The Baby Friendly Hospital Initiative (BFHI) is a global program launched by the WHO and UNICEF in 1992 to promote breastfeeding. A maternity facility can be designated "baby-friendly" by implementing 10 steps to support breastfeeding, including practicing rooming-in, not providing breastmilk substitutes, having a written breastfeeding policy, fostering breastfeeding support groups, informing mothers about breastfeeding benefits, and training staff in breastfeeding support. The document also provides a mnemonic ("PGWFISHNET") to help memorize the 10 steps.

1. BABY FRIENDLY HOSPITAL INITIATIVE
1Alam Nuzhathalam
Nuzhath Alam
Associate Professor

2.  The Baby Friendly Hospital Initiative (BFHI),
also known as Baby Friendly Initiative (BFI), is a
worldwide programme of the World Health
Organization and UNICEF, launched in 1992 in
India following the adoption of the Innocenti
Declaration on breastfeeding promotion in
1990.
 A maternity facility can be designated 'baby-
friendly' when it does not accept free or low-
cost breast milk substitutes, feeding bottles or
teats, and has implemented 10 specific steps to
support successful breastfeeding.
2Alam Nuzhathalam

3. Alam Nuzhathalam 3
Code word for memorizing
BFHI 10 Steps easily
(PGW) Pretty Girl Wearing FISHNET(Stockings)
PGWFISHNET
○ Step 1 : P - PRACTICE
○ Step 2 : G - GIVE
○ Step 3 : W - WRITTEN
○ Step 4 : F - FOSTER
○ Step 5 : I - INFORM
○ Step 6 : S - SHOW
○ Step 7 : H - HELP
○ Step 8 : N - NO
○ Step 9 : E - ENCOURAGE
○ Step 10:T - TRAIN

4. 1. Practice rooming in – allow mothers and
infants to remain together 24 hours a day
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5. 2. Give infant no food or drink other than
breast-milk, unless medically indicated.
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6. 3. Written breastfeeding policy that is routinely
communicated to all health care staff
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7. 4. Foster the establishment of breastfeeding
support groups and refer mothers to them on
discharge from the hospital or birth center
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8. 5. Inform all pregnant women about the
benefits and management of breastfeeding
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9. 6. Show mothers how to breastfeed and
how to maintain lactation, even if they
are separated from their infants.
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10. 7. Help mothers initiate breastfeeding
within one hour of birth.
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11. 8. No pacifiers or artificial
nipples to breastfeeding infants.
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12. 9. Encourage breast feeding on demand
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13. 10. Train all health care staff in the skills
necessary to implement this policy.
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14. THANK YOU
14Alam Nuzhathalam