At a glance
Learn which questions in CDC's Maternity Practices in Infant Nutrition and Care (mPINC) survey align to step 2 in the World Health Organization's Ten Steps to Successful Breastfeeding. Fillable versions of the tool are available to download at the bottom.
Step 2: Staff competency
Ensure that staff have sufficient knowledge, competence, and skills to support breastfeeding.*
| Ten Steps Competency 1 | mPINC Item | mPINC Domain | mPINC Data Element | Ideal Response† | Hospital Response | Did the Hospital Select the Ideal Response? |
|---|---|---|---|---|---|---|
| Staff competency to support breastfeeding | Indicates which competency skills are required of nurses:
– Placement and monitoring of the newborn skin-to-skin with the mother immediately following birth. – Assisting with effective newborn positioning and latch for breastfeeding. – Assessment of milk transfer during breastfeeding. – Assessment of maternal pain related to breastfeeding. – Teaching hand expression of breast milk. – Teaching safe formula preparation and feeding. |
Institutional Management | F4_a1/F4_a2/ F4_a3/F4_a4/ F4_a5/F4_a6 | Required for all items
Not ideal: Not required for any item |
||
| Assessment of staff competency to support breastfeeding | Assesses whether formal assessment of clinical competency in breastfeeding support and lactation management is required of nurses. | Institutional Management | F3 | Required at least once per year OR Required less than once per year
Not ideal: Not required |
Note:
*This step aligns with step 2 in the Ten Steps to Successful Breastfeeding. Although this tool assesses many aspects of each of the Ten Steps, it does not assess every aspect. You cannot assess every aspect of each Step using mPINC™ data alone.
†Ideal responses are in bold.
- World Health Organization. Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: implementing the revised Baby-friendly Hospital Initiative. Geneva: World Health Organization; 2018.