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Breastfeeding in MEDICEL countries

Breastfeeding in MEDICEL countries. Sources of data. UNICEF Albania, Algeria, Bosnia-Herzegovina, Croatia, Egitto, Lybia, Montenegro, Morocco, Palestine, Serbia, Macedonia, Tunisia, Turkey OECD Cyprus, France, Greece, Italy, Malta, Slovenia, Spain National Agencies France, Italy

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Breastfeeding in MEDICEL countries

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  1. Breastfeeding in MEDICEL countries

  2. Sources of data • UNICEF • Albania, Algeria, Bosnia-Herzegovina, Croatia, Egitto, Lybia, Montenegro, Morocco, Palestine, Serbia, Macedonia, Tunisia, Turkey • OECD • Cyprus, France, Greece, Italy, Malta, Slovenia, Spain • National Agencies • France, Italy • Papers, personal communications & regional agencies • Algeria, Greece, Malta, Italy, Slovenia,Tunisia, Turkey

  3. Definitions • Exclusive breastfeeding • Only breastmilk, without other liquids with the exception of drugs (i.e. Vitamin drops). • Predominant breastfeeding • Breastmilk with the use of some non nutritive liquids (i.e. water, infusions, tea). • Complete breastfeeding • The sum of exclusive and predominant breastfeeding. • Complementary breastfeeding • Breastmilk with formula milk, nutritive liquids, semi-solid and solid food • Formula milk feeding • No breastfeeding, only formula milk and/or semisolid and solid food. • Everbreastfed • refers to those infants who have been put to the breast, even if only once

  4. * * * * * * *at 3mo Multiple sources

  5. Italy – Emilia-Romagna Region in the North

  6. Actualweaninghabits and guidelinestargets:exclusivebreastfeeding at 6 month

  7. * * 65%- Demographic and Health survey 2008 UNICEF

  8. UNICEF

  9. * * 65%- Demographic and Health survey 2008 OECD – Family database

  10. Other sources • Algeria (Oran) - Karim  Bouziane-Nedjadi • Exclusive BF: 52% at 3mo.; 34% at 6 mo. (1995) • Tunisia - Khaldi F. Nutrition 2001 • Average length of exclusive BF from 5.2mo. (1973-4) to 1.6mp (1996-7) • Slovenia - Dušanka Mičetić-Turk • Prevalence of BF at 6 mo. 50-70%

  11. Breastfeeding experiences of Turkish women The Koran prescribes that mothers should breastfeed their babies for two or two and a half years (Ali 1938). The role of religion in the daily lives of women cannot be overlooked. Ramadan fast is the religious duty for Muslims during which they fast from sunrise to sunset for 30 days. For instance, some nursing mothers observe the Ramadan fast although they are granted a dispensation allowing them not to fast (Ertem et al. 2001, Shaikh & Ahmed 2006). According to the Koran, if a pregnant or breastfeeding mother fears for herself or her child because of fasting, then she is allowed not to fast, but she has to make up the days that she does not fast (Ali 1938). Ali YA (1938) The Meaning of the Glorious Quran. Dar al-Kitab, Cairo Basak Demirtas et al Journal of Clinical Nursing 2011;21:1109–1118

  12. Recommendations for a correct weaning • Start at age 6 month • Introduce semisolid and solid food according to availability and tradition • Limit protein (especially from animal product) • Limit salt • Limit sugar

  13. UNICEF

  14. UNICEF

  15. UNICEF

  16. UNICEF

  17. UNICEF

  18. Issues for discussion and integrated work in MEDICEL partners We need to integrate the presented information with updated and accurate data on breastfeeding habits at 3 and 6 month, both using period prevalence (a measure of the proportion of infants on a specific BF habit over a specific period of time) or point prevalence (a measure of the proportion of infants on a specific BF habit at a particular time) We need to have data on modalities of weaning and the existence of recommendations and policies at regional or national level

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