a contemporary parent education programme on infant and ... · exclusive breastfeeding below 6...
TRANSCRIPT
Tee ES, Tan SY and Fatimah S
Expert Committee, MyNutriBaby Programme
A contemporary parent education programme on infant and young child
nutrition
Key Points
• Good nutrition is especially essential during the first two years of life.
• Suboptimal feeding practices may contribute to:
• malnutrition
• associated risks of poor growth
• impaired development
• increased susceptibility to infections, and
• a predisposition to certain chronic diseases in later life
• Malaysian Dietary Guidelines for Children & Adolescents (2013) recommends that infants be exclusively breastfed for the first 6 months of life and continued breastfeeding up to 2 years
• Complementary foods should be introduced at the age of 6 months
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Current Status
• According to the Third National Health and Morbidity Survey (NHMS
III) the overall prevalence of ever breastfed among children aged less
than 12 months increased from 88% in 1996 to 95% in 2006
• The Putrajaya State Health Department reported prevalence of
exclusive breastfeeding below 6 months increased from 21% in 2010
to 43% in 2013.
• For complementary feeding, only 41.5% infants received timely
complementary feeding (between ages 6 to 10 months)
• At present published data on food intake of children 3 to 6 years are
lacking, however a recent study indicate only 26% and 32% of
preschoolers consumed fruits and vegetables only twice a week, with
12% not eating vegetables at all.1
1Mohd Nasir MT et al. (2012). Child feeding practices, food habits, anthropometric indicators and cognitive performance
among preschoolers in Peninsular Malaysia. iAppetite 58:525-530
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Challenges in Breastfeeding
• Perception that mothers may not provide adequate amount of milk
• Father’s attitude towards breastfeeding
• Perception that a working mother is unable to continue to exclusive breastfeed
• Poor support at work place
Common challenges
• Improper latching
• Common breastfeeding problems such as breast engorgement, sore nipples etc.
Physiological challenges
• Non-supportive family members
• Lack of emotional support from husbands
• Too much housework
Other challenges
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Challenges in Complementary Feeding
• Early introduction to complementary food as early as 2 months of age
Common Challenges
• Early introduction to complementary food shortens duration of breastfeeding and interferes with uptake of important nutrients found in breast milk, such as iron and zinc.
Physiological Challenges
• Lack of knowledge
• Myths and wrong perception on types of foods, when to start complementary foods, etc.
Other Challenges
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Challenges in Table Foods
• Meeting energy and nutrients requirement
• Children may take longer time to eat foods of inappropriate texture
• Inappropriate feeding style of caregivers
Common Challenges
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The Mission
• Aimed at supporting parents by providing practical advice and information
on all aspects of infant and child nutrition
• NSM in collaboration with the following partners launched the
programme:
Partners
Corporate supporter
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Educational Objectives
• To educate mothers on preparing to breastfeed with confidence
• To provide mothers with guidance & practical advice on how to
practice good complementary feeding (how, what & when to feed
baby)
• To educate mothers on appropriate feeding behaviour
management to set the foundation for lifetime of healthy eating
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Mother’s Smart Choice (2011-2014)
Launch ceremonies with media
publicity (2011 & 2012)
Parents Talks At Baby Expos
Educational Videos
Nurse Talks At Private Hospitals Press Advertorials
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Parent Booklets Series
Going Digital with MNB (2015)
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• From mid-2014, Mother’s Smart Choice was rebranded as
MyNutriBaby (MNB) following the release of the Malaysian
Dietary Guidelines for Children and Adolescents (MDGCA) in
2013
• Same professional and corporate partners
www.mynutribaby.org.my
• An online guide to infant and young children nutrition
• Tailored to new mothers
• Covers 3 main topics:
Breastfeeding
Complementary feeding
Table foods
• Supported by:
Videos
Downloadable aids
Recipes
• Articles available in both English and Bahasa Malaysia
• To date, achieved more than 70,000 page views
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Preparing for breastfeeding
• Targeting pregnant moms
• Packed with practical tips and expert advice for mothers on how to breastfeed right
• Presents an upbeat, contemporary approach to breastfeeding in a helpful manner
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Articles, Videos & Downloadable Aids
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Preparing for complementary feeding
• Aimed at
correcting working mothers’ perception on how complementary feeding is time consuming
helping mothers nurture baby’s eating skills by giving the right types of food at the right time
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Articles, Videos, Downloadable Aids & Recipes
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Preparing for table foods
• Offers
An introduction to table foods and set foundation for a lifetime of healthy eating
Fun mealtime tips to help busy parents prepare nutritious meals and dine as a family
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Articles, Videos, Downloadable Aids & Recipes
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MNB Facebook
• Facebook : www.facebook.com/MyNutriBaby
• Page likes: > 10,000
• Posts reached out to 3 million people in 2015
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World Breastfeeding Week 2014
• MNB launched an educational video and a community contest to
promote support for breastfeeding mothers
• Reached out to > 550,000 people from MNB Facebook page
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World Breastfeeding Week 2015
• Theme: “Breastfeeding & Work: Let’s Make it Work!”
• Activities:
1. Social experiment video
2. Working mummies’ wishes poll
3. Press articles
4. Post-campaign TV interview 20
1. Social Experiment Video
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Play Video
1. Social Experiment Video
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ENGLISH BM
1. Social Experiment Video - Comments
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1. Social Experiment Video - Comments
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15.1%
18.3%
21.5% 21.9%
12.8% 10.5%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
Less than 1 month 1-3 months 4-6 months Up to 1 year Up to 2 years More than 2 years
Duration of breastfeeding after returning to work N=219
2. Working mummies’ wishes poll (Total entries = 755)
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23.7%
43.4%
9.6% 12.3%
8.2%
2.7%
8%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
40.0%
45.0%
50.0%
The facilities andenvironment at work
were not conducive forexpressing milk
My milk supply hadreduced
My baby stoppedwanting breast milk
I could not cope withall my responsibilities
I became pregnant I was discouraged byfamily members
Others
Main reason for stopping breastfeeding N=219
2. Working mummies’ wishes poll
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37.1%
54.4%
40.2%
32.2%
27.4%
60.7%
14.8%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
Clean and privatespace to express
milk
Fridge to store milk Clean and safewater source and
sink
Breaks to expressmilk
Flexible workinghours
Support andunderstanding from
bosses andcolleagues
None of the above
Existing workplace facilities and support N=676
3. Press Articles – BM Media
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Utusan Malaysia
(Print & Online)
Berita Harian
Harian Metro
3. Press Articles – English Media
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The Sun Daily
New Straits Times
Her World
magazine
3. Press Articles – Chinese Media
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Oritental Daily News
(Print & Online)
4. Post-campaign TV interview
Bernama TV interview
• Date: October 7, 2015 (Wednesday)
• Time: 12.00pm – 1.00pm
• Highlights:
• About MNB programme & showcasing the website
• Discuss about issues related to BF and work
• Discussion of the results from poll
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Educational Materials for Parents
• MNB is also promoted through leaflet drops at gynaecology and paediatrics clinics, hospital initiatives and nurse talks
• Promotional materials includes:
• MNB promotional leaflet
• Food dial
• Distributed to over 100 private and government clinics
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Educational Materials for Parents
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Orders from the Malaysian
Paediatric Association (MPA)
Congress 2015
• Received more than 50 orders
from both private and
government hospitals/clinics from
different states including Sabah
and Sarawak.
Hospital Initiatives – MNB Day
• Conducted a total of 5 MNB Days at
following hospitals:
1. Columbia Asia Puchong Hospital
2. Sunway Medical Centre
3. Subang Jaya Medical Centre
4. Gleneagles Kuala Lumpur Hospital
5. Pantai Medical Centre Kuala Lumpur
• Session 1: Breastfeed with
Confidence
• Baby Steps to Successful
Breastfeeding talk
• Lactation Diet Cooking Demo
• Session 2: Baby’s First Bites
• Baby’s First Bites talk
• Yummylicious Foods for Baby
Cooking Demo
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Session 1: Breastfeed with Confidence
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Baby Steps to Successful Breastfeeding Talk
by Pn Fatimah Salim
Lactation Diet Cooking Demo
by Chef Marina Mustafa
Session 2: Baby’s First Bites
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Baby’s First Bites Talk by Dr Tan Sue Yee
Yummy Recipes for Baby Cooking
Demo by Chef Marina Mustafa
Cooking Workshop @ Sunway Medical Centre
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Conclusion
• MNB has demonstrated a promising potential in terms of combining digital media and on-ground activities to increase parental awareness of appropriate infant and young child feeding practices
• Parents who participated in the MyNutriBaby activities have demonstrated great interest and increased learnings which should contribute towards improved infant and young child feeding
• The Nutrition Society of Malaysia is committed to continue to contribute towards these areas of early life nutrition promotion and is not aimed at promoting any commercial product
• We are happy to share the educational materials developed to all who wish to use them to utilise them for educational purposes
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END
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