Development and pretesting of “Becoming Breastfeeding Friendly”: Empowering governments for global scaling up of breastfeeding programmes

ABSTRAKStunting merupakan salah satu indikator masalah gizi yang menjadi fokus Global Scaling Up Nutrition (SUN) Movement pada 1000 Hari Pertama Kehidupan (HPK) Jumlah status gizi di Indonesia yang mengalami Stunting pada tahun 2007 sekitar 36,8%, tahun 2013 mengalami kenaikan sekitar 37, 2%, pada tahun 2018 mengalami penurunan sekitar 30,8% tetapi tidak mengalami penurunan yang signifikan. Tujuan penelitian ini yaitu untuk melihat Gerakan 1000 HPK mencegah terjadinya stunting pada anak usia 0-59 bulan. Metode penelitian ini menggunakan kuantitatif dengan desain case control dan tekhnik pengambilan sampel purposive sampling. Penelitian ini dilaksanakan bulan Juni-Juli di Puskesmas Sitiung I Kabupaten Dharmasraya. Analisa penelitian dilakukan dengan uji chi square. Hasil menunjukkan hubungan dalam kejadian stunting adalah konsumsi tablet FE dengan p_value 0,003, Asi Eksklusif dengan p_value 0,020, MP-ASI dengan p_value 0,020, pola asuh dengan p_value 0,000.Kata kunci: stunting; konsumsi tablet Fe; anak usia 0-59 bulan ABSTRACTStunting is one indicator of nutritional problems that is the focus of the Global Scaling up Nutrition (SUN) Movement in the First 1000 Days of Life (HPK). in 2018 experienced a decrease of around 30.8% but did not experience a significant decrease. The purpose of this study was to observe the 1000 HPK Movement to prevent stunting in children aged 0-59 months. This research method uses quantitative with case control design and purposive sampling technique. This research was conducted in June-July at Sitiung I District Health Center, Dharmasraya Regency. The research analysis was carried out by using the chi square test. The results showed that the relationship in the incidence of stunting was the consumption of FE tablets with a p_value of 0.003, exclusive breastfeeding with a p_value of 0.020, complementary feeding with a p_value of 0.020, parenting with a p_value of 0.000.Keywords: stunting; consumption of Fe tablets; children aged 0-59 months

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Scaling Up Breastfeeding in Myanmar through the Becoming Breastfeeding Friendly Initiative

Current Developments in Nutrition ◽

10.1093/cdn/nzz078 ◽

2019 ◽

Vol 3 (8) ◽

Cited By ~ 1

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.

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Scaling up breastfeeding policy and programs in Samoa: application of the Becoming Breastfeeding Friendly initiative

International Breastfeeding Journal ◽

10.1186/s13006-019-0245-6 ◽

2020 ◽

Vol 15 (1) ◽

Cited By ~ 1

Author(s):

Christina Soti-Ulberg ◽

◽

Amber Hromi-Fiedler ◽

Nicola L. Hawley ◽

Take Naseri ◽

...

Keyword(s):

Role Models ◽

Infant Health ◽

Action Plan ◽

National Level ◽

Scaling Up ◽

Decision Makers ◽

Policy Recommendations ◽

Maternal And Infant Health ◽

Becoming Breastfeeding Friendly ◽

Breastfeeding Policy

Abstract Background Breastfeeding is a critical, evidence-based intervention that addresses malnutrition, improves early childhood development outcomes, and influences long-term maternal and infant health by reducing the non-communicable disease risk. Scaling up breastfeeding is an indisputably strong action countries can take to prevent suboptimal maternal and infant health outcomes. The Becoming Breastfeeding Friendly (BBF) initiative assists countries with scaling up breastfeeding policy and programs. BBF has been successfully implemented within Latin America, Africa, Europe and South-East Asian regions. This study assessed its application in Samoa. Methods In 2018, BBF was implemented in Samoa by a 20 member committee of breastfeeding experts who participated in collecting and utilizing national level data to score the degree of friendliness of Samoa’s breastfeeding environment, identify gaps, and propose policy recommendations to address those gaps. This eight-month process resulted in a public event where priority recommendations were widely disseminated to decision makers and actions agreed upon. Results The total BBF Index score for Samoa was 1.6 out of 3.0, indicating a moderate breastfeeding friendly environment for scaling up policies and programs that protect, promote, and support breastfeeding. Gear total scores indicated that seven of the eight gears were moderately strong within Samoa, while the eighth gear, funding and resources, was weakest in strength. Six prioritized recommendations emerged: 1) development and implementation of a National Breastfeeding Policy and Strategic Action Plan; 2) strengthening monitoring and evaluation of all breastfeeding activities; 3) ratifying the International Labour Organization’s Maternity Protection Convention 2000 (No 183); 4) identifying high-level advocates to champion and serve as role models for breastfeeding; 5) creation of a national budget line for breastfeeding activities; and 6) hiring of a national breastfeeding coordinator and trainer. Decision makers demonstrated commitment by signing the breastfeeding policy for hospitals ahead of the BBF dissemination meeting and electing to move forward with establishing lactation rooms within government ministries. Conclusion Implementation of BBF in Samoa yielded important policy recommendations that will address current gaps in national level breastfeeding support. The BBF consultation process can be successfully applied to other countries within the Western Pacific region in order to strengthen their breastfeeding programs.

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