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The World Breastfeeding Trend Initiative (WBT i ). Dr Arun Gupta MD FIAP Regional Coordinator IBFAN Asia 2nd Regional Conference on Human Lactation 13-14 Nov 2009 Al Ain UAE. Outline. About WBT i History Launch in South Asia 2005… Global Launch in 2008…
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The World Breastfeeding Trend Initiative (WBTi) Dr Arun Gupta MD FIAP Regional Coordinator IBFAN Asia 2nd Regional Conference on Human Lactation 13-14 Nov 2009 Al Ain UAE.
Outline • About WBTi • History • Launch in South Asia 2005… • Global Launch in 2008… • What is the State of Worlds Breastfeeding ( 29 Country Reports) • Trends…. • Web Portal and its use
What is World Breastfeeding Trends Initiative (WBTi)? • Participatory, action oriented simple research • Tracking, Assessing and Monitoring (TAM) the implementation of Global Strategy for IYCF • Ensures uniformity, • Objective is to reach about 100 countries by 2012. Integral part of the project the "Global Breastfeeding Initiative for Child Survival" (GBiCS) – Norad, IBFAN, WABA,BPNI
WBTi • A: Action oriented • B: Brings people together • C: Consensus and commitment building • D: Demonstrates achievements and gaps • E: Efficacy improving programme
History • 1993: WABA’s GLOPAR • 2003/04: WHO’s tool “Infant and Young Child Feeding : A tool for assessing national practices,policies , and programs”
The Need • The United Nations Millennium Summit for MDGs – MDG 4(2000) • The Global Strategy for Infant and Young Child Feeding (2002) • Each country urged to develop, implement, monitor and evaluate a plan of action on IYCF • Innocenti Declaration on IYCF(2005)
Objectives of WBTi • To stimulate /provoke national actions on infant feeding • To provide critical information to governments, needed to bridge gaps in infant and young child feeding policy and practice • To provide evidence to IBFAN groups to advocate for greater effort and investment to promote early and exclusive breastfeeding in the respective countries and regions • To contribute to attaining MDG-4 and 5 and reducing under-five child mortality and improve women’s health
Indicators Part-I 1. Early Initiation Rates 2. Exclusive breastfeeding Rates <6months 3 Median duration of Breastfeeding 4 Bottle Feeding Rates 5 Timely Complementary feeding Rates
Indicators Part-II 6- National Policy Program and Coordination 7- BFHI 8-Implementation of the Code 9-Maternity Protection 10-Health and Nutrition Care System
Indicators Part-II 11-Community Outreach and Mother Support 12-Information Support 13-Infant feeding and HIV 14-Infant feeding during Emergencies 15-Monitoring and Evaluation
Country Status in South Asia 2006 1 Sri Lanka 116/150 2 Bangladesh 91.5/150 3 Maldives 88.5/150 4 Pakistan 75.5/150 5 Nepal 71.5/150 6 India 68/150 7 Afghanistan 30/150 8 Bhutan 30/150
Impact of WBTi in South Asia • Increased capacity of breastfeeding groups • Government participation • Country Data Generated • Reports • Enhanced national action on skills training, Code Work, Policy work
Maldives • National Consultation to finalise the ‘Regulations’ • Breastfeeding Coordinating Committee was revised. • Identified a focal point.
World Breastfeeding Trends Initiative (WBTi) takes off in 51 countries
Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org
Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org
Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org
Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org
Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org
Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org
Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org
Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org
Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org
Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org
Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org
Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org
Impact in 29 Countries • 237 stakeholders/partners in 29 countries, they included: • Government agencies, • UN agencies • IBFAN /Breastfeeding groups, • Civil society groups, • Professional organizations, • Media • Academic Institutions • Public health groups, • Human Rights Groups
What leaders say? • “…WBTi opens opportunities and new alliances…..Then what is really important is to have various new allies to follow up. This is really one of the main results. This is when the WBTi becomes a great tool to build on…” • “It induces competitiveness”
“…Methodology used in WBTi has also inspired to develop similar monitoring for other health indicators related with infant and young child health and nutrition and safe motherhood…”
www.breastfeedingtrends.org Thank you The First Lady of Timor Leste at 7th Ministerial Consultation on Children Cambodia March 2005