Annexes

The BBF Guide contains four annexes required to score several benchmarks. 

Annex 1 corresponds to the Legislation & Policy Gear.  This annex compares the International Labour Organization’s Maternity Protection Conventions from 1919, 1952, and 2000 to assess changes in maternity protection legislation. 

Annex 2 corresponds to the Funding & Resources Gear.  This annex was developed based on breastfeeding activities identified by the team at Yale as key scaling up initiatives that require individual line item funding. 

Annex 3 was adapted from the WHO Infant and Young Child Feeding Assessment Tool, Annex 7, as well as the WBTi Tool, Annex 5.1.  The essential breastfeeding topics and content were cross-checked with the 2009 UNICEF/WHO curriculum entitled, Breastfeeding Promotion and Support in a Baby-Friendly Hospital, a 20-hour course for maternity staff and revised.  This Baby Friendly Hospital Initiative (BFHI) curriculum serves as the BBF standard that pre-service and in-service health care professional breastfeeding curriculums should attain since it covers the topics, content and clinical skills needed for successful facility implementation of the Ten Steps to Successful Breastfeeding.  

The topics and content of Annex 3 were also cross-checked with the UNICEF/WHO counseling training course for community health workers entitled, Breastfeeding counselling: A training course, to ensure these topics would also be reasonable to expect in an in-service curriculum for community health workers and volunteers. 

Two topics, training on the BFHI and the International Code of Marketing of Breast Milk Substitutes were not included within this curriculum, but they were kept in Annex 3 as a requirement for community health worker training due to their importance. 

Annex 4 was developed based on the clinical training content of the 2009 UNICEF/WHO curriculum entitled, Breastfeeding Promotion and Support in a Baby-Friendly Hospital, a 20-hour course for maternity staff.  The topics and content of Annex 4 were also cross-checked with the UNICEF/WHO counseling training course for community health workers entitled, Breastfeeding counselling: A training course, to ensure these topics would also be reasonable to expect in an in-service hands-on curriculum for community health workers and volunteers. 
Bangladesh

A community health worker in Haryana, Bangladesh, uses a card-guided intervention to help a mother adopt positive maternal-child nutrition and child stimulation behaviors through the SPRING program. © 2014 Gauri Divan/ Sangath, Courtesy of Photoshare