Attachment_2_-_BFHI__Scope_of_Work.docx

Attachment 2

Scope of Work

This is to acquire a comprehensive Baby Friendly Hospital Initiative staff training package with unlimited usage for busy medical and nursing staff to participate in self-directed education which is available at all times. The agency's need for this service is to sustain Baby Friendly designation in support of decreasing childhood obesity and diabetes in American Indian/ Native American people. Staff shall be able to decide when to access the training, day or night, from their home or while they are at work. The training is for unlimited employee access.

A comprehensive Baby Friendly Hospital Initiative staff training package with unlimited usage for 1 base and 5 option years which includes the following:

1. 15 hours of Baby Friendly Hospital Initiative (Breastfeeding Training) curriculum as identified by the United Nations Children’s Fund (UNICEF) and the World Health Organization (WHO) for nurses

0. In-patient maternity nurses and ancillary staff

0. Public Health Nurses

1. 3 hours Baby Friendly Hospital Initiative (Breastfeeding Training) for physician training

1. Pediatricians and obstetricians

1. 5 hours Baby Friendly Hospital Initiative (Breastfeeding Training) for out-patient specific training

2. Public Health Nurses (RN/BSN prepared nurses with a focus on home visits in the home/community setting)

The Baby Friendly Hospital Initiative (Breastfeeding course) educational course/program must offer accreditation for continuing nursing education credits by a recognized nurse accrediting body and the International Board of Lactation Consultant Examiners. The program is to train staff on the Baby Friendly Hospital Initiative Ten Steps to Successful Breastfeeding.

In addition, have a readily available online course which is comprehensive and covers the basic information to support families during the normal course of breastfeeding; and, at the completion, the individual/attendee is a Certified Breastfeeding Specialist (CBS).

The Ten Steps to Successful Breastfeeding:

1. Have a written breastfeeding policy that is routinely communicated to all health care staff.

2. Train all health care staff in the skills necessary to implement this policy.

3. Inform all pregnant women about the benefits and management of breastfeeding.

4. Help mothers initiate breastfeeding within one hour of birth.

5. Show mothers how to breastfeed and how to maintain lactation, even if they are separated from their infants.

6. Give infants no food or drink other than breast-milk, unless medically indicated.

7. Practice rooming in – allow mothers and infants to remain together 24 hours a day.

8. Encourage breastfeeding on demand.

9. Give no pacifiers or artificial nipples to breastfeeding infants.

10. Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or birth center.