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Glaring Gaps in policy and programmes on infant and young child feeding in 33 countries

Glaring Gaps in policy and programmes on infant and young child feeding in 33 countries. IBFAN.

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Glaring Gaps in policy and programmes on infant and young child feeding in 33 countries

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  1. Glaring Gaps in policy and programmes on infant and young child feeding in 33 countries

  2. IBFAN • An experienced 32 year global network IBFAN aims to promote the health and well being of infants and young children and their mothers through protection, promotion and support of optimal infant and young child feeding practices. • IBFAN works for the universal and full implementation of International Code of Marketing of Breastmilk Substitutes and subsequent World Health Assembly (WHA) resolutions, Global Strategy for infant and young child feeding, Innocenti Declaration on Breastfeeding 1009, and 2005. • For its contribution to the global livelihood, IBFAN received Right Livelihood Award in 1998, popularly known as “Alternative Nobel Prize”

  3. In 2015 among other returns on investment “21.9 million more infants would be exclusively breastfed for the first six months of life”

  4. First year is critical! Malnutrition strikes the most in infancy , most babies die during first month or first year, brain develops the most . Brain development undernourished 1 2 3 4 5 Years of life

  5. Three Major Killers MOSTLY PREVENTABLE Neonatal disorders Diarrhoea Pneumonia Breastfeeding is the No. 1 preventive intervention compared to any other intervention Lancet Series on child survival, and now on newborn survival : 2003 and 2004 Source: Robert et al. LANCET 2003;361:2226-34

  6. Deaths attributed to sub-optimal breastfeeding among children

  7. Neonatal Mortality Risk by early infant feeding practices Source: Edmond KM et al. Am J Clin Nutr 2007. 86:1126-31

  8. U-5 child deaths (%) saved with key interventions in India Lancet Child Survival Series,2003

  9. Millenium Development Goals Goal 4: reduction of child mortality gBICS: scaling up early, exclusive and continued breastfeeding

  10. Magnifying glass

  11. WBTi is central to gBICS

  12. Donor partners

  13. WBTi is a lens.. • Before taking action, the gBICS conducts an important evaluation to establish a participatory process to assess the situation of breastfeeding in a country and establish priorities using the World Breastfeeding Trends Initiative (WBTi). • The WBTi uses innovative web-based technology as well as the participatory involvement of key actors to press for effective policies and programmes at national level. • It has been launched in 73 countries and 33 countries have completed the assessment work and reported. • This is the 33 country analytical report

  14. WBTi countries

  15. Ranking of WBTi 33 countries in 2008-2009

  16. Average score for indicators on Policy and Programmes in 33 countries on a scale of Ten (10)

  17. Average rates for the 5 IYCF Practices in 33 countries

  18. Key gaps in policy and programmes in 33 countries • Lack of coordinated effort • Lack of budgetary support • Weak maternity protection • Inadequate support to women at health facility • Weak response during HIV and Emergency situations • Continued interference by baby food industry

  19. KeyRecommendations • Ensure both policy and programme attention through budgeting, coordination and focus on breastfeeding and infant and young child feeding • Support to women be a reality to stay with babies 0-6 months, maternity protection is critical. • All commercial promotion of baby foods should end. • Accurate information and health system support for early and exclusive breastfeeding for the first six months • Help women during HIV and emergency situations.

  20. Next Step • Reassessment : 2011-12 • Take stock in 2012 • Share and learn from others in 2012 • World Conference on Breastfeeding : Where We stand and Where do we go

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