title: Evaluating implementation of a baby friendly hospital initiative.
abstract: OBJECTIVE
  The study evaluates the implementation of a United Nations Children's Fund (UNICEF)/WHO Baby-Friendly Hospital Initiative (BFHI) in a large urban hospital in New York City that serves primarily poor, minority women.
  
  
  METHODS
  A descriptive qualitative evaluation study that included focus groups, key informant interviews, and observations of the clinical environment was conducted using a community-based participatory research approach with healthcare providers.
  
  
  RESULTS
  Findings revealed strengths and challenges in the implementation process at the system, provider, and patient levels. Strategies for enhancing program implementation and outcomes include expansion of provider education, development of additional patient interventions, enhancement of environmental structural supports, and continuation and expansion of program evaluation activities.
  
  
  CONCLUSIONS
  Evaluation of program implementation at multiple levels of the organization in collaboration with providers is critical to understanding program outcomes.
authors: Nancy VanDevanter is an Associate Professor, New York University, College of Nursing, New York, NY. She can be reached via e-mail at nvd2@nyu.edu Susan Gennaro is the Dean and Professor, Boston College, William F. Connell School of Nursing, Boston, MA. Wendy Budin is the Director of Nursing Research, NYU Langone Medical Center, Adjunct Professor, NYU College of Nursing, Research Professor of Nursing, NYU School of Medicine, New York, NY. Helene Calalang-Javiera is an Associate Director Maternal Child Health Nursing, Bellevue Hospital Center, NYC Health and Hospitals Corporation, New York, NY. Minh Nguyen is Staff Nurse, Medical City Dallas Hospital, Dallas, TX.
authors: Nancy
authors: N
authors: VanDevanter
authors: Susan
authors: S
authors: Gennaro
authors: Wendy
authors: W
authors: Budin
authors: Helene
authors: H
authors: Calalang-Javiera
authors: Minh
authors: M
authors: Nguyen
mesh_terms: D001942:Breast Feeding / Q000639:trends; D055812:Community-Based Participatory Research; D005260:Female; D017144:Focus Groups; D006272:Health Facility Environment / Q000592:standards*; D006293:Health Promotion / Q000379:methods* / Q000458:organization & administration; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D036301:Qualitative Research; D014480:United Nations; D014944:World Health Organization