Maternal and Child Health Unit, Milan, Italy.
J Hum Lact. 2012 Aug;28(3):297-303. doi: 10.1177/0890334412447994. Epub 2012 Jun 6.
The Baby-Friendly Hospital Initiative (BFHI), developed by the World Health Organization and the United Nations Children's Fund (UNICEF) to promote breastfeeding in maternity facilities worldwide, has had a global impact on breastfeeding outcomes, but other interventions are needed both before and after hospital discharge to meet the recommended targets at 6 months. The Baby-Friendly Community Initiative (BFCI), a multifaceted program for community-based breastfeeding promotion that is complementary to the BFHI, addresses this challenge.
To describe the development, strategy, and implementation of the BFCI in Italy.
In 2006, UNICEF Italy created a working group to develop the BFCI for the Italian health system. A review of the different BFCI models worldwide was conducted. A preliminary adaptation of tools to Italian community health care settings was developed in 2007, when the Italian BFCI Seven Steps were published. Two years later, UNICEF Italy launched the Standards for Best Practice for both hospitals and communities, based on 2009 BFHI and UNICEF UK BFCI materials.
The main outcome was to promote this process in Italian regional health systems and develop tools to assess compliance with the BFCI criteria. There is now one fully accredited Baby-Friendly Community in Italy, and 17 other communities are working on the various stages.
The BFCI, a complex program that involves participation, training, audits, a continuous flow of feedback, and provision of resources for health workers and families, is now a reality in Italy.
婴儿友好医院倡议（BFHI）由世界卫生组织和联合国儿童基金会（UNICEF）制定，旨在促进全球产妇机构中的母乳喂养，对母乳喂养结果产生了全球性影响，但在出院前和出院后还需要其他干预措施，以达到 6 个月的推荐目标。婴儿友好社区倡议（BFCI）是一种多方面的社区母乳喂养促进计划，是 BFHI 的补充，解决了这一挑战。
描述 BFCI 在意大利的发展、策略和实施情况。
2006 年，UNICEF 意大利成立了一个工作组，为意大利卫生系统制定 BFCI。对全球不同 BFCI 模式进行了审查。2007 年，当意大利 BFCI 的七个步骤出版时，对适用于意大利社区卫生保健环境的工具进行了初步调整。两年后，UNICEF 意大利根据 2009 年 BFHI 和 UNICEF UK BFCI 材料，为医院和社区推出了最佳实践标准。
主要结果是促进意大利区域卫生系统的这一进程，并开发工具来评估遵守 BFCI 标准的情况。现在意大利有一个完全认可的婴儿友好社区，还有 17 个社区正在各个阶段努力。
BFCI 是一个复杂的计划，涉及参与、培训、审计、持续的反馈循环以及为卫生工作者和家庭提供资源，现在在意大利已经成为现实。
