scholarly journals Are our babies off to a healthy start? The state of implementation of the Global strategy for infant and young child feeding in Europe

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Irena Zakarija-Grković ◽  
Adriano Cattaneo ◽  
Maria Enrica Bettinelli ◽  
Claudia Pilato ◽  
Charlene Vassallo ◽  
...  
2005 ◽  
Vol 8 (1) ◽  
pp. 39-46 ◽  
Author(s):  
Adriano Cattaneo ◽  
Agneta Yngve ◽  
Berthold Koletzko ◽  
Luis Ruiz Guzman

AbstractObjective:To describe the current situation regarding protection, promotion and support of breast-feeding in Europe, as a first step towards the development of a blueprint for action.Design and setting:A questionnaire was completed by 29 key informants and 128 other informants in the EU, including member states, accession and candidate countries.Results:EU countries do not fully comply with the policies and recommendations of the Global Strategy on Infant and Young Child Feeding that they endorsed during the 55th World Health Assembly in 2002. Some countries do not even comply with the targets of the Innocenti Declaration (1990). Pre-service training on breast-feeding practice is inadequate and in-service training achieves only low to medium coverage. The Baby Friendly Hospital Initiative is well developed only in three countries; in 19 countries, less than 15% of births occur in baby-friendly hospitals. The International Code of Marketing of Breastmilk Substitutes, endorsed in 1981 by all countries, is not fully applied and submitted to independent monitoring. The legislation for working mothers meets on average the International Labour Organization standards, but covers only women with full formal employment. Voluntary mother-to-mother support groups and trained peer counsellors are present in 27 and 13 countries, respectively. Breast-feeding rates span over a wide range; comparisons are difficult due to use of non-standard methods. The rate of exclusive breast-feeding at 6 months is low everywhere, even in countries with high initiation rates.Conclusions:EU countries need to revise their policies and practices to meet the principles inscribed in the Global Strategy on Infant and Young Child Feeding in order to better protect, promote and support breast-feeding.


2015 ◽  
Vol 2 (1) ◽  
pp. 39 ◽  
Author(s):  
Sonali Kar ◽  
Sourav Bhattacharjee ◽  
PC Samantaray ◽  
Seba Biswal

A global strategy for Infant and Young Child Feeding (IYCF) was issued jointly by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) in 2002, to reverse the disturbing trends in infant and young child feeding practices. This stands out as an extremely cost-effective and extremely advantageous method to bring down the infant and child mortality and morbidity especially in developing countries like India.Odisha, one of the states in India, records just 50% of exclusive breast feeding practice as reported in National Family Health Survey-3 (2005-6) and also accounts for one of the highest Infant Mortality Rates in the country. Hence the current studywas planned jointly by the Nutrition wing of UNICEF and Odisha Voluntary Health Association (OVHA), a Nongovernmental Organization which works for health programs in the state. A baseline study to assess Infant Feeding Practices thus was plannedfor 7 districts of the state and sampled so as to adequately represent the marginalized population of the state. A detailed questionnaire with information on sociodemographic parameters of the study population and questions that elicited informationon the infant and child feeding practices was designed and pretested in a sample population and a team of supervisors and data collectors were trained for the purpose. The study revealed district level data on the infant young child feeding practices in the state. Exclusive Breast Feeding (EBF) was calculated as 48% and early initiation of breast feeding was nearly 46%. The feeding indicators calculated for 6-23 months age group were of greater concern as minimum dietary diversity is reported 27.4% and minimum meal frequency is 29%. In spite ofthe provision of iron syrup and iron folic acid tablets under the flagship program of the country, that is, National Rural Health Mission, for 6-59 months children, the consumption of iron fortified foods is reported as only 6.8%. This could be the cause ofhigh level of morbidity reported in under five in the state. The data was presented to the state program managers inorder to prioritize the problem areas and take requisite steps at the district level to improve the IYCF indicators in their respective states.


2021 ◽  
Vol 10 (1) ◽  
pp. 23
Author(s):  
Ari Febriyanti NM ◽  
Ayu Sugiartini NK

ASI merupakan makanan terbaik yang dapat membantu proses pertumbuhan dan perkembangan bayi. World Health Organization (WHO) merekomendasikan Global Strategy for Infant and Young Child Feeding yang merupakan empat hal esensial dalam pemberian makanan bayi dan anak, salah satunya adalah pemberian ASI saja kepada bayi sampai umur 6 bulan, atau yang disebut dengan ASI ekslusif. Tujuan penelitian ini adalah mengetahui determinan pemberian ASI Eksklusif pada ibu menyusui. Desain penelitian ini adalah cross-sectional analitik. Subjek penelitian menggunakan 80 ibu yang memiliki bayi umur 6-12 bulan di Puskesmas I Denpasar Barat dengan analisis yang digunakan adalah chi-square dan regresi poisson. Hasil penelitian didapatkan sebagian besar (55,0%) tidak memberikan ASI Eksklusif pada bayinya. Hasil bivariat menunjukkan terdapat hubungan yang signifikan antara pendidikan (p= 0,00), pengetahuan (p= 0,00), persepsi (p= 0,00), dukungan suami (p= 0,04), keterpaparan informasi (p= 0,00) dengan pemberian ASI Eksklusif. Faktor dominan yang mempengaruhi pemberian ASI Eksklusif yaitu persepsi dengan nilai p= 0,01 (aPR= 6,49 95%CI: 1,3-31,8).


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jeanine Ahishakiye ◽  
Lenneke Vaandrager ◽  
Inge D. Brouwer ◽  
Maria Koelen

Abstract Background Mothers in low-income countries face many challenges to appropriately feed their children in the first year such as poverty, food insecurity and high workloads. However, even in the lowest income families there are mothers who succeed to feed their children according to the recommendations. In this paper, we explored the coping strategies that facilitate appropriate breastfeeding and complementary feeding practices among rural Rwandan mothers from birth to one year of a child’s life. Methods This qualitative longitudinal study recruited a purposive sample of 17 mothers who followed the infant and young child feeding recommendations (IYCF). They were selected from a larger study of 36 mothers. In-depth interviews were conducted with mothers of the total group (36 mothers) within the first week, at 4th, 6th, 9th and 12th months postpartum. Interviews were audio-recorded, transcribed verbatim and analyzed thematically. Results Coping strategies included improving mothers’ own diet for adequate breastmilk production, prioritizing child feeding over livelihood chores, livelihood diversification and mothers’ anticipatory behaviors such as preparing child’s food in advance. Some of those coping strategies were shifting overtime depending on the development of the children. Personal factors such as breastfeeding self-efficacy, religious beliefs and perceived benefits of breastfeeding were among the facilitating factors. Additionally, social support that mothers received from family members, other mothers in the community, Community Health Workers (CHWs) and health professionals played an important role. Conclusion In challenging contextual conditions, mothers manage to follow the recommended breastfeeding and complementary feeding practices through the interplay of active coping strategies, feeling to be in control and social support. Nutrition promotion interventions that aim to improve IYCF should consider strengthening mothers’ capability in gaining greater control of their IYCF practices and the factors facilitating their appropriate IYCF practices.


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