Multi-Indicator Cluster Survey in Macedonia- Breastfeeding Patterns in Children 0-24 Months - PowerPoint PPT Presentation

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Multi-Indicator Cluster Survey in Macedonia- Breastfeeding Patterns in Children 0-24 Months. Some demographic and health indicators*. Total number of the population 2.007.523 Annual number of live births 27.309 Birth rate-14.1%0 Infant mortality rate14.9%0 Perinatal mortality rate18.7%0

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Multi-Indicator Cluster Survey in Macedonia-

Breastfeeding Patterns in Children 0-24 Months


Some demographic and health indicators l.jpg

Some demographic and health indicators*

  • Total number of the population

    2.007.523

  • Annual number of live births

    27.309

  • Birth rate-14.1%0

  • Infant mortality rate14.9%0

  • Perinatal mortality rate18.7%0

  • * 1999


Health and nutritional survey 1994 breastfeeding rate and nutritional patterns in infants l.jpg

Health and nutritional survey 1994Breastfeeding rate and nutritional patterns in infants

  • Exclusive breastfeeding rate (0-4 months) -8.1%

  • Predominant breasfeeding rate 70.4%

  • Stop breastfeeding rate 21.6%

    59% (first weeks)

    26.9% (5-8 weeks)

    14.1%(9-13 weeks)


The steps of national breastfeeding policy development in macedonia l.jpg

The steps of National Breastfeeding policy development in Macedonia

  • 1994 -Health and nutritional survey in children under 5

  • 1996- Breastfeeding course: London Practice and policy - Ministry of health representatives participation

  • 1997 -Establishment of National Breastfeeding committee

  • 1997-1998- Breastfeeding training course for primary health care provider

  • 1999-Baby friendly hospital initiative

  • 1999 Multi-indicator cluster survey

  • 2000- Breastfeeding community support- MtMSG and celebration of WBW

  • 2000- Implementation of the Code(some articles) in Consumer protection low

  • Nine months maternity leave


Multi indicator cluster survey 1999 l.jpg

Multi-Indicator cluster survey 1999

  • Main objective

  • achievement of the goals of the World Summit for Children

  • Specific objective

  • nutritional status of mother and children

  • micronutrient deficiencies

  • evaluation of feeding patterns of infants and small children


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  • The information of infant feeding pattern was collected with

  • 24 hour recall questionnaire using the following indicators:

  • Exclusive breast feeding rate (0-4 m)

  • Exclusive breast feeding rate (0-6 m)

  • Predominant breast feeding rate (0-4 m)

  • Predominant breast feeding rate (0-6 m)

  • Timely complementary feeding (6-9m)

  • Continued breast feeding at 1 year


Prevalence of breastfeeding in children 0 24 months by population strata l.jpg

Prevalence of breastfeeding in children 0-24 months by population strata

Pearson Chi -square :0.9, p=0.34


Feeding pattern of children 0 4 m and 0 6 m by population strata l.jpg

Feeding pattern of Children 0-4 m and 0-6 m by Population strata

Pearson Chi -square :5.24, p=0.15


Prevalence of exclusive breastfeeding in children 0 24 m by population strata l.jpg

Prevalence of Exclusive Breastfeeding in Children 0-24 m, by Population strata

Age in months


Prevalence of breastfeeding in different ethnic groups in children 0 24 months l.jpg

Prevalence of breastfeeding in different ethnic groups in children 0-24 months


Prevalence of exclusive breastfeeding in different ethnic groups in children 0 6 months l.jpg

Prevalence of exclusive breastfeeding in different ethnic groups in children 0-6 months


Habit of breastfeeding in children 0 24 months by population strata l.jpg

Habit of breastfeeding in children 0-24 months by population strata


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Median number of suckling during the night

in children 0-24 m , per population strata

urban

rural

total

3

2

1

0-6 months 7-12 months 13-24 months

A g e


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Median number of suckling during the day in

children 0-24 m,by population strata

urban

rural

6

total

5

4

3

2

1

0-6 7-12 13-24

Age in months


Time lapse after birth for breastfeeding children 0 24 months by population strata l.jpg

Time lapse after birth for breastfeeding children 0-24 months by population strata


Reasons for breastfeedig cessation for children 0 24 by population strata l.jpg

Reasons for breastfeedig cessation for children 0-24 by population strata


Progress towards the achievement of the goals for year 2000 of the world summit for children l.jpg

Progress towards the achievement of the goals for year 2000 of the world summit for children

  • Year 2000 goal 1994 MIKS 1999 MIKS Progress

Year 2000 goal

Empowerment of all

women to breastfeed

their children exclusi-

vely for four to six

months and to

continue breastfeeding,

with complementary

food, well into

the second year

Good

achievement

of the goal

that still needs

educational

efforts

0-4 months

Exclusive

BF 8%

Predominant

BF =78%

0-4 months

Exclusive

BF 45%

Predominant

BF =34%


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NATIONAL REPORT CARD ON BREASTFEEDING*

IndicatorsScore Rate

  • EBFR at 6 months 4

  • National breastfeeding policy 10

  • % of BFH 8

  • Implementation of ICMBS 9

  • Maternity leave 9 m 10

    Total 41

GLOPAR - Global Participatory Action Research Project by WABA


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SCORE RATING

  • 41-50 - Excellent

  • 36-40 - Very Good

  • 31-35 - Good

  • 26-30 - Average

  • 21-25 - Poor

  • 16-20 - Bad

  • 11-15 - Vary Bad

  • 0-10 - Terrible

Excellent

41


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NUTRITIONAL SURVEY IN REFUGEE CAMPS IN MACEDONIA

B.Ancevska MD, N.Janeva MD, K.Venovska MD

Collaborative Study : AAA. UNHCR, UNICEF, IMCH


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  • More than 300,000 Kosovar refugees crossed the

  • Macedonian border from March to June 1999 .

  • 120.000 - 140.000 were accommodated in 7 camps with

  • rapid population movement

  • Health condition was generally good

  • Food distribution was considered adequate but inconsistent

  • in nutritional content and frequency of distribution


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  • Goals an objective of the survey

  • the survey was designed to span several sectors of refugee needs in order to provide recommendations to international organizations serving the refugees in camps in R.M

  • Specific objective among children under

  • 5 years of age

  • determine the nutritional status

  • estimate the prevalence of breast

    feeding and infant feeding practice

  • estimate the prevalence of diarrhea and ARI

  • estimate the immunization coverage


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  • Sampling methodology and sample size

  • A systematic random sample of household was taken, a household being defined as a group of persons occupying the some structure and sharing the household resources

  • The survey population included 1421 households and 1001 children under 5 years

  • Research tool -questionnaire for interviewing caregivers of young children

    “ Are you breast feeding your child?”

    “ Are you feeding your child with infant formula?”


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Demographic distribution of children less than 5 years of age

among Kosovar refugees in camps in R.M

Age group

(months)

Number %

0- 5 95 9.4

6-17 207 20,7

18-29 210 21.0

30-41 217 21.7

42-53 190 19.0

54-59 82 8.2

Total 1001 100

10.4 % of all population were children under 5


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Infant feeding among children < 12 months

BF Formula Both Neither

Age group N % N % N % N %

< 4 months 40 70 3 5 1 1 13 23

4- 7 months 36 51 10 14 4 6 21 30

8-11 months 34 43 11 14 2 3 32 41

All ages 110 53 24 12 7 3 56 32

23


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What food those 23% of infants

under 4 months received

cow’s milk

bread and biscuits


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BABY FOOD DONATION*

  • infant formula

  • baby cereals

  • dehydrated baby meals

  • jars of fruits and mix meal for weaning purpose

*

A calculation of the quantities of formula at the and of July. 99

indicate that there was enough to feed approximately 22%

of the infants fin the refugee population for 6 months

*

Violation of the International Code of Marketing of

Breast Milk Substitutes

*

Source of donation-unknown


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Infant feeding intervention in Macedonia

during refugee crisis

  • Mother and baby - station

  • 5 day training programme to provide PHC training

    for NGO health workers with one day allocated for breast

    feeding

  • On job training for NGO health staff in camps

  • Availability of training material with appropriate

    information about breast feeding

  • UNICEF Initiative to store infant formula donation


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