{
  "release_id": "c7fb95f1d15a7d13",
  "id": "maternal:baby-friendly-hospital-initiative",
  "owner": "maternal",
  "kind": "resource",
  "slug": "baby-friendly-hospital-initiative",
  "name": "Baby-friendly Hospital Initiative and the Ten Steps",
  "aliases": [],
  "atlases": [
    "maternal"
  ],
  "summary_plain": "A global programme, started in 1991, in which maternity facilities follow ten steps to support breastfeeding. The 2018 guidance revised the Ten Steps for the first time since 1989 and asks countries to make the programme part of national health systems.",
  "summary_technical": "Implementation guidance, 2018 (ISBN 978-92-4-151380-7, CC BY-NC-SA 3.0 IGO; 64 pages). The revised Ten Steps are split into critical management procedures (including facility policies and staff competency) and key clinical practices (including antenatal information, immediate postnatal care, support with breastfeeding, supplementation, rooming-in, responsive feeding, feeding bottles, teats and pacifiers, and care at discharge). The guidance says that as of 2017 only 10% of infants were born in a facility currently designated Baby-friendly, and that the programme has typically been implemented by designating facilities that volunteer and can document full adherence to the Ten Steps. The revised steps follow the 2017 guideline on breastfeeding in maternity facilities. A large trial in Belarus tested an intervention modelled on the initiative. The who.int page date is 1 January 2018 and the IRIS date 2018-06-26.",
  "editorial_state": "draft",
  "last_substantive_edit": "2026-10-14",
  "last_evidence_check": "2026-10-14",
  "next_review_due": null,
  "identifiers": [],
  "navigation": {
    "maternal": {
      "life-stage": [
        "childbirth",
        "postpartum"
      ],
      "care-area": [
        "breastfeeding"
      ]
    }
  },
  "payload": {
    "resource_type": "tool",
    "owner": "maternal:who",
    "contents": "Implementation guidance with the revised Ten Steps to Successful Breastfeeding, global standards and national implementation responsibilities.",
    "access": "Open publication on who.int and WHO IRIS.",
    "license": "CC BY-NC-SA 3.0 IGO"
  },
  "content_digest": "d06f902ad98b41b95d168df5b7b3fd705715fa7a451b48767b032993956ee639",
  "review": {
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    "current": [],
    "conflicting": [],
    "stale": [],
    "inactive": []
  },
  "claims": [],
  "decisions": [],
  "milestones": [],
  "relationships": {
    "outgoing": [
      {
        "predicate": "related_to",
        "label": "Facility-level standard for supporting breastfeeding",
        "clinical_claim_not_fact": false,
        "family": "navigation",
        "other_entity_id": "maternal:breastfeeding",
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        "claim_id": null,
        "evidence": null,
        "primary": false,
        "role": null,
        "valid_from": null,
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      },
      {
        "predicate": "related_to",
        "label": "WHO and UNICEF initiative",
        "clinical_claim_not_fact": false,
        "family": "navigation",
        "other_entity_id": "maternal:who",
        "other_entity_in_atlas": true,
        "claim_id": null,
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      }
    ],
    "incoming": []
  },
  "page_path": "resources/baby-friendly-hospital-initiative/",
  "context_path": "api/v1/context/maternal--baby-friendly-hospital-initiative.md"
}