D3 Dissemination

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Your facility will enter the D3: Dissemination Phase after successfully completing the six tasks of the Development Phase, submitting a letter indicating your readiness to move the the next phase, and submitting the Dissemination Phase fee to Baby-Friendly USA (BFUSA).  At that time, BFUSA will provide your facility a Development Phase - Certificate of Completion award and access to the online Dissemination Phase tool kit.  

Click here to view Everyone Plays a Role, a presentation that will help you to prepare your team.  

Key tasks that must be accomplished during the Dissemination Phase of the 4-D pathway are:

Roll-Out Policy and Plans

During the Dissemination Phase, your hospital or birthing center will disseminate information about Baby-Friendly to facility staff and patients and will roll out the plans written during the Development Phase.  The purpose of these efforts is to comply with all of the Ten Steps to Successful Breastfeeding as measured by the Baby-Friendly Hospital Initiative Guidelines and Evaluation Criteria.  

BFUSA is available to answer questions from your facility about moving through this phase of the Baby-Friendly process.  The online Dissemination Phase tool kit contains a series of tools to use in implementing your training and quality improvement processes.  In addition, the Baby-Friendly list serve facilitates peer-to-peer assistance.

Staff Training and Patient Education

One of the major goals of the Dissemination Phase is to impart information about the Baby-Friendly Hospital Initiative (BFHI) to birthing facility staff as well as prenatal and postpartum women of the facility. Staff directly involved in maternity patient care must also learn practical skills associated with improved breastfeeding rates.  Components of staff training include: (1) orient all facility staff on the facility's position on breastfeeding and the infant feeding resources available in the facility; (2) orient all departments impacted by the BFHI; (3) train all maternity care staff on the policies revised during the Development Phase; (4) train and verify competencies for all maternity care staff on all BFHI topics; and (5) document initial training, verification of staff competencies, and annual breastfeeding continuing education for all maternity care staff.  

During this phase, the birthing facility must also implement a breastfeeding education program for pregnant women and new mothers based on the training plans prepared during the Development Phase.  This education must include information on community breastfeeding support providers and how to safely prepare infant formula for those new mothers who have elected to formula feed. The facility should document all prenatal and postpartum training provided during the Dissemination Phase.

Collect Data

The second step during the Dissemination Phase is data collection.  Key to the successful implementation - and continued sustainability - of the BFHI is the establishment of a robust quality improvement plan.  As detailed in the online Dissemination Phase tool kit, the birthing facility should implement a rigorous quality improvement audit of maternity care practices.  The goal of the quality improvement program is to meet all of the benchmarks outlined in BFHI Guidelines and Evaluation Criteria.  

A facility has successfully completed the Dissemination Phase when they are confident that maternity practices in their facility are aligned with all of the Ten Steps to Successful Breastfeeding.   Benchmarks useful in measuring success are set forth in the BFHI Guidelines and Evaluation Criteria and in the online Dissemination Phase tool kit.  Quality improvement activities should continue until audit results indicate that all required standards are being met.

When the results of your birthing facility's quality improvement program meet the breastfeeding benchmarks outlined in the BFHI Guidelines and Evaluation Criteria, your facility can request to move to the next phase of the 4-D pathway, the D4: Designation Phase.  When BFUSA receives the request letter and payment of the Designation Phase Fee, your facility will be mailed a Dissemination Phase Certificate of Completion and provided with the online Designation Phase tool kit.   

Link to D4: Designation Phase

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