of the BFHI in Australia from an organisational change perspective. An online survey administered via relevant Australian-based professional associations was fully or partially completed by 332 participants who support mothers and newborns in their roles. Descriptive statistics and content analysis were used to analyse quantitative and qualitative data. The majority of participants supported legislating the WHO Code, closely monitoring BFHI compliance, ensuring sufficient knowledge about breastfeeding and the BFHI among staff, improving care within maternity facilities, continuous support of mothers’ post-discharge, and improving social media support of breastfeeding. It was also perceived that an interdisciplinary team approach and multidisciplinary involvement were important requirements for successfully implementing the BFHI. There was no consensus among participants that Australian health policies support breastfeeding and the implementation of the BFHI. This study emphasised the significance of legislation around the Code, executive and leadership support and culture, and providing adequate resources concerning uptake and implementation of the BFHI. Considering that uptake of the BFHI has been limited and no formal government support has been provided to further develop the BFHI and support the Code in Australia, findings of this research may help with potential future actions to facilitate the BFHI uptake and Code implementation.

中文翻译：

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关于澳大利亚爱婴医院/健康倡议的观点：在线调查。

证据支持母乳喂养的健康和经济利益，以及婴儿友好健康倡议（BFHI）对提高母乳喂养率和改善母乳喂养结果的积极影响。BFHI是世界卫生组织和联合国国际儿童紧急基金会的一项倡议，旨在促进，支持和维持母乳喂养。BFHI已于2018年进行了更新，其中包括成功母乳喂养的十个步骤（2018年的十个步骤）和国际母乳代用品销售守则（WHO守则）。尽管有针对母乳喂养和BFHI的政策和指南支持，但目前澳大利亚仅有70家获得认可的医院，医疗中心和区域性机构，占产妇设施的23％。这项研究旨在从组织变革的角度探讨卫生专业人员和其他利益相关者对澳大利亚BFHI的接受和实施的观点。由澳大利亚相关专业协会进行的一项在线调查由332位参与者的全部或部分完成，这些参与者支持母亲和新生儿的角色。描述性统计和内容分析用于分析定量和定性数据。大多数参与者支持立法WHO法规，密切监测BFHI的遵守情况，确保员工对母乳喂养和BFHI有足够的了解，改善产妇设施内的护理，对母亲出院后的持续支持以及改善社会媒体对母乳喂养的支持。人们还认为，跨学科团队方法和多学科参与是成功实施BFHI的重要要求。与会者之间没有共识，澳大利亚的卫生政策支持母乳喂养和BFHI的实施。这项研究强调了围绕《守则》，行政和领导支持以及文化的立法的重要性，并为BFHI的采用和实施提供了足够的资源。考虑到对BFHI的吸收受到限制，并且未提供正式的政府支持以进一步发展BFHI并支持澳大利亚的《守则》，因此本研究的结果可能有助于潜在的未来行动，以促进BFHI的吸收和《守则》的实施。