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TRACT 5: MONITORING, EVALUATION AND RESEARCH GAPS. OBJECTIVES. To brainstorm on a core set of indicators that can be used for monitoring breastfeeding strategy To brainstorm on questions that can be asked in evaluating breastfeeding strategy and practices

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objectives
OBJECTIVES
  • To brainstorm on a core set of indicators that can be used for monitoring breastfeeding strategy
  • To brainstorm on questions that can be asked in evaluating breastfeeding strategy and practices
  • To discuss a way forward in developing an implementation plan for monitoring and evaluation of breastfeeding
  • Where are gaps in research to inform breastfeeding strategy
guiding question monitoring
GUIDING QUESTION : MONITORING
  • What set of national indicators can be collected to monitor breastfeeding strategy? How often? Can breastfeeding indicators fit ion existing routine monitoring system (DHIS)?
  • Have those indicators been collected? Is there baseline on those indicators?
  • What data collection methods should be used? Are there existing collection mechanisms (e.g household surveys, routine systems)?
  • How can community health workers collect and report data on breastfeeding practices at community/household level?
guide on evaluation
GUIDE ON EVALUATION
  • What are evaluation questions should be asking?
  • How often should breastfeeding strategy be evaluated?
  • What type of evaluations should be conducted?
m e strategy
M&E STRATEGY
  • What should be our plan on M&E of breastfeeding
  • Do we have resources for M&E of breastfeeding?
slide6
M&E
  • Monitoring and Evaluation will be informed by the Goals and Objectives of National Breastfeeding Strategy
  • M&E- done at various levels
    • Facilities
    • Communities
    • District, Provincial and National
  • Focus on development and use of indicators to be collected using routine DHIS
proposed national indicators routinely collected using dhis
Proposed National Indicators –Routinely collected using DHIS
  • Early initiation of breastfeeding (within one hour)
  • Mothers’ feeding practices on discharge (3 – 6 days)
  • Exclusive breastfeeding at 14 weeks (24 hour recall)
  • Continued breastfeeding at 9 months (24 hour recall)
  • Exclusive breastfeeding at 6 months(6months Vit A visit)
proposed process indicators
Proposed Process indicators
  • Breastfeeding trainings held.
    • Proportion of doctors, nurses, counsellors trained in breastfeeding counselling
  • Workshops held/promotion activities
proposed community level indicator
Proposed Community level indicator
  • Need for monitoring child survival –targeting children outside the health facility
research gaps
Research Gaps
  • Kind of support that stakeholders should offer to the breastfeeding mother
  • Assessing impacts and effects of programmes in improving child survival
  • Type of interventions needed to upscale breastmilkbanks
  • Factors affecting and influences on breastfeeding practices among mothers
surveys
Surveys
  • DHS and other 5 yearly surveys
    • As a source for baseline
    • Monitoring at population level
  • Annual SANHANES- inclusion of indicators on nutrition and infant feeding
recommendations
Recommendations
  • Review of programme indicators in the DHIS including nutrition indicators. retain necessary and used indicators only
  • Submit inputs for inclusion of feeding practices and childe survival indicators to the SANHANES survey
  • Assessment of BFHI – all steps are carried
    • Facility should have dedicated officials to assess compliance by BFH whether hospital is still friendly
  • Development of Communication strategy and involvement of community based structures and understanding of breastfeeding stance by NGO’s
  • Breastfeeding promotion initiatives need to be budgeted and financed
  • Create a conducive environment (legislations ) to breastfeeding
  • Increase number of accredited Baby friendly PHC health facilities
  • Train CHWs to collect breastfeeding information and mortality informnation