The World Breastfeeding The World Breastfeeding Trend Initiative Trend Initiative (WBT(WBTii))
Dr Arun Gupta MD FIAPDr Arun Gupta MD FIAP
Regional Coordinator IBFAN AsiaRegional Coordinator IBFAN Asia2nd Regional Conference on Human Lactation 2nd Regional Conference on Human Lactation
13-14 Nov 2009 13-14 Nov 2009
Al Ain UAEAl Ain UAE. .
OutlineOutline
About WBTAbout WBTiiHistoryHistoryLaunch in South Asia Launch in South Asia 2005…2005…Global Launch in 2008…Global Launch in 2008…What is the State of Worlds What is the State of Worlds Breastfeeding ( 29 Country Breastfeeding ( 29 Country Reports) Reports) Trends….Trends….Web Portal and its use Web Portal and its use
What is World Breastfeeding Trends What is World Breastfeeding Trends Initiative (Initiative (WBTWBTii
Participatory, action Participatory, action oriented simple researchoriented simple research
TTracking, racking, AAssessing and ssessing and MMonitoring (TAM) the onitoring (TAM) the implementation of Global implementation of Global StrategyStrategy for IYCF for IYCF
Ensures uniformity, Ensures uniformity,
Objective is to reach about Objective is to reach about 100 countries by 2012.100 countries by 2012.
Integral part of the project the "Global Breastfeeding Initiative for Child Survival" (GBiCS) – Norad, IBFAN, WABA,BPNI
WBTWBTii
A:A: Action orientedAction oriented
B:B: Brings people togetherBrings people together
C:C: Consensus and commitment Consensus and commitment
buildingbuilding
D:D: Demonstrates achievementsDemonstrates achievements
and gapsand gaps
E:E: Efficacy improving programme Efficacy improving programme
HistoryHistory
1993: WABA’s GLOPAR 1993: WABA’s GLOPAR
2003/04: WHO’s tool “Infant and Young 2003/04: WHO’s tool “Infant and Young Child Feeding : A tool for assessing Child Feeding : A tool for assessing national practices,policies , and national practices,policies , and programs” programs”
The NeedThe Need
The United Nations Millennium Summit for The United Nations Millennium Summit for MDGs – MDGs – MDG 4MDG 4 (2000)(2000)The The Global Strategy for Infant and Young Child Global Strategy for Infant and Young Child FeedingFeeding (2002) (2002)Each country urged to develop, implement, Each country urged to develop, implement, monitor and evaluate a monitor and evaluate a plan of action on IYCFplan of action on IYCFInnocenti Declaration on IYCFInnocenti Declaration on IYCF (2005)(2005)
Objectives of WBTObjectives of WBTii
To stimulate /provoke national actions on infant feedingTo stimulate /provoke national actions on infant feedingTo provide critical information to governments, needed To provide critical information to governments, needed to bridge gaps in infant and young child feeding policy to bridge gaps in infant and young child feeding policy and practice and practice To provide evidence to IBFAN groups to advocate for To provide evidence to IBFAN groups to advocate for greater effort and investment to promote early and greater effort and investment to promote early and exclusive breastfeeding in the respective countries and exclusive breastfeeding in the respective countries and regionsregions
To contribute to attaining MDG-4 and 5 and reducing To contribute to attaining MDG-4 and 5 and reducing under-five child mortality and improve women’s healthunder-five child mortality and improve women’s health
How How WBTWBTi i works?works?
Indicators Part-IIndicators Part-I
1. Early Initiation Rates1. Early Initiation Rates2. Exclusive breastfeeding Rates <6months2. Exclusive breastfeeding Rates <6months3 Median duration of Breastfeeding3 Median duration of Breastfeeding4 Bottle Feeding Rates4 Bottle Feeding Rates5 Timely Complementary feeding Rates5 Timely Complementary feeding Rates
Indicators Part-IIIndicators Part-II
6- National Policy Program and 6- National Policy Program and CoordinationCoordination
7- BFHI7- BFHI
8-Implementation of the Code8-Implementation of the Code
9-Maternity Protection9-Maternity Protection
10-Health and Nutrition Care System10-Health and Nutrition Care System
Indicators Part-IIIndicators Part-II
11-Community Outreach and Mother 11-Community Outreach and Mother SupportSupport
12-Information Support12-Information Support
13-Infant feeding and HIV13-Infant feeding and HIV
14-Infant feeding during Emergencies14-Infant feeding during Emergencies
15-Monitoring and Evaluation15-Monitoring and Evaluation
Country Status in South Asia Country Status in South Asia 20062006
Bhutan30/1508
Afghanistan30/1507
India68/1506
Nepal71.5/1505
Pakistan75.5/1504
Maldives88.5/1503
Bangladesh91.5/1502
Sri Lanka116/1501
Impact of WBTImpact of WBTi i in South Asiain South Asia
Increased capacity of breastfeeding groupsIncreased capacity of breastfeeding groupsGovernment participation Government participation Country Data Generated Country Data Generated Reports Reports Enhanced national action on skills training, Code Work, Enhanced national action on skills training, Code Work, Policy workPolicy work
National Consultation to
finalise the ‘Regulations’
Breastfeeding
Coordinating Committee
was revised.
Identified a focal point.
Maldives
WBTWBTii International Orientation International Orientation Training - GenevaTraining - Geneva
WBTWBTii training in IBFAN Latin training in IBFAN Latin America, Costa RicaAmerica, Costa Rica
WBTWBTii Training Workshop in South Training Workshop in South AsiaAsiaDelhiDelhi
WBTWBTii Training Workshop Training WorkshopSoutheast and East Asia (Bangkok)Southeast and East Asia (Bangkok)
WBTWBTii Training Workshop Training WorkshopAfricaAfrica
WBTi India Assessment WBTi India Assessment 20082008
World Breastfeeding Trends World Breastfeeding Trends Initiative (WBTInitiative (WBTii) takes off in 51 ) takes off in 51
countriescountries
WBTWBTi Training in Ouagadougou i Training in Ouagadougou 26-28 October 200926-28 October 2009
Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org
Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org
Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org
Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org
Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org
Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org
Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org
Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org
Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org
Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org
Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org
Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org
Impact in 29 CountriesImpact in 29 Countries
237 stakeholders/partners in 29 countries, they 237 stakeholders/partners in 29 countries, they included:included: Government agencies, Government agencies, UN agencies UN agencies IBFAN /Breastfeeding groups, IBFAN /Breastfeeding groups, Civil society groups, Civil society groups, Professional organizations, Professional organizations, Media Media Academic InstitutionsAcademic Institutions Public health groups, Public health groups, Human Rights Groups Human Rights Groups
www.onemillioncampaign.orgwww.onemillioncampaign.org
Submitting Petition to the Submitting Petition to the President of WHAPresident of WHA
What leaders say?What leaders say?
“…“…WBTi opens opportunities and new WBTi opens opportunities and new alliances…..Then what is really important alliances…..Then what is really important is to have various new allies to follow is to have various new allies to follow up. This is really one of the main results. up. This is really one of the main results. This is when the WBTi becomes a great This is when the WBTi becomes a great tool to build on…”tool to build on…”
““It induces competitiveness”It induces competitiveness”
“…“…Methodology used in WBTi has also Methodology used in WBTi has also inspired to develop similar monitoring for inspired to develop similar monitoring for other health indicators related with infant other health indicators related with infant and young child health and nutrition and and young child health and nutrition and safe motherhood…”safe motherhood…”
The First Lady of Timor Leste at 7th Ministerial Consultation on Children Cambodia March 2005
Thank you
www.breastfeedingtrends.org