IYCF activities 2014 in Nepal Dr Srijana Basnet Assistant professor, NEBROF member Department of Pediatrics Institute of Medicine

IYCF training 4 in 1 master training IYCF training for frontline health workers WBCi workshop Workshop on BMS code monitoring Celebration World breastfeeding week 2014

IYCF training 4 in 1 master training Title of Training: – Infant and Young Child Feeding Counseling: The 4 in 1(an integrated Course on Breastfeeding, Complementary feeding, Infant Feeding & HIV and Growth Monitoring- Counseling ) Place of training: – Institute of Medicine,Tribhuvan University Teaching Hospital Maharajgung Medical Campus, Kathmandu, Nepal Date of Training: February 9 th to 28 th 2014 Supporting organization- Harvard School of Public Health

Master Trainers (middle level trainers): 8 (TUTH-5, others-3) Pediatricians, nursing supervisors, lecturer for maharajgunj nursing college, nutritionist Participants (front line workers )-: Total 39 – TUTH:29 (MD pediatric residents,Nursing staffs from different wards) – Other institutes- 10

Training material and module – breast feeding, complementary feeding, HIV& infant feeding counseling and growth monitoring developed by BPNI and IBFAN, Asia (version April 2013) Duration of training – 3 weeks – master trainers 84hourswith 18 hours of clinical practice – frontline workers 42 hours with 9 hours of clinical practice.

The training was conducted – with Nepali translation of role plays. – In interactive and friendly environment. The pretest and post test was conducted at the beginning and the end of the training each week.

IYCF master training on Feb 2014

Master training in IYCF on Feb 2014

During the training, – Participant realized difficulties in keeping up-to- date with relation to infant and young child feeding – Participants were found to be highly motivated to establishment of BFHI and IYCF counseling services in hospitals where they work.

IYCF training kit to the master trainers.

IEC materials necessary for the establishment of the baby friendly hospital initiative donated

Master training in IYCF on Feb 2014 Breast feeding promotional materials donated to TUTH

Recommendations from the participants : Training course on HIV need to be modified according to the national guidelines on prevention of mother to child transmission of HIV/AIDS. Translation of case scenarios and practical exercises into Nepalese language would have been more beneficial. Training on Infant and young child feeding need to be conducted periodically to train all the staffs working with children as well as to refresh the knowledge and skills of the staffs

WBCi Title- “WBCi : The financial planning tool” Place- Kathmandu, Nepal on 5 th August Duration- half day participants 16 working in the various sectors related to childhood nutrition in Nepal ( government officials, Nepal Pediatric society representatives, Pediatricians, Nurses and representatives of civil society organizations from Nepal) costing exercise using the WBCi tool to work out budget on specific indicator.

Feedback from participants – Participants found the tool to be standardized software and can be very useful in planning for programme implementation plan. – Participants also gave feedback on the ‘user‐friendliness’ and relevance of the tool. – It gave participants an idea about the financial tool for budget estimation for other health programme as well.

Workshop on BMS code at TUTH Title-Implementation of Mothers’ Milk Substitute Act of Nepal Date- 13 th and 14 th of September 2014 Place-Tribhuvan University Teaching hospital Supporting organization- Nepal Breast Feeding Promotion Forum (NEBROF) with support from BPNI and IBFAN Asia Duration of workshop-two days Participant 22 working in the various sectors related to childhood nutrition in Nepal (government officials, Nepal Pediatric society representatives, Consumer’s right protection forum, Pediatricians, representatives of civil society and various organizations from Nepal)

Implementation of Mothers’ Milk Substitute Act of Nepal

Infant and Young Child Feeding Counseling” for frontline workers Date- 1-3 June 2014 Venue: Siddhi memorial women and children hospital, Bhaktapur Duration- 18hours with 2 hours clinical Breastfeeding and complementary feeding, growth monitoring Participant- 22 field worker of CHRP Manual used-

Breast feeding week 2014 activities

Information on breast feeding and complementary feeding in nepalese language published Nepali transalation of worldbreast feeding week browser and poster prepared by WABA published and distributed

Exhibition on breastfeeding and complementary feeding by nursing students at TUTH

Cultural programme (Drama) in support of breastfeeding by nursing students at TUTH

Other activities during breast feeding week 2014 – Interaction on breastfeeding with lactating mothers and relatives at birthing centre of TUTH – Orientation on breastfeeding to community workers – Orientation on Theme of world breastfeeding week to students of maharajgunj nursing campus, Shradha nursing college and health professionals of civil hospital – Interaction on breastfeeding and complementary feeding with mothers and relatives of children attending immunisatiion clinic at TUTH – Workshop on WBCi – Talk programme in F.M radio and publication of article in local paper on breast feeding and complementary feeding – Programme from Nepal govt Distribution of IEC Talk programmes in media

Action plan for IYCF for the year presented at SARW-2 Advocacy for reactivation of the national committee on promotion of breastfeeding and authorizing the nutrition Technical committee (nutec) to take active role Increase collaboration between government and different stakeholders working on IYCF Develop comprehensive communication frame work on IYCF Organize training of trainers on BMS code implementation Organize capacity building on IYCF for health professionals

Action plan cont………….. Reactivation of BFHI Make TUTH Baby friendly hospital Awareness regarding importance of breast feeding to antenatal women separately

Future plans BMS code monitoring master training. IYCF master training WBTi assessment 2015 Celebration of world breast feeding week 2015

Thank You