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IYCF in Afghanistan
Islamic Government of Afghanistan Ministry of Public Health
Public Nutrition DepartmentIYCF section
Dr LudinDecember 10, 2014
• Program and policy • WBTi scores in three assessments• IYCF Advocacy Meeting & Workshop• World Breastfeeding conference 2012• Zero Budget Program • Capacity building of programmatic staff ( IYCF online
training )• IYCF counseling at Health and community level • WBCi• Monitoring system ( database development)
Outline
Program and Policy IYCF policy and strategy developed; IYCF policy components added in Public
Nutrition Policy (PNP); IYCF indicator and component added in Basic
Package of Health Services under SEHAT (System Enhancement for Health Actions in Transition) project / Ministry of Public Health (MoPH) - Focal Point
WBTi result in PNPS; IYCF added in MoPH strategic direction
.
WBTi scores in three assessments
Score in 2005 Score in 2008 Score in 20120
20
40
60
80
100
120
140
30
86.599
Score
Score
WBTi (Report Card 2012)
Afghanistan 12th (Score 99)
Participants: Deputy Minister & other units of MoPH, World Bank, USAID, UNICEF, WHO, FAO, WFP, SC, ACF, CIDA, MI, SHDP, EU, BPHS implementing NGOs (April 4, 2013)
IYCF Advocacy Meeting & Workshop
Decisions:
Including IYCF in Health contract with all provincial health implementers with financial budget (World Bank supporting 21 provinces);
UNICEF support to national IYCF communication campaign (June 2013);
Developing National IYCF Communication Strategy (UNICEF)
IYCF advocacy workshop MoPH leadership, donors, UN, Nutrition partners, NGOs (50 Organizations)
12 participants from Afghanistan RH, CAH, HP, GCMU, PND, NGO, Media, PHC, SC
World Breastfeeding conference 2012
Zero Budget Program
Year 2006-2008
Year 2008-2012
Year 2011-2013
Start of 2014 End of 20140
10
20
30
40
50
60
70
80
90
8 815
42
80
No of BFHI
No of BFHI
Baby Friendly Hospital Initiative (BFHI)
83000 posters, 5000 IYCF flip cards, 18000 BMS code brochures printed and distributed & 12300 min TV and radio spots aired.
IEC Materials
IEC Materials
Play the video
Publications
IYCF guidelines developed, adopted and translated; Breastfeeding counseling 40h course, C-IYCF, BFHI SEHAT (World Bank supported project ) added all
IYCF training components for all health staff (2014 to 2018)
CIYCF: UNICEF accepted to support community IYCF in all provinces with total budget: 2865606
IYCF counseling at Health and community level
• MoPH statement on IYCF in emergency
• Officially circulation of it to all partners
Infant feeding in emergency
MoPH, WHO, UNICEF, World Bank, GCMU, CAH, FAO, ACF,
Launching WBCi
• Distributed CDs, brochures, WBCi User Manual & The need to invest in babies-book
WBCi
World breastfeeding week 2014
National workshop on IYCF Action Plan
National workshop on IYCF Action Plan
• 107 trainers of 66 district hospitals and 34 provincial hospitals (Sep – Dec, 2014)
BFHI training
6 trainers selected from 6 maternity and pediatric hospitals from Nov 22 to Dec 04, 2014;
Malali Maternity Hospital Rabia Balkhi Maternity Hospital Khairkhana 102 bed Hospital Indira Gandhi Child Health Hospital Ataturk Pediatric Hospital Maiwand Hospital
IYCF 4 in 1 Training of trainers
IYCF 4 in 1 Counseling Training Course
World Breastfeeding Week
Implementation of BMS Code
Before After
National data base developed; IYCF reports collected; Regularly monitoring conducted by health and
nutrition staff
Monitoring system of IYCF
Behavior Change Communication, Social Mobilization and Advocacy improve the program outcome;
Coordination and Involvement of MoPH departments and relevant Ministries strengthen the program result;
Financial resources accelerate the on-time accomplishment of interventions;
Lessons Learnt
National and regional Technical workshops to be conducted;
Resource mobilization & new staff to be recruited;
Advocacy for maternity protection;
Coordination should be strengthened & budget to be allocated for BMS monitoring
Challenges• Irregular IYCF
reporting;• Limited resources
(financial & human)• Irregular Maternity
leave (40 days, 90 days …);
• Limited resources for BMS Code monitoring
recommendations
Community IYCF WBTi assessment 2015 IYCF communication strategy implementation Advocacy for institutionalizing nutrition
technical expertise including IYCF. (focal point for IYCF in each health facility)
Inclusion of IYCF in education curriculum
Way Forward
Thanks