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 Outline • • • • • About WBTi Assessment and action in South Asia Report of South Asia Impact Future plans WBTi • • • • • A: Action B: bringing people together C: Consensus and commitment D: Demonstration E: Effectiveness South Asia Breastfeeding Partners Forums 2004,5,6 Forum 3 : November 22, 2006 Kabul Status of South Asia 2006 Sri Lanka 116/150 Bangladesh 91.5/150 1 2 3 4 5 6 7 8 India 68/150 Afghanistan 30/150 Bhutan 30/150 Maldives 88.5/150 Pakistan 75.5/150 Nepal 71.5/150 Assessment and action in South Asia Afghanistan 1. 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 IYCF 6. Government promised to move breastfeeding up on the priority list of health programmes. Picture removed… Picture removed… 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; Picture removed… Picture removed… 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 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. 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. A unique national consensus Picture removed… A regional workshop Picture removed… 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. Picture removed… National Consultation to finalise the ‘Regulations’ Breastfeeding Coordinating Committee was revised. Identified a focal point. Picture removed… 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. Pakistan Score: Grade: 75.5/150 C Colour rating: Yellow Rank in South Asia: 4th Sri Lanka Intensified monitoring and evaluation of the Code. The country has already started working on the gaps revealed by WBTi, focusing on: 1. 2. 3. 4. Bottle feeding, BFHI, Maternity Protection and Infant feeding and HIV. Make breastfeeding visible, and more widely available !! Picture removed… Thank you The First Lady of Timor Leste at 7th Ministerial Consultation on Children Cambodia March 2005 Future plans • Re-assessments South Asia 2008, 2011 • LAC beginning 2008 • Other regions to join 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