1. CFE Assessment Dr Nugroho Abikusno WHO/SEARO

2. Initial assessment Prevailing feeding practices: Exclusive breastfeeding Breastfeeding Complementary feeding Type and preparation Differences pre- and post- disaster

3. Feeding practices Variation Choice of practices Most least appropriate practices To identify efforts to improve practices that encourage change in feeding practices Departure of practice that are most dangerous for feeding practices Influence on feeding practices

4. Feeding practices Community participation in promoting optimal feeding and caring practices How to avoid taking the wrong direction or causing offence Provisional quick fix measures

5. Prevailing conditions & available resources General condition: Nutrition and health status Sanitation Water & food supply Registration procedures Distribution of non-food items: shelter, cooking utensils, blankets

6. Food: Food aid basket & distribution Local food availability & accessibility Costs Methods and means for preparation

7. Community attitudes: Breastfeeding Wet-nursing Re-lactation Feeding bottles, teats & BMS Children without mothers: Number, care & feeding status

8. Community structure: Organization Leadership Traditional influential persons Care for mothers in early post-partum period

9. Human resources: Skills Training Experience Literacy & education Associated services: Health, nutrition, sanitation, education, site management, logistics and community mobilization & others related to CFE

10. Household structure & dynamics: Resource acquisition & allocation Most urgent needs Decision-making Income generating: Home-based activities Nearby employment Farming opportunities Marketable skills & crafts

11. Constraints: Restrictions with local community interactions Religious or cultural protocols

12. BF indicators at household level Exclusive breastfeeding (0-4 and 0-6 mo) Partial breastfeeding (0-4 mo) Continued breastfeeding (12-15 mo) Ever breastfed BF median or mean duration

13. CF indicators at community level CF proportion of infants (6, 9 & 12 mo) CF consistency (thick or thin) CF energy-rich components CF micronutrient-rich components

14. BF indicators at health facility Exclusive BF by natural mother BMS and supplies receipt Bottle-fed

15. Conclusion CFE requires consideration of various factors related to breastfeeding and will be greatly influenced by the social economic, social cultural and political situation in a country Indicators to be measured can include quantitative, qualitative and not infrequently a combination of both types of data collection

16. Thank you.