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The Association between a Novel Baby-Friendly Hospital Program and Equitable Support for Breastfeeding in Vietnam

Author

Listed:
  • Caroline M. Joyce

    (Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, QC H3A 1A3, Canada)

  • Sherry Shu-Yeu Hou

    (Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, QC H3A 1A3, Canada)

  • Binh T. T. Ta

    (Alive & Thrive Southeast Asia, FHI Solutions, Hanoi 100000, Vietnam)

  • Duong Hoang Vu

    (Alive & Thrive Southeast Asia, FHI Solutions, Hanoi 100000, Vietnam)

  • Roger Mathisen

    (Alive & Thrive Southeast Asia, FHI Solutions, Hanoi 100000, Vietnam)

  • Ilona Vincent

    (Institute for Health and Social Policy, McGill University, Montreal, QC H3A 1A3, Canada)

  • Vinh Nguyen Duc

    (Ministry of Health, Hanoi 100000, Vietnam)

  • Arijit Nandi

    (Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, QC H3A 1A3, Canada
    Institute for Health and Social Policy, McGill University, Montreal, QC H3A 1A3, Canada)

Abstract

Background: Rates of early initiation of breastfeeding are low in Southeast Asia, despite evidence that increased initiation of early breastfeeding would lead to better long-term infant and child health and decrease inequities in long-term health and well-being. In response, a novel performance-based, baby-friendly hospital program designates hospitals that adhere to evidence-based early essential newborn care (EENC) and breastfeeding interventions as Centers of Excellence for Breastfeeding (COE). This study examined whether hospital participation in the program was associated with better breastfeeding outcomes. Methods: Hospitals ( n = 28) were invited into the program in December 2018. Hospitals developed an improvement plan for promoting a breastfeeding-friendly environment and meeting the standards of the COE accreditation process and were enrolled on a rolling basis over the course of a year. Post-partum surveys were conducted with parents ( n = 9585) from January 2019 through April 2020 to assess their breastfeeding and post-partum experience. Segmented regression models were used to assess how breastfeeding outcomes evolved before and after hospital enrollment in the COE program. Results: Enrollment was associated with a 6 percentage-point (95% CI: 3, 9) increase in the level of early initiation of breastfeeding, which continued to increase in the post-enrollment period, and a 5 percentage-point (95% CI: 2, 9) increase in the level of exclusive breastfeeding during hospital stay. We did not observe evidence that enrollment was immediately associated with receipt of lactation counseling or exclusive breastfeeding at survey time. Conclusion: The prevalence of early and exclusive breastfeeding increased after enrollment in the COE program, suggesting that the program has the potential to improve breastfeeding initiation rates and longer-term child health and well-being. Further research should be conducted to examine whether the program has an impact on the overall duration of breastfeeding.

Suggested Citation

  • Caroline M. Joyce & Sherry Shu-Yeu Hou & Binh T. T. Ta & Duong Hoang Vu & Roger Mathisen & Ilona Vincent & Vinh Nguyen Duc & Arijit Nandi, 2021. "The Association between a Novel Baby-Friendly Hospital Program and Equitable Support for Breastfeeding in Vietnam," IJERPH, MDPI, vol. 18(13), pages 1-14, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:13:p:6706-:d:579585
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    References listed on IDEAS

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    1. Emily R Smith & Lisa Hurt & Ranadip Chowdhury & Bireshwar Sinha & Wafaie Fawzi & Karen M Edmond & on behalf of the Neovita Study Group, 2017. "Delayed breastfeeding initiation and infant survival: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 12(7), pages 1-16, July.
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    Cited by:

    1. Doan Thi Thuy Duong & Colin Binns & Andy Lee & Yun Zhao & Ngoc Minh Pham & Dinh Thi Phuong Hoa & Bui Thi Thu Ha, 2022. "Intention to Exclusively Breastfeed Is Associated with Lower Rates of Cesarean Section for Nonmedical Reasons in a Cohort of Mothers in Vietnam," IJERPH, MDPI, vol. 19(2), pages 1-11, January.

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