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Breastfeeding Training Package for Health Care Providers: Experiences and Lessons Learned

This presentation outlines the development and implementation of a breastfeeding training package for health care providers, including the rationale, content, and outcomes. It discusses the challenges faced and lessons learned in scaling up integrated infant and young child feeding training.

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Breastfeeding Training Package for Health Care Providers: Experiences and Lessons Learned

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  1. SECOND WORLD BREASTFEEDING CONFERENCE SCALING UP INTEGRATED INFANT AND YOUNG CHILD FEEDING TRAINING: Experiences and Lessons learnt • A BEHR National Department of Health • P BAXEN, Nutrition Director, FHI360, CDS, NACS

  2. Presentation Outline • Acknowledgements • Rationale for the development of a breastfeeding training package • Breastfeeding training package • FHI360 – IYCF training

  3. ACKNOWLEDGEMENTS • FHI360 for the support of training of health care workers on IYCF • UNICEF, USAID, PATH • Provincial Nutrition Units

  4. Rationale for the BF Course for HCPs Health workers received training on BF Landscape Analysis, 2010

  5. Rationale for the BF Course for HCPs • 2011 National Breastfeeding Consultative Meeting • SA committed to actively promote, protect and support breastfeeding as a public health intervention to optimise child survival and health

  6. Development of the Training Package to Protect, Promote and Support Breastfeeding • Tshwane declaration – • “skilled support by health workers at all levels of the public and private health services including hospitals, primary health care facilities and community based services” • Implementation plan for Breastfeeding Support to scaling up Breastfeeding Activities

  7. Development of the Training Package to Protect, Promote and Support Breastfeeding • South2South was contracted by USAID to assist NDOH with the development of a harmonized BF training package to be in line with the Tshwane Declaration Commitments and the IYCF Policy • Breastfeeding technical working group consisting of representatives of NDOH, USAID, FHI360, UNICEF, PATH

  8. Breastfeeding Training Package to Protect, Promote and Support Breastfeeding • Review of Multiple training materials • Differences in content, design and quality • Lack of content-specific information needed in SA • Lack of firm stance on exclusive breastfeeding • Lack visual appeal • Lack of review exercises Need for a standardised course for the South African context

  9. Breastfeeding Training Package to Protect, Promote and Support Breastfeeding • Consist of the following three courses: • Health care provider’s course (3-5 days) • Train the Trainer’s course (5 days) • Decision Maker’s course (1/2 day) The materials available for each course: • A toolkit containing technical content • A facilitator’s Guide • Participant’s worksheet • PowerPoint presentations

  10. Breastfeeding Training Package - Strengths • In line with the policies and commitments • Included the SA context • Address areas not covered by the WHO 20 hour course for maternity staff namely complementary feeding, HIV/AIDS, focus on Quality Improvement Approach guide strengthening of MBFI, • Training tools – videos, power-point • Flexible and can be used a modular approach • Guidance for trainers

  11. WAY FORWARD • Updated and finalise the Breastfeeding training package • Ensure that breastfeeding is part of the pre-service curriculum for nurses, doctors and dietitians • Introduce the breastfeeding training package as an online course

  12. FHI 360

  13. Integrated IYCF Training • PMTCT –Professional nurses, dietitians, tutors nursing colleges and dietetic students • Severe Acute Malnutrition Training for medical practitioners and senior managers • Nutrition Assessment and Counseling Support • Early Childhood Development training • Mother Baby Friendly Initiative training

  14. Nov 2012 – Dec 2015 Trainees per Province

  15. Nov 2012 – Dec 2015 Total Numbers of Participants by Province

  16. Nov 2012 – Dec 2015 Total Numbers of Participants by Cadre

  17. Challenges • Lack of mentoring and coaching • Lack of commitment in conducting the portfolio of evidence for the MBFI training of assessors • Selection criteria of participants • Duration 5 days actual training is less • Nutrition not core activities

  18. Lessons Learnt • On the job mentoring and coaching • Quality Improvement • Use of service delivery data • Involvement and training of Operational Managers and PHC supervisors

  19. Model for Nutrition Implementation

  20. Thank you

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