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CFE Assessment

CFE Assessment. Dr Nugroho Abikusno WHO/SEARO. Initial assessment. Prevailing feeding practices : Exclusive breastfeeding Breastfeeding Complementary feeding Type and preparation Differences pre- and post- disaster. Feeding practices. Variation Choice of practices

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CFE Assessment

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  1. CFE Assessment Dr Nugroho Abikusno WHO/SEARO

  2. Initial assessment • Prevailing feeding practices: • Exclusive breastfeeding • Breastfeeding • Complementary feeding • Type and preparation • Differences pre- and post- disaster

  3. Feeding practices • Variation • Choice of practices • Most least appropriate practices • To identify efforts to improve practices that encourage change in feeding practices • Departure of practice that are most dangerous for feeding practices • Influence on feeding practices

  4. Feeding practices • Community participation in promoting optimal feeding and caring practices • How to avoid taking the wrong direction or causing offence • Provisional quick fix measures

  5. Prevailing conditions & available resources • General condition: • Nutrition and health status • Sanitation • Water & food supply • Registration procedures • Distribution of non-food items: shelter, cooking utensils, blankets

  6. Food: • Food aid basket & distribution • Local food availability & accessibility • Costs • Methods and means for preparation

  7. Community attitudes: • Breastfeeding • Wet-nursing • Re-lactation • Feeding bottles, teats & BMS • Children without mothers: • Number, care & feeding status

  8. Community structure: • Organization • Leadership • Traditional influential persons • Care for mothers in early post-partum period

  9. Human resources: • Skills • Training • Experience • Literacy & education • Associated services: • Health, nutrition, sanitation, education, site management, logistics and community mobilization & others related to CFE

  10. Household structure & dynamics: • Resource acquisition & allocation • Most urgent needs • Decision-making • Income generating: • Home-based activities • Nearby employment • Farming opportunities • Marketable skills & crafts

  11. Constraints: • Restrictions with local community interactions • Religious or cultural protocols

  12. BF indicators at household level • Exclusive breastfeeding (0-4 and 0-6 mo) • Partial breastfeeding (0-4 mo) • Continued breastfeeding (12-15 mo) • Ever breastfed • BF median or mean duration

  13. CF indicators at community level • CF proportion of infants (6, 9 & 12 mo) • CF consistency (thick or thin) • CF energy-rich components • CF micronutrient-rich components

  14. BF indicators at health facility • Exclusive BF by natural mother • BMS and supplies receipt • Bottle-fed

  15. Conclusion • CFE requires consideration of various factors related to breastfeeding and will be greatly influenced by the social economic, social cultural and political situation in a country • Indicators to be measured can include quantitative, qualitative and not infrequently a combination of both types of data collection

  16. Thank you.

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