Table 1. Content of the health facility owners/managers and providers training.

Key topics	Content Discussed
Birth Practices and Breastfeeding	• Key actions during labor and birth that support early initiation of breastfeeding • Ways to help mothers initiate early breastfeeding, including support for mothers who have undergone cesarean sections • Advantages of early initiation of breastfeeding • Traditional practices, myths and misconceptions that prevent early initiation of breastfeeding • Documentation of early initiation of breastfeeding in required registers
Correct Positioning and Attachment	• Description of correct positioning and attachment • Demonstration of correct positioning and attachment using learning tools (Neonatalie mannequin and Mama Breast kit)
Preparing Mother to Continue Exclusive Breastfeeding	• Optimal practices for mothers to sustain exclusive breastfeeding • How frequently mothers should breastfeed infants 0–6 months of age • Demonstration of how mothers should express breastmilk including hygienic practices (washing hands and utensils), use of breastmilk pumps and the risks associated with using feeding bottles • Ways in which mothers need to prepare to continue exclusive breastfeeding when they go back to work • Myths and misconceptions that can hinder exclusive breastfeeding
Breastfeeding Challenges	• Common breastfeeding challenges • Solutions to common breastfeeding challenges
Ten Steps to Successful Breastfeeding and the Regulation Codes for Marketing Breastmilk substitutes	• Description of the ten steps to successful breastfeeding • Discussion of how the steps will be implemented in the health facility • The ten points of the code of marketing breastmilk substitutes. • Key actions can health facilities owners/managers and providers collectively take to strengthen breastfeeding services and adherence to standards on early initiation of breastfeeding and exclusive breastfeeding
Study-related activities	• Obtaining consent from Breastfeeding Champions • Roles and responsibilities of Breastfeeding Champions • Obtaining consent from pregnant women
Required Documentation	• Use of approved registers to document breastfeeding counseling at antenatal care and child immunization clinics • Orientation to key IYCF service delivery registers and data collection tools