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World Breastfeeding Week 2018

World Breastfeeding Week 2018. BREASTFEEDING: FOUNDATION OF LIFE & NOURISHMENT FOR LIFE. Breastfeeding Promotion Network of India ( BPNI. OBJECTIVES OF WBW 2018. To raise the level of awareness of people about how breastfeeding is linked with foundation as well as nourishment for life.

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World Breastfeeding Week 2018

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  1. World Breastfeeding Week 2018 BREASTFEEDING: FOUNDATION OF LIFE & NOURISHMENT FOR LIFE Breastfeeding Promotion Network of India ( BPNI

  2. OBJECTIVES OF WBW 2018 To raise the level of awareness of people about how breastfeeding is linked with foundation as well as nourishment for life. To galvanise action to advance breastfeeding/infant and young child feeding agenda as part of national / state/ district policy, programme planning.

  3. Optimal Infant and Young Child Feeding Early initiation of breastfeeding within 1 hour of birth; Exclusive breastfeeding for the first 6 months of life; and Introduction of appropriate and adequate complementary feeding after 6 months together with continued breastfeeding up to 2 years of age or beyond.

  4. Importance of Breastfeeding

  5. BREASTFEEDING HELPS TO ACHIVE SUSTAINABLE DEVELOPMENT GOAL (SDG’S) “…Breastfeeding is not explicitly mentioned in the Sustainable Development Goals, but our Series shows that improvements in breastfeeding would help achieve the targets for health, food security, education, equity, development, and the environment.” (Lancet 2016) !!

  6. Why Increase Breastfeeding Rates?

  7. INDIA BENEFITS if BF is universalized Universalising breastfeeding may prevent 3.3 million cases of type-2 diabetes Breastfeeding can prevent 26% overweight/obesity in children and adolescent Source: Lancet Series on Breastfeeding 2016 • Reduce neonatal morbidity and mortality • We are talking about reducing half of diarrhea, 1/3rd of pneumonia. • Breastfeeding decreases the prevalence of overweight/obesity and diabetes later in life. • Reducing cancer breast in women.

  8. A Case for Investment on breastfeeding and IYCF Interventions in India According to study by the World Bank (Kakieteket.al., 2017), return on every dollar invested in reaching the global nutrition targets of exclusive breastfeeding is $ 35. “…. Despite a reported 55 percent exclusive breastfeeding rate in children below the age of six months, the large population in and high under five mortality means that an estimated 99,499 children die each year as a result of cases of diarrhea and pneumonia that could have been prevented through early initiation of breastfeeding, exclusive breastfeeding for the first six months, and continued breastfeeding. The high level of child mortality and growing number of deaths in women from cancers and type II diabetes attributable to inadequate breastfeeding is estimated to drain the Indian economy of $7 billion. Together with another $7 billion in costs related to cognitive losses, India is poised to lose an estimated $14 billion in its economy, or 0.70 percent of its GNI”. (Global breastfeeding collective, 2016)

  9. STATUS OF IYCF PRACTICES IN INDIA

  10. TRENDS OF IYCF PRACTICES IN INDIA (NFHS -2,3,4) Note: Complementary feeding data in NFHS 4 is for 6-8 months)

  11. YET……

  12. STATUS OF IYCF PRACTICES IN ASPIRATIONAL DISTRICTS

  13. BREASTFEDING WITHIN ONE HOUR OF BIRTH : NUMBER OF DISTRICTS AND RANGE

  14. EXCLUSIVE BREASTFEDING FOR 0-6 MONTHS: NUMBER OF DISTRICTS AND RANGE

  15. CHILDREN AGE 6-8 MONTHS RECEIVING SOLID OR SEMI-SOLID FOOD AND BREASTMILK (%) NUMBER OF DISTRICTS AND RANGE

  16. BARRIERS WOMEN FACE

  17. BARRIERS TO OPTIMAL FEEDING PRACTICES • Inadequate support to women at home, health facility • or at work place. • Cesarean sections • Early introduction of formula, pre lacteal feeding, inadequate help to women with breast problems like sore nipples/mastitis, and not enough milk • Lack of skilled support by counsellors at community level • Aggressive promotion of baby milks in health sector. • Traditional and socio-cultural believes

  18. ACTION TO REMOVE BARRIERS

  19. LACK OF PROGRESS IN 10 AREAS OF POLICY AND PROGRAMMES According to the World Breastfeeding Trends Initiative (WBTi), assessment 2018 (under publication) India lags behind in most of the Parameters that are required to help women to remove the barriers.

  20. TARGETS FOR INDIA AND ITS STATES TO ACHIEVE EXCLUSIVE BREASTFEEDING RATE BY 2025.

  21. TO INCREASED FUNDING

  22. OPPORTUNITIES FOR ACTION

  23. TO REMOVE BARRIERS SUPPORT NEEDED FROM EVERY ONE - Central Government State Government District Administration Health Facilities/ Health Professionals Civil Society Family Employers

  24. WHAT CAN CENTRAL GOVERNMENT DO? Develop a Plan of action with dedicated funds to address the barriers (MOHFW, MWCD and NitiAayog organise a national workshop). Dedicate funds 4.7 US $/Rs. 315 per child born required for implementing IMS Act, skilled counselling, improving hospital practices, capacity building and monitoring. (recommended by World Bank/WHO/ UNICEF)

  25. Continue.... • Create a scheme (may be called Prime Ministers' Stanpaan Suraksha aur Samvardhan Yojna) with dedicated budget for breastfeeding/IYCF interventions on a 50-50 sharing basis with the States. • National Nutrition Council should monitor the plan every six months. • National IYCF Steering committee should supervise and review the state plans every six months.

  26. WHAT CAN STATE GOVERNMENT DO? • Develop plans to implement the IMS Act and authorise officers under section 21(c) of the Act. • Ensure proper implementation of Maternity Benefit Act 2017 and IMS Act. Also, generate awareness among people about them. • Ensure the implementation of the Mothers' Absolute Affection (MAA) Programme/10 steps to successful breastfeeding in both public and private maternity facilities.

  27. Continue.... • Appoint lactation support counsellors in the health facilities. • Organise community support and skilled counseling • through strengthening of block level service. • Appoint a full time officer to coordinate this work.

  28. DISTRICT ADMINISTRATION In line with the state action, develop district specific plan to address the barriers. Implement the Lalitpur model in each district to scale up breastfeeding and IYCF counseling.

  29. HEALTH FACILITIES/HEALTH PROFESSIONALS Appoint lactation counsellors with adequate training to support women from pregnancy to 2 years. Avoid the use of infant formula in health facilities unless it is medically indicated. Refuse to accept any benefits or sponsorship from baby feeding and allied industry. CIVIL SOCIETY Analyse the local situation and document gaps in policy and programmes. Create awareness among people on policies and programmes. Support the government in removing barriers. Launch a call for action to reach out to the policy makers, programme managers and media.

  30. FAMILY Value and support breastfeeding at home. Demand required services from health and other sectors. EMPLOYERS All employers should implement the Maternity Benefit Act 2017 in letter & spirit, along with provision of crèches & facility of expressing breastmilk. CSR initiative may be directed towards this activity

  31. Thank you To know more log on to http://www.bpni.org/

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