early initiation and exclusive breastfeeding: decade of change
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Early Initiation and Exclusive Breastfeeding: Decade of Change. Outline. Breastfeeding Trends Competitor Trends Actions Lessons. Breastfeeding Trends - National. Click to add subtitle. Click to add text. Avoid special effects and backgrounds that are distracting. - PowerPoint PPT PresentationTRANSCRIPT
Early Initiation and Exclusive Breastfeeding:
Decade of Change
Outline
• Breastfeeding Trends
• Competitor Trends
• Actions
• Lessons
Breastfeeding Trends - National
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• Click to add text. Avoid special effects and backgrounds that are distracting.
• Avoid wordiness: use key words and phrases only
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Breastfeeding Trends - Equity
Early Initiation by wealth, residence, and sex, CDHS
2000 2005 20100
10
20
30
40
50
60
70
80
%
“Breastfeeding is a natural “safety net” against the worst effects of poverty… breastfeeding takes the infant out of poverty for those first few months in order to give the child a fairer start in life”
–James P. Grant, former Executive Director, UNICEF
Breastfeeding Competitors
• Chheu Em
• Water
Changing Social Norms
Postpartum Heating Practice, Health Messenger
Breastfeeing Competitors - Protection
• Infant formula use did not change despite:
Double digit
economic growth
More attention
from companies CDHS 2000 CDHS 2005 CDHS 20100
2
4
6
8
3.4
7 6.8
Infant formula use among chil-dren less than 6 months, 2000-
2010 Cambodia
Actions – Legislation and Communication
Legislation
Mass Media
Health Facilities Community
Communication
Lessons Learned - Communication
• Multiple exposures
• Intense & sustained
• Consistent, specific messaging
Marketing Approach Works
Lessons Learned
• Questionnaire changes
• Hidden formula:
What % of children consume formula?
• Which communication channel is best?
Monitoring and Evaluation
Lessons Learned – Nutritional Improvement
Necessary But Not Sufficient
0.05.0
10.015.020.025.030.035.040.045.050.0
Child Underweight by Age, CDHS 2010
Complementary Feeding Communication Campaign
Dr Prak SophonnearyDeputy Director of National Maternal and Child Health Center, MoH [email protected]
Joel ConkleNutrition Specialist, UNICEF [email protected]
https://sites.google.com/site/camnutlibrary/
World Breastfeeding Conference
December 7 2012