Intent of the Intervention
The Connecticut Breastfeeding Initiative (CBI), a practice-tested intervention, was designed to promote practices in maternity facilities that support the initiation and continuation of breastfeeding. The Ten Steps to Successful Breastfeeding provide the foundation of the Baby-Friendly Hospital Initiative (BFHI). The Steps focus on breastfeeding initiation, exclusive breastfeeding, skin-to-skin contact, and rooming in, among other elements. By providing a state-level support system of training, technical assistance, and financial assistance, the CBI assisted multiple hospitals in progressing down the 4-D Pathway with the intention of becoming Baby-Friendly designated. The cornerstone of the CBI is the implementation of the Baby-Friendly Hospital Initiative (BFHI) at the hospital level. Please refer to the template completed for the Boston Medical Center’s implementation of BFHI for a complete description of the Initiative as implemented in one hospital in an urban area: http://centertrt.org/?p=intervention&id=1094.
The CBI is a public health approach that targets the organizational level of the socio-ecological model. The CBI seeks to promote breastfeeding policies and maternity care staff practices that encourage and support new and expectant mothers to breastfeed their babies. The targeted long-term outcomes for mothers (and babies) are initiation, exclusivity, and duration of breastfeeding.