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CFE Assessment

This assessment delves into prevailing feeding practices post-disaster including exclusive breastfeeding, complementary feeding, and community attitudes. It also covers available resources, community dynamics, human resources, and constraints affecting feeding practices. The conclusion emphasizes the need for considering various socio-economic, cultural, and political factors influencing feeding 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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