At a glance
Learn which questions in CDC's Maternity Practices in Infant Nutrition and Care (mPINC) survey align to step 2 in the World Health Organization's Ten Steps to Successful Breastfeeding. Fillable versions of the tool are available to download at the bottom.
Step 2: Staff competency
Ensure that staff have sufficient knowledge, competence, and skills to support breastfeeding.*
| Ten Steps Competency 1 | mPINC Item | mPINC Domain | mPINC Data Element | Ideal Response† | Hospital Response | Did the Hospital Select the Ideal Response? |
|---|---|---|---|---|---|---|
| Staff competency to support breastfeeding | Indicates which competency skills are required of nurses: – Placement and monitoring of the newborn skin-to-skin with the mother immediately following birth. – Assisting with effective newborn positioning and latch for breastfeeding. – Assessment of milk transfer during breastfeeding. – Assessment of maternal pain related to breastfeeding. – Teaching hand expression of breast milk. – Teaching safe formula preparation and feeding. |
Institutional Management | F4_a1/F4_a2/ F4_a3/F4_a4/ F4_a5/F4_a6 | Required for all items
Not ideal: Not required for any item |
||
| Assessment of staff competency to support breastfeeding | Assesses whether formal assessment of clinical competency in breastfeeding support and lactation management is required of nurses. | Institutional Management | F3 | Required at least every 2 years Not Ideal: Required less frequently than every 2 years or not required‡ |
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- World Health Organization. Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: implementing the revised Baby-friendly Hospital Initiative. Geneva: World Health Organization; 2018.