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Daisy Nyaga Nutrition consultant-UNICEF Promotion, protection and - - PowerPoint PPT Presentation
Daisy Nyaga Nutrition consultant-UNICEF Promotion, protection and - - PowerPoint PPT Presentation
Daisy Nyaga Nutrition consultant-UNICEF Promotion, protection and support of breast feeding to both the breast fed and non breast feed infant in emergency. Children 6-24 months are fed with foods from 4 or more food groups per day.
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- The younger a child, the more vulnerable they
are.
- The younger a child, the more the value of
breast milk. Thus the requirement to introduce breast milk within 1st hour of birth.
- Breast milk comes ready to use, with up
todate nutritive value .
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Ri Risks s of dea eath h highe hest st for the e yo younge ngest st
at therapeutic feeding centres in Afghanistan, 1999
IFE 1/2
Deaths as % of
- f admissions
Age (months ths)
Golden M. Comment on including infants in nutrition surveys: experiences of ACF in Kabul City. Field Exchange 2000;9:16-17
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Protec tection tion by y brea eastfeeding stfeeding is grea eatest test for the yo youngest ngest infants ants
WHO Collaborative Study Team. Effects of breastfeeding on infant and child mortality due to infectious disease in less developed countries: a pooled analysis. The Lancet 2000;355:451-5
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Risk of death if breastfed is equivalent to
- ne.
Times more likely to die die if not breastfed Age in months hs
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Misconce
- nceptio
ion
“Stress makes the milk dry
up”
“Malnourished mothers
cannot breastfeed”
“Once breastfeeding has
stopped, it cannot be resumed”
Fact ct / Recom ecommenda ndatio tion
Stress might temporarily affect
the milk let down reflex, but does not affect milk
- production. Mothers need
reassurance and support
Feed the mother and let her
feed her infant. All mothers need extra fluids, food to maintain strength and breastfeeding.
It is usually possible to re-
- lactate. Mothers need support
to do this. Common misconceptions on infant feeding in emergencies
IFE PAK 1/8
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Misconc conceptio ption
“If the mother is stressed,
she will pass the tension on to the baby”.
“Babies in warm climate, get
thirst and need water.”
Women formula-fed here
before the crisis & ‘know how to do it’ (We are ‘developed’ and
- nly formula feed)
Fact / Recommend
- mmendation
ation
Breastfeeding will relax both
mother and baby. Mothers need reassurance and support.
Breast milk provides all the
fluids an infant under 6 months needs, also when it has diarrhea
The emergency means that the
circumstances that made formula-feeding acceptable, feasible, affordable, sustainable & safe have gone. Breastfeeding is best anyway – but especially in an emergency
Common misconceptions on infant feeding in emergencies
IFE PAK 1/9
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Improvin proving g co conditi ditions
- ns
to make e breastf stfeedi eding ng easier r in emerge genc ncy
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Mothers’ difficulties
- time constraints
long time to fetch water, queue for food, distance to latrines for PLWs
- lack of protection, security,
and (where valued) privacy
- lack of social support and the
familiar social network
- free availability of breastmilk
substitutes,undermining mothers’ confidence in breastfeeding Staff ff sho houl uld ensu sure priority access, latrines at breastfeeding havens Shelters, breastfeeding havens groups of women who support each other effective controls on availability
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Inappropriate donations of milk products
Maaike Arts, UNICEF Pakistan
Pakistan 2005
Maaike Arts, UNICEF Pakistan
IFE PAK 1/15
Lebanon, 2006
Ali Maclaine, Nutrition Consultant, Lebanon
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Some e impor portan tant t points nts from
- m the
e Inte ternati rnational
- nal Code of Marke
keting ting of Breast t milk k Substi stitutes tutes
- no advertising or promotion to the public
- no free samples to mothers or families
- no donation of free supplies to the health care system
- health care system obtains breast milk substitutes through
normal procurement channels, not through free or subsidised supplies
- labels in appropriate language, with specified information and
warnings
IFE 1/13
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Problems blems of ar artifici ficial al fee eeding ing in em emer ergencies gencies
- lack of water
- poor sanitation
- inadequate cooking utensils
- shortage of fuel
- daily survival activities take more time and energy
- uncertain, unsustainable supplies of breastmilk
substitutes
- lack of knowledge on preparation and use of artificial
feeding
IFE 1/11
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Points nts of ag agreemen eement: t: ev ever ery y time e in touch ch with PLW
- 1. Emphasise that breast milk is best.
- 2. Actively support women to breastfeed.
- 3. Discourage use of infant formula.
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NGARA, TZ/LUNG’AHO
- HONDURAS. UNICEF/HQ98-0639/BULAGUER
- RWANDA. UNICEF/DOI94-1056/PRESS
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More e points nts of ag agreement eement
- n how to protect, promote and support breastfeeding
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- 5. Stop and report any distribution
- f feeding bottles/teats;
promote cup feeding.
- 6. Stop and report distribution
- f dried skim milk .
Encourage handlers to mix dried skimmed milk with cereals before distribution. 7.Encourage mothers with children older than 6 months to introduce complementary foods together with breastfeeding.
- 8. Stop and report any in
appropriate distribution of infant formula.
EX-Yugoslavia UNICEF/HQ-95-0505/LEMOYNE
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When absolutely necessary and when all
- ther options have been explored and not