Bringing Baby-Friendly to the Indian Health Service: A Systemwide Approach to Implementation
Bringing Baby-Friendly to the Indian Health Service: A Systemwide Approach to Implementation
复制标题
DOI：
10.1177/0890334415617751
复制
发表时间：
2016-05-01
影响因子：
2.6
通讯作者：
Merewood, Anne
中科院分区：
文献类型：
--
作者：
Karol, Susan;Tah, Tina;Merewood, Anne
爱婴医院倡议增加了纯母乳喂养。母乳喂养可以预防肥胖和糖尿病，这是美洲印第安人和阿拉斯加土著人特别容易患的疾病。作为第一夫人“让我们动起来！”活动的一部分。在印度国家倡议中，美国卫生与公众服务部的印度卫生服务（IHS）于2011年开始实施BFHI。IHS管理着美国13家分娩医院。在48个州中有5家部落管理的医院接受IHS的资助，IHS鼓励他们也寻求婴儿友好的称号。在13家联邦管理的医院中，IHS实施了爱婴婴儿喂养政策，广泛的临床医生培训和爱婴兼容的医疗记录。所有医院都遵守了世界卫生组织的《母乳代用品国际销售守则》。通过网络研讨会和电话会议，在全系统范围内分享战略和解决方案。质量改进方法、技术援助和现场访问协助实施过程。在2011年至2014年12月期间，100%（13家中的13家）的IHS联邦管理医院获得了“爱婴”称号。亚利桑那州、新墨西哥州、北达科他州、俄克拉荷马州和南达科他州的首批爱婴医院都是IHS网站;目前美国所有爱婴医院中有6%是IHS医院。一个部落地点也被指定为爱婴地点，在48个州剩下的5个部落管理的医院中，有3个正在争取爱婴地位。爱婴医院倡议的全系统实施是可能的，在美国政府机构服务的高风险，贫困人口。其他希望实现BFHI的系统可以从IHS模型中学习。
The Baby-Friendly Hospital Initiative (BFHI) increases exclusive breastfeeding. Breastfeeding protects against obesity and diabetes, conditions to which American Indians and Alaska Natives are particularly prone. As part of the First Lady's Let's Move! in Indian Country initiative, the US Department of Health and Human Services' Indian Health Service (IHS) began implementing the BFHI in 2011. The IHS administers 13 US birthing hospitals. There are 5 tribally administered hospitals in the lower 48 states that receive IHS funding, and the IHS encouraged them to seek Baby-Friendly designation also. In the 13 federally administered hospitals, the IHS implemented a Baby-Friendly infant feeding policy, extensive clinician training, and Baby-Friendly compatible medical records. All hospitals also became compliant with the World Health Organization's International Code of Marketing of Breast-Milk Substitutes. Strategies and solutions were shared systemwide via webinars and conference calls. Quality improvement methods, technical assistance, and site visits assisted with the implementation process. Between 2011 and December 2014, 100% (13 of 13) of IHS federally administered hospitals gained Baby-Friendly designation. The first Baby-Friendly hospitals in Arizona, New Mexico, North Dakota, Oklahoma, and South Dakota were all IHS sites; 6% of all US Baby-Friendly hospitals are currently IHS hospitals. One tribal site has also been Baby-Friendly designated and 3 of the 5 remaining tribally administered hospitals in the lower 48 states are pursuing Baby-Friendly status. Baby-Friendly Hospital Initiative implementation systemwide is possible in a US government agency serving a high-risk, underprivileged population. Other systems looking to implement the BFHI can learn from the IHS model.