
Education
Access educational materials about breastfeeding below
The Ten Steps to a Breastfeeding Friendly Facility
The Ten Steps to a Breastfeeding Friendly Facility was created in November 2025 as a quality improvement breastfeeding initiative that is recreated from the Department of Health's Keystone 10 Initiative. This initiative is aimed at improving the protection, promotion, initiation, duration, and support of breastfeeding in Pennsylvania infants, parents, and families.
These fifteen modules are a part of Step 2 of the Ten Steps to Successful Breastfeeding. Participating facilities focus on the breastfeeding initiative from exclusive breastfeeding, skin-to-skin
contact, rooming in, and other elements.
If you have any additional questions on The Ten Steps to a Breastfeeding Friendly
Facility, please email Shaley Christensen at breastfeeding@paaap.org.
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​The Ten Steps to a Breastfeeding Friendly Facility - 15 Modules
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As your facility works toward the Ten Steps to a Breastfeeding Friendly Facility certification, you have the opportunity to apply for completion of each 10 steps. Facilities should submit each step's application when they are confident the step-specific policies and procedures in place meet the guidelines for completion. Your facility is able to apply for one or more steps at the same time.
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Application
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Step applications can be found and downloaded on the right side of this page. Application for completion of each of the ten steps consist of:
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A background narrative providing:
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A brief overview of the step​
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Highlights of helpful toolkit pages and documents
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Minimum requirements to qualify for step completion
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A form with:
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An area for identifying the facility and the person completing the application​
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A questionnaire for the facility to provide evidence of having met the completion guidelines for each step
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File Submission
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When submitting a completed application, the files should be named according to the following file naming conventions below. These guidelines should be ensured facilities receive credit for their progress
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FacilityName_Application_Step#
Example: FirstFoodNetwork_Applicaiton_Step5
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If a facility has multiple locations with the same name, please identify the location within the file name.
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When supplemental materials are submitted, please name those files according to the application question number:
Example: FirstFoodNetwork_Application_Step5_1.2c
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Please submit all step applications to breastfeeding@paaap.org.
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Step Completion
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As each application for step completion is reviewed and approved or returned for further action, the person who completed the application will be notified by PA AAP staff via application contact information.
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Step applications will be reviewed within two weeks of submission.
The Ten Steps to a Breastfeeding Friendly Facility Step Application - downloads:
​Step 1 Application​
Step 2 Application​
Step 3 Application​
Step 4 Application​
Step 5 Application
​Step 6 Application​
Step 7 Application​
Step 8 Application​
Step 9 Application​
Step 10 Application
Additional Resources:
Additional Resources:
Infant Feeding Policy Checklist
Clarifying Document for Step Completion
Sustainability Plan Checklist
Application to Participate in The Ten Steps to a Breastfeeding Friendly Facility Initiative:
Application to Participate in BF3 Initiative
Want your facility to participate in the BF3 initiative? Completely fill out the application above and send the document to Shaley Christensen at breastfeeding@paaap.org to start this process!
If you are unsure about participating, have questions or comments, please email Shaley Christensen for more information!
Ten Steps to Successful Breastfeeding
The Baby-Friendly Hospital Initiative was launched in 1991 by WHO and UNICEF to help motivate facilities providing maternity and newborn care worldwide. This initiative is to implement The Ten Steps to Successful Breastfeeding that supports facilities in providing education and knowledge for maternity and newborn services.
The Ten Steps:
Step 1: Have a breastfeeding policy that is routinely communicated to all staff
Step 2: Train all health care staff in the skills necessary to implement the facility breastfeeding policy
Step 3: Inform all pregnant women about the benefits and management of breastfeeding
Step 4: Help mothers initiate breastfeeding within one hour of birth.
Step 5: Show mothers how to breastfeed and maintain lactation even if they should be separated from their infants.
Step 6: Give newborns no food or drink other than breastmilk, unless medically indicated
Step 7: Practice "rooming-in" - allow mothers and infants to remain together 24 hours a day.
Step 8: Encourage breastfeeding on demand.
Step 9: Give no artificial teats or pacifiers (also called bottle nipples or soothers) to breastfeeding infants
Step 10: Foster the establishment of breastfeeding support groups and refer mothers to them upon discharge from the facility
PUMP Act Q+A & Discussion
Learn more about your rights as a lactating employee, requirements as an employer and other important information- Presented by the Women's Law Project!



