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Islamic Republic of Afghanistan Ministry of Public Health
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:[email protected]: 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 [email protected]
1Dr M.Homayoun Ludin IYCF National officer MoPH [email protected]
2Dr M.Qasem Shams CMAM-EMN National
officer MoPH [email protected]
3Dr. Ahmad Wali MI National officer MoPH [email protected]
4Dr Zhuria Habib IYCF Assistant officer MoPH [email protected]
5Dr Ahmad Khalid Rahin MSM National officer MoPH [email protected]
6Henry mdbwe Nutrition Espicialist UNICEF [email protected]
7Dr Zakia Maroof Nutrition officer UNICEF [email protected]
8Dr Shah Mahmood Nasiri Nutrition officer UNICEF [email protected]
9Charlotte Dufour Nutrition and Food Security
Consultant BASICs [email protected]
10Dr Ani Begum Nutrition –MCH incharge WHO [email protected]
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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