Islamic Republic of AfghanistanMinistry of Public Health

World Breastfeeding Trends Initiative (WBTi)

Perspectives in challenges and future actions

Dr M. Homayoun LudinNational Nutrition Officer/MoPH

Email:homayounludin@gmail.comPhone: 0093700604649

Afghanistan

What has changed since 2005 assessment

Indicator 2005 2009

Initiation of Breastfeeding(within 1 hour)

N/A 36.7

Exclusive Breastfeeding(for first 6 months)

No Data 83%

Median Duration ofBreastfeeding

No Data 18 M

Bottle Feeding(<6 months) No Data 40%

What has changed since 2005 assessment

Indicator 2005 2009

Complementary Feeding(6-9 months)

29 % 29 %

What has changed since 2005 assessment

-Code of BMS has been endorsed and Trained 26 trainers by support of IBFAN/BPNI (Dr. Faridi) April/09

-IYCF Policy and strategy has been developed and finalized

What has changed since 2005 assessment

Afghanistan Breastfeeding Report Card

• 2005= 30/150

• 2008= 84.5/150

National Policy, Programme and Coordination

Implementing Code of BMS

0

2

4

6

8

10

Code BMS Policy

WBTi

10/10 10/10

List of partners for the assessment processNo Name Title Organization

Address

Dr. Zarmina Safi Acting Director Public Nutrition Department MoPH zarminasafi@yahoo.com

1Dr M.Homayoun Ludin IYCF National officer MoPH homayounludin@gmail.com

2Dr M.Qasem Shams CMAM-EMN National

officer MoPH s_mqsm@yahoo.com

3Dr. Ahmad Wali MI National officer MoPH zs-health@yahoo.com

4Dr Zhuria Habib IYCF Assistant officer MoPH habibzhuria09@gmail.com

5Dr Ahmad Khalid Rahin MSM National officer MoPH ahmadkhalidrahin@gmail.com

6Henry mdbwe Nutrition Espicialist UNICEF hmdebwe@unicef.org

7Dr Zakia Maroof Nutrition officer UNICEF zmaroof@unicef.org

8Dr Shah Mahmood Nasiri Nutrition officer UNICEF snasiri@unicef.org

9Charlotte Dufour Nutrition and Food Security

Consultant BASICs charlotte.dufour@me.com

10Dr Ani Begum Nutrition –MCH incharge WHO Beguma@afg.emro.who.int

Challenges faced during the process

• Lack of update data since 2005 • No standard surveillance system for IYCF• No specific survey on IYCF/Caring

practice since 2005• lack of budget for conducting IYCF survey• Security instability

Methods used to tackle the challenges

• Meeting and discussion with partners • Collecting information from different sources • Incorporated the collected information with the

questioner (WBTi)• Censuses workshops with partners • Sharing the findings with partners• Incorporated partners comments • Finalizations and submit to WBTI•

Positive experiences during the process

• Understanding WBTi questionnaire and assessment

• Increased awareness of policy makers by presenting the IYCF strategy 2009-2013.

• Improve MoPH high authority advocacy through opening of CODE MBMS/TOT (Deputy Minister).

• Including of Breastfeeding indicators in HMIS of MoPH

• Encouraged NGOs to add IYCF in their proposal especially in CTC/CMAM

• Interring BF indicators in MICS survey(2010)

Suggestion for improving the process

• Conducting specific BF survey for the country • Establishment of standard IYCF Surveillance

system • Technical support from IBFAN• Capacity building of PND/MoPH in IYCF• Regular meeting of between MoPH policy

makers and IBFAN on IYCF advocacy• Sharing IBFAN survey and researches• Improving IYCF committee at national level for

better coordination among partners.

Thank you

Any Questions

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