The World Breastfeeding Trends initiative( WBTi)

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The World Breastfeeding Trends initiative( WBTi)
Tracking Implementation of the Global Strategy
for Infant and Young Child Feeding
Arun Gupta MD FIAP Regional Coordinator

• IBFAN Asia

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Outline

• About WBTi
• Assessment and action in South Asia
• Report of South Asia
• Impact
• Future plans

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WBTi

• A Action
• B bringing people together
• C Consensus and commitment
• D Demonstration
• E Effectiveness

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South Asia Breastfeeding Partners Forums 2004,5,6
Forum 3 November 22, 2006 Kabul
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Status of South Asia 2006
Sri Lanka 116/150
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Bangladesh 91.5/150
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Maldives 88.5/150
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Pakistan 75.5/150
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Nepal 71.5/150
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India 68/150
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Afghanistan 30/150
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Bhutan 30/150
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• Assessment and action in South Asia

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Afghanistan

• Developed and finalised the draft Code - waiting
  for approval.
• Formation of Afghanistan Breastfeeding Promotion
  Partners (ABPP).
• Establishment of National Breastfeeding Promotion
  Board.
• Host of South Asia Breastfeeding Partners
  forum-3.
• Kabul declaration on IYCF
• Government promised to move breastfeeding up on
  the priority list of health programmes.

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Bangladesh

• Country-level revitalisation of the breastfeeding
  movement.
• National Conference on Breastfeeding and
  Complementary Feeding organised, 500
  participants.
• The National Infant and Young Child Feeding
  Strategy has been finalised. Curriculum revision
  in light of IYCF
• Formation of training committee for establishing
  Breastfeeding Management Centers

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Bangladesh Action Plans for 2007

• Curriculum revision
• Conduct TOTs 3 in 1 course
• Identify research agenda, develop grant
  proposals
• HIV and Breastfeeding Policy approval - produce
  booklets for advocacy

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Bhutan

• Actions and Plans 2007
• Assessment of BFHI has been carried out, with a
  view to revitalizing.
• Advocate for maternity leave for 14 weeks and
  worksite accommodation for breastfeeding
• Survey on IYCF practices
• Advocacy for approval of BMS Code by National
  Assembly
• Reactivation of National Committee on promotion
  and protection of breastfeeding as National IYCF
  Committee.

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India

• Increased interest
• National consultation on IFE and IF-HIV
• Partnership Government of India and UNICEF
  strengthen
• Strengthening IYCF in the teaching in medical
  schools has
• A national plan of action developed
• State level implementation
• Serious consideration is 11th Five Year Plan for
  a budget head.

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A unique national consensus
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A regional workshop
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India Action Plans for 2007

• High level cal attention calling for ensuring a
  budget head for IYCF in 11th plan (already
  happened 29th dec)
• Capacity Building of State for skills training
• Campaign on 1st hour breastfeeding to save lives.

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• National Consultation to finalise the
  Regulations
• Breastfeeding Coordinating Committee was revised.
• Identified a focal point.

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Nepal

• National capacity has been increased to impart
  skills training on Infant and Young Child
  Feeding.
• The Nepal Breastfeeding Promotion Forum the
  local IBFAN group - organised the South Asia
  Breastfeeding Partners Forum -2.
• A draft strategy document for IYCF is ready.

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Pakistan

• Score 75.5/150
• Grade C
• Colour rating Yellow
• Rank in South Asia 4th

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Sri Lanka

• Intensified monitoring and evaluation of the
  Code.
• The country has already started working on
  the gaps revealed by WBTi, focusing on
• Bottle feeding,
• BFHI,
• Maternity Protection and
• Infant feeding and HIV.

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Make breastfeeding visible, and more widely
available !!

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Thank you
The First Lady of Timor Leste at 7th Ministerial
Consultation on Children Cambodia March 2005
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Future plans

• Re-assessments South Asia 2008, 2011
• LAC beginning 2008
• Other regions to join

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Impact of WBTi

• Increased government participation
• Close collaboration with UNICEF ROSA
• Increased capacity of groups to organise
• Strong partnerships at national level
• Reports are available
• Planning and review, being put in practice