Evidence for the ten steps to successful breastfeeding

The Ten Steps involve changes in maternity services. Every facility providing maternity services
should have a breastfeeding policy and carry out structural changes and train all health care staff in skills necessary to implement this policy. They are aimed to protecting, promoting, and supporting breastfeeding in facilities that provide maternity services.
To be certified as an BFHI Baby-Friendly Hospital, a facility must undergo an external evaluation of its implementation of the Ten Steps and achieve a minimum level of compliance. The evaluation includes a survey of mothers and maternity team staff, along with direct monitoring of the performance of each step.