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

Workshop on WBCi financial tool for “Strengthening IYCF Capacity

in South Asia Region”

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

Outcome from the exercise of Group 1:

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.

Outcome from the exercise of Group 2:

Group 3:

Group 3 estimated budget for following line items:

• Maternity Protection • Health and nutrition Care System (Pre-service,

In-service training).

Outcome from the exercise of Group 3:

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.

Outcome from the exercise of Group 4:

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.

Divisional Workshop on Dissemination of BMS Act 2013

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

Workshop completed (Divisions)

1. Khulna 2. Chittagong3. Rajshahi4. Rangpur5. Barisal

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

Thank You