At a glance
Learn which questions in ob体育's Maternity Practices in Infant Nutrition and Care (mPINC) survey align to step 2 in the World Health Organization's Ten Steps to Successful Breastfeeding. Fillable versions of the tool are available to download at the bottom.

Step 2: Staff competency
Ensure that staff have sufficient knowledge, competence, and skills to support breastfeeding.*
Ten Steps Competency 1 | mPINC Item | mPINC Domain | mPINC Data Element | Ideal Response† | Hospital Response | Did the Hospital Select the Ideal Response? |
---|---|---|---|---|---|---|
Staff competency to support breastfeeding | Indicates which competency skills are required of nurses:
– Placement and monitoring of the newborn skin-to-skin with the mother immediately following birth. – Assisting with effective newborn positioning and latch for breastfeeding. – Assessment of milk transfer during breastfeeding. – Assessment of maternal pain related to breastfeeding. – Teaching hand expression of breast milk. – Teaching safe formula preparation and feeding. |
Institutional Management | F4_a1/F4_a2/ F4_a3/F4_a4/ F4_a5/F4_a6 | Required for all items
Not ideal: Not required for any item |
||
Assessment of staff competency to support breastfeeding | Assesses whether formal assessment of clinical competency in breastfeeding support and lactation management is required of nurses. | Institutional Management | F3 | Required at least once per year OR Required less than once per year
Not ideal: Not required |
Note:
*This step aligns with step 2 in the . Although this tool assesses many aspects of each of the Ten Steps, it does not assess every aspect. You cannot assess every aspect of each Step using mPINC™ data alone.
†Ideal responses are in bold.
- World Health Organization. Geneva: World Health Organization; 2018.