Abstract:
Background: The Mother baby friendly initiative (MBFI) is an initiative that was 
launched in 1991 as a global programme to create an environment that enables and 
supports women to breastfeed their infants, providing advice to mothers and practical 
assistance to promote breastfeeding. This initiative plays an important role in 
improving infant’s nutritional status, growth, development and health for both mother 
and infant and supports exclusive breastfeeding. MBFI aims at increasing 
breastfeeding rate by supporting, protecting and promoting breastfeeding in health 
facilities. 
Aim: of the study is to explore the knowledge and challenges related to the 
implementation of the mother-baby friendly initiative at Standerton hospital. 
Method: A qualitative descriptive design was used to explore the knowledge and 
challenges related to the implementation of the mother-baby friendly initiative at 
selected hospital. Purposive sampling of the healthcare providers were the target 
population for the study as they are responsible for the implementation of MBFI in the 
hospital. In this research, data collected were in a form of interviews, audiotapes and 
written notes from interviews. Tesch’s eight steps in data analysis was used to analyse 
data.
Results: The studies key theme and sub theme give the study’s findings and 
perspective of the issues found. The studies key theme were: 1. Knowledge of 
participants on MBFI at Standerton hospital, 2. Views about current practices of MBFI 
at Standerton –hospital and 3. Challenges regarding MBFI implementation at 
Standerton. MBFI was considered significant in the facility, however, due to 
inconsistences and challenges faced by the nurses the initiative was not fully 
implemented to improve breastfeeding rates.
Conclusion: the study conclude that nurse’s had some knowledge on the MBFI 
initiative as they understood their role in breastfeeding advocacy and enhancing 
maternal and child health. There were significant challenges in MBFI implementation 
such as shortage of staff, lack of resources and training that hindered MBFI 
compliance and mothers not receiving the full benefits of the initiative, which contribute 
to decreased breastfeeding rates within the facility.