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IFE in Padang Pariaman, West Sumatra

IFE in Padang Pariaman, West Sumatra. 2-9 October 2009 and 20-24 October 2009. Natural Disaster: Earthquake 7,6 RS. The Natural Disaster: Eathquake. Wednesday, 30 th September 2009 at approximately 17:16:10 local time

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IFE in Padang Pariaman, West Sumatra

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  1. IFE in Padang Pariaman, West Sumatra 2-9 October 2009 and 20-24 October 2009 Natural Disaster: Earthquake 7,6 RS

  2. The Natural Disaster: Eathquake Wednesday, 30th September 2009 at approximately 17:16:10 local time Magnitude of 7,6 RS, epicenter was 45 kilometres (28 mi) west-northwest of Padang, Sumatra Most affected areas: (a) Padang Pariaman, (b) Agam, (c) Padang, and (d) Pariaman Government reports have to date confirmed: (a) 1,115 dead, (b) 1,214 severely injured and (c) 1,688 slightly injured

  3. AIMI’S Disaster Response Lactation Team:First Deployment2 – 9 October, 2009

  4. Objectives • Rapid assessment and mapping of earthquake victims: (a) pregnant women, (b) breastfeeding mothers, (c) babies and infants (under 2s) • Observation over the distribution of infant formula and baby food • Early lactation support for pregnant women and breastfeeding mothers

  5. Day 1 • Deployment on H + 2 • 3 lactation counselors and 1 volunteer • Establishing center of activity at the city of Padang • General conditions: blackouts, emergency rescues, lack of fuel, much chaos

  6. Day 2 • Reporting to the coordination for disaster relief center at the Governor’s residence • Padang city, 1 post natal mother • Victims not in tents  staying with relatives • Lack of drinking/clean water • Mental & psychological condition of breastfeeding mothers relatively good

  7. Day 3 • Location: Pariaman city and the district of Pariaman (with several sub-districts) • 30 mothers and under 2s • Benefits of breastfeeding and risks of formula feeding • Mostly mothers lacking confidence on quality of breast milk  lack of nutritious food, e.g. instant noodles

  8. Day 4 • Location: sub-district Sei Geringging, district of Pariaman • Counseling and screening for exclusively breastfeeding mothers • 20 pregnant women & breastfeeding mothers from 3 villages • Generally trust health workers  not promoting breastfeeding  mothers lack knowledge and support

  9. Day 5 • Assisting the Indonesian Society of Pediatrics (IDAI) for IYFE at M. Jamil Hospital  health professionals • More effective if carried out at H + 2 weeks

  10. Day 6 • With IYFE IDAI team, socialization, counseling & screening for breastfeeding mothers • Location: sub-districts of Sungai Limau and Tandike • 25 breastfeeding mothers (5 <6 mos, 20 > 6 mos) • Poor knowledge on exclusive breastfeeding and complementary feeding using local indigenous ingredients* • Role of midwife in promotion of formula milk and processed baby food

  11. Day 7 • Activities concentrated in the sub-district of Sei Geringging, district of Pariaman • 10 pregnant women, 3 breastfeeding < 6mos, 17 breastfeeding > 6 mos • Location already ‘visited’ by an infant formula company  midwife • From 20 breastfeeding, only 5 exclusively  lack of knowledge and support (midwife)

  12. Day 8 • Distribution of clothes, nursing aprons, infant toiletries, towels, toys and books • Concentration of activities: several villages in sub-district of Sungai Limau, district of Pariaman • Return to Jakarta

  13. Recommendations • Early deployment of lactation team very important (H + 1 week), for: • Accurate assessment and mapping of: (a) pregnant women, (b) breastfeeding mothers, (c) babies and infants under 2s • Observation on the distribution of infant formula and commercial baby food • Dissemination of IFE guidelines (Indonesian Ministry of Health) to local & international relief agencies* • Counseling & breastfeeding support to pregnant women & breastfeeding mothers

  14. AIMI’S Disaster Response Lactation Team:Second Deployment20 – 24 October, 2009

  15. Objectives • Follow-up on First Deployment • Counseling and socialization of the benefits of breastfeeding, risks of formula feeding and proper complementary feeding • IFE training for volunteers and local health workers

  16. Day 1 • Deployment on H + 3 weeks • 2 lactation counselor and 1 field coordinator volunteer • Location: Nagari VII Koto, district of Pariaman • Meeting with religious and community leaders • Distribution of packages for pregnant and breastfeeding women  feed the mother, and let the mother feed the child

  17. Day 2 • Various products for distribution to pregnant women & b/f mother not available in district of Pariaman  Padang city • Preparation of packages, scheduling visits to several villages

  18. Day 3 • Socialization of breastfeeding and proper complementary feeding in 9 villages, sub-district VII Koto, district of Pariaman • Screening and counseling partial-breastfeeding mothers  formula and/or early CF • Visiting local Health Office of the district of Pariaman • 288 pregnant women & breastfeeding mothers  88 < 6mos, 200 > 6 mos

  19. Day 4 • Increase mother’s confidence to breastfeed, despite nutritional status • Explain increased risks of formula feeding  lack of clean water results in diarrhea • Proper CF using local indigenous ingredients • Exclusive b/f = 30 mothers  midwives ‘push’ formula feeding • Early CF at 2 months • Formula donation since week 1 directly from formula company

  20. Day 5 • Finishing various tasks assigned by AIMI • Return to Jakarta

  21. Recommendations • This Second Deployment highlights the many benefits and nutritious advantages of breast milk, especially during disaster period  people tend to believe formula milk and commercial baby food as ‘more nutritious’ • Training on CF preparation using the many available local indigenous ingredients  people not aware that ‘local foods’ are more nutritious • Third Deployment necessary for training of local volunteers and health workers on IFE

  22. THANK YOU FOR YOUR ATTENTION

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