Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, Connecticut, USA.
School of Public Health, University of Ghana, Accra, Ghana.
Matern Child Nutr. 2019 Jul;15(3):e12787. doi: 10.1111/mcn.12787. Epub 2019 Feb 11.
Becoming Breastfeeding Friendly (BBF) is an initiative designed to help countries assess their readiness to scale-up breastfeeding programs and develop key recommendations to strengthen their breastfeeding environment. In 2016, Ghana was one of two countries to first pilot BBF. In applying BBF, a committee of 15 Ghanaian nutrition, health, and breastfeeding experts implemented the BBF toolbox over 8 months. Following implementation, semistructured interviews were conducted with 12 committee members (CMs) to (a) identify facilitators and barriers to implement BBF and (b) determine factors needed to strengthen the breastfeeding environment in Ghana. Using a grounded theory approach, five domains were identified. First, a dynamic committee of key stakeholders drove the implementation of BBF. Second, CMs faced some logistical and methodological challenges, including difficulty accessing data and the need for strong in-country technical support for adhering to the BBF process. Third, CMs felt well positioned to facilitate and lead the dissemination and implementation of recommendations. Fourth, accountability would be essential to properly translate recommendations. Fifth, to move recommendations to action, advocacy would be a required first step, and BBF was proposed to facilitate this step. BBF provided an in-depth analysis of Ghana's current breastfeeding environment to help Ghana strengthen its breastfeeding governance, policies, and programs while informing CMs' government and non-governmental organizations' breastfeeding efforts.
成为母乳喂养友好型国家（BBF）是一项旨在帮助各国评估其扩大母乳喂养项目准备情况并制定加强母乳喂养环境的关键建议的倡议。2016 年，加纳是首批试点 BBF 的两个国家之一。在应用 BBF 时，由 15 名加纳营养、健康和母乳喂养专家组成的委员会在 8 个月的时间里实施了 BBF 工具箱。实施后，对 12 名委员会成员（CM）进行了半结构化访谈，以（a）确定实施 BBF 的促进因素和障碍，以及（b）确定加强加纳母乳喂养环境所需的因素。采用扎根理论方法，确定了五个领域。首先，一个由关键利益攸关方组成的充满活力的委员会推动了 BBF 的实施。其次，CM 面临一些后勤和方法上的挑战，包括难以获取数据以及需要强大的国内技术支持来遵守 BBF 流程。第三，CM 认为他们有能力促进和领导建议的传播和实施。第四，问责制对于正确转化建议至关重要。第五，为了将建议付诸行动，宣传将是必要的第一步，BBF 被提议来促进这一步骤。BBF 对加纳当前母乳喂养环境进行了深入分析，有助于加纳加强母乳喂养治理、政策和方案，同时为 CMs 的政府和非政府组织的母乳喂养工作提供信息。
