The World Breastfeeding Trends initiative( WBTi) IBFAN Asia Tracking Implementation of the Global Strategy for Infant and Young Child Feeding Arun Gupta MD FIAP Regional Coordinator

Outline About WBTi Assessment and action in South Asia Report of South Asia Impact Future plans

WBTi A: Action B: bringing people together C: Consensus and commitment D: Demonstration E: Effectiveness

South Asia Breastfeeding Partners Forums 2004,5,6 Forum 3 : November 22, 2006 Kabul

Status of South Asia 2006 Bhutan 30/150 8 Afghanistan 30/150 7 India 68/150 6 Nepal 71.5/150 5 Pakistan 75.5/150 4 Maldives 88.5/150 3 Bangladesh 91.5/150 2 Sri Lanka 116/150 1

Assessment and action in South Asia

Afghanistan 1. 1.Developed and finalised the draft Code - waiting for approval Formation of Afghanistan Breastfeeding Promotion Partners (ABPP) Establishment of National Breastfeeding Promotion Board Host of South Asia Breastfeeding Partners forum Kabul declaration on IYCF 6. 6.Government promised to move breastfeeding up on the priority list of health programmes.

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Bangladesh  Country-level revitalisation of the breastfeeding movement.  National Conference on Breastfeeding and Complementary Feeding organised, 500 participants.  The National Infant and Young Child Feeding Strategy has been finalised. Curriculum revision in light of IYCF;  Formation of training committee for establishing Breastfeeding Management Centers;

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Bangladesh Action Plans for 2007  Curriculum revision  Conduct TOTs 3 in 1 course  Identify research agenda, develop grant proposals;  HIV and Breastfeeding Policy approval - produce booklets for advocacy

Bhutan Actions and Plans 2007 Assessment of BFHI has been carried out, with a view to revitalizing. Advocate for maternity leave for 14 weeks and worksite accommodation for breastfeeding; Survey on IYCF practices; Advocacy for approval of BMS Code by National Assembly; Reactivation of National Committee on promotion and protection of breastfeeding as National IYCF Committee.

India   Increased interest   National consultation on IFE and IF-HIV   Partnership Government of India and UNICEF strengthen   Strengthening IYCF in the teaching in medical schools has   A national plan of action developed   State level implementation   Serious consideration is 11 th Five Year Plan for a budget head.

A unique national consensus

A regional workshop Picture removed…

India Action Plans for 2007 High level cal attention; calling for ensuring a budget head for IYCF in 11 th plan (already happened 29 th dec) Capacity Building of State for skills training Campaign on 1 st hour breastfeeding to save lives.

 National Consultation to finalise the ‘Regulations’  Breastfeeding Coordinating Committee was revised.  Identified a focal point. Picture removed…

Nepal   National capacity has been increased to impart skills training on Infant and Young Child Feeding.   The Nepal Breastfeeding Promotion Forum – the local IBFAN group - organised the South Asia Breastfeeding Partners’ Forum -2.   A draft strategy document for IYCF is ready.

Pakistan Score: 75.5/150 Grade: C Colour rating: Yellow Rank in South Asia: 4th

Sri Lanka   Intensified monitoring and evaluation of the Code.   The country has already started working on the gaps revealed by WBTi, focusing on: 1. 1.Bottle feeding, 2. 2.BFHI, 3. 3.Maternity Protection and 4. 4.Infant feeding and HIV.

Make breastfeeding visible, and more widely available !! The First Lady of Timor Leste at 7 th Ministerial Consultation on Children Cambodia March 2005 Thank you Picture removed…

Future plans Re-assessments South Asia 2008, 2011 LAC beginning 2008 Other regions to join

Impact of WBTi Increased government participation Close collaboration with UNICEF ROSA Increased capacity of groups to organise Strong partnerships at national level Reports are available Planning and review, being put in practice