The objective of this study was to analyse the cost-effectiveness of Baby-Friendly Hospital Initiative (BFHI) in promoting breast-feeding during the first hour of life (BFFHL) and reducing late neonatal mortality. Cost-effectiveness analysis showed that BFHI was highly cost-effective in raising BFFHL by 32·0 % at lower cost in comparison with non-BFHI. In addition, BFHI was cost-effective in reducing late neonatal mortality rate by 13·0 % from all causes and by 13·1 % of infant mortality rate from infections.


  1. Merten S, Dratva J, Ackermann-Liebrich U. Do baby-friendly hospitals influence breastfeeding duration on a national level? Pediatrics. 2005 Nov;116(5):e702-8. doi: 10.1542/peds.2005-0537

  2. Carvalho ML, Boccolini CS, Oliveira MI, Leal MD. The baby-friendly hospital initiative and breastfeeding at birth in Brazil: a cross sectional study. Reprod Health. 2016 Oct 17;13(Suppl 3):119. doi: 10.1186/s12978-016-0234-9

  3. Mosher C, Sarkar A, Hashem AA, Hamadah RE, Alhoulan A, AlMakadma YA, Khan TA, Al-Hamdani AK, Senok A. Self-reported breast feeding practices and the Baby Friendly Hospital Initiative in Riyadh, Saudi Arabia: prospective cohort study. BMJ Open. 2016 Dec 16;6(12):e012890. doi: 10.1136/bmjopen-2016-012890.


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