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Track 3 Community Support for Breast feeding

Track 3 Community Support for Breast feeding. Rapporteur : Ms V Moodley. Critical factors for implementation of guidelines. Communication with key community stakeholders ( FBOs, Traditional leaders/ healers, private hospitals, GPs) Advocacy on breastfeeding at all levels;

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Track 3 Community Support for Breast feeding

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  1. Track 3 Community Support for Breast feeding Rapporteur: Ms V Moodley

  2. Critical factors for implementation of guidelines • Communication with key community stakeholders ( FBOs, Traditional leaders/ healers, private hospitals, GPs) • Advocacy on breastfeeding at all levels; • Training of all health care workers, community health based workers and other key stakeholders like traditional healers and Faith & community based organisations; • All health facilities be Baby friendly; • Need for strong Media advocacy • Implementation of IEC campaigns • Use of supportive IEC & audio visual materials

  3. Resources & structures to support Breast feeding at community level • Integration into HIV & AIDS National strategic Plan 2012 • Use of breast feeding counsellors to promote EBF • Facility managers training & health promotion to be provide at ANC, with use of IEC • Use of CBOs, FBOs, Traditional healers & leaders, Community home base carers • Rural areas – community leaders – chiefs, indunas

  4. Resources & structures to support breast feeding at community level • Health Councils – ward councillors, • Use of existing programmes: Mothers to mothers communication programme - counselling with families • CHWs trained in IMCI – safe motherhood prog – household visits after 3 days of delivery – improve PMTCT uptake • Use of health promoters

  5. Resources & structures at community level • Community Clinic committees • Community radio programmes • Support groups – elderly • Lay counsellors

  6. Roles of community support structures • Assist in co designing health promotion programmes that is within the community culture, norms and values; • Support community based health workers in the implementation of safe motherhood programmes that includes breastfeeding; • Community structures assist in identifying potential barriers / challenges within the community, assist with community mobilisation; • Traditional leaders and healers can put healthy motherhood onto community agendas.

  7. Sustainability • Regular feedback from lay counsellors, community care workers • Ongoing support & training( Policy & Guidelines) for community based health workers; • All health Facilities be baby friendly; • Ongoing information given to chiefs & traditional leaders that is disseminated to communities.

  8. Sustainability • Chiefs & indunas hold regular meeting - have influence to mobilise communities; • Maintain support groups by holding monthly meetings at the health facilities within the respective communities; • Integration with existing health programmes – community PHC outreach programme;

  9. Recommendations (1) • Make breastfeeding public & comfortable for all mothers– bylaws should be removed!! • Change mindsets of teenagers that breastfeeding is natural ; • ANC visits: women is accompanied by the partner, receive IEC & counselling; • Need effective audio- visual materials; • All PHC Outreach teams include breastfeeding messages and information

  10. Recommendations (2) • Need to have strong Media advocacy • All Health workers be trained and to advocate breastfeeding messages and practice; • Mass mobilisation: Need for effective edutainment/ song and dance “ like Jesus is coming” • Remove formula feed from the facilities; • Community based ambassadors for breast feeding – need multi sectoral approach

  11. Recommendations (3) • Use celebrities like Yvonne Chaka Chaka – to promote breast feeding “ need a white ambassador & a man too” • Need to change the attitude of health care workers – Adolescent friendly services • Breast feeding promotion & education should be initiated at ANC • National Communication & social mobilisation campaign on “milk banks” – focus groups – formative research – on attitudes, culture, etc • Community mobilisation programmes that is specific to community needs and culture.

  12. Recommendations (4) • Government to support community & establish “mother lodges” in health facilities; • Mobilise taxis to transport breast milk; • Women feel free to breast feed in public transport; • Standardised messages using sms technology after a delivery of a baby; • Onsite support for breastfeeding women at community level after delivery of a baby; • Effective M & E system to create data bases for follow up on breastfeeding mothers.

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