Becoming Breastfeeding Friendly in Germany –Results and ...
Transcript of Becoming Breastfeeding Friendly in Germany –Results and ...
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Becoming Breastfeeding Friendly in Germany – Results and Lessons Learnt
National BreastfeedingWeek
6.10.2021
Maria FlothkötterHealthy Start – Young Family Network
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Introduction
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▸Population: 83 Mio
▸federal, democratic parliamentary republic since 1949within the European Union
▸High income country, poor breastfeeding rates
▸national Breastfeeding Committee since 1994
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Exclusively breastfed after 4 months (%)
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Educational status of the mother Age of mother at birth Smoked during pregnancy
%
Yes
No
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Research projekt: BECOMING BREASTFEEDING FRIENDLY (BBF)
Breastfeeding Gear Modell a Pérez-Escamilla et al. Adv Nutr 2012
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Breastfeeding Gear Model – the framework• 8 gears (= key action areas) at work and in
harmony for large-scale improvement in a country’s national breastfeeding program
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BBF Index = expresses the degree of
Breastfeeding Friendliness
Between 0 and 3:
0 = framework missing3 = framework excellent
Gear score
Total Score
Methodology: Benchmarks, Scoring und BBF-Index
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Scoring of 54 Benchmarks in 8 Gears (8 key areas of action)
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Methodology: Scoring
Legislation: ex. Benchmark 7
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Scoring
BBF process in Germany
1. Meeting (5.–6.3.2018)1. Meeting (5.–6.3.2018)
2. Meeting (14.5.2018)2. Meeting (14.5.2018)
3. Meeting(11.9. + 1.10. + 21.11.2018)3. Meeting(11.9. + 1.10. + 21.11.2018)
4. Meeting (29.1.2019)4. Meeting (29.1.2019)
5. Meeting (27.-28.3.2019)5. Meeting (27.-28.3.2019)
Scoring continued
Development of recommendations
Development of recommendations continued
BBF Conference (5.6.2019)Publication and dissemination of BBF results
Recommendations, finalised
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BBF Expert Committee
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How Breastfeeding Friendly is your country,
The Nederlands?
Choose between 0 and 3:
0 = low breastfeeding friendly environment3 = high breastfeeding friendly environment
Mentimeter
Your guess requested!
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Results
▸Plenty of singleactivities, quality?
▸Few coordination
▸No overarchingstrategy
▸Weak awareness
Low impact
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Advocacy
1,3 PoliticalWill2,0
Legislationand Policies
2,6
Funding andResources
2,3Training andProgramme
Delivery1,6
Promotion
1,0
Research and
Evaluation0,9
Total score
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NATIONAL BREASTFEEDING STRATEGY
Key recommendations
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Kommunikationsstrategie zur Stillförderung
Kommunikationsstrategie zur Stillförderung
Kommunikationsstrategie zur Stillförderung
National Breastfeedingcommunication campaign
• Standards in Care andEducation of (Health) Professionals
• Municipal Care Network (Chains)
Breastfeeding & WorkMarketing of breastmilk substitutes
Establishing a BreastfeedingMonitoring System
Advocacy
1,3 PoliticalWill2,0
Legislationand Policies
2,6
Funding andResources
2,3Training andProgramme
Delivery1,6
Promotion
1,0
Research and
Evaluation0,9
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What has happened with the BBF recommendations?
1. National conference on results and implementation
2. PR activities increasing awareness enhancing “political pressure”
3. Political decisions on:- National Breastfeeding Strategy(participatory process)
- Breastfeeding coordination unit- Communication campaign- Breastfeeding monitoring- “new” breastfeeding committee
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Lessons learned
▸Profound understanding on the “mechanics” of breastfeeding promotion within our national (political) system
focus on improving the structures of the given system (not creating additional “interventions”)
▸Stakeholder involvement was challenging (time, consensus), but the key factor for successful implementation
▸adequate resources for research and data evaluation to relieve the committee members
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Further information ...
https://www.gesund-ins-leben.de/info/healthy-start-young-family-network/
becoming-breastfeeding-friendly/
bmel.de/breastfeeding-strategy
https://ysph.yale.edu/bfci/
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