Political Will Gear Meeting 2 presentation Gear Team Members: March 2018

PWG1: High level political officials have publicly expressed their commitment to breastfeeding action. This benchmark assesses whether there has been any public expression of commitment or promise by at least two government officials to move forward with implementing breastfeeding activities. High level political officials can be within the federal and/or state government. “Public expression” refers to verbally expressing commitment to furthering breastfeeding activities to the public and it captures substantial media attention. “High level political official” means someone who has the capacity to influence policy decisions at the national levels including the country leader, first lady/spouse, policy makers etc. “Breastfeeding action” refers to activities that protect, promote and support breastfeeding. 11/24/2018

PWG1: No progress has been made if high level political officials have political officials have not publicly spoken about breastfeeding nor have publicly expressed their commitment to breastfeeding action at all. Minimal progress has been made if high level political officials have publicly spoken about breastfeeding but have not expressed their commitment for action. Partial progress has been made if high level political officials have publicly expressed their commitment to breastfeeding action once. Major progress has been made if high level political officials have publicly expressed their commitment to breastfeeding action at least twice. 11/24/2018

PWG1: Methodology used for data collection E.g. if it was an interview (who they interviewed and asked), a media study (what media they looked for and what keywords they searched for), a document review (what documents they reviewed) 11/24/2018

PWG1: Findings Summary of what was found from the data collected 11/24/2018

PWG1 Proposed Score: SCORE At least TWO high level political officials: capacity to influence policy decisions at national levels Breastfeeding action: activities that protect, promote and support breastfeeding

PWG1: Gaps and recommendations Etc. Recommendations Recommendation 1 Recommendation 2 Etc. 11/24/2018

PWG2: Government initiatives have been implemented to create an enabling environment that promotes breastfeeding. An enabling environment that promotes breastfeeding is essential to successful scaling up of breastfeeding. This enabling environment refers to an atmosphere that encourages breastfeeding and discourages alternative feeding methods. An enabling environment for breastfeeding includes interventions/initiatives related to (1) social mobilization and mass media, (2) legislation, policy, financing, monitoring, and enforcement and (3) counselling, support, and lactation management. Enabling interventions operate by removing structural and societal barriers that interfere with women’s ability to breastfeed optimally (Rollins et al., 2016)18. Examples of enabling interventions can include maternity and workplace policies or regulations to restrict marketing of breast milk substitutes; health insurance or other financing mechanisms for lactation support; and baby-friendly hospital certification (Rollins et al., 2016)18. This benchmark assesses whether national government initiatives (such as agenda setting, policy development and program(s) support events) have been implemented to foster an enabling environment for successful scaling up of breastfeeding programs. Government led initiatives can cross multiple sectors including training, legislation, promotion, etc. 11/24/2018

PWG2: Government initiatives have been implemented to create an enabling environment that promotes breastfeeding. No progress has been made towards scaling up breastfeeding if no government initiatives have been implemented to create an enabling environment that promotes breastfeeding. Minimal progress has been made if a few government initiatives have been implemented but they do not create an enabling environment that promotes breastfeeding at the national level. Essentially, of those government initiatives being implemented, they are not creating an enabling environment. Partial progress has been made if several government initiatives have been implemented and they have started to create an enabling environment that promotes breastfeeding at the national level. Essentially, of those government initiatives being implemented, some are beginning to create an enabling environment. Major progress has been made if several government initiatives have been implemented and they have created a strong enabling environment that protects, promotes and supports breastfeeding at the national level. 11/24/2018

PWG2: Methodology used for data collection E.g. if it was an interview (who they interviewed and asked), a media study (what media they looked for and what keywords they searched for), a document review (what documents they reviewed) 11/24/2018

PWG2: Findings Summary of what was found from the data collected 11/24/2018

PWG2 Proposed Score: SCORE

PWG2: Gaps and recommendations Etc. Recommendations Recommendation 1 Recommendation 2 Etc. 11/24/2018

PWG3: An individual within the government has been especially influential in promoting, developing, or designing breastfeeding policy This benchmark assesses whether there is an individual within the government (which includes all individuals working within the government regardless of being elected, appointed, or hired on a temporary basis) who has been the driving force behind promoting, developing, or designing breastfeeding policy. In this context, promoting means introducing and supporting the creation of breastfeeding policy. Developing refers to the active involvement in the generation of a breastfeeding policy. Designing refers to the active involvement in the writing of the breastfeeding policy. 11/24/2018

PWG3: An individual within the government has been especially influential in promoting, developing, or designing breastfeeding policy No progress has been made if there is no individual or a collective group of individuals within the government who have been influential in promoting, developing, or designing breastfeeding policy. Minimal progress has been made if there is an individual or a collective group of individuals within the government who have been minimally influential in promoting, developing, or designing breastfeeding policy. Partial progress has been made if there is an individual or a collective group of individuals within the government who have been partially influential in promoting, developing, or designing breastfeeding policy. Major progress has been made if there is an individual or a collective group of individuals within the government who have been strongly influential in promoting, developing, or designing 11/24/2018

PWG3: Methodology used for data collection E.g. if it was an interview (who they interviewed and asked), a media study (what media they looked for and what keywords they searched for), a document review (what documents they reviewed) 11/24/2018

PWG3: Findings Summary of what was found from the data collected 11/24/2018

PWG3 Proposed Score: SCORE

PWG3: Gaps and recommendations Etc. Recommendations Recommendation 1 Recommendation 2 Etc. 11/24/2018