WBT in South Asia

1
WBT in South Asia

• Dr.S.K.Roy
• Senior Scientist, ICDDRB
• and
• Secretary, BBF

2
WBT ?

• WBT is an innovative initiative of the
  International Baby Food Action
• Network (IBFAN) Asia Pacific for tracking,
  assessing and monitoring in response to the
  global need for focus on infant nutrition and
  survival. This need is more critical in
  developing countries

3
Phases

• WBT involves a three phase process
• The first phase involves initiating national
  assessment of the implementation status of the .
  The process brings governments and other civil
  society partners together to analyze the
  situation in their country and find out gaps
• During the second phase, the WBT uses these
  findings for scoring, colour-rating and grading
  each indicator and each country as per IBFAN Asia
  Pacific's Guidelines for WBT , to inform where it
  currently is. WBT also ranks countries in order
  of their performance

4
cont..

• During the third phase, the WBT encourages repeat
  assessment after 3-5 years to analyze trends in
  each indicator as well as the overall
  breastfeeding rates in a country, as well as the
  impacts of particular interventions over a period
  of time

5
Initiation of BF0-29 scores as 3/Red 30-49 as
6/Yellow 50-89 scores as 9/Blue90-100 scores
as 10/Green.
6
(No Transcript)
7
(No Transcript)
8
Bottle Feeding 0-100 scores as 3/Red 5-29 as
6/Yellow 3-4 scores as 9/Blue 0-2 scores as
10/Green.
9
Complementary Feeding-59 scores as 3/Red 60-79
as 6/Yellow 80-94 scores as 9/Blue95-100
scores as 10/Green.
10
National Policy , Program and CoordinationConcern
s national policy,plan of action, funding and
coordination issues.
11
Baby Friendly Hospital Initiative Concerns
percentage BFHI hospitals, training, standard
monitoring, assessment and reassessment systems.
12
Implementation of International Code Concerns
implementation of the Code as law, monitored and
enforced.
13
Maternity Protection Concerns paid maternity
leave, paid breastfeeding break, national
legislation encouraging work site accommodation
for breastfeeding and/or childcare and
ratification of ILO MPC No 183.
14
(No Transcript)
15
Community Outreach Concerns skilled counseling
services on infant and young child feeding, and
its access to all women.(During pregnancy and
after birth)
16
Information Support Concerns national IEC
strategy for improving infant and young child
feeding, actively implemented at local levels.
17
(No Transcript)
18
(No Transcript)
19
Monitoring and evaluation Concerns monitoring,
management and information system (MIS) as part
of the planning and management process.
20
Country wise Gaps
Cont.
21
Country wise Gaps(cont.)
22
(No Transcript)
23
What to do?
24
Afghanistan

• 1. Develop a plan of action with committed funds,
  implemented through an effective decentralised
  mechanisms
• 2. As a priority, implement all articles of the
  Code, enact a national legislation with effective
  enforcement and proper monitoring
• 3. Initiate action on infant feeding in HIV
  programmes and infant feeding during emergency
  situations
• 4. Strengthen efforts to implement BFHI for
  hospitals and link it with

25
BANGLADESH

• 1)Mainstream IYCF in the child health and
  development
• programmes.
• 2)Take urgent action, to enhance timely
  initiation of breastfeeding within one hour, like
  a campaign to save babies through this action.
• 3) Establish a clear mechanism for coordination
  at national level, with clear terms of reference
  to monitor the progress on indicators.
• 4)Support maternity protection in private as
  well as
• informal/unorganized sector.
• 5)IYCF indicators like early initiation (within
  one hour) and exclusive breastfeeding (0-6
  months) should be monitored and published on a
  regular basis under surveillance reports

26
Nepal

• 1) Mainstream IYCF in the child health and
  development
• programmes.
• 2) Proper monitoring and reassessment system for
  BFHI in hospitals should be in place.
• 3) There is a need to address maternity
  protection through
• legislation to allow at least 14 weeks of
  paid maternity leave in all sectors and encourage
  work site accommodation for breastfeeding and for
  child care in work places.
• 4) Infant feeding counseling should be integrated
  into over all infant and child health strategy to
  scale up its coverage to national level.

27
Pakistan

• 1)Mainstream IYCF in the child health and
  development
• programmes.
• 2)There is a need to address maternity protection
  through
• legislation to allow at least 14 weeks of paid
  maternity leave in all sectors and encourage work
  site accommodation for breastfeeding and for
  child care in work places.
• 3)Monitoring and evaluation component of the
  infant and young child-feeding programme needs
  improvement.

28
Srilanka

• 1) There is a need for proper monitoring and
  reassessment system for BFHI.
• 2)Implement all articles of the Code as Law with
  proper
• monitoring systems in place.
• 3) There is a need to ensure maternity protection
  in informal/ unorganized sector also, aim for 6
  months maternity leave.
• 4) Strengthen infant feeding and HIV issue in
  national policy and programmes
• 5)Monitoring and evaluation component of the
  infant and young child-feeding programme needs
  improvement.

29
Bhutan

• 1) Establish a National Breastfeeding Committee,
  linking IYCF with all other sectors like health,
  nutrition, information etc. Effectively, headed
  by a
• Coordinator
• 2) Make infant feeding counseling accessible to
  all women, during pregnancy and after child
  birth, by integrating counseling services into an
  over all
• infant and child health strategy. It should be
  backed by skills training of all frontline
  workers. To sustain this service strengthen the
  pre-service curriculum

30
Maldives

• 1)Establish plan of action with resources to
  implement actions on gaps in the national
  nutrition strategic plans
• 2) Enact a legislation for implementation of the
  Code
• 3)Address maternity protection through national
  legislation to allow at least 14 weeks of paid
  maternity leave in all sectors
• 4)Strengthen community outreach services for
  Breastfeeding and complementary feeding support
  and counseling
• 5) Regularly monitor all IYCF indicators (early
  initiation within one hour, exclusive
  breastfeeding for 6 months, bottle feeding,
  median duration of breastfeeding and
  complementary feeding) at country level and
  publish these in surveillance reports

31
India

• 1) Mainstream IYCF in the child health and
  development programmes
• 2) Develop a plan of action with committed funds,
  implemented through an effective state and
  national level mechanism. Check policies and
  programmes of various departments of the Central
  government and of States governments for
  consistency and impact on infant feeding
  practices
• 3)Make infant feeding counseling accessible to
  all as a key component in service delivery,
  both in health facilities and at family level. It
  should be backed by skill
• 4)Ensure effective implementation of IMS Act by
  establishing proper monitoring and accountability
  mechanism

32
Dhannaybad