Launch of the Report “Arrested Development”

Dr. Arun Gupta MD FIAPRegional Coordinator International Baby Food

Action Network(IBFAN) Asia and Central Coordinator BPNI

Overview

• What is World Breastfeeding Trends Initiative (WBTi),

• Objectives , global experience, recognition and impact

• How we did the 4th Assessment in India

Objectives of WBTi

• To provide critical information to governments, needed to bridge gaps in infant and young child feeding policy and practice

• To provide evidence to IBFAN groups to advocate for greater effort and investment to promote breastfeeding and optimal infant and young child feeding practices in the respective countries and regions

• To contribute to improved development outcomes in children, reducing undernutrition, child morbidity and mortality and improve women’s health.

Global Strategy for Infant and Young Child Feeding

World Breastfeeding Trends Initiative( WBTi) Tools

Assessment Steps

ABCDE of WBTi

• A= Action• B= Bringing people together• C= Consensus building• D= Demonstration• E= Effectiveness

It’s like AAA approach

World Breastfeeding Trends Initiative (WBTi)

• Quantitative measure of 15 indicators

• Multiple questions for each indicator (1 or 2 points/question)

• 10 points possible for each indicator

• Range of WBTi score is 0 to 150

1. Nutrition technical officers ( exercise)

A. Reviewed gaps and fill the sheet for that gaps

WBTi report card of Afganistan

WBTi in 106 Countries 552 Partners including Government organization

Involved in WBTi assessment process in 57 Countries

Assessment completed Introduced / Training Completed

Countries Impact of WBTi tool

Afghanistan • Data on infant and young child feeding practices collected, which did not exist earlier• Implemented several programmes in the health system to mainstream counseling on breastfeeding• Started conducting training on breastfeeding counseling and complementary feeding for health care providers• The International Code of Marketing of Breastmilk Substitutes became a regulation under MoPH

Bhutan •IYCF Indicators introduced into the National Nutrition Survey, which made available the data on infant and young child feeding practices collected •Developed a National Strategy and Policy on IYCF

India •Increased Maternity Leave for women in Central Government •Financial maternity benefits to pregnant and lactating women

Maldives •Data on infant and young child feeding practices collected, which did not exist earlier

Nepal •Development of National Nutrition Policy and Strategy by the Government of Nepal, International NGOs & Local NGOs working in Nepal in support of IYCF •Government of Nepal with support from various International NGOs & Local NGOs started carrying out training of different level of health professionals on IYCF

Pakistan •Government has notified the implementation of Breastfeeding Law (Ordinance) with rules & regulations•Developed curriculum/manual on IYCF training for Community Health Workers

Impact of the WBTi assessment tool

Countries Impact of WBTi tool

Costa Rica •Developed a new breastfeeding policy with clear institutional guidelines for Infant Feeding in Emergencies •National standards on Human Milk Banking

Dominican Republic

•Developed a comprehensive policy on Infant Feeding and Emergencies•National Breastfeeding Committee has started functioning

Colombia • Developed a comprehensive strategy on early childhood care in people affected by displaced by violence and included infant feeding in disaster situations

El Salvador • MOH officially established the National Breastfeeding Commission• National Congress declared the whole month of August as month of breastfeeding• A law on breastfeeding submitted to the congress using WBTi assessmnet as supporting document to lobby

Uruguay • Enacted the National Breastfeeding Policy as Minister order in 2009 as recommended by WBTi assessment

Guatemala • Moved the National Breastfeeding Committee to develop 5 year strategic plan for enhancing breastfeeding rates

Impact of the WBTi assessment tool

Countries Impact of WBTi tool

Gambia • Validated a new Nutrition Policy

Uganda •Led to development of National Policy guideline for IYCF and a district specific 5 year strategic plan

Kenya • The new WHO guidelines on HIV and Infant Feeding was adapted and included in the MIYCN policy, startegy and guidelines• Also used WBTi Score card to involve media houses in broadcasting breastfeeding information

Impact of the WBTi assessment tool

Global Nutrition researchers find it worthwhile…Chessa K. Lutter and Ardythe L. Morrow.

Adv. Nutr. 4: 213,219, 2013.)

Study demonstrates implementation of the Global Strategy as measured by WBTi is significantly associated with trends in EBF

Strengthen by case studies, the study shows that this association is measurable and possibly causal

Annual change in EBF (%) by adjusted WBTI score

p=0.012; Adj R2= 62%

0

2

4

6

8

10

12

14

16

1986-88 2006-2010

Mes

es

Brasil Colombia México Republica Dominicana

Changes in BF duration (months) and WBTi score

WBTi score

WBTi included as data sources in GINA (WHO)

Governments are using WBTi for formulating policies

WBCi

Supported by:

WBCi for 5 hospitals BFHI

1. Nutrition technical officers ( exercise)

Core Group Meetings of the 4th Assessment

• First Core Group Meeting 17th March 2015• Second Core Group Meeting 24th April 2015

Core Group Members

Public Health Resource Network (PHRN)

Breastfeeding Promotion Network of India (BPNI)

National Institute of Public Cooperation and Child Development NIPCCD

Doctors for You

Lady Harding Medical College

Working Group For Children Under-6

Alliance for Right to ECD

Consensus Building Meeting 5th June 2015.