Abstract
Background: Improved breastfeeding practices have the potential to save the lives of over 823,000 children under 5 years old globally every year. Exclusively breastfeeding infants for the first six months would lead to the largest infant mortality reduction. The Baby-Friendly Hospital Initiative (BFHI) is a global campaign by the World Health Organization and the United Nations Children's Fund (UNICEF), which promotes best practice to support breastfeeding in maternity services. The Baby-Friendly Community Initiative (BFCI) is an extension of the BHFI's 10 th step of the Ten Steps to Successful Breastfeeding and of the BFHI overall. Its focus is on community-based breastfeeding supports for women. There have been no known attempts to synthesise the overall body of evidence on the BFHI in recent years, and no synthesis of empirical research on the BFCI. This scoping review asks the question: what is known about the implementation of the BFHI and the BFCI globally? Methods and analysis: This scoping review will be conducted according to the Joanna Briggs Institute methodology for scoping reviews. Inclusion criteria will follow the Population, Concepts, Contexts approach. A data charting form will be developed and applied to all the included articles. Qualitative and quantitative descriptive analysis will be undertaken. The PAGER (Patterns, Advances, Gaps, Evidence for practice and Research recommendations) methodological framework will be used to analyse and report review findings. Conclusion: This review will establish gaps in current evidence which will inform areas for future research in relation to this global initiative.
Highlights
Improved breastfeeding practices have the potential to save the lives of over 823,000 children under 5 years old globally every year
- We have decided to chart the data according to the PAGER (Patterns, Advances, Gaps, Evidence for practice and Research recommendations) framework (Bradbury-Jones et al, 2021)
This framework is a methodological framework which will enable us to analyse and report review findings. - We have taken out the equity dimension to the review
Summary
We will use the framework for scoping reviews developed by Arksey & O’Malley[14] as the foundation, updated and advanced by Levac et al.[15] and progressed further by new guidance from the JBI11,13,16 According to this framework, there are six different stages, including: 1) identifying the research question; 2) identifying relevant articles; 3) study selection; 4) charting the data; 5) collating, summarising and reporting results; and 6) consulting with stakeholders. Stage 6: consulting with stakeholders Findings from the review will be prepared for stakeholders who have expertise in relation to the BFHI and the BFCI These will include researchers, practitioners and policy makers at the global level and at WHO regional levels. Full database searches are ready to run and de-duplication and screening will begin in December 2020
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