Objective
To explore the association between early essential newborn care (EENC) policy, practice and environmental interventions and breastfeeding outcomes.
Design
Cross-sectional observational study.
Setting
150 national, provincial and district hospitals implementing EENC in eight countries in East Asia and the Pacific.
Participants
1383 maternal interviews, chart reviews and environmental assessments during 2016 and 2017.
Main outcome measures
Exclusive breastfeeding (EBF), that is, feeding only breastmilk without other food or fluids since birth and before discharge, and, early breastfeeding initiation, that is, during skin-to-skin contact (SSC) with the mother without separation.