The World Breastfeeding The World Breastfeeding Trend Initiative Trend Initiative (WBT(WBTii))

Dr Arun Gupta MD FIAPDr Arun Gupta MD FIAP

Regional Coordinator IBFAN AsiaRegional Coordinator IBFAN Asia2nd Regional Conference on Human Lactation 2nd Regional Conference on Human Lactation

13-14 Nov 2009 13-14 Nov 2009

Al Ain UAEAl Ain UAE. .

OutlineOutline

About WBTAbout WBTiiHistoryHistoryLaunch in South Asia Launch in South Asia 2005…2005…Global Launch in 2008…Global Launch in 2008…What is the State of Worlds What is the State of Worlds Breastfeeding ( 29 Country Breastfeeding ( 29 Country Reports) Reports) Trends….Trends….Web Portal and its use Web Portal and its use

What is World Breastfeeding Trends What is World Breastfeeding Trends Initiative (Initiative (WBTWBTii

Participatory, action Participatory, action oriented simple researchoriented simple research

TTracking, racking, AAssessing and ssessing and MMonitoring (TAM) the onitoring (TAM) the implementation of Global implementation of Global StrategyStrategy for IYCF for IYCF

Ensures uniformity, Ensures uniformity,

Objective is to reach about Objective is to reach about 100 countries by 2012.100 countries by 2012.

Integral part of the project the "Global Breastfeeding Initiative for Child Survival" (GBiCS) – Norad, IBFAN, WABA,BPNI

WBTWBTii

A:A: Action orientedAction oriented

B:B: Brings people togetherBrings people together

C:C: Consensus and commitment Consensus and commitment

buildingbuilding

D:D: Demonstrates achievementsDemonstrates achievements

and gapsand gaps

E:E: Efficacy improving programme Efficacy improving programme

HistoryHistory

1993: WABA’s GLOPAR 1993: WABA’s GLOPAR

2003/04: WHO’s tool “Infant and Young 2003/04: WHO’s tool “Infant and Young Child Feeding : A tool for assessing Child Feeding : A tool for assessing national practices,policies , and national practices,policies , and programs” programs”

The NeedThe Need

The United Nations Millennium Summit for The United Nations Millennium Summit for MDGs – MDGs – MDG 4MDG 4 (2000)(2000)The The Global Strategy for Infant and Young Child Global Strategy for Infant and Young Child FeedingFeeding (2002) (2002)Each country urged to develop, implement, Each country urged to develop, implement, monitor and evaluate a monitor and evaluate a plan of action on IYCFplan of action on IYCFInnocenti Declaration on IYCFInnocenti Declaration on IYCF (2005)(2005)

Objectives of WBTObjectives of WBTii

To stimulate /provoke national actions on infant feedingTo stimulate /provoke national actions on infant feedingTo provide critical information to governments, needed To provide critical information to governments, needed to bridge gaps in infant and young child feeding policy to bridge gaps in infant and young child feeding policy and practice and practice To provide evidence to IBFAN groups to advocate for To provide evidence to IBFAN groups to advocate for greater effort and investment to promote early and greater effort and investment to promote early and exclusive breastfeeding in the respective countries and exclusive breastfeeding in the respective countries and regionsregions

To contribute to attaining MDG-4 and 5 and reducing To contribute to attaining MDG-4 and 5 and reducing under-five child mortality and improve women’s healthunder-five child mortality and improve women’s health

How How WBTWBTi i works?works?

Indicators Part-IIndicators Part-I

1. Early Initiation Rates1. Early Initiation Rates2. Exclusive breastfeeding Rates <6months2. Exclusive breastfeeding Rates <6months3 Median duration of Breastfeeding3 Median duration of Breastfeeding4 Bottle Feeding Rates4 Bottle Feeding Rates5 Timely Complementary feeding Rates5 Timely Complementary feeding Rates

Indicators Part-IIIndicators Part-II

6- National Policy Program and 6- National Policy Program and CoordinationCoordination

7- BFHI7- BFHI

8-Implementation of the Code8-Implementation of the Code

9-Maternity Protection9-Maternity Protection

10-Health and Nutrition Care System10-Health and Nutrition Care System

Indicators Part-IIIndicators Part-II

11-Community Outreach and Mother 11-Community Outreach and Mother SupportSupport

12-Information Support12-Information Support

13-Infant feeding and HIV13-Infant feeding and HIV

14-Infant feeding during Emergencies14-Infant feeding during Emergencies

15-Monitoring and Evaluation15-Monitoring and Evaluation

Country Status in South Asia Country Status in South Asia 20062006

Bhutan30/1508

Afghanistan30/1507

India68/1506

Nepal71.5/1505

Pakistan75.5/1504

Maldives88.5/1503

Bangladesh91.5/1502

Sri Lanka116/1501

Impact of WBTImpact of WBTi i in South Asiain South Asia

Increased capacity of breastfeeding groupsIncreased capacity of breastfeeding groupsGovernment participation Government participation Country Data Generated Country Data Generated Reports Reports Enhanced national action on skills training, Code Work, Enhanced national action on skills training, Code Work, Policy workPolicy work

National Consultation to

finalise the ‘Regulations’

Breastfeeding

Coordinating Committee

was revised.

Identified a focal point.

Maldives

WBTWBTii International Orientation International Orientation Training - GenevaTraining - Geneva

WBTWBTii training in IBFAN Latin training in IBFAN Latin America, Costa RicaAmerica, Costa Rica

WBTWBTii Training Workshop in South Training Workshop in South AsiaAsiaDelhiDelhi

WBTWBTii Training Workshop Training WorkshopSoutheast and East Asia (Bangkok)Southeast and East Asia (Bangkok)

WBTWBTii Training Workshop Training WorkshopAfricaAfrica

WBTi India Assessment WBTi India Assessment 20082008

World Breastfeeding Trends World Breastfeeding Trends Initiative (WBTInitiative (WBTii) takes off in 51 ) takes off in 51

countriescountries

WBTWBTi Training in Ouagadougou i Training in Ouagadougou 26-28 October 200926-28 October 2009

Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org

Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org

Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org

Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org

Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org

Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org

Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org

Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org

Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org

Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org

Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org

Source : WBTi Assessment Year 2008, Website : http://www.worldbreastfeedingtrends.org

Impact in 29 CountriesImpact in 29 Countries

237 stakeholders/partners in 29 countries, they 237 stakeholders/partners in 29 countries, they included:included: Government agencies, Government agencies, UN agencies UN agencies IBFAN /Breastfeeding groups, IBFAN /Breastfeeding groups, Civil society groups, Civil society groups, Professional organizations, Professional organizations, Media Media Academic InstitutionsAcademic Institutions Public health groups, Public health groups, Human Rights Groups Human Rights Groups

www.onemillioncampaign.orgwww.onemillioncampaign.org

Submitting Petition to the Submitting Petition to the President of WHAPresident of WHA

What leaders say?What leaders say?

“…“…WBTi opens opportunities and new WBTi opens opportunities and new alliances…..Then what is really important alliances…..Then what is really important is to have various new allies to follow is to have various new allies to follow up.  This is really one of the main results.  up.  This is really one of the main results.  This is when the WBTi becomes a great This is when the WBTi becomes a great tool to build on…”tool to build on…”

““It induces competitiveness”It induces competitiveness”

“…“…Methodology used in WBTi has also Methodology used in WBTi has also inspired to develop similar monitoring for inspired to develop similar monitoring for other health indicators related with infant other health indicators related with infant and young child health and nutrition and and young child health and nutrition and safe motherhood…”safe motherhood…”

The First Lady of Timor Leste at 7th Ministerial Consultation on Children Cambodia March 2005

Thank you

www.breastfeedingtrends.org