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Aug 27, 2015

Completed 4th Assessment of India's Policy & Programmes on IYCF using the World Breastfeeding Trends

Consensus Building Meeting
Consensus Building Meeting

Dear Donor

We are happy to share with you the latest development from our head office here at BPNI/ IBFAN Asia, Delhi. We completed the 4thassessment process of World Breastfeeding Trends Initiative (WBTi) in India with the help of our partner organizations.

The World Breastfeeding Trends Initiative (WBTi) is an innovative tool adapted from the WHO’s “Infant and Young Child Feeding - A tool for assessing national practices, policies and programmes” that has been developed by International Baby Food Action Network (IBFAN) Asia, for assessing and monitoring the state of implementation of the Global Strategy for Infant and Young Child Feeding. The WBTi assessments are typically done every 3 to 5 years to measure the input as national against the global using the tool as a benchmark to generate action based on the gaps found.

The WBTi has 15 indicators. Indicator 1 to 10 deals with IYCF policy and programmes and 11 to 15 deal with IYCF practices. Each indicator has a key question, as well as a subset of questions, to be answered. Once the assessment is done, the data is fed into a web-based toolkit for scoring and color rating, as per “IBFAN Asia’s Guidelines”.

The present assessment is the fourth round of WBTi for India following rounds in 2005, 2008, and 2012. This assessment has been carried out using the revised/updated WBTi 2014 tool. Public Health Resource Network (PHRN) and Breastfeeding Promotion Network of India (BPNI) jointly coordinated the India Assessment 2015, between February and June 2015. This was conducted along with other members of the core group, which met three times to discuss the findings of each of the indicators and reach a consensus on scoring, gaps, and recommendations.

We have published a report of the India assessment titled “Arrested Development” that would be formally released on 1st of September in Delhi, India. This WBTi assessment report of 2015 highlights gaps in all 15 areas of policy and programmes and IYCF practices, to be implemented for enhancing breastfeeding rates. The results of the report evidently ask for some concrete work to be initiated to fulfil the gaps. The report would be available online on http://worldbreastfeedingtrends.org/ and http://www.bpni.org/. Similar work is being done in other countries where WBTi assessments are done.

For the same we need your backing. Our core area being training and advocacy, we seek your support in this endeavour. Even a little help from your end can haul up our attempts here. We will always be grateful for your support you gave us in the past.

Partners from various organisations
Partners from various organisations
Members discussing scoring on various indicators
Members discussing scoring on various indicators

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May 28, 2015

Thanks to you, our mission got a boost !! We added 30 more trained IYCF counsellors at field level.

Sunita (ASHA Worker), ‘We wanted such training from a very long time, but for some reasons it always got cancelled. I am very happy that we finally got trained on such crucial aspects of infant health and feeding.’

This token of gratitude is sent from the Accredited Social Health Activist (ASHA worker) from Dhanwara village, Uttar Pradesh, India, Our last project report updated you about our aim of saving infant lives by protecting promoting and supporting Breastfeeding through training. We in our efforts to take this vision to the grassroots wish to share the recent training of Frontline Workers (FLWs). Thirty community workers (ASHA/AWW) from Jakhaura Block, Uttar Pradesh, who directly interact with mothers and families, were trained in Infant and Young Child Feeding Counselling Training- The ‘4 in 1 course’ (An Integrated course on Breastfeeding, Complementary Feeding, Infant feeding & HIV and Growth Monitoring). The workshop was conducted in collaboration with B. R. D. Medical College and District Administration Lalitpur, Uttar Pradesh. Maintaining the quality of the training is very crucial thus the monitoring and evaluation of the training was done under the supervision of Chief Development Officer, Lalitpur, UP Government.

Participants comprised of Aanganwadi workers (AWW), Aanganwadi helpers, ASHAs and Social Workers who belong to the health and nutritional care system of the government and provide end level care for health and child development programmes. They have the necessary information but lack counselling skills to disseminate in the community. Through this training they received crucial knowledge on Breastfeeding, complementary feeding, HIV and Infant Feeding and growth monitoring. These trained workers are now going to work towards bringing a positive change in their communities through behaviour change catering to a population of around 25,000.

These trainings not only impart essential knowledge on Infant and Young Child Feeding, but counselling skills too. As it is well established that merely information giving and telling the people what should or should not be done is not enough. Counselling on the other hand is the process of assisting, guiding and exploring possibilities to choose the best solution as per one’s own needs. This approach requires the use of certain counselling skills that were paassed on to the participants during the training. Narrating her views, Shivkumari, an ASHA worker says ‘I feel a very big responsibility lies on my shoulder’s because I am trained now and have the knowledge . Women in our village are not educated and neither do they have a say in making important decisions for their children. Training has given me the confidence to talk and convince mothers and families to choose the best for their children.’

Leela Pathak (AWW Helper), ‘After completing the training I feel like a guardian to all the children in my community. Good caring practices can keep the child healthy and prevent malnutrition and deaths. By involving mother groups, together we can give information on breastfeeding and complementary feeding. My knowledge has increased immensely after the training.’

 

It is the positivity and dedication of workers like Shivkumari and Leela which motivates us to work towards betterment of child health in the community. Thank you for your generous contribution, that drives us in our endeavor. With your support we continue to promote the most natural yet endangered practice of human kind which is Breastfeeding.

 

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Training session in progress
Training session in progress
Participants during a Home Visit
Participants during a Home Visit
Feb 27, 2015

Capacity Building of Health System Staff

Role play on correct breastfeeding positioning
Role play on correct breastfeeding positioning

Dear Donors,

Thank you for your strong support during the 2014 December open challenge, it’s because of your support that we have successfully acquired a permanent spot on Global Giving!

It’s our very first report of the quarter and we would like to share the story of an on-ground training conducted in the month of February (9th-15 Feb, 2015) for 24 participants from government health system staff belonging to 10 high priority districts of Bihar in Patna City, India.

The Breastfeeding Promotion Network of India (BPNI) designated two national trainers to conduct this training. The participants were trained as Infant and Young Child Feeding counseling specialist of which breastfeeding counseling is a crucial part. One can also call these 24 participants as breastfeeding counselors in popular language. This training helped the Government of Bihar to build its capacity in reducing neonatal deaths and child malnutrition cases through skilled breastfeeding counseling.

Breastfeeding is an evidence based intervention that has been found to significantly reduce the neonatal and thereby the child deaths. It has been estimated that, breast feeding alone may reduce the child mortality by 13%; saving infant’s lives significantly.(Reference :Darmstadt GL, Bhutta ZA, Cousens S, Adam T, Walker N, et al. (2005) Lancet Neonatal Survival Steering Team. Evidence-based, cost-effective interventions: how many newborn babies can we save? Lancet 365: 977–88. doi: 10.1016/s0140-6736(05)71088-6 )

These 24 trained health systems personnel will be responsible for reproductive, newborn care and breastfeeding counseling services at the primary health centre (PHC) level. Each PHC covers approximately a population of 30,000. Every counselor will counsel approx. 10 mothers in a day, covering 87,600 mothers in a year. This will contributing significantly to our project objectives of saving infants lives by promoting breastfeeding.

The training involved 7 breastfeeding counseling skills practice sessions, 31 theory sessions, 5 clinical practice sessions for handling breastfeeding issues in the field and 2 practical sessions on preparation of complementary feeding. It was implemented in partnership with by NMCH Medical College Patna, Bihar and UNICEF Patna, Bihar, India.

Thanks to your support again, we were able to build the capacity of 10 priority districts in Bihar state (India) by strengthening breastfeeding counseling services.

We would continue to carry out our activities to save infants lives by promoting breastfeeding with your support!

Group Work: One to one breastfeeding counselling
Group Work: One to one breastfeeding counselling
Group Work: Preparing complementary feed
Group Work: Preparing complementary feed

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