scholarly journals Scaling Up Breastfeeding in Myanmar through the Becoming Breastfeeding Friendly Initiative

2019 ◽  
Vol 3 (8) ◽  
Author(s):  
May Khin Than ◽  
Soe Nyi Nyi ◽  
Lwin Mar Hlaing ◽  
Swe Le Mar ◽  
Theingi Thwin ◽  
...  
Keyword(s):  
Scale Up ◽  
Scaling Up ◽  
Lessons Learned ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Enabling Environment ◽  
Infant And Young Child ◽  
Save The Children ◽  
Policies And Programs ◽  
Becoming Breastfeeding Friendly

ABSTRACT Background Optimal breastfeeding practices in Myanmar are above global averages, and the Ministry of Health and Sports (MoHS) has demonstrated its commitment to support nutrition and breastfeeding through continued policy and program actions. In 2017, the MoHS, in partnership with Save the Children, led the piloting of the Becoming Breastfeeding Friendly (BBF) Initiative. BBF provides a guide for countries to assess the enabling environment for breastfeeding and a country's readiness to scale up breastfeeding policies and programs. Objective The aim of this study was to document the BBF process and outcomes in Myanmar. Methods A Working Group (WG) of 14 members, led by a chair and 2 cochairs, conducted the BBF assessment using the BBF Index (BBFI), generated and prioritized recommendations, and disseminated the findings over the course of 5 meetings. Additional meetings were held to gain stakeholder endorsement and approval of the BBF process and WG before commencement and MoHS endorsement of the findings. Results The BBFI score for Myanmar was 1.2 out of 3.0, which indicates a moderate environment for scaling up breastfeeding policies and programs. The Funding and Resources gear earned the lowest score (0.5), whereas Political Will earned the highest score (2.0). Overall, 4 gears were weak and 4 were moderate in strength. Nine recommendation themes were generated and prioritized. The top priority recommendation was to form a National Infant and Young Child Feeding Alliance. The MoHS endorsed the 9 recommendations in December 2018 and has provided leadership for the formation of the alliance. Conclusions The BBF Initiative was successfully conducted in Myanmar, resulting in 9 prioritized recommendations for strengthening the breastfeeding enabling environment and substantial interagency collaborations. Adaptations to the BBF process were made for the context, and we note numerous lessons learned that should be considered by other countries that plan to commit to the BBF Initiative.

scholarly journals An Iterative Process for Training Design and Implementation Increased Health Workers’ Knowledge for Taking Nutrition Behavior Change to Scale

2019 ◽  
Vol 149 (Supplement_1) ◽  
pp. 2323S-2331S ◽  
Author(s):  
Wendy Gonzalez ◽  
Anabelle Bonvecchio Arenas ◽  
Armando García-Guerra ◽  
Mireya Vilar-Compte ◽  
Alejandría Villa de la Vega ◽  
...  
Keyword(s):  
Young Child ◽  
Feasibility Study ◽  
Iterative Process ◽  
Health Workers ◽  
Scale Up ◽  
Training Design ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Design And Implementation ◽  
Infant And Young Child

ABSTRACTBackgroundThe shortage of skilled, motivated, and well-supported health workers is a major barrier to scaling up nutrition interventions and services.ObjectiveThe objective of this study is to describe the process for developing and implementing a training of health personnel for the delivery of the Integrated Strategy for Attention to Nutrition (EsIAN), an evidence-based strategy for promoting infant and young child feeding through primary health care in Mexico. The specific objective is to provide a case study and highlight challenges, as well as elements to successfully mitigate these, and discuss potential applications of findings beyond the Mexican context.MethodsThe design and implementation of training followed a 5-phase process: situation analysis, formative research, large-scale feasibility study, redesign and scale up, and evaluation. We conducted document reviews, surveys, and focus groups during the first phases to inform and refine the training, as well as a pre- and posttraining telephone survey to evaluate change in knowledge.ResultsThe initial phases of the design provided a clear understanding of the opportunities and challenges for promoting infant and young child feeding, as well as health workers’ routines and practices, which informed training design. The feasibility study allowed tailoring and refinement of training. The vertical coherence and coordination between the federal and state levels during redesign and scale up facilitated compliance with training timeline and process. Evaluation results showed significant improvement in knowledge posttraining of up to 19 percentage points.ConclusionsThe EsIAN training component for health providers was developed using a systematic approach to consolidate and generate relevant evidence, following an iterative process to test, learn, and improve both design and implementation. This process allowed for flexibility to take advantage of new opportunities and respond to findings from iterations. Garnering and ensuring political support allowed for continuity and sustainability of actions.

Promotion and Advocacy for Improved Complementary Feeding: Can We Apply the Lessons Learned from Breastfeeding?

2003 ◽  
Vol 24 (1) ◽  
pp. 29-44 ◽  
Author(s):  
Ellen G. Piwoz ◽  
Sandra L. Huffman ◽  
Victoria J. Quinn
Keyword(s):  
Large Scale ◽  
Complementary Feeding ◽  
Global Strategy ◽  
Lessons Learned ◽  
Policy Support ◽  
Successful Implementation ◽  
Key Factors ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child

Although many successes have been achieved in promoting breastfeeding, this has not been the case for complementary feeding. Some successes in promoting complementary feeding at the community level have been documented, but few of these efforts have expanded to a larger scale and become sustained. To discover the reasons for this difference, the key factors for the successful promotion of breastfeeding on a large scale were examined and compared with the efforts made in complementary feeding. These factors include definition and rationale, policy support, funding, advocacy, private-sector involvement, availability and use of monitoring data, integration of research into action, and the existence of a well-articulated series of steps for successful implementation. The lessons learned from the promotion of breastfeeding should be applied to complementary feeding, and the new Global Strategy for Infant and Young Child Feeding provides an excellent first step in this process.

Appropriate Infant and Young Child Feeding Practices in an Emergency for Non-Breastfed Infants Under Six Months: The Rohingya Experience

2020 ◽  
Vol 36 (3) ◽  
pp. 510-518
Author(s):  
Alice Burrell ◽  
Anne M. Kueter ◽  
Sujan Ariful ◽  
Habibur Rahaman ◽  
Alessandro Iellamo ◽  
...  
Keyword(s):  
Young Child ◽  
Human Milk ◽  
Feeding Practices ◽  
Initial Assessment ◽  
Child Feeding ◽  
Mass Violence ◽  
Breastfed Infants ◽  
Young Child Feeding ◽  
Infant And Young Child ◽  
Save The Children

Background Since 25 August, 2017 over 693,000 Rohingya have been forced from Myanmar due to mass violence, seeking refuge in neighboring Bangladesh. Nutritional surveys during 2017 revealed worrying levels of malnutrition and poor infant feeding practices, including high numbers of infants not exclusively breastfeeding. Infants under 6 months who are not exclusively breastfed are particularly vulnerable to morbidity and mortality and require specialized feeding support, especially in emergency contexts. Research Aim To describe Save the Children International’s experiences supporting wet nursing, relactation, and artificial feeding for non-breastfed infants under 6 months in the Rohingya Response, Bangladesh. Methods A retrospective analysis was conducted of routine program data and documentation from Save the Children International’s infant and young child feeding in emergencies interventions for the Rohingya Response, Bangladesh, from November 2017 to April 2018. The study population were infants under 6 months identified as not breastfed during the initial assessment ( N = 15). Results Although wet nursing was attempted with all infants, it was successful with 6 (40%) of the infants. Additionally, 1 (6.7%) infant’s mother was able to successfully relactate. The remaining infants ended up requiring feeding with human milk substitutes. Conclusion Gaps exist in operational guidance to support non-breastfed infants with wet nursing and relactation in emergency settings, as well as on how to operationalize safe human milk substitute programming in line with national policies and regulations. There is an urgent need to address this gap to protect the lives of non-breastfed infants in emergencies worldwide.

scholarly journals Scaling-up interventions to improve infant and young child feeding in India: What will it take?

2017 ◽  
Vol 13 ◽  
pp. e12414 ◽  
Author(s):  
Rasmi Avula ◽  
Vanessa M. Oddo ◽  
Suneetha Kadiyala ◽  
Purnima Menon
Keyword(s):  
Young Child ◽  
Scaling Up ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Infant And Young Child
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