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State Model for Plan of Action for Protecting, Promoting & Supporting
IYCF
Dr. Bhupinder Kaur AulakhDr. Bhupinder Kaur Aulakh
Additional SecretaryAdditional Secretary
Women Empowerment and Child Development Women Empowerment and Child Development
Government of UttarakhandGovernment of Uttarakhand
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Uttarakhand♦ Shares international borders with China & Nepal
♦ Area 53,484 Sq. KM, sixty six percent Forest Area
♦ Population: 84.89 lakh, Pop. Density : 159 per sq. KM
♦ Villages 16826, eighty percent with population less than 500
♦ Sex Ratio: 964 females per thousand males
♦ Literacy Rate: 71.06 (Female: 59.06, Male: 83.03)
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Background Data (2005)
Percentage of Children……
♦ Underweight (under 3 years): 41.8
♦ Stunted (under 3 years): 46.6
♦ Wasted (under 3 years): 7.6
♦ Breastfed within one hour of birth: 24.1
Source: National Family Health Survey II 1998-99
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UttarakhandPercentage of Children……
♦ Underweight (under 3 years): 38
♦ Stunted (under 3 years): 31.9
♦ Wasted (under 3 years): 16.2
♦ Breastfed within one hour of birth: 32.9
♦ Age 0-5 months exclusively breastfed: 31.2
♦ Age 6-9 months receiving solid or semi solid food & breastmilk: 51.6
Source: National Family Health Survey III 2005-06
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State Initiative
• State Government invited BPNI in 2005
• Identification & review of existing data
• Documentation of current situation of IYCF practices at district level (2006)
• State consultation to share IYCF data and develop State Plan of Action (2007)
• Implementation of Plan of Action (2007 onwards)
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Documentation of current status of IYCF
• All 13 Districts covered• BPNI facilitated research coordinator, research
team – consultant & field workers• Data based on Quantitative, Qualitative and
Hospital practices aspects.• Analysis of data, tabulation and report writing • Mid term discussions
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State Consultation
• Sharing data
• Development of state level plan of action– Participants – ICDS/ Health Department,
including district & block level functionaries of ICDS and Health, professional organizations, PRIs
– Discussions on IYCF, possible interventions, Group discussions on advocacy, training, IEC, hospital practices
– Development of state level plan of action
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Key Points of Action Plan Universalize first hour breastfeeding,
exclusive breastfeeding up to 6 months, continuing breastfeeding upto two years with semi solid nutrition after 6 months.
Involvement of different Departments- Health, Panchayat, Rural Development, Dairy, Information, ICDS etc.
Core Committee at State level, Headed by Principal Secretary Forest & Rural Development Commissioner
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Capacity Building Orientation of all women Self Help Groups
on IYCF.
Anganwadi / Mini Workers, ANM & ASHA to be trained as Breastfeeding Counselors.
Focus on family counseling
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Convergence with Health ICDS offices at district & block level to be
developed as Breastfeeding Counseling & Assistance Centres .
Government Hospitals, Community & Primary Health Centres to be covered under Baby Friendly Initiative .
Breastfeeding Counseling Desk in Government Female Hospitals to provide Demonstration.
Encourage Private hospitals to train staff on Breastfeeding Counseling
Honoraria proposed for ASHA to assist mother in first hour initiation
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Key Points of Action Plan
IYCF Guidelines 2006 & IMS Act to be part of graduation courses in Home Science, Nursing, Medical and in school education from 9th class onwards
State Nodal Officers for IYCF & IMS Act
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Key Points of Action Plan Promotion of research on Breastfeeding at
University & Medical Colleges level.
Involvement of professional associations to promote Breastfeeding in private hospitals
Collection & analysis of Breastfeeding related information in monthly progress reports of ICDS & Health Departments
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Interdepartmental Coordination Breastfeeding promotion messages on dairy
milk packets
Orientation of PRI representatives on Breastfeeding promotion
Government Departments to promote crèches at workplace, Industry & Labour Departments to issue guidelines
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IEC 2008 to be celebrated as Breastfeeding
Promotion Year
All Government advertisements to focus on Breastfeeding promotion
Wall writings at Anganwadis, ANM sub centre, Panchayat Bhawans, Block offices, Hospitals
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Incentives Awards to Breastfeeding Friendly parents,
villages, Blocks, Urban Areas, Districts
Breastfeeding promotion to be criteria for Award scheme for Anganwadis
Voluntary organizations to be involved in Breastfeeding Promotion
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Monitoring and evaluation
• Quality of trainings to be ensured • Weight monitoring each month for 0-12
months age group• Breastfeeding 1st hour• Exclusive breastfeeding 0-6 months• Continuing breastfeeding upto two years with
semi solid nutrition after 6 months
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THANK YOU