Presentation on theme: "Breast feeding promotion in Sri Lanka"— Presentation transcript:
1 Breast feeding promotion in Sri Lanka Dr.R.KesavanMinistry of HealthSri LankaNational Consultant/ Emergency Medical CareWHO/Sri Lanka
2 Sri Lanka - VITAL STATISTICS Estimated Population (‘000),2005*19652Percentage of 0-4 Population ,2003* 8.8Percentage of 10-24Population ,2003*28.3Percentage of 60+ Population,2003*9.3Sex Ratio of Population, 2006*99.1Crude Birth Rate, 2006*18.5Crude Death Rate, 2006*5.8Rate of Natural Increase, 2004*1.3
3 Life Expectancy For Males71.9 years Life Expectancy For Females 76.4 yearsLiteracy Rate of Males 92.6Literacy Rate of Females 89.7Infant Mortality Rate11.2(1000 live births)Neonatal Mortality Rate10.6 /1000 live birthsMaternal Mortality Rate1.9 /10000 live birthsNo of Married Women Per Midwife 576No of Persons Per Medical Officer 2500No of Pupil Per Teacher 22
4 Health and Nutritional Status The social policies introduced on the eve of political independence in the 1940s promoted free health services that were made increasingly available to women in all economic strata.This island-wide network of health services, especially maternity and child health services established over four decades ago, has contributed significantly to the improvement in the health status of women.
5 Since independence in 1948, to the 1990s, the crude death rate fell from 21.9/1,000 to 5.6/1,000, Maternal mortality rate from 16.5/1,000 to 0.14/1,000,Infant mortality rate from 140/1,000 to 17.2/1,000.Life expectancy has risen from 43.6 years and 41.6 years to 70.1years and 74.8 years for men and women, respectively.Crude birth rate declined from 36.1/1,000 to 18.5/1,000,Fertility rate has declined to 2.2, and contraceptive prevalence is around 60 percent.
6 Female mortality rate was lower than male mortality rate and the male/female population ratio was 100:101 in 1992.There has been very little decline in morbidity.The incidence of diarrhea, dysentery, respiratory diseases, is relatively high, and new threats to health and life have increased hypertension, breast and cervical cancers, suicide, and sexually transmitted diseases including
7 INTERNATIONAL BREAST-FEEDING WEEK COMMEMORATED FROM AUGUST 01 TO 07 Monday, 06 August 2007 The Ministry of Healthcare and Nutrition has inaugurated an awareness program for the pregnant women and mothers to encourage breast feeding under the theme of "Long life by breast-feeding within one hour from the time of child-birth", during the International Breast-Feeding Week from August 1 to 7..
8 By this awareness program it has been intensified to encourage breast-feeding to develop nourishment for the children, good attachment between mother and the child, preventing from infectious disease and developing intelligence
9 It has been emphasized that the child should be breast-fed within half an hour from the time of birth for 6 months without giving any other food.
10 It has been educated to breast-feed for 2 years with other spare meals after 6 months to make the child healthy, intelligent, and psychologically well balanced, useful person to the society. It has been specified that the colostrums in the breast milk prevent the child from infections and other diseases.
12 What is needed is to create an awareness of the importance of the breast feeding among the modern youth (Mrs Amara Peeris)
13 Sri Lanka: High rate of breastfeeding `We are fortunate that 98 percent of our mothers belong to the ever breast fed category. This had resulted in producing a healthy child. There is no major difference in urban and rural mothers regarding breast feeding. However, educating them regarding the benefits will be an effective way to promote breast feeding` (Mrs Amara Peeris)
15 6. National Policy, Programme and Coordination -7 7. Baby Friendly Hospital Initiative-6Concerns percentage BFHI hospitals, training, standard monitoring, assessment and reassessment systemsConcerns national policy, plan of action, funding and coordination issues.8. Implementation of the International Code-7Concerns implementation of the Code as law, monitored and enforced.-9. Maternity Protection-6Concerns paid maternity leave, paid breastfeeding break, national legislation encouraging work siteaccommodation for breastfeeding and/or childcare and ratification of ILO MPC No 183..
16 10. Health and Nutrition Care-8 Concerns health provider schools and pre-service education programmes, standards and guidelines formother-friendly childbirth procedures, in-service training programmes.11. Community Outreach-8Concerns skilled counseling services on infant and young child feeding, and its access to all women.(During pregnancy and after birth)12. Information Support-9Concerns national IEC strategy for improving infant and young child feeding, actively implemented atlocal levels.
17 13. Infant Feeding and HIV-6 to address infant feeding and HIV issue and on-going monitoring of theeffects of interventions on infant feeding practices and health outcomes for mothers and infants.14. Infant Feeding during Emergencies-10Concerns policy and programme on infant and young child feeding in emergencies and material on IYCF inemergencies integrated into pre-service and in-service training for emergency management.15. Monitoring and Evaluation-5Concerns monitoring, management and information system (MIS) as part of the planning and management
18 Breast feeding in the estate population A cross-sectional questionnaire survey, using the current status method for the assessment of breastfeeding, was conducted among women working in the plantations inSri Lanka.The exclusive breastfeeding rate was 32.4 per cent. The mothers' return to work and the feeling of having insufficient milk were significantly and negatively associated with exclusive breastfeeding. Women will sometimes start with powdered milk several weeks before going back to work, suggesting that work itself is not the only reason for introducing powdered milk.
19 Promotion of breast feeding in conflict areas Almost IDPs were in the temporary camps for one yearMainly in eastern and Northern provinces of Sri LankaAll were due to the present War
20 Promotion of breast feeding in conflict areas Measures to promote Exclusive Breast feeding initiative was taken by all possible meansGovernment sectors were mainly responsible for MCHWHO, UNFPA , UNICE supported the government systemINGOO and NGOO contributed
21 Promotion of breast feeding in conflict areas The Department of Health promoted through their existing system of network , Midwifes and Health volunteers at the grass rootWHO , UNFPA ,UNICEF supportedINGOO and NGOO like Sarvodaya Womens Movement was dedicated in the initiative
23 Promotion of breast feeding in conflict areas methods used IECGovernment guide lines in maternal and child nutritionClose supervision by the midwifes and Health volunteersMonitoring of the supply of the food and milk food items
24 Promotion of breast feeding in conflict areas methods used
25 Promotion of breast feeding in conflict areas methods used
26 Promotion of breast feeding in conflict areas SWOT Analysis
27 Promotion of breast feeding in conflict areas/Strengths Strong network of the government and partners on the issueMost of the mothers had no alternatives other than breast feeding
28 Promotion of breast feeding in conflict areas/Weakness Lack of food for the mothersEmotional disturbancesLack of privacy for feeding in the tentsNot enough fluids for the mother in a very hot weather
29 Promotion of breast feeding in conflict areas/opportunities Good support from the UN agencies and the INGOO/NGOOVolunteers could be recruited easilyA good platform for the IECA good situation for monitoring and supervision
30 Promotion of breast feeding in conflict areas/threats Trade factors trying to exploit the situationSome NGOO/INGOO possibly supporting traders indirectlyUnstable situations sometimes demoralize the caregivers and volunteers
31 Promotion of breast feeding in conflict areas Good newsThe trend of exclusive beast feeding in conflict areas is increasingNo outbreaks of any pediatric diseases