Factors influencing the implementation of the Becoming Breastfeeding Friendly initiative in Ghana.

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 co...

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Publicado en:Maternal & Child Nutrition Vol. 15; no. 3
Autores principales: Carroll, Grace, Atuobi‐Yeboah, Afua, Hromi‐Fiedler, Amber, Aryeetey, Richmond, Safon, Cara, Pérez‐Escamilla, Rafael
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Jul2019
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Factors influencing the implementation of the Becoming Breastfeeding Friendly initiative in Ghana.
      aug:
        au:
          Carroll, Grace
          Atuobi‐Yeboah, Afua
          Hromi‐Fiedler, Amber
          Aryeetey, Richmond
          Safon, Cara
          Pérez‐Escamilla, Rafael
        affil: Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven Connecticut, USA
      sug:
        subj:
          Breast Feeding Promotion Ghana
          Breast Feeding Psychosocial Factors
          Implementation Science
          Consumer Advocacy
          Human
          Ghana
          Program Implementation
          Semi-Structured Interview
          Grounded Theory
          Committees
          Funding Source
          Social Environment
          Documentation
          Attitude to Breast Feeding
          Policy Making
      ab: 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.
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    language: English
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