External evaluation and self-monitoring of the Baby-friendly Hospital Initiative’s maternity hospitals in Brazil

Abstract:
BackgroundIn Brazil, the Baby-Friendly Hospital Initiative (BFHI) proposes following the criteria, the “Ten Steps to Successful Breastfeeding”, International Code of Marketing of Breast-milk Substitutes and Good birth and delivery practices. Brazilian Baby-Friendly Hospitals are reassessed triennially by external evaluators and annually by self-monitoring. This study aimed to verify if the self-monitoring system fulfills its role of enabling accredited hospitals to assess and improve their compliance with the BFHI criteria. In this sense, we will analyze the self-monitoring evaluation results and compare them with those of the external reassessment.MethodsThis descriptive evaluation study of the compliance with the BFHI criteria by the Brazilian Baby-Friendly Hospitals by self-monitoring evaluators from 2010 to 2015 and by external evaluators in 2015.ResultsSelf-monitoring was performed in all years from 2010 to 2015 by 143 BFHI accredited hospitals. The trend of the levels of compliance with BFHI’s criteria according to self-monitoring evaluations was stable over the assessed period. Most criteria presented compliance above 70%, except Step 4 (skin-to-skin contact and breastfeeding in the first hour of life), with mean compliance of 67%. Steps 1 (written policy), 7 (rooming-in) and 9 (give no artificial teats) showed mean compliance above 90%. Regarding the external evaluation carried out in 2015, the criteria with lowest compliance were Step 4 and Woman-Friendly care, both below 50%. Steps 9 and 10 (refer mothers to breastfeeding support groups) reached levels of compliance above 90%. For 2015, self-monitoring provided significant higher compliance levels than those from external evaluations in most criteria, except Step 3 (prenatal information on breastfeeding) and Step 10. There was a difference of more than 30% points between evaluations of Steps 1 (written policy), 2 (training), 5 (show mothers how to breastfeed), Woman-Friendly Care and father or mother stay with their newborn.ConclusionsThe self-monitoring system fulfilled partially its role of allowing accredited hospitals to self-assess and improve rates of compliance with BFHI criteria. Future trainings of hospital managers need to address difficulties and identify solutions to improve implementation of Steps 4 and 6.
Author Listing: Renara Guedes Araújo;Vânia de Matos Fonseca;Maria Inês Couto de Oliveira;Eloane Gonçalves Ramos
Volume: 14
Pages: None
DOI: 10.1186/s13006-018-0195-4
Language: English
Journal: International Breastfeeding Journal

International Breastfeeding Journal

INT BREASTFEED J

影响因子:2.9 是否综述期刊:否 是否OA:是 是否预警:不在预警名单内 发行时间:2006 ISSN:1746-4358 发刊频率:- 收录数据库:SCIE/Scopus收录/DOAJ开放期刊 出版国家/地区:United Kingdom 出版社:BioMed Central

期刊介绍

Breastfeeding is recognized as an important public health issue with enormous social and economic implications. Infants who do not receive breast milk are likely to experience poorer health outcomes than breastfed infants; mothers who do not breastfeed increase their own health risks.Publications on the topic of breastfeeding are wide ranging. Articles about breastfeeding are currently published journals focused on nursing, midwifery, paediatric, obstetric, family medicine, public health, immunology, physiology, sociology and many other topics. In addition, electronic publishing allows fast publication time for authors and Open Access ensures the journal is easily accessible to readers.

母乳喂养被认为是一个重要的公共卫生问题,具有巨大的社会和经济影响。不接受母乳喂养的婴儿的健康状况可能比母乳喂养的婴儿差;不母乳喂养的母亲会增加她们自身的健康风险。2关于母乳喂养的出版物种类繁多。关于母乳喂养的文章目前发表的期刊集中在护理,助产,儿科,产科,家庭医学,公共卫生,免疫学,生理学,社会学和许多其他主题。此外,电子出版为作者提供了快速的出版时间,开放存取确保读者能够轻松访问期刊。

年发文量 68
国人发稿量 8
国人发文占比 11.76%
自引率 10.3%
平均录取率 -
平均审稿周期 32 Weeks
版面费 US$2590
偏重研究方向 Medicine-Obstetrics and Gynecology
期刊官网 https://www.springer.com/journal/13006
投稿链接 https://www.editorialmanager.com/IBFJ

质量指标占比

研究类文章占比 OA被引用占比 撤稿占比 出版后修正文章占比
89.71% 99.21% 0.00% 1.01%

相关指数

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期刊预警不是论文评价,更不是否定预警期刊发表的每项成果。《国际期刊预警名单(试行)》旨在提醒科研人员审慎选择成果发表平台、提示出版机构强化期刊质量管理。

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具体而言,就是通过综合评判期刊载文量、作者国际化程度、拒稿率、论文处理费(APC)、期刊超越指数、自引率、撤稿信息等,找出那些具备风险特征、具有潜在质量问题的学术期刊。最后,依据各刊数据差异,将预警级别分为高、中、低三档,风险指数依次减弱。

《国际期刊预警名单(试行)》确定原则是客观、审慎、开放。期刊分区表团队期待与科研界、学术出版机构一起,夯实科学精神,打造气正风清的学术诚信环境!真诚欢迎各界就预警名单的分析维度、使用方案、值得关切的期刊等提出建议!

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分区表升级版(试行)的优势:一是论文层级的主题体系既能体现学科交叉特点,又可以精准揭示期刊载文的多学科性;二是采用“期刊超越指数”替代影响因子指标,解决了影响因子数学性质缺陷对评价结果的干扰。整体而言,分区表升级版(试行)突破了期刊评价中学科体系构建、评价指标选择等瓶颈问题,能够更为全面地揭示学术期刊的影响力,为科研评价“去四唯”提供解决思路。相关研究成果经过国际同行的认可,已经发表在科学计量学领域国际重要期刊。

《2019年中国科学院文献情报中心期刊分区表升级版(试行)》首次将社会科学引文数据库(SSCI)期刊纳入到分区评估中。升级版分区表(试行)设置了包括自然科学和社会科学在内的18个大类学科。基础版和升级版(试行)将过渡共存三年时间,推测在此期间各大高校和科研院所仍可能会以基础版为考核参考标准。 提示:中科院分区官方微信公众号“fenqubiao”仅提供基础版数据查询,暂无升级版数据,请注意区分。

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