A case study of the drivers and barriers of implementation of the Baby Friendly Hospital Initiative (BFHI) within a rural sub-district in South Africa

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dc.contributor.advisorStinson, Kathrynen_ZA
dc.contributor.advisorOlivier, Jillen_ZA
dc.contributor.authorBrittin, Katherineen_ZA
dc.date.accessioned2015-12-03T14:12:36Z
dc.date.available2015-12-03T14:12:36Z
dc.date.issued2015en_ZA
dc.description.abstractExclusive breastfeeding is recognised as a key child survival strategy in the South African context and the Baby Friendly Hospital Initiative (BFHI) accreditation for maternity facilities is recommended by the National Department of Health (NDOH) as crucial to improving the standards of care required for optimal support for mothers to successfully breastfeed. The Cape Winelands District in the Western Cape is a region that needs to improve the accreditation rate for its facilities. Key informant interviews were conducted within rural maternity services in the Breede Valley Sub-District. Interviews identified the barriers and enablers related to the health system building block 'information'. An additional goal was to examine communication and how information was disseminated throughout all levels of the health system to achieve the aim of successful policy implementation of the BFHI. Findings demonstrated that personal experiences of healthcare personnel may impact on the information offered to mothers. In addition, the operational manager of a facility possessed significant influence to ensure a policy was implemented and adhered to. Recommendations include advocating for education promoting breastfeeding in all healthcare programmes especially during the antenatal period by providing consistent, non-conflicting messages. Management should provide vision and strong leadership around implementation of the BFHI policy and ensure effective communication strategies around significant changes in the policy. Implementing BFHI is a complex context specific activity and to ensure optimal implementation of "Step three" (inform pregnant women of the benefits and management of breastfeeding) it is necessary to examine this particular area by using the recommendations as a framework in order to probe further.en_ZA
dc.identifier.apacitationBrittin, K. (2015). <i>A case study of the drivers and barriers of implementation of the Baby Friendly Hospital Initiative (BFHI) within a rural sub-district in South Africa</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine. Retrieved from http://hdl.handle.net/11427/15547en_ZA
dc.identifier.chicagocitationBrittin, Katherine. <i>"A case study of the drivers and barriers of implementation of the Baby Friendly Hospital Initiative (BFHI) within a rural sub-district in South Africa."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2015. http://hdl.handle.net/11427/15547en_ZA
dc.identifier.citationBrittin, K. 2015. A case study of the drivers and barriers of implementation of the Baby Friendly Hospital Initiative (BFHI) within a rural sub-district in South Africa. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Brittin, Katherine AB - Exclusive breastfeeding is recognised as a key child survival strategy in the South African context and the Baby Friendly Hospital Initiative (BFHI) accreditation for maternity facilities is recommended by the National Department of Health (NDOH) as crucial to improving the standards of care required for optimal support for mothers to successfully breastfeed. The Cape Winelands District in the Western Cape is a region that needs to improve the accreditation rate for its facilities. Key informant interviews were conducted within rural maternity services in the Breede Valley Sub-District. Interviews identified the barriers and enablers related to the health system building block 'information'. An additional goal was to examine communication and how information was disseminated throughout all levels of the health system to achieve the aim of successful policy implementation of the BFHI. Findings demonstrated that personal experiences of healthcare personnel may impact on the information offered to mothers. In addition, the operational manager of a facility possessed significant influence to ensure a policy was implemented and adhered to. Recommendations include advocating for education promoting breastfeeding in all healthcare programmes especially during the antenatal period by providing consistent, non-conflicting messages. Management should provide vision and strong leadership around implementation of the BFHI policy and ensure effective communication strategies around significant changes in the policy. Implementing BFHI is a complex context specific activity and to ensure optimal implementation of "Step three" (inform pregnant women of the benefits and management of breastfeeding) it is necessary to examine this particular area by using the recommendations as a framework in order to probe further. DA - 2015 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2015 T1 - A case study of the drivers and barriers of implementation of the Baby Friendly Hospital Initiative (BFHI) within a rural sub-district in South Africa TI - A case study of the drivers and barriers of implementation of the Baby Friendly Hospital Initiative (BFHI) within a rural sub-district in South Africa UR - http://hdl.handle.net/11427/15547 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/15547
dc.identifier.vancouvercitationBrittin K. A case study of the drivers and barriers of implementation of the Baby Friendly Hospital Initiative (BFHI) within a rural sub-district in South Africa. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2015 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/15547en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDepartment of Public Health and Family Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherPublic Healthen_ZA
dc.titleA case study of the drivers and barriers of implementation of the Baby Friendly Hospital Initiative (BFHI) within a rural sub-district in South Africaen_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMPHen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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