The Baby Friendly Hospital Initiative and Ten Steps to Successful Breastfeeding programs: applying the Non-adoption, Abandonment, Spread, Scale up, Sustainability (NASSS) health technology adoption framework to analyze challenges to hospital implementation in Australia and Indonesia

Andini Pramono; Julie P Smith; Jane Desborough

The Baby Friendly Hospital Initiative and Ten Steps to Successful Breastfeeding programs: applying the Non-adoption, Abandonment, Spread, Scale up, Sustainability (NASSS) health technology adoption framework to analyze challenges to hospital implementation in Australia and Indonesia

Andini Pramono, Julie P Smith, Jane Desborough

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

Background
Global uptake of the Baby Friendly Hospital Initiative (BFHI) and Ten Steps to Successful Breastfeeding (Ten Steps) is low, and sustainability is a challenge. Although both programs are backed by strong evidence and international endorsement, their integration into national health systems has been inconsistent and often lacks institutional prioritization. This study aimed to analyze challenges to implementation of the BFHI and Ten Steps programs in Australia and Indonesia.

Original language	English
Number of pages	15
Journal	International Breastfeeding Journal
Volume	20
Publication status	Published - 13 Aug 2025

Access to Document

https://link.springer.com/article/10.1186/s13006-025-00754-0Licence: CC BY-NC-ND

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Pramono, A., Smith, J. P., & Desborough, J. (2025). The Baby Friendly Hospital Initiative and Ten Steps to Successful Breastfeeding programs: applying the Non-adoption, Abandonment, Spread, Scale up, Sustainability (NASSS) health technology adoption framework to analyze challenges to hospital implementation in Australia and Indonesia. International Breastfeeding Journal, 20. https://link.springer.com/article/10.1186/s13006-025-00754-0

Pramono, Andini ; Smith, Julie P ; Desborough, Jane. / The Baby Friendly Hospital Initiative and Ten Steps to Successful Breastfeeding programs: applying the Non-adoption, Abandonment, Spread, Scale up, Sustainability (NASSS) health technology adoption framework to analyze challenges to hospital implementation in Australia and Indonesia. In: International Breastfeeding Journal. 2025 ; Vol. 20.

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abstract = "Background Global uptake of the Baby Friendly Hospital Initiative (BFHI) and Ten Steps to Successful Breastfeeding (Ten Steps) is low, and sustainability is a challenge. Although both programs are backed by strong evidence and international endorsement, their integration into national health systems has been inconsistent and often lacks institutional prioritization. This study aimed to analyze challenges to implementation of the BFHI and Ten Steps programs in Australia and Indonesia.",

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Pramono, A , Smith, JP & Desborough, J 2025, 'The Baby Friendly Hospital Initiative and Ten Steps to Successful Breastfeeding programs: applying the Non-adoption, Abandonment, Spread, Scale up, Sustainability (NASSS) health technology adoption framework to analyze challenges to hospital implementation in Australia and Indonesia', International Breastfeeding Journal, vol. 20. <https://link.springer.com/article/10.1186/s13006-025-00754-0>

The Baby Friendly Hospital Initiative and Ten Steps to Successful Breastfeeding programs: applying the Non-adoption, Abandonment, Spread, Scale up, Sustainability (NASSS) health technology adoption framework to analyze challenges to hospital implementation in Australia and Indonesia. / Pramono, Andini ; Smith, Julie P ; Desborough, Jane.
In: International Breastfeeding Journal, Vol. 20, 13.08.2025.

Research output: Contribution to journal › Article › peer-review

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N2 - Background Global uptake of the Baby Friendly Hospital Initiative (BFHI) and Ten Steps to Successful Breastfeeding (Ten Steps) is low, and sustainability is a challenge. Although both programs are backed by strong evidence and international endorsement, their integration into national health systems has been inconsistent and often lacks institutional prioritization. This study aimed to analyze challenges to implementation of the BFHI and Ten Steps programs in Australia and Indonesia.

AB - Background Global uptake of the Baby Friendly Hospital Initiative (BFHI) and Ten Steps to Successful Breastfeeding (Ten Steps) is low, and sustainability is a challenge. Although both programs are backed by strong evidence and international endorsement, their integration into national health systems has been inconsistent and often lacks institutional prioritization. This study aimed to analyze challenges to implementation of the BFHI and Ten Steps programs in Australia and Indonesia.

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Pramono A , Smith JP , Desborough J. The Baby Friendly Hospital Initiative and Ten Steps to Successful Breastfeeding programs: applying the Non-adoption, Abandonment, Spread, Scale up, Sustainability (NASSS) health technology adoption framework to analyze challenges to hospital implementation in Australia and Indonesia. International Breastfeeding Journal. 2025 Aug 13;20.