ACanadianPerspectiveofBabyFriendlyInitiative&NovaScotia,IWKHealthCentreBFIHighlights

BCCHistory� Est.in1991afterWorldSummitforChildren

�  1996BCCidentifiedasNationalAuthorityforWHO/UNICEFBabyFriendlyHospitalInitiative

�  1999Canada’sfirstBFIdesignatedhospital(Brome-Missisquoi-Perkins,Quebec)

�  2000BFICommunityCommitteeformed,beganBFIforCommunityHealthServices

�  2001BCCP/TCommitteeestablished

�  2003BFIAssessorTrainingworkshops

�  2003releasedPracticeOutcomeIndicatorsforhospital&community

�  2006-5facilitiesdesignated(7intotal)�  2007-11facilitiesdesignated�  2008-18facilitiesdesignated�  2008BCCBoardrestructured�  2009-26facilitiesdesignated(10hospitals,2birthingcentres,14CHS)

�  2012–NationalsymposiumandBFIAssessortraining,BFIPracticeOutcomeIndicatorsCompleted

�  2013-BFIintegratedinQmentumStandardsforOBS/PerinatalServicesforAccreditationCanada

BFIDesignatedFacili5esinCanadaBC SK MB ON QC Total

Hospitals 2 1 3 6 12

BirthingCentres 7 7

Community/CLSC 1 1 16 92 110

Na=veHealthCenter 1 1

Total 2 1 2 19 106 130

InfantFeedingSurveillance� BCCdefinitions� CCHSdata(cautionwithsmallsamplesizeandrecallbias)

� MaternityExperiencesSurvey

� Nonationalinfantfeedingsurveillancesystem

InfantFeedingSurveillance

� TheBritishColumbiaPan-CanadianBreastfeedingJurisdictionalScan

� NLmonitoringdata,mandatoryforPublicHealth� NBinitiation,exclusivityanddischarge� NSinitiation,exclusivityandduration(pilot)� OntarioBORNandLDCP� ManitobaInfantFeedingDatabase� NunavutandSaskatchewandatacollectionsystems

Structure:Membership:PastChair

Chair/ActingChairChairElectTreasurerSecretary

Membersatlarge

BCCBoard

BCCProvincialTerritorial

ImplementationCommittee

BFIAssessmentCommittee

TheBaby-FriendlyIni5a5ve(BFI)inCanadaStatusReport

Summary:ProvincialandTerritorialBFIAc=vity

(2014)

Provincialperspec5veofBFI

Newfoundland&Labrador� Baby-FriendlyCouncilofNL-designatedprovincialbodyforBFIimplementation

� ProvincialBreastfeedingConsultant(0.5position)� Annualprovincialgovernmentfunding� ProvincialBreastfeedingStrategicPlan(1999,2008,2014)

StrategicPlan2014-2017

PhysicianToolkit

>2100FacebookMembers

MetrobusAdsPosterCampaign

www.babyfriendlynl.ca§ 

Baby-FriendlyCouncilofNewfoundlandandLabrador

NewWebsite!

ResearchInitiatives

HealthProfessionalEducation

ProvincialResources

‘MakeBreastfeedingYourBusiness’

Toolkit

Mother-to-MotherSupportFacebookGroup

DelaytheBath>65,000viewson

Facebook

NL�  2013-14BFISelf-AppraisalinallfourRHAs

� BFIeducation>600HealthCareProviders

� PhysicianToolKitresource

� Healthprofessionalassociationleadership/advocacy

NL� Strongresearchagenda

� BFhospitaldatafor30years(mandatoryforpublichealthtocollectBFdata-90%seenbypublichealth)

PrinceEdwardIsland�  PEIBreastfeedingCoalitionhostedaProvincialSymposium2015

�  BabyFriendlySteeringCommitteeestablishedbyHealthPEI2014toprovide:

NovaSco5a� ProvincialBreastfeedingSteeringCommittee(est1999)

� ProvincialBreastfeedingPolicy(est2005,revision2015)

� Thrive!governmentstrategyforhealthypublicpolicy2012(breastfeedingakeypriority)

NS

� ProvincialFormulaPurchaseAgreement

� Datacollection:�  pilotprojectforcommunityexclusivityandduration

NewBrunswickTheNBBFIAdvisoryCommittee–provincialauthority�  SupporttoHealthCareFacilities

�  PolicyandProtocols

�  PublicAwareness,EducationandBreastfeedingCommunitySupport

�  Surveillance,ResearchandEvaluation

Quebec�  1997mandatedimplementation

ofBFI

�  Provincialbreastfeedingguidelines2001topresent

�  ProvincialPublicHealthProgram2003-2015mandatedtheimplementationofBFIforhospitalsandcommunity

�  MinistèredelaSantéetdesServicesSociauxleadprovincialroleforBF

�  ResponsibleforassessmentandcertificationofBFIinQuebec

Quebec� Quebechas106designatedfacilities

�  92CLSCsorcommunityhealthcenters�  7birthingcenters�  6hospitals�  1aboriginalhealthcenter

FirstBabyFriendlyAboriginalCentre� KanesatakeHealthCentre

� Peercounselor�  199532%initiationrate�  201190%initiationanddurationrates!

Ontario�  BFIOntario

�  provincialauthorityforBFIimplementationinOntario(over300people)�  Knowledgeexchange:AskandAssessorandBFIexpo

� MinistryofHealthandLong-TermCare�  Governmentgoaltoreducechildhoodobesityby20%by2018�  2009:ProvincialCouncilforMaternalandChildHealth(PCMCH)led

BreastfeedingSupportsexpertpanel�  2011:ImplementedtheBFIStatusperformanceindicatorforOntario’s36

PublicHealthUnits�  2013:HealthyKidsPanelreport,NoTimetoWait:TheHealthyKidsStrategy

http://www.health.gov.on.ca/en/common/ministry/publications/reports/healthy_kids/healthy_kids.pdf

ON� InOctober2013,Ontarioannouncednewinvestmentsof$2.5millioneachyear,2013to2016,forenhancedbreastfeedingsupports:

� Providing24-hourtelephoneaccesstoexpertsupportformotherswhoarebreastfeeding.� SupportingOntario'shospitalsandcommunityhealthcareorganizationswithtraining,tools,guidanceandresourcesandadoptclinicalbestpracticesininfantfeedingthatmeetBFIdesignationrequirements.� Targetedsupportformothersinpopulationgroupsthathavelowerratesofbreastfeeding.

ON� Ontario’sHumanMilkBank2013MtSinaiHospital,HospitalforSickChildrenandSunnyBrook� BreastfeedingMatters,aparent-friendlyresource,maintainedbyBestStartResourceCentre,updatedin2013� 2009:BetterOutcomesRegistryandNetwork(BORN)andrecentlyLDCPsupportscollectionofBFdata

Manitoba

� BabyFriendlyManitobadesignatedbyManitobaHealth,HealthyLiving&SeniorsastheprovincialauthorityforimplementingBFI

MB�  AnnualBabyFriendlyManitobahostconference&quarterlytelehealthresearchrounds

�  SharePointsite

MB�  BabyFriendlyMBResources(posters,cribcards,magnets,measuringtapes,BabiesBestChance,infantfeedingresources)

�  BreastfeedingandBabyFriendlyinformationonMBHealthwebsite

�  Congratulations!ManitobanowhastwoBFIdesignatedfacilities!

Saskatchewan� ProvincialTerritorialBCCrepresentation� ProvincialearlychildhoodassessmentservicessupportBFI

� ProvincialhandoutsforchildhealthclinicssupportBFI

�  SaskatchewanhasoneCHSdesignatedBFI

Alberta� AlbertaBreastfeedingCommittee� MinistryrepresentationonABCandBCCPTCommittee

� CommunitybasedHumanMilkBank

� ProvincialSurveillance–inprocess

Alberta� AlbertaHealthServices(AHS)ProvincialSTORCBreastfeedingModuleWorkingGroup

� AHS2013provincialenvironmentalscan

� AHSonlinebreastfeedingmoduleforhealthcareproviders

� AHSHealthyParents,HealthyChildrenprintandonlineresources

Bri5shColumbiaBCBabyFriendlyNetworkdesignatedbyMinistryofHealthandMinistryofChildrenandFamilyDevelopmentastheimplementationcommitteefortheBFI

BC� HealthLinkBC-breastfeedinglabestablishedtobuildcapacityof24/7telehealthnursestomanagebreastfeedingenquiries.

�  ProvincialFormulacontractsignedbyallhealthauthorities.

BC�  ExpansionofBCWHumanMilk

Bank.MilkdepotsimplementedinonehealthauthoritywithplansforimplementationofdepotsinotherHA’s.

�  PeertoPeermilksharingHCPresourcebeingdeveloped.

�  ProposalsubmittedtoprovincialsteeringcommitteeforaProvincialBFIcoordinator.

Yukon� YukonGovernment’sCommunityNursingBranchiscommittedtoprovidingBFeducationtoallnursingstaff.

� NoBFIgroupandnoprovincial/territorialstrategiesforBFIimplementation

Nunavut�  DepartmentofHealth&SocialServicesleadroleforBFservices

�  FNIHB-CPNPandmat/childhealthprograms

�  ParticipateonBCCP/Timplementationcommittee

�  NoTerritorialBFcommitteeestablished

�  NutritionFrameworkandPublicHealthStrategyspecifyBFisapriority

�  MaternalandChildHealthSurveillanceSystem,collectingdataatbirth,6months&1year

Source:http://www.canadian-nurse.com/en/articles/issues/2009/june-2009/nursing-in-nunavut

NorthwestTerritory� Ministry,CPNP,healthservices,aboriginalhealthandmothersupportareworkingwithBFIAssessmentCommitteetobuildawarenesscapacity

� MemberofBCCPTCommittee� Capacitybuildingworkshopheld� BFICertificateofParticipationsignedbyMinisterofHealthandSocialServices

BCCfuturedirec5ons:� P/TImplementationCommitteeleadinBFIjourneytowarddesignation

� AssessmentCommitteearmslengthsupporttofacilities,buildingcapacityofPTmembers

�  Focusedattentionforhospitalfacilities

� BCCsustainability(financialandgovernance)

� NeedforanationalBFIStrategy

� Codecomplianceandnationalformulacontracts,

� RobustnationalBFsurveillancesystem

�  Internationalaccountability

IWKHealthCentreBFIhighlights:�  Step2:MaDcoursemandatory

�  Step3:informeddecisionmakingtools/resources

�  Step4:Skintoskin(transfer/painfulprocedures)

�  Step6:Medicalsupplementation&donormilk

�  Step10:postpartumdischargeclinic

� TheCode:� NSInfantformulacontract

NSInfantFormulaContract� RFP

�  Explicitrequirementr/ttheCode

� WeightingofEvaluationCriteria

�  Pricing� HealthCanadarecommendationsversusrequirements

� Contract�  Codeadherenceexpectations

�  EducationofHCP�  Labelling�  Productadvertising� Donations�  Pricing

Recommenda5ons:�  Leadershipsupport�  Interprofessionalteam� ConsultBCC� Marketresearch� Pricing� Requirementsversusrecommendations

�  Legaladvice� Criticallyappraiseresearchmaterial

� Education� Communication� AccesstocontractfortheBCC

� Createfutureexpectations

� Developprovincial/nationalcontract

Thankyou!