IYCF in Afghanistan Islamic Government of Afghanistan Ministry of Public Health Public Nutrition Department IYCF section Dr Ludin December 10, 2014

Program and policy WBTi scores in three assessments IYCF Advocacy Meeting & Workshop World Breastfeeding conference 2012 Zero Budget Program Capacity building of programmatic staff ( IYCF online training ) IYCF counseling at Health and community level WBCi Monitoring system ( database development) Outline

Program and Policy  IYCF policy and strategy developed;  IYCF policy components added in Public Nutrition Policy (PNP);  IYCF indicator and component added in Basic Package of Health Services under SEHAT (System Enhancement for Health Actions in Transition) project / Ministry of Public Health (MoPH) - Focal Point  WBTi result in PNPS;  IYCF added in MoPH strategic direction

. WBTi scores in three assessments

WBTi (Report Card 2012)

Afghanistan 12 th (Score 99)

 Participants: Deputy Minister & other units of MoPH, World Bank, USAID, UNICEF, WHO, FAO, WFP, SC, ACF, CIDA, MI, SHDP, EU, BPHS implementing NGOs (April 4, 2013) IYCF Advocacy Meeting & Workshop

Decisions:  Including IYCF in Health contract with all provincial health implementers with financial budget (World Bank supporting 21 provinces);  UNICEF support to national IYCF communication campaign (June 2013);  Developing National IYCF Communication Strategy (UNICEF) IYCF advocacy workshop MoPH leadership, donors, UN, Nutrition partners, NGOs (50 Organizations)

 12 participants from Afghanistan RH, CAH, HP, GCMU, PND, NGO, Media, PHC, SC World Breastfeeding conference 2012

Zero Budget Program

Baby Friendly Hospital Initiative (BFHI)

 posters, 5000 IYCF flip cards, BMS code brochures printed and distributed & min TV and radio spots aired. IEC Materials

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Publications

 IYCF guidelines developed, adopted and translated;  Breastfeeding counseling 40h course, C-IYCF, BFHI  SEHAT (World Bank supported project ) added all IYCF training components for all health staff (2014 to 2018)  CIYCF: UNICEF accepted to support community IYCF in all provinces with total budget: IYCF counseling at Health and community level

MoPH statement on IYCF in emergency Officially circulation of it to all partners Infant feeding in emergency

MoPH, WHO, UNICEF, World Bank, GCMU, CAH, FAO, ACF, Launching WBCi

Distributed CDs, brochures, WBCi User Manual & The need to invest in babies-book WBCi

World breastfeeding week 2014

National workshop on IYCF Action Plan

107 trainers of 66 district hospitals and 34 provincial hospitals (Sep – Dec, 2014) BFHI training

6 trainers selected from 6 maternity and pediatric hospitals from Nov 22 to Dec 04, 2014;  Malali Maternity Hospital  Rabia Balkhi Maternity Hospital  Khairkhana 102 bed Hospital  Indira Gandhi Child Health Hospital  Ataturk Pediatric Hospital  Maiwand Hospital IYCF 4 in 1 Training of trainers

IYCF 4 in 1 Counseling Training Course

World Breastfeeding Week

Implementation of BMS Code BeforeAfter

 National data base developed;  IYCF reports collected;  Regularly monitoring conducted by health and nutrition staff Monitoring system of IYCF

 Behavior Change Communication, Social Mobilization and Advocacy improve the program outcome;  Coordination and Involvement of MoPH departments and relevant Ministries strengthen the program result;  Financial resources accelerate the on-time accomplishment of interventions; Lessons Learnt

National and regional Technical workshops to be conducted; Resource mobilization & new staff to be recruited; Advocacy for maternity protection; Coordination should be strengthened & budget to be allocated for BMS monitoring Challenges Irregular IYCF reporting; Limited resources (financial & human) Irregular Maternity leave (40 days, 90 days …); Limited resources for BMS Code monitoring recommendations

 Community IYCF  WBTi assessment 2015  IYCF communication strategy implementation  Advocacy for institutionalizing nutrition technical expertise including IYCF. (focal point for IYCF in each health facility)  Inclusion of IYCF in education curriculum Way Forward

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