The World Breastfeeding The World Breastfeeding Trends initiative( WBTi)Trends initiative( WBTi)

IBFAN AsiaIBFAN Asia

Tracking Implementation of the Global Strategy for Infant and Young Child Feeding

Arun Gupta MD FIAP Regional Coordinator

OutlineOutline

• About WBTi

• Assessment and action in South Asia

• Report of South Asia

• Impact

• Future plans

WBTiWBTi

• A: Action

• B: bringing people together

• C: Consensus and commitment

• D: Demonstration

• E: Effectiveness

South Asia Breastfeeding Partners South Asia Breastfeeding Partners Forums 2004,5,6Forums 2004,5,6

Forum 3 : November 22, 2006 Kabul

Status of South Asia 2006Status of South Asia 2006

Bhutan30/1508

Afghanistan30/1507

India68/1506

Nepal71.5/1505

Pakistan75.5/1504

Maldives88.5/1503

Bangladesh91.5/1502

Sri Lanka116/1501

Assessment and action in South Asia

AfghanistanAfghanistan1. Developed and finalised the draft

Code - waiting for approval. 2. Formation of Afghanistan

Breastfeeding Promotion Partners (ABPP).

3. Establishment of National Breastfeeding Promotion Board.

4. Host of South Asia Breastfeeding Partners forum-3.

5. Kabul declaration on IYCF6. Government promised to move

breastfeeding up on the priority list of health programmes.

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BangladeshBangladesh

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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BangladeshBangladesh Action Plans for 2007Action 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

BhutanBhutan

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.

IndiaIndia 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.

A unique national consensusA unique national consensus

A regional workshop

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India Action Plans for India Action Plans for 20072007

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.

National Consultation to finalise the ‘Regulations’

Breastfeeding Coordinating Committee was revised.

Identified a focal point.

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NepalNepal 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.

PakistanPakistan

Score: 75.5/150

Grade: C

Colour rating: Yellow

Rank in South Asia: 4th

Sri LankaSri Lanka

Intensified monitoring and evaluation of the Code.

The country has already started working on the gaps revealed by WBTi, focusing on:

1. Bottle feeding, 2. BFHI, 3. Maternity Protection and 4. Infant feeding and HIV.

Make breastfeeding visible, and more widely Make breastfeeding visible, and more widely available !!available !!

The First Lady of Timor Leste at 7The First Lady of Timor Leste at 7thth Ministerial Consultation on Children Cambodia Ministerial Consultation on Children Cambodia March 2005March 2005

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Future plansFuture plans

• Re-assessments South Asia 2008, 2011

• LAC beginning 2008

• Other regions to join

Impact of WBTImpact of WBTii

• 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