CONFERENCE PROCEEDING
The baby-friendly community for breastfeeding promotion: A participatory approach for health promotion in the supersetting framework
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1
Istituto Superiore di Sanità - Italian National Institute of Health, National Center for Diseases Prevention and Health Promotion - CNaPPS, Roma, Italy
2
University of Rome Tor Vergata, Department of Biomedicine and Prevention, Rome, Italy
3
Regione Calabria - Calabria Region, Dipartimento Salute e Welfare - Health and Welfare Department, Catanzaro, Italy
4
Italian Committee for UNICEF, Area Advocacy, Rome, Italy
Eur J Midwifery 2026;10(Supplement 1):A1085
ABSTRACT
THE LEARNING OUTCOMES:
This skills workshop will introduce participants to the Baby-Friendly Community (BFC) model, a community-based extension of the WHO/UNICEF Baby-Friendly Hospital Initiative. The BFC protects, promotes, and supports breastfeeding through a trans-sectoral, participatory process in which midwives play a key role in advocacy and leadership. It is grounded in the supersetting approach, which engages multiple community settings (e.g., healthcare, education, municipalities, civil society, emergency networks) to support responsive parenting and promote coherent, sustainable health strategies.
Implemented in Italy, Norway, and other countries within the EU Joint Action PreventNCD, the BFC model centres on stakeholder analysis and participatory consultation with families, professionals, local authorities, and community actors to co-design breastfeeding-friendly environments and inclusive policies.
Participants will:
Understand the principles and structure of the BFC Initiative
Learn tools for stakeholder mapping and analysis
Practice communication skills (i.e. short motivational counselling)
Practise participatory consultation techniques for engaging communities
Explore the midwife’s leadership in building cross-sector community alliances.
THE PROCESS/ACTIVITIES:
The session uses an interactive learning format. After a brief demonstration of a local community dialogue process, participants will work in small groups to simulate the launch phase of a BFC programme. Activities include:
Stakeholder analysis with real-life case examples
Designing a participatory consultation using mapping and facilitation tools
Role-playing/video modelling an advocacy dialogue with community stakeholders
Each group will then present a short action proposal and receive feedback.
AUDIENCE PARTICIPATION:
Group work, role-play, facilitated peer feedback, visual and interactive tools
Additional reading
Bærug AB, et al. Effectiveness of baby-friendly community health services on exclusive breastfeeding and maternal satisfaction: a pragmatic trial. Matern Child Nutr. 2016.
Bloch P. Supersettings for sustainable impact in community health promotion. 2014.
Cattaneo A, et al. Effectiveness of the Baby Friendly Community Initiative in Italy: a non-randomised controlled study. BMJ Open. 2016.
Chan, et al. Impact of the BFCI on breastfeeding outcomes: a systematic review and meta-analysis. Midwifery. 2025.
World Health Organization, United Nations Children’s Fund. Guidance for Implementing the Baby-Friendly Hospital Initiative. World Health Organization; 2018.
Joint Action on Chronic Diseases and Promoting Healthy Ageing Across the Life Cycle (JA-CHRODIS). Prevent Non-Communicable Diseases. Accessed May 31, 2026. https://preventncd.eu/