There was also evidence from Maharashtra and Andhra Pradesh that counseling was integrated into State level initiatives, such as Nutrition Missions. Why invest, and what it will take to improve breastfeeding practices? A new global agenda for nutrition and health: For example, in Pakistan and Bangladesh, there was clear policy support for community based interventions through frontline workers, but other mechanisms for community based support were not described in policy documents or guidelines [ 30 , 31 ]. In all countries, there were limited provisions for monitoring, and it was thus difficult to ascertain the quality and scope of training provided. Soul City on Facebook. Barnett-Page E, Thomas J.
This article has been cited by other articles in PMC. Reasons for food choices included what is available in the local markets at the time and what the household can afford. Author information Copyright and License information Disclaimer. In all countries, there was a distinct policy emphasis on breastfeeding, with relatively little emphasis on complementary feeding [ 28 — 32 ]. Community and cultural influences on infant feeding choice. Support Center Support Center. Additional themes that emerged in the content analysis related to food security and dietary diversity, strategies for engagement of related sectors, and issues of equity.
Bhutta ZA, Labbok M.
Data were collected in — Data analysis The first phase of analysis was conducted at country-level. Senarath U, Dibley MJ.
Infant and Young Child Feeding Programme Review – Case Study: Uganda
The links below lead to knowledge filtered for the focus of this theme site space. Author information Copyright and License information Disclaimer. Our definition of policy thus included nutrition, health, or multi-sectoral policies that have IYCF-relevant components. Shiffman J, Smith S.
Infant and Young Child Feeding Programme Review – Case Study: Uganda | The Soul Beat Africa Network
The following recommendations are based on document review, key informant interviews, and stakeholder meeting at the conclusion of the country visit:. We also were not able to include all States or Provinces in our policy surveys in India and Pakistan. Strong and responsive policy support is essential for effective interventions to improve IYCF. However, this split responsibility could also result in certain populations being overlooked. Post new comment Login or Register to post comments.
Case study Case study from: It also represents an opportunity to continue to strengthen policy support for IYCF by considering whether recent data has highlighted additional sub-populations vulnerable to poor IYCF practices that should be specifically targeted by policy. Roles for shared implementation responsibility in these sectors were outlined by sectoral policies in both Child Development and Health, with a recent expansion of availability of counselling as the ICDS added counselling to its previous remit for sgudy of information.
Second, monitoring and evaluation can easily be overlooked but is a critical component of strong policy support for IYCF.
Strategic support for IYCF was present in National Development Plans or equivalent strategy documents in all five countries [ 28 — casd ].
We used this to describe the content related to IYCF, within the umbrella of nutrition more broadly, for each policy document identified. Limited multisectoral collaboration on IYCF wtudy and programmatic issues was seen as a challenge in other countries. Scaling up breastfeeding in developing countries. Comment from Jingo James Mukwindidza.
IYCF case studies Sierra Leone, MSF
Barnett-Page E, Thomas J. For each policy document, information was entered into an excel spreadsheet, including: Provisions for multisectoral coordination, at whole-of-government level All countries also had some level of high-level multisectoral collaboration on IYCF, which had been formalized for Nepal, Bangladesh and Sri Lanka.
Moreover, many women are unaware of or unaffected by them. Two key areas that would benefit from regional technical support are strategies to support integration of complementary feeding into policies, and also for enhancing multisectoral action. However, it was unclear how this would be implemented.
In Nepal, Pakistan, Sri Lanka, Bangladesh and India, there was clear support for IYCF arising from policy support for food security, particularly as a means for improving dietary diversity [ 28293132 ].
In addition, in Sri Lanka, specific training on counselling is provided as part of continuous professional development of health staff, and Public Health Midwife training includes a significant component on complementary feeding [ 29 ]. In all countries, there was support for nutrition in National Development Caes, and all countries had some level of maternity protection and restrictions on marketing of breast milk substitutes.
C – Maternity Protection Convention, No.
In all countries, there was a distinct policy emphasis on breastfeeding, with relatively little emphasis on complementary feeding [ 28 — 32 ]. Very specific support was present in the 5 Year Plans of the Governments of India, Nepal and Bangladesh, which included details regarding the benefits of IYCF for health and development and noted specific interventions; and in key Planning and Development documents at Federal and Province level in Pakistan.
All authors read and approved the final manuscript. A particular strength of the policy approach in Pakistan was the strong mandate at the national level to implement a life-course approach to nutrition throughout the health system [ 31 ].