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WBT in South Asia

WBT in South Asia. Dr.S.K.Roy Senior Scientist, ICDDR’B and Secretary, BBF. WBT ?. WBT is an innovative initiative of the International Baby Food Action

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WBT in South Asia

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  1. WBT in South Asia Dr.S.K.Roy Senior Scientist, ICDDR’B and Secretary, BBF

  2. WBT ? • WBT is an innovative initiative of the International Baby Food Action • Network (IBFAN) Asia Pacific for tracking, assessing and monitoring in response to the global need for focus on infant nutrition and survival. This need is more critical in developing countries

  3. Phases • WBT involves a three phase process • The first phase involves initiating national assessment of the implementation status of the . The process brings governments and other civil society partners together to analyze the situation in their country and find out gaps • During the second phase, the WBT uses these findings for scoring, colour-rating and grading each indicator and each country as per IBFAN Asia Pacific's Guidelines for WBT , to inform where it currently is. WBT also ranks countries in order of their performance

  4. cont.. • During the third phase, the WBT encourages repeat assessment after 3-5 years to analyze trends in each indicator as well as the overall breastfeeding rates in a country, as well as the impacts of particular interventions over a period of time

  5. Initiation of BF0-29% scores as 3/Red; 30-49% as 6/Yellow; 50-89% scores as 9/Blue;90-100% scores as 10/Green.

  6. Bottle Feeding 0-100% scores as 3/Red; 5-29% as 6/Yellow; 3-4% scores as 9/Blue; 0-2% scores as 10/Green.

  7. Complementary Feeding-59% scores as 3/Red; 60-79% as 6/Yellow; 80-94% scores as 9/Blue;95-100% scores as 10/Green.

  8. National Policy , Program and Coordination:Concerns national policy,plan of action, funding and coordination issues.

  9. Baby Friendly Hospital Initiative:Concerns percentage BFHI hospitals, training, standard monitoring, assessment and reassessment systems.

  10. Implementation of InternationalCode Concerns implementation of the Code as law, monitored and enforced.

  11. Maternity Protection Concerns paid maternity leave, paid breastfeeding break, national legislation encouraging work site accommodation for breastfeeding and/or childcare and ratification of ILO MPC No 183.

  12. Community Outreach:Concerns skilled counseling services on infant and young child feeding, and its access to all women.(During pregnancy and after birth)

  13. Information SupportConcerns national IEC strategy for improving infant and young child feeding, actively implemented at local levels.

  14. Monitoring and evaluationConcerns monitoring, management and information system (MIS) as part of the planning and management process.

  15. Country wise Gaps Cont.

  16. Country wise Gaps(cont.)

  17. What to do?

  18. Afghanistan 1.Develop a plan of action with committed funds, implemented through an effective decentralised mechanisms 2. As a priority, implement all articles of the Code, enact a national legislation with effective enforcement and proper monitoring 3. Initiate action on infant feeding in HIV programmes and infant feeding during emergency situations 4. Strengthen efforts to implement BFHI for hospitals and link it with

  19. BANGLADESH 1)Mainstream IYCF in the child health and development programmes. 2)Take urgent action, to enhance timely initiation of breastfeeding within one hour, like a campaign to save babies through this action. 3) Establish a clear mechanism for coordination at national level, with clear terms of reference to monitor the progress on indicators. 4)Support maternity protection in private as well as informal/unorganized sector. 5)IYCF indicators like early initiation (within one hour) and exclusive breastfeeding (0-6 months) should be monitored and published on a regular basis under surveillance reports

  20. Nepal 1) Mainstream IYCF in the child health and development programmes. 2) Proper monitoring and reassessment system for BFHI in hospitals should be in place. 3) There is a need to address maternity protection through legislation to allow at least 14 weeks of paid maternity leave in all sectors and encourage work site accommodation for breastfeeding and for child care in work places. 4) Infant feeding counseling should be integrated into over all infant and child health strategy to scale up its coverage to national level.

  21. Pakistan 1)Mainstream IYCF in the child health and development programmes. 2)There is a need to address maternity protection through legislation to allow at least 14 weeks of paid maternity leave in all sectors and encourage work site accommodation for breastfeeding and for child care in work places. 3)Monitoring and evaluation component of the infant and young child-feeding programme needs improvement.

  22. Srilanka 1) There is a need for proper monitoring and reassessment system for BFHI. 2)Implement all articles of the Code as Law with proper monitoring systems in place. 3) There is a need to ensure maternity protection in informal/ unorganized sector also, aim for 6 months maternity leave. 4) Strengthen infant feeding and HIV issue in national policy and programmes 5)Monitoring and evaluation component of the infant and young child-feeding programme needs improvement.

  23. Bhutan 1) Establish a National Breastfeeding Committee, linking IYCF with all other sectors like health, nutrition, information etc. Effectively, headed by a Coordinator 2) Make infant feeding counseling accessible to all women, during pregnancy and after child birth, by integrating counseling services into an over all infant and child health strategy. It should be backed by skills training of all frontline workers. To sustain this service strengthen the pre-service curriculum

  24. Maldives 1)Establish plan of action with resources to implement actions on gaps in the national nutrition strategic plans 2) Enact a legislation for implementation of the Code 3)Address maternity protection through national legislation to allow at least 14 weeks of paid maternity leave in all sectors 4)Strengthen community outreach services for Breastfeeding and complementary feeding support and counseling 5) Regularly monitor all IYCF indicators (early initiation within one hour, exclusive breastfeeding for 6 months, bottle feeding, median duration of breastfeeding and complementary feeding) at country level and publish these in surveillance reports

  25. India 1) Mainstream IYCF in the child health and development programmes 2) Develop a plan of action with committed funds, implemented through an effective state and national level mechanism. Check policies and programmes of various departments of the Central government and of States governments for consistency and impact on infant feeding practices 3)Make infant feeding counseling accessible to all as a key component in “service delivery”, both in health facilities and at family level. It should be backed by skill 4)Ensure effective implementation of IMS Act by establishing proper monitoring and accountability mechanism

  26. Dhannaybad

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