This is in answer to a Q to me about training and credentialing.  I see
training as needed by all, at various levels of expertise.
I see training being done in various excellent ways by many organizations.
I see credentialling as things like LLLL, IBCLC, CE.  An MD, RN or CNM,
although credentials, doesn't necessarily give you any training or
expertise.

If you've known me long enough you know how much I hate reinventing the
wheel.  I see packaged courses  like UNICEF course as a valuable tool that
can be tailor fitted into any existing program.  There are several
available for do it yourself and as I said excellent ones who will  come in
(in a certain time frame) and do it for you.  FL HM/HB has an extensive
course divided into 5 modules for hospital inservice.  It is a very
complete program.  There are several programs around for community
out-reach workers (peer counseling).  The trick is to pick one and USE it!

Unicef course is : BF Mgmt and Promotion in a Baby-Friendly Hospital: an 18
hour course for Maternity Staff, 1993.  It is set up in 14 smaller lessons.
 The short-term objectives of the course " are to assist hospitals in
transforming their maternity facilities into Baby-Friendly institutions
that implement the 10 Steps to Successful Breastfeeding and to equip them
with the knowledge base neccessary to make lasting policy changes."
"The course will be available to countries from UNICEF and/or WHO when
their hospitals, after a standardized assessment process, have determined
that their maternity staff need focused didactic and clinical training in
the knowledge and skills necessary to implement the 10 Steps.  The course
by itself can by no means transform hospitals, but it can provide a common
foundation for basic breastfeeding management among physicians, midwives,
nurses, and other maternity staff which will lay the basis for change.
These health professionals, along with hospital administrators, program and
policy makers, and government officials will then have the bigger task of
ensuring long-term implementation of breastfeeding policy."

Personally from reading and using some parts of the program I have
recommended it for a beginner's sort of course to bring staff up to speed
on BF.  You can divide it into small  pieces, or larger pieces if you can
get administration to commit to using it.  It can be given on sort of a
rotating cycle every few mo. as an on-going process.  It can be tailored to
circumstances in your hospital, no need to  go  over parts they are already
doing well.  (Isn't that optimistic :-)    There is a hospital
self-assessment tool included and some really good slides.  I see it as a
valuable resource tool  for whatever sort of group you might use it (or
parts of it) with.  I think it is $40 or $50 US. Nutrition Cluster, UNICEF,
 3 UN Plaza, NYC  NY 10017.  Hope this helps, Sincerely, Pat in SNJ