Billy Kelleher (Cork North Central, Fianna Fail)
Link to this: Individually | In context | Oireachtas source

441. To ask the Minister for Health the actions being taken to improve juvenile arthritis treatment in Cork University Hospital; when a replacement consultant will be put in place; if consideration is being given for a satellite clinic in County Cork; and if he will make a statement on the matter. [39446/17]

Simon Harris (Wicklow, Fine Gael)
Link to this: Individually | In context | Oireachtas source

In relation to the specific case raised, I have asked the HSE to respond to you directly.

Billy Kelleher (Cork North Central, Fianna Fail)
Link to this: Individually | In context | Oireachtas source

442. To ask the Minister for Health the reason funding for the World Health Organization's baby friendly health initiative has stopped; if this decision will be reversed; and if he will make a statement on the matter. [39450/17]

Catherine Byrne (Dublin South Central, Fine Gael)
Link to this: Individually | In context | Oireachtas source

The Department of Health and the Health Service Executive (HSE) are totally committed to increasing breast feeding rates in Ireland.

National health policy, including the Healthy Ireland Framework, the National Maternity Strategy 2016-2026, the National Obesity Policy and Action Plan 2016-2025 and the recently published National Cancer Strategy 2017-2026 all emphasise the importance of supporting mothers who breastfeed as well as taking action to increase breastfeeding rates in Ireland.

The recent National Strategy for Women and Girls 2017-2020 re-affirmed the commitment to advance public support of breastfeeding, and includes an action to extend provision for breastfeeding breaks under employment legislation (currently available to mothers of children under 6 months).

Regarding the Baby Friendly Hospital Initiative ( BFHI) issue, in 2016 the HSE commissioned a research team at TCD to undertake a review of the Baby Friendly Hospital Initiative. One of the key findings of the Review was that there was no difference in breastfeeding rates in hospitals that had achieved the Baby Friendly designation, and those that hadn’t achieved designation. In fact, while the Initiative has been in place for 20 years, only 9 of the 19 maternity hospitals have achieved the Baby Friendly designation. This Review highlighted the need for a revised model of the Baby Friendly Hospital Initiative.

Following completion of the Review, the HSE initiated engagement with The Baby Friendly Hospital Initiative and other stakeholders on developing a revised model. While the HSE has made the decision to pause the existing initiative and it is not being funded for 2017.

The HSE are currently progressing the development of a revised model, working with the National Women and Infants Programme, the HSE Health and Well-being Division, the HSE Lead Midwife and other key stakeholders. The revised model will continue to support the implementation of the WHO/UNICEF 10 Steps to Successful Breast-feeding, which is the basis of the Baby Friendly Hospital Initiative. The revised model is expected by the end of the year and will be rolled out in 2018.

A wide range of other actions are underway in implementing the HSE National Breast-feeding Action Plan 2016-2020. These include:

- Improved Governance and health service structures;

- Breast-feeding training and skills development;

- Health service policies and practices;

- Support at all stages of the breastfeeding continuum;

- Research, monitoring and evaluation.

Details of specific actions can be seen in the HSE National Breast-feeding Action Plan 2016-2020 on the HSE website breastfeeding.ieand the link