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Table 3 Survey results

From: Perspectives about the baby friendly hospital/health initiative in Australia: an online survey

StatementsStrongly disagree
n (%)
Disagree
n (%)
Neutral
n (%)
Agree
n (%)
Strongly agree
n (%)
1. Policy and guideline support and improvement of breastfeeding and the BFHI
Australian health policies support breastfeeding as a public health issue. (n = 234)10 (4.3)63 (26.9)60 (25.6)79 (33.8)22 (9.4)
Australian health policies support implementation of the BFHI. (n = 235)13 (5.5)55 (23.4)80 (34.0)71 (30.2)16 (6.8)
Advertising for toddler formula should be banned in Australia. (n = 191)6 (3.1)16 (8.4)7 (3.7)28 (14.7)134 (70.2)
The Code of Marketing of Breast-milk Substitutes should be legislated in Australia to improve compliance. (n = 192)2 (1.0)4 (2.1)11 (5.7)45 (23.4)130 (67.7)
Research funded by formula companies should be supervised by a governing body to ensure compliance with the Code of Marketing of Breast-milk Substitutes. (n = 192)0 (0)1 (.5)12 (6.3)44 (22.9)135 (70.3)
Most maternity facilities in Australia adhere to the Code of Marketing of Breast-milk Substitutes. (n = 192)17 (8.9)40 (20.8)84 (43.8)46 (24.0)5 (2.6)
Current breastfeeding guidelines provide adequate details about when it is medically essential to provide formula for infants. (n = 192)22 (11.5)61 (31.8)42 (21.9)57 (29.7)10 (5.2)
The BFHI guidelines address cultural differences in feeding practices. (n = 195)5 (2.6)62 (31.8)87 (44.6)38 (19.5)3 (1.5)
2. Leadership support to implement the BFHI
Organisational leadership influences implementation of the BFHI. (n = 237)4 (1.7)1 (.4)19 (8.0)69 (29.1)144 (60.8)
Mothers receive adequate support for breastfeeding postnatally (n = 188)54 (28.7)79 (42.0)28 (14.9)21 (11.2)6 (3.2)
3. Breastfeeding and BFHI related knowledge
Up-to-date educational resources are freely available for staff to support implementation of the BFHI. (n = 236)6 (2.5)47 (19.9)58 (25.0)74 (31.4)50 (21.2)
Breastfeeding-related education should be compulsory for staff involved in caring for mothers and babies. (n = 236)2 (.8)2 (.8)2 (.8)30 (12.7)200 (84.7)
Mothers are provided with information by healthcare staff about how and where to access appropriate breastfeeding resources. (n = 235)7 (3.0)37 (15.7)45 (19.1)101 (43.0)45 (19.1)
Healthcare professionals are aware of the benefits of implementing the Ten Steps. (n = 191)18 (9.4)58 (30.4)45 (23.6)59 (30.9)11 (5.8)
4. Accreditation and reaccreditation
BFHI accreditation is not essential if appropriate practices (implementing the Ten Steps) exist. (n = 194)26 (13.4)66 (34.0)36 (18.6)52 (26.8)14 (7.2)
The Ten Steps are consistent with current evidence-based practice on breastfeeding. (n = 195)1 (.5)6 (3.1)18 (9.2)115 (59.0)55 (28.2)
In settings where the initiation rate of breastfeeding is high, implementation of the BFHI has less impact. (n = 194)23 (11.9)81 (41.8)52 (26.8)33 (17.0)5 (2.6)
Formal organisational structures are required within maternity settings to monitor and evaluate the implementation of the BFHI. (n = 236)1 (.4)6 (2.5)11 (4.7)101 (42.8)117 (49.6)
Changes to current models of maternity care may be more influential in improving breastfeeding outcomes than BFHI accreditation. (n = 195)4 (2.1)28 (14.4)41 (21.0)77 (39.5)45 (23.1)
The financial cost of the BFHI accreditation for maternity settings is worth the health outcomes for mothers and infants. (n = 196)4 (2.0)23 (11.7)50 (25.5)59 (30.1)60 (30.6)
Feedback from a range of key stakeholders (e.g. mothers and/or interdisciplinary staff) is essential for successful implementation of the BFHI. (n = 191)1 (.5)0 (0)6 (3.1)89 (46.6)95 (49.7)
Continuous monitoring of BFHI accredited maternity facilities is essential to ensure ongoing compliance by these health facilities. (n = 191)0 (0)3 (1.6)10 (5.2)95 (49.7)83 (43.5)
5. Implementation complexity
The choice to breastfeed is influenced by a mother’s values about breastfeeding. (n = 188)2 (1.1)12 (6.4)6 (3.2)102 (54.3)66 (35.1)
Support for breastfeeding by social media influences mothers’ breastfeeding decisions. (n = 188)0 (0)7 (3.7)20 (10.6)102 (54.3)59 (31.4)
Breastfeeding in public is supported in the Australian context. (n = 188)13 (6.9)65 (34.6)52 (27.7)53 (28.2)5 (2.7)
Societal acceptance of breastfeeding influences mothers breastfeeding decisions. (n = 188)0 (0)4 (2.1)11 (5.9)88 (46.8)85 (45.2)
Communication among stakeholders
An interdisciplinary team approach is required for successful implementation of the BFHI. (n = 236)2 (.8)4 (1.7)8 (3.4)73 (30.9)149 (63.1)