Post on 24-Dec-2015
Update of IYCF Activities in Bangladesh, outcomes and
plan ahead
Dr. S K RoySenior Scientist
ChairpersonBangladesh Breastfeeding Foundation (BBF)
IYCF practices in BangladeshIndicators Practice
Early Initiation of Breastfeeding within 1 hr of birth
47% (1)
Colostrum feeding 92% (2)
Prelacteal feeding 39% (1)
Exclusive Breastfeeding for first 6 months of life 64% (1)
59.2% (Urban slum) (3)
57.7% (Urban non-slum) (3)
66.1% (Other urban) (3)
Continued breastfeeding for 2 years of life 90% (1)
Adequate complementary feeding practices 21% (1)
28.3% (Urban slum) (3)
44.4% (Urban non-slum) (3)
39.1% (Other urban) (3)
Ref: (1) BDHS 2011, (2)BDHS 2007,(3) Urban health Survey of Bangladesh, 2013
SAFANSI Projects in Bangladesh
1. Workshop on WBCi financial tool for “Strengthening IYCF Capacity in South Asia Region”
2. Divisional Dissemination of BMS Act 2013
Purpose
Purpose of the “WBCi financial tool” was • To help government in development of
specific plan of action and budget lines for the interventions on optimal breastfeeding indictors.
Components of WBCi Financial tool training
Report writing and finalization
Group work
Key note presentation
Analysis of group work out come
Video demonstration
Presentation on WBCi Financial tool:
Presentation emphasized on the importance of saving money by protection, promotion and support of breastfeeding. Need of investment on following IYCF strategic area-
• Policy, Plan and Coordination • Communication and Information • Health, Nutrition care System • Mother support, community outreach • BFHI • IYCF in difficult circumstances • Maternity Protection • International Code , WHA
Video Demonstrations:
• A video was demonstrated to give a clear instruction on use of WBCi financial tool.
Group work on WBCI tool:
• All the participants were divided into 4 groups
• One expert from BBF joined in each group to assist the group work.
Group 1
Group 1 has estimated budget for following line items:
• Program management • Policy Development, Legislation, Planning and
coordination
Group 2:
Group 2 estimated budget for following line items:
• Baby Friendly hospital Initiatives (Ten steps for Successful breastfeeding)
• Implementation of the International code of marketing for Breastmilk Substitute and Subsequent WHAs.
Group 3:
Group 3 estimated budget for following line items:
• Maternity Protection • Health and nutrition Care System (Pre-service,
In-service training).
Group 4:Group four worked on following line items:• Mother Support group and Community Level
IYCF Actions • IYCF in exceptionally difficult circumstances
(IYCF in the HIV Context, IYCF in emergencies) • IYCF Communication for Behavior and Social
Change and Information Support.
Overall outcome of the Workshop
• High government officials, Representatives from NGO and development partners participated in the workshop.
• They calculated budget for improvement of IYCF situation in Bangladesh using WBCi financial tool.
Background• To control unethical promotion of Breast-milk Substitutes (BMS),
Government of Bangladesh published a Act titled “Breast-milk Substitutes, Infant Foods, Commercially Manufactured Complementary Foods and the Accessories Thereof (Regulation of Marketing), act 2013.”
• Institute of Public Health Nutrition (IPHN) and Bangladesh Breastfeeding Foundation (BBF) with the support of WHO Bangladesh, IFBAN ASIA, SAFANSI planned to disseminate the new BMS act, 2013 at divisional level by organizing divisional workshops in 7 divisions of Bangladesh.
• Till now 4 workshops have been organized and remaining 3 will be completed within this months.
Objective of the workshops:
• Objective of the workshop was to disseminate the Act among the high government officials of divisional level.
Steps in conducting the workshop:Letter sent to IPHN for organizing
divisionalWorkshops in collaboration with IPHN and
DGHSApproval from DGHS
Contract with the Divisional Directors (Health).
Letter sent to the Divisional Directors (Health) of seven divisions for organizing two workshops on “Dissemination of BMS
act 2013”.
Workshop coordinated by Divisional Senior Health Education Officer or
Assistant Chief of MIS through Key note presentation and Open discussion
Participants of the workshopWorkshop 1 Workshop 21. Civil Surgeon of all districts 1. UH&FPO from 2-3 upazilas of each
districts2. Magistrates 2. Magistrates3. Representative of the CAB 3. Renowned Pediatrics4. Representatives of the Medical
professional society (BPMPA, BPA, BMA, BNS, OGSB)
4. Renowned Gynecologists
5. Representative of Local/ National/ International NGO and UN organization
5. Representative of Local/ National/ International NGOs
6. Renowned Pediatrics 6. Secretary of the Press Club7. Renowned Gynecologists 7. Journalist/Reporter of Local and national
newspapers and Television channels8. Development Partners9. President of the Press Club10
.Journalist/Reporter of Local and national newspapers and Television channels
Resource person1. Divisional Director (Health) Chairperson2. Divisional Commissioner/
Additional Divisional CommissionerChief Guest
3. Divisional Director of Family Planning/ Additional Divisional Commissioner
Chief guest/ Special guest
4. Deputy Commissioner Special guest 5. Directore/ Superintenent of the
government Hospital of the respective area
Guest of Honor
6. Principal of the Medical colleges of the respective area
Guest of Honor
Participant’s commitment to implement the BMS Act, 2013
Create awareness on benefit of breastfeeding and Hazards of BMS
Will train up the health staff
will cousel mothers about benefit of breastfeeding
Will implement the law
0 5 10 15 20 25 30 35 40
35.3
27.1
20.8
16.8
Khulna Division
Chittagong Division
Creat Awareness on benefits of Breastfeeding and Hazards of BMS
Create awareness among people and will implement the law
Will cooperate in law implementation
Dissemination of BMS Act 2013 through Media
Will council mothers on Breastfeeding
0 5 10 15 20 25 30 35 40 45 50
43.7
37.2
9.3
4.7
4.7
Create awareness on benefit of breastfeeding and Hazards of BMS
create awareness along with law enforcement
Will cooperate in law implementation
Dissemination of BMS Act through Media
Will council mothers on Breastfeeding
0 5 10 15 20 25 30 35 40 45 50
45.8
16.7
9.3
12.5
8.3
Rajshahi Division
Recommendations from the participants:
• Divisional Commissioner recommended to organize dissemination of BMS Act in division, district and upazila levels.
• Need to disseminate the BMs Act quickly among people by campaign and promotion.
• Need to include this BMS Act in mobile court act, 2009. • Should be included this BMS Act in criminal procedure, 1896. • Counseling should be done to the pregnant mother about hazards of BMS
product and benefits of breastfeeding. • BMS Law should be disseminated through electronic and print media.
Besides that documentary on hazards of BMS, benefits of breastfeeding and complementary feeding should be developed for awareness building among
• Benefits of breastfeeding and complimentary feeding should be included in textbook.
Plan aheadSL Name Tentative date1. WBTi 2015 April, 20152. WBCi exercise and inclusion in budget May, 20153. Formation of MSG in Community Clinics 2015-20184. BMS Act dissemination, monitoring and
legal action2014-2017
5. Revitalization of 300 BFHI Hospitals 2015-20166. IYCF Training for CHCP and Non-
government health workers2015-2017
7. Media Campaign 2015-20168. Conference on IYCF and MN June, 2015