Dr.Shoba SuriBPNI/IBFAN Asia

Update of IYCF Activities from India

Implementing Agency: Breastfeeding Promotion Network of India (BPNI)/

International Baby Food Action Network (IBFAN) Asia

Strengthen Infant and Young Child Feeding Capacity in South Asia Region

Trust Fund TF071473

Project Development ObjectiveProject Development Objective

The PDO is to enhance government and stakeholder capacity and commitment in the South Asia Region to strengthen policies and programs for infant and young child feeding, particularly breastfeeding

Activities 2012Activities 2012

Activities 2013Activities 2013

SAFANSI Activities 2014Advocacy, Campaigns & Policies

One Asia Breastfeeding Partners Forum 10 at Brunei

SAFANSI Activities 2014Advocacy, Campaigns & Policies

Launch of WBCi at WHA

SAFANSI Activities 2014-Advocacy, Campaigns & PoliciesChile, Costa Rica, Ecuador, Guatemala, Hondarus, Nicaragua, Dominican Republic, Venezuala, Palau, MI, FSM, Maldives, Nepal, Bnagladesh, Afghanistan, Oman, Cairo, ENAM-Brazil, Malaysia, Philipines

SAFANSI Activities 2014Advocacy, Campaigns & Policies

Planned in Karnataka, Andhra Pradesh, and Lucknow in 3rd week of December

Odisha 28/10/14 Guwahati 17/11/14

Ranchi 28/11/14

Dr. Hedayetul Islam Director IPHN, and Line Director National Nutrition Services Institute of Public Health Nutrition, Dhaka Bangladesh said “It is an innovative tool I have seen and so easy to operate …we can make use in doing budgeting of IYCF activities, thank you IBFAN”

Dr.Homayoun Ludin of MOH Afghanistan “The tool is very user-friendly and we have made use of this to make plans and given to donors.”

Dr.Mohammed Saeed retired MOH , Maldives said “It is excellent tool, easy to use and user friendly. It generates automatic IYCF estimate budget. Application can be used for planning, calculating and monitoring IYCF activities at all levels.” Dr.Sila Deb, Deputy Commissioner (Child

Health), Ministry of Health & Family Welfare, India said “It’s very easy and flexible to calculate budgets. It can be standardized software and can be very useful in planning for program implementation plan (PIP).”

In March 2014, in India, at a regional workshop, 7 countries made use of the financial planning tool and found this to be truly useful. There were total of 23 participants from 5 governments and 2 civil society groups.

SAFANSI Activities 2014Advocacy, Campaigns & Policies

SAFANSI Activities 2014Capacity Building IYCF Counseling Specialist Training, 18 – 31 August 2014, GTB College & Hospital, Dilshad Garden, Delhi

• A meeting was held to discuss the review report of the 4 in 1’ training programme done by an independent consultant Ms. Nirmala Selvam as part of the SAFANSI project of World Bank. The meeting was held on 9th June 2014 and was attended by 13 people from training cell of BPNI (list attached). The training cell discussed the report of the review of the ‘4 in 1’ training programme and accepted it.

• A task force led by Dr.MMA Faridi is in the process of finalizing and making corrections in the training module, hope to complete by mid December

• The printing of the new revised 4 in 1 training programme to be done by end December

SAFANSI Activities 2014Capacity Building

Title: An assessment of current practice of complementary feeding, barriers and facilitators to optimal complementary feeding in infant and young children in Lalitpur district, Uttar Pradesh

Rationale: Ensuring adequate and optimal complementary feeding in terms of quality (dietary diversity) and quantity along with continued breastfeeding is one of the biggest challenges to improving child growth and reducing stunting. This trend is likely to be universal, and understanding the “why” of it is important, if improvements in IYCF outcomes are to be seen.

Proposed qualitative study intends to explore positive and negative determinants of complementary feeding in a community setting.

Objective of the study: To understand the barriers and facilitating factors in adopting optimal complementary feeding practices among infant and young children.

SAFANSI Activities 2014Research/Knowledge Building on IYCF

SAFANSI Activities 2014Research/Knowledge Building on IYCF

Study Design: This is a community based observational qualitative study that seeks to explore the current complementary feeding practices and determine barriers and facilitating factors to optimal complementary feeding practices among children 6-24 months of age in district Lalitpur, Uttar Pradesh

Participants and settings: The target respondents for the study would be mothers with infants 6-24 months of age, Mother-in-law and community health workers.

Study Area: The study will be conducted in the district Lalitpur, Uttar Pradesh. There are six rural and one urban block in district Lalitpur. The study would be conducted in 3 rural blocks selected randomly and 1 urban block.

Sample Selection: From the randomly selected 4 blocks, 5 villages each will be selected randomly. In 4 villages, FGDs will be done and other 4 villages in-depth interview of mothers with children 6-24 months will be held. . In each of the selected blocks we would conduct 3 FGDs with mother group (comprising 8-10 mothers in each group with children 6-24 months), 1 FGD with mother-in-law group (8-10 mother-in-law), In-depth interviews with AWW and ASHA in each village, In-depth interviews with 1 ANM from CHC and PHC each in each block. Further, in-depth interviews of 20 mothers of children aged 6-24 months in each of the 4 selected villages.

Contd.

Instruments for Data Collection: • Focused Group Discussion guide for mother group would be used to capture

complementary feeding related knowledge, attitude, and practices, barriers and facilitators to optimal feeding

• Focused Group Discussion guide for mother-in-law group would be used to understand the complementary feeding related practice and beliefs, barriers and facilitators to optimal feeding

• In-depth interviews checklist for mothers with children 6-24 months, AWW/ASHA/ANM would be used to assess the complementary feeding practice and attitude in community, difficulties faced in implementing optimal feeding practices, and counseling provided

SAFANSI Activities 2014Research/Knowledge Building on IYCF

Contd.

• IBFAN Asia/BPNI led Alliance Against Conflict of Interests (AACI) has been sending out information to its members of Google-groups and hosting informal meetings with relevant partners on the issues to orient on moving towards a bill on conflict of interest. During the year Update 4 was published (available on the website. http://aaci-india.org/ACCI-news/AACI%20Update%204.pdf).AACI members include public health activists, peoples health movement, rights activists, women health, media, lawyers, and health professionals

• Consultation on Prevention and Management of Conflict of Interest Bill held at IIC on 13 th September 2014

Other Donors (NCF/Sida/NORAD) Activities 2014Advocacy, Campaigns & Policies

• Using the ‘4 in 1’ training’ programme, several trainings were held, including Master Trainers’ training course, training of counseling specialists, middle level trainers and frontline workers (Delhi, Bihar, Haryana, Karnataka, Indore, Guwahati etc).

• Report of capacity building training on IYCF counselling for 10 districts of Haryana developed and published

• International Code Training workshop was jointly organized by IBFAN Asia, AIMI Indonesia and ICDC at Jakarta, Indonesia from 20-23 October 2014

Other Donors (NCF/Sida/NORAD) Activities 2014Capacity Building

• Participation and presented a paper on “Providing Food Security, Tackling Undernutrition” at the international symposium on “Human Development in South Asia: Emerging Perspectives for the Post-Millennium Development Goals (MDGs)”in New Delhi

• Participation at the “Rights-based governance beyond borders” The role of extraterritorial obligations (ETOs) conference in Bangkok

• Strategic planning and CCC meeting of BPNI was organized at Kasauli, Himachal Pradesh from 22-24 August 2014

• BPNI as a member of the core committee of National Nutrition Mission, Ministry of Women and Child Development, Government of India contributed to the development of the document and providing valuable inputs on IYCF

• BPNI, as member of the Shadow Committee on CCNFSDU for India, participated in the deliberations of the committee and contributed in preparing india’s view point in various agenda items for the meeting of CCNFSDU, 2014 at Bali, Indonesia

Other Donors (NCF/Sida/NORAD) Activities 2014Networking

Other Donors (NCF/Sida/NORAD) Activities 2014Information & Research

• The World Breastfeeding Trends Initiative (WBTi) is a flagship programme of IBFAN Asia/BPNI. In 2014, China, Korea, Mongolia submitted re-assessment reports. Timor Leste, and Hondarus completed first assessment.

• WBTi tool reviewed and updated on website, WBTi web portal being restructured.

• WBTi & WBCi training workshop was held in Bangkok where 5 countries of SEA were trained, in Cairo wherein 12 countries were trained and in Palau Islands where 3 countries were trained.

• Gender Workshop was jointly organized by BPNI and IMCH, Uppsala University Sweden.

Other Donors (NCF/Sida/NORAD) Activities 2014Information & Research

– BPNI Bulletin on Breastfeeding and Gender– Research Briefs 1,2,3 on IYCF surveys done in Andhra Pradesh, Bihar and Uttar Pradesh– Theory and social practice of agency in combining breastfeeding and employment: A

qualitative study among health workers in New Delhi, India in Women and Birth (in press)

– Negotiating the tensions of having to attach and detach concurrently": A qualitative study on combining breastfeeding and employment in public education and health sectors in New Delhi in Midwifery (in press)

– Paper on “Formula for Disaster”- Weighing the Impact of Formula feeding Vs Breastfeeding on Environment developed

– Manipulation by Association Is the Private Sector Undermining Nutrition? In Economic & Political weekly

– Effect of Peer Counseling by Mother Support Groups on Infant and Young Child Feeding Practices: The Lalitpur Experience in PLoS ONE.

– Complementary feeding booklet “Best Feeding –Wholesome baby food recipes” from asian homes to complement breastfeeding developed, published and launched at OABPF 10 at Brunei

Other Donors (NCF/Sida/NORAD) Activities 2014Project Cycle Management

• BPNI website was reorganized and redesigned by the RCO. This is being followed up and maintained/updated by the IT team.

• IBFAN Asia site being reorganized and redesigned

• All organization website including global being updated/managed on a regular basis

• Developed a mass mailing software for dissemination of newswire

• IBFAN Asia Newswire, five times in 2014 and no. 8 in pipeline

• Global webmaster mails are received and managed by IT team and technical team in the office. Dedicated servers are being managed by the office team.

Other Donors (NCF/Sida/NORAD) Activities 2014Social MobilizationIBFAN Asia along with a group of organizations including the Alliance against Conflict of Interest (AACI), India Resource Centre and Working group for children under six of (Jan Swasthya Abhiyan and Right to Food Campaign) organized a press conference on “Say No to BIG FOOD Companies in Public Nutrition Policy & Programmes” on 28 July 2014.

Other Donors (NCF/Sida/NORAD) Activities 2014Social Mobilization

• The WorldBreastfeeding Week– 2014, with the theme “Breastfeeding: A Winning Goal for Life” was observed all across the Asia

• IBFAN Asia RCO coordinated actions in the South Asian countries. In South Asian countries, WBW action folder prepared by WABA was disseminated. It was translated in local language in Afghanistan, Nepal and Bangladesh, Maldives and Sri Lanka and disseminated during the week

• In India the action folder was adapted and disseminated all across India. It was also translated in 5 Indian languages namely Hindi, Urdu, Odiya, Kannada, Telegu

THANK YOU