title: Implementing the WHO/UNICEF Baby Friendly Initiative in the community: a 'hearts and minds' approach.
abstract: OBJECTIVE
  to describe a 'hearts and minds' approach to community Baby Friendly Initiative implementation developed from the views of multidisciplinary professionals.
  
  
  METHODS
  a qualitative descriptive study utilising focus groups and interviews, with thematic networks analysis conducted.
  
  
  METHODS
  forty-seven professionals were consulted from two primary health-care facilities located in the North-West of England.
  
  
  RESULTS
  thematic networks analysis generated a global theme of a 'hearts and minds approach' to BFI implementation, which embodies emotional and rational engagement. The three underpinning organising themes (and their associated basic themes): 'credible leadership', 'engagement of key partners' and 'changing attitudes and practice' reflect the context, processes and outcomes of a 'hearts and minds' approach.
  
  
  CONCLUSIONS
  a 'hearts and minds' approach transcends the prescriptive aspects of a macro-level intervention with its emphasis upon audits, training, statistics and 'hard' evidence through valuing other professionals and engaging staff at all levels. It offers insights into how organisational change may move beyond traditional top-down mechanisms for driving change to incorporate ways that value others and promote cooperation and reflection.
authors: Maternal and Infant Nutrition and Nurture Unit, University of Central Lancashire, Preston, UK. GThomson@uclan.ac.uk
authors: Gill
authors: G
authors: Thomson
authors: Andy
authors: A
authors: Bilson
authors: Fiona
authors: F
authors: Dykes
mesh_terms: D001942:Breast Feeding; D004739:England; D007722:Health Knowledge, Attitudes, Practice; D006284:Health Plan Implementation / Q000458:organization & administration*; D006293:Health Promotion; D006757:Hospital Units; D006801:Humans; D007224:Infant Care; D007231:Infant, Newborn; D009775:Obstetrics and Gynecology Department, Hospital / Q000458:organization & administration; D015397:Program Evaluation; D036301:Qualitative Research; D012111:Residence Characteristics; D014480:United Nations; D014944:World Health Organization