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North Carolina Maternity Center Breastfeeding-Friendly Designation

Core Elements

This section outlines the aspects of an intervention that are central to its theory and logic and that are thought to be responsible for the intervention’s effectiveness.  Core elements are critical features of the intervention’s intent and design and should be kept intact when the intervention is implemented or adapted. 

  1. Engage stakeholders, including hospitals and maternity centers, to solicit feedback during the development/adaptation of the program and to create buy-in for the program.
  2. Create or adapt standards, designation levels, a program application, and logo for the program, based on state or regional needs.
  3. Assemble a review team that is knowledgeable in quality improvement, breastfeeding and the Ten Steps to Successful Breastfeeding.
  4. Develop and implement a selection process for designation.
  5. Distribute and make the program application available to hospitals and maternity centers.
  6. Publicize the program through media outlets.
  7. Provide a designation packet to all hospitals and maternity centers awarded designation.
  8. Provide technical assistance and feedback to hospitals and maternity centers that express interest in the program, apply for the designation and/or are awarded designation.