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The Ohio First Steps for Healthy Babies is a voluntary breastfeeding initiative led by the Ohio Department of Health and the Ohio Hospital Association. The program recognizes maternity hospitals in Ohio that have taken steps to promote, protect, and support breastfeeding in their organizations. Based off of the Ten Steps to Successful Breastfeeding, as defined by the World Health Organization and Baby-Friendly USA, First Steps is a five-star program awarding a star for every two steps achieved. The First Steps program also offers many opportunities for learning and networking.