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Zambia Community experience on the implementation of breast feeding

Zambia Community experience on the implementation of breast feeding. By Agnes M Aongola Chief Nutrition Liaison Officer Ministry of Health Zambia. Presentation Outline. Country Profile Early childhood mortality breast feeding Factors Enabling success in breast feeding

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Zambia Community experience on the implementation of breast feeding

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  1. Zambia Community experience on the implementation of breast feeding By Agnes M Aongola Chief Nutrition Liaison Officer Ministry of Health Zambia

  2. Presentation Outline • Country Profile • Early childhood mortality • breast feeding • Factors Enabling success in breast feeding • Drivers of breast feeding in the country • Challenges • Community involvement • Cost implication and sustainability • Monitoring and evaluation

  3. Trends in Early childhood mortality rates

  4. Trends in initiation of breast-feedings within I hour

  5. Percentage Initiation of breastfeeding by province

  6. Exclusive breastfeeding trends in Zambia - ZDHS

  7. Enabling factors for the success in breastfeeding (1) • Policy framework • National Health Strategy NDP • National Food and Nutrition Policy • Infant and Young Child Feeding Operational Strategy 2006-2010

  8. Policy framework • National PMTCT protocol guidelines • Food and Drugs Marketing of Breast-milk Substitutes , 2006 Regulations • Essential Nutrition Package of Care in the Health Sector

  9. Enablers (2) • Partnerships • IYCF Operational strategy 2006 – 2010 – Printed by the TB programme. • Community IYCF counselling training package – Printed by PMTCT programme. • Children’s Clinic cards – • Child Health • PMTCT

  10. Enablers (3) • Health worker IYCF counselling training package • PMTCT programme • Integrating the new WHO recommendations into other programmes/training package. • Developed IEC materials: • Availability of a 13 series of IYCF dramatized radio programmes in 4 of the 7 main languages. • Posters • Brochure

  11. Drivers • Government (MoH and National Food and Nutrition commission). • Co-operating partners. • No champion

  12. Challenges (1) • HIV pandemic (14 % ) • Inadequate Human Resource – affecting ability to counsel) • Though funding has increased it is still inadequate. • Limited coverage of health workers trained in various aspects of infant feeding. • Few communities trained in IYCF.

  13. Challenges 2 • Rapidly changing advice regarding HIV and Infant Feeding versus updating training packages, updating trainers and disseminating information to the relevant parties. This leads to mixed messages. • Enforcement of the Statutory Instrument (SI) on marketing of breast-milk substitutes still weak- violations from both local and international companies crippling in.

  14. Community involvement • Community IYCF support groups promoted. • Community Infant and young child feeding counselling training package developed.

  15. Cost implication and sustainability • Zambian policy is to promote breastfeeding hence there is no budget line for commercial milks

  16. Monitoring and evaluation system • HIMS though very challenging with quality of some indicators collected. • Independent Surveys • ZDHS

  17. Thank you

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