How can Hospitals and Birthing Centers apply for a Certificate of Intent?

Obtain an introductory packet and self-appraisal tool.

Assemble a team to review and complete the self-appraisal tool.

Seek administrative support

Submit a Certificate of Intent packet containing the following items:

1 -	A completed copy of The Self Appraisal Tool (pdf) . This questionnaire is designed as a self evaluation and education tool that assists interested staff in identifying strategies for optimal care for breastfeeding mothers and babies
2 -	A Letter of Intent signed by the CEO of the hospital or other appropriate hospital administrator that includes the following items: brief description of activities and any existing supporting documentation (e.g., a copy of policy) to demonstrate which of the Ten Steps the institution has already accomplished; brief description of actions planned (e.g., convene in-house task force, implement policy, provide training) and problems foreseen in accomplishing the Ten Steps general timetable for breastfeeding promotion and support activities to accomplish the Ten Steps any other information you would like to include that could be shared
3 -	An Annual Fee to cover the costs of participation in the initiative. Fees are based on number of births annually and currently range from $550 to $900. Also, the following should be submitted with the letter of intent or within six months after receiving the Certificate of Intent: a copy of the hospital’s written breastfeeding policy documentation of breastfeeding training currently given to hospital personnel or a plan for establishing a training program documentation of the breastfeeding rates at the hospital and the methodology used to collect these data or a plan to document these rates

Is help available?

Yes! Baby-Friendly USA staff members are available to provide technical support in the preparation of an application for a Certificate of Intent. Assistance is also available for increasing the awareness of the Initiative in your community for individuals and organizations not affiliated with hospitals. In addition, a series of materials to help hospitals work toward implementation of the Ten Steps is also available (see order form).

A guidance document may be downloaded to assist with overcoming barriers. The report, completed with the government support, is a compilation of strategies used by the existing Baby-Friendly facilities.