World Breastfeeding Costing
Initiative (WBCi)
WBCi
• Breastfeeding has been recognized as the
most important intervention for child survival
and optimal growth and development.
• However, throughout the world, optimal
breastfeeding rates are abysmally low,
stagnating for over a decade, because of the
lack of the enabling environment where
women can practice optimal breastfeeding
successfully
WBCi
• Protecting, promoting and supporting
breastfeeding is not free. It costs money.
• As the World Breastfeeding Trends Initiative
(WBTi) analysis of the implementation of the
Global Strategy for Infant and Young Child
Feeding shows, very few of the 51 countries
that conducted the assessment could
implement all the strategies.
• The primary obstacle was lack of adequate
resources, especially financial resources.
WBCi
• The few estimates existing consider only
some aspects of promotion, even though
there is evidence that several actions,
including effectively enforcing the
International Code of Marketing of
Breastmilk Substitutes and Maternity
Protection need to be taken concurrently if
breastfeeding rates have to improve.
WBCi
• In 2012, International Baby Food Action
Network Asia (IBFAN Asia) took on the
challenge of trying to estimate the minimal
cost of implementing the Global Strategy
in its entirety through the World
Breastfeeding Costing Initiative (WBCi).
WBCi
The WBCi has two components –
The Need to Invest in Babies
The Financial Planning Tool
WBCi
Supported by:
The Need to Invest in Babies
This advocacy document gives the rationale behind
the need to invest in breastfeeding, what
interventions to invest in as a priority, and an
estimate of the global costs of universalizing the
enabling
environment
where
women
can
successfully breastfeed optimally. Interventions that
have been costed include:
 Development of policies and plans,
coordination;
 Health and nutrition care system: This has
two components - BFHI and the training of
health workers;
 Community services and mother support;
 Media promotion;
 Maternity Protection;
 Implementing the International Code of
Marketing of Breastmilk Substitutes; and
 Monitoring and research.
The Current Estimates
US$2.9 billion
15 USD/Per household in 36 high burden
countries
Reflects only “Behaviour change interventions
to promote breastfeeding.”
Behavior change interventions
• Breastfeeding promotion and
support
• CF promotion
• Hand washing with soap and
promotion of hygiene behaviors
9
How Much to Invest
Action Area
IBFAN estimates USD in
billions (214 countries)
One Time Cost
2.08 billion
• IYCF policy devp & review
0.004
• International Code drafting and legislative proccess
0.479
• Trainings
1.599
•
•
•
HW
Community support
Code implementation
Annual Cost
15.48 billion
• BFHI Implementation
2.01
• Media Promotion
0.722
• Monitoring
0.081
• Maternity Entitlement
12.6
Total
17.56 billion
10
The Financial Planning Tool
• Recognizing that countries are at different
stages in implementing the Global Strategy,
as well as the wide variance in salaries,
infrastructure costs, etc., IBFAN Asia also
developed the WBCi Financial Planning Tool
to assist countries plan and budget for
protecting, promoting and supporting
breastfeeding.
• It follows the principles and structure of the
World Breastfeeding Trends Initiative (WBTi)
The Financial Planning Tool
• The tool is excel based, flexible, user friendly
and countries can easily customize it to meet
their needs and generate annual as well as
multi year estimates for IYCF
• It is intended for programme managers and
partners to initiate advocacy with national
govt. and donors
• It will assist planners, MCH/nutrition
coordinators, public health practitioners, and
finance personnel in developing budget
WBTi and WBCi
Policy & Programme Indicators (indicator 1-10)
1.
National Policy, Programme and Coordination
2.
Baby Friendly Hospital Initiative (Ten steps to
WBTi
assessment
completed
WBTi
assessment
not completed
successful breastfeeding)
3.
Implementation of the International Code of
Marketing of Breastmilk Substitutes
4.
Maternity Protection
5.
Health and Nutrition Care Systems (in support of
breastfeeding & IYCF)
6.
Mother Support and Community Outreach -
Identify
Gaps
Accomplish
WBTi
Develop
Plan of
action
Identify
Gaps
WBCi
Develop
Plan of
action
Community-based Support for the pregnant and
breastfeeding mother
7.
Information Support
8.
Infant Feeding and HIV
9.
Infant Feeding during Emergencies
10.
Mechanisms of Monitoring and Evaluation
System
WBCi
Worldwide launch and action
The report has been launched worldwide
1. INDIA
2. CANADA
3. MEXICO
4. COLOMBIA
5. COSTA RICA
6. GUATEMALA
7. BANGLADESH
8. NEPAL
9. ​AUSTRALIA
10. INDONESIA
11. EGYPT
12. AFGHANISTAN
Plan to introduce / use of tool in 20 more countries in 2014
Lessons learnt South Asia Workshop
In March 2014, in India, at a regional workshop, 7 countries made use of the financial
planning tool and found this to be truly useful. There were total of 23 participants from 5
governments and 2 civil society groups.
Dr. Hedayetul Islam Director IPHN, and Line
Director National Nutrition Services
Institute of Public Health Nutrition, Dhaka
Bangladesh said “It is an innovative tool I
have seen and so easy to operate …we can
make use in doing budgeting of IYCF activities,
thank you IBFAN”
Dr.Homayoun Ludin of MOH
Afghanistan “The tool is very user-friendly
and we have made use of this to make
plans and given to donors.”
Dr.Mohammed Saeed retired MOH ,
Maldives said “It is excellent tool, easy to
use and user friendly. It generates
automatic IYCF estimate budget.
Application can be used for planning,
calculating and monitoring IYCF activities
at all levels.”
Dr.Sila Deb, Deputy Commissioner (Child
Health), Ministry of Health & Family
Welfare, India said “It’s very easy and flexible
to calculate budgets. It can be standardized
software and can be very useful in planning for
program implementation plan (PIP).”
DOWNLOADING, SAVING AND OPENING THE FINANCIAL TOOL
• The Financial Tool with the filename
WBCi_Release_1.1 can be downloaded at
http://ibfan.org/upload/files/WBCi_Releases_
1.1.XLSM or copied from any Usb or CD that
contains the programme file.
• Please note that for the programme to open, the
Excel 2007 programme should be set at
“ENABLE MACROS”.