Becoming Breastfeeding Friendly in Germany –Results and ...

Becoming Breastfeeding Friendly in Germany – Results and Lessons Learnt

National BreastfeedingWeek

6.10.2021

Maria FlothkötterHealthy Start – Young Family Network

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Introduction

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▸Population: 83 Mio

▸federal, democratic parliamentary republic since 1949within the European Union

▸High income country, poor breastfeeding rates

▸national Breastfeeding Committee since 1994

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Exclusively breastfed after 4 months (%)

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0

10

20

30

40

50

Educational status of the mother Age of mother at birth Smoked during pregnancy

%

Yes

No

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-34

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21

35

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40 41

10

37

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Research projekt: BECOMING BREASTFEEDING FRIENDLY (BBF)

Breastfeeding Gear Modell a Pérez-Escamilla et al. Adv Nutr 2012

„

Breastfeeding Gear Model – the framework• 8 gears (= key action areas) at work and in

harmony for large-scale improvement in a country’s national breastfeeding program

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BBF Index = expresses the degree of

Breastfeeding Friendliness

Between 0 and 3:

0 = framework missing3 = framework excellent

Gear score

Total Score

Methodology: Benchmarks, Scoring und BBF-Index

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Scoring of 54 Benchmarks in 8 Gears (8 key areas of action)

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Methodology: Scoring

Legislation: ex. Benchmark 7

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Scoring

BBF process in Germany

1. Meeting (5.–6.3.2018)1. Meeting (5.–6.3.2018)

2. Meeting (14.5.2018)2. Meeting (14.5.2018)

3. Meeting(11.9. + 1.10. + 21.11.2018)3. Meeting(11.9. + 1.10. + 21.11.2018)

4. Meeting (29.1.2019)4. Meeting (29.1.2019)

5. Meeting (27.-28.3.2019)5. Meeting (27.-28.3.2019)

Scoring continued

Development of recommendations

Development of recommendations continued

BBF Conference (5.6.2019)Publication and dissemination of BBF results

Recommendations, finalised

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BBF Expert Committee

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How Breastfeeding Friendly is your country,

The Nederlands?

Choose between 0 and 3:

0 = low breastfeeding friendly environment3 = high breastfeeding friendly environment

Mentimeter

Your guess requested!

Results

▸Plenty of singleactivities, quality?

▸Few coordination

▸No overarchingstrategy

▸Weak awareness

Low impact

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Advocacy

1,3 PoliticalWill2,0

Legislationand Policies

2,6

Funding andResources

2,3Training andProgramme

Delivery1,6

Promotion

1,0

Research and

Evaluation0,9

Total score

NATIONAL BREASTFEEDING STRATEGY

Key recommendations

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Kommunikationsstrategie zur Stillförderung

Kommunikationsstrategie zur Stillförderung

Kommunikationsstrategie zur Stillförderung

National Breastfeedingcommunication campaign

• Standards in Care andEducation of (Health) Professionals

• Municipal Care Network (Chains)

Breastfeeding & WorkMarketing of breastmilk substitutes

Establishing a BreastfeedingMonitoring System

Advocacy

1,3 PoliticalWill2,0

Legislationand Policies

2,6

Funding andResources

2,3Training andProgramme

Delivery1,6

Promotion

1,0

Research and

Evaluation0,9

What has happened with the BBF recommendations?

1. National conference on results and implementation

2. PR activities increasing awareness enhancing “political pressure”

3. Political decisions on:- National Breastfeeding Strategy(participatory process)

- Breastfeeding coordination unit- Communication campaign- Breastfeeding monitoring- “new” breastfeeding committee

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Lessons learned

▸Profound understanding on the “mechanics” of breastfeeding promotion within our national (political) system

focus on improving the structures of the given system (not creating additional “interventions”)

▸Stakeholder involvement was challenging (time, consensus), but the key factor for successful implementation

▸adequate resources for research and data evaluation to relieve the committee members

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Further information ...

https://www.gesund-ins-leben.de/info/healthy-start-young-family-network/

becoming-breastfeeding-friendly/

bmel.de/breastfeeding-strategy

https://ysph.yale.edu/bfci/

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