dr. abhishek ingole p.g. community medicine. 7days 28 days 1 year birth 5 years 10 years 19 years...
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Breastfeeding: Global and National Commitment
Dr. Abhishek IngoleP.G. Community Medicine
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7days
28 days
1 year
Birth
5 years
10 years
19 years
Pregnancy
Adulthood
Ageing
Death
Nutrition interventions around the life course
Micronutrient supplementation
as necessary
Energy & nutrient
adequate dietSchool meals
Pre-pregnancy dietary advise for adolescent
girls and women
Adolescent dietary advise
Diet and micronutrients
during pregnancy
GLOBAL STRATEGIES
IYCF Adequate complementary
feeding 6-24 months
Continued breastfeeding
Early initiation of
breastfeeding Exclusive
breastfeeding for 6 months
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Global and National Commitment: Key Initiatives
The Innocenti Declaration on Protection, Promotion and Support of Breastfeeding ;1990 and the Innocenti Declaration on Infant and Young Child Feeding; 2005.
Global Strategy for Infant and Young Child Feeding; 2004.
World Breastfeeding Week campaign since1992.
The Infant Milk Substitutes Act 1992 and The IMS Amendment Act; 2003
National Guidelines for Infant And Young Child Nutrition; 2004
The Joint Statement on Infant and Young Child Feeding; 2006
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The Innocenti Declaration
In 1990, 30 countries together with their partner organizations decided to create a global action plan to reverse the declining breastfeeding rates.
A collaboration of technical staff, known as Integracy Group for Action on Breastfeeding (IGAB) with WHO, UNICEF, USAID and SIDA at the Florence meeting on 30 July- 1 Aug 1990 adopted the Innocenti Declaration on Protection, Promotion and Support of Breastfeeding.
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• To appoint a national coordinator and a breastfeeding committee composed of representatives from relevant government departments, NGOs and associations of health professionals;
• Ensure that every facility providing maternity services fully practices all the “Ten steps to successful breastfeeding”
• Give effect to the principles and aim of the International Code of Marketing of Breast-milk substitutes
• Enact legislation protecting breastfeeding rights of working women and establish means for its enforcement.
Operational targets of the Innocenti Declaration
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The Innocenti Declaration: Achievements
The Declaration inspired the establishment of the Baby-Friendly Hospital Initiative (BFHI)
It called on all countries to follow the Ten Steps of successful Breast-feeding to improve maternity practices
It ensured full support for mothers intending to breastfeed.
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The Innocenti Declaration
On 22nd November 2005, at the 15th anniversary of Innocenti declaration, another declaration was passed on Infant and Young Child Feeding.
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• Develop a comprehensive policy on IYCF, in context of national policies and programmes for nutrition, RCH and poverty reduction.
• Protect, promote and support exclusive breastfeeding for six months and continued breastfeeding up to two years of age or beyond.
• Provide guidance on feeding infants and young children in exceptionally difficult circumstances, and on support required by mothers, families and other caregivers.
Operational targets of the Innocenti Declaration
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Global Strategy for Infant and Young Child Feeding
• Jointly Developed by WHO and UNICEF in 2004
• Aims to improve - through optimal feeding - the nutritional status, growth and development, health, and thus the very survival of infants and young children.
Objectives -• Improve the feeding of infants and
young children • Increase the commitment of
governments, civil society and international organizations.
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Com
pre
hen
sive
act
ion
Steps for implementing the Strategy for IYCF in countries
1. Identify and orient key stakeholders and prepare for developing a comprehensive strategy
2. Assess and analyse local situation3. Define preliminary national objectives4. Identify and prioritize actions5. Develop a national strategy and plan of action6. Implement and monitor
To develop, implement, monitor and evaluate a policy on infant and young child feeding in the context of national policies and programmes for nutrition, child and reproductive health, and poverty reduction.
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World Breastfeeding Week
• World Alliance for Breastfeeding Action (WABA) organized the WBW campaign in 1992 as their first social mobilization effort to raise awareness and stimulate action globally in support of breastfeeding.
• WBW is celebrated in more than 100 countries every year from 1–7 August to mark the Innocenti’ anniversary on 1 August.
• WBW has mobilized governments, ministries, civil society
organizations to conduct activities in support of breastfeeding.
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The Infant Milk Substitutes Act 1992
An Act to amend the Infant Milk Substitutes, Feeding Bottles and Infants Foods
• It provides for the regulation of production, supply and distribution of infant milk substitutes, feeding bottles and infant foods
• To protect and promote breastfeeding and ensure the proper use of infant foods.
‘The IMS Amendment Act 2003’ was enacted on 2nd June 2003
• It prohibits promotion of breast-milk substitute products on the pretext of distribution of educational or informational material.
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The IMS Amendment Act 2003
• No person shall donate or distribute infant milk substitutes or feeding bottles or infant foods to anyone except to an orphanage.
• All products should mention in a clean, conspicuous and easily understandable manner, the words “IMPORTANT NOTICE ” and -a) A statement - “MOTHER’s MILK IS BEST FOR YOUNG
BABY ”.b) A statement that “ The product should be used only
on the advice of health worker or medical personnel.”
c) A warning – “ Infant milk substitutes are not the sole source of nourishment of an infant.”
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National Guidelines for Infant And Young Child Nutrition; 2004
Objective to achieve the nutritional goals set by planning commission of the Tenth Five Year Plan -
• Initiation of Breastfeeding 15.8 % to 50% • Exclusive breastfeeding 55.2% to 80% • Complementary feeding 33.5% to 75%
To intensify nutrition and health education.
To bring down the prevalence of underweight children and malnutrition.
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December 20, 2006
It appealed the chairperson of the planning Commission to recognize ‘Breastfeeding’ as food security for infants and
include it in National Food Security Plans and make it a part of annual reporting of Government of India.
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Breastfeeding Promotion Network of India (BPNI)
• National network of organizations and individuals dedicated to protection, promotion and support of breastfeeding and optimal infant and young child feeding practices.
• It was founded on 3rd Dec., 1991 at MGIMS, and is working under the National coordination of Dr. Arun Gupta, 3500 members allover India and multiple partner organizations.
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MDG: A Commitment
Breastfeeding improves short and long term maternal and child health; and thus contribute to the
attainment of the Millennium Development Goals (MDGs) 4 and 5 REDUCE CHILD MORTALITY and IMPROVE MATERNAL HEALTH to achieve by 2015.
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Prevalence of exclusive breastfeeding among children<6
months of age
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Glaring gaps in policy and programmes of IYCF
That’s the reasons why NFHS 3 did not show very encouraging results.
India’s 6th position in South Asia puts us to shame.
Three areas of action need to be acted upon.
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Essential Actions to promote, protect and support appropriate IYCF practices
Legislation and policy
Implementation
Improving family and community practices
Improving Health system
and health worker skills
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What works? Breastfeeding education
• Good Information and skilful counselling (pregnancy, birth
and later)• Assistance at birth and later• ‘Counsel’ and help to prevent sore nipples,
engorgement, and solve these if they arise • ‘Counselling’ on complementary feeding• Counselling on feeding options for
emergencies and special situations.Breastfeeding [IYCF]
SupportCentres at cluster and
blocklevel in NRHM
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Newborn deserves the best Nutrition, Improved survival, Optimum
development and a Healthy LifeBreast-feeding can do this miracle!!!...
Thank You!