Presentation on theme: "Infant Young Child Feeding in Emergency"— Presentation transcript:
1Infant Young Child Feeding in Emergency Daisy NyagaNutrition consultant-UNICEF
2What is IYCF EPromotion, 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.Proper hygiene and safe food handling practices adhered to.
3Why breastfeeding matters 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 .
4Risks of death highest for the youngest at therapeutic feeding centres in Afghanistan, 1999IFE 1/2Deaths as % of admissionsAge (months)Golden M. Comment on including infants in nutrition surveys: experiences of ACF in Kabul City. Field Exchange 2000;9:16-17
5Times more likely to die Protection by breastfeeding is greatestfor the youngest infantsWHO Collaborative Study Team. Effects of breastfeeding on infant and child mortality due toinfectious disease in less developed countries: a pooled analysis. The Lancet 2000;355:451-5IFE 1/4Times more likely to dieif not breastfedRisk of death if breastfed isequivalent to one.Age in months
6Common misconceptions on infant feeding in emergencies IFE PAK 1/8Misconception“Stress makes the milk dry up”“Malnourished mothers cannot breastfeed”“Once breastfeeding has stopped, it cannot be resumed”Fact / RecommendationStress might temporarily affect the milk let down reflex, but does not affect milk production. Mothers need reassurance and supportFeed 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.
7Common misconceptions on infant feeding in emergencies IFE PAK 1/9Fact / RecommendationBreastfeeding 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 diarrheaThe emergency means that the circumstances that made formula-feeding acceptable, feasible, affordable, sustainable & safe have gone. Breastfeeding is best anyway – but especially in an emergencyMisconception“If the mother is stressed, she will pass the tension on to the baby”.“Babies with in warm climate, get thirst and need water.”Women formula-fed here before the crisis & ‘know how to do it’(We are ‘developed’ and only formula feed)
8to make breastfeeding easier in emergency Improving conditionsto make breastfeeding easier in emergencyIFE 1/8Mothers’ difficultiestime constraintslong time to fetch water,queue for foodlack of protection, security, and (where valued) privacylack of social support and the familiar social networkfree availability of breastmilk substitutes,undermining mothers’ confidence in breastfeedingStaff should ensurepriority accessShelters, breastfeeding havensgroups of women who support each othereffective controls on availability
9Problems of artificial feeding in emergencies lack of waterpoor sanitationinadequate cooking utensilsshortage of fueldaily survival activities take more time and energyuncertain, unsustainable supplies of breastmilk substituteslack of knowledge on preparation and use of artificial feedingIFE 1/11
10Inappropriate donations of milk products IFE PAK 1/15Pakistan 2005Lebanon, 2006Ali Maclaine, Nutrition Consultant, LebanonMaaike Arts, UNICEF PakistanMaaike Arts, UNICEF Pakistan
11Some important points from the International Code of Marketing of Breast milk Substitutesno advertising or promotion to the publicno free samples to mothers or familiesno donation of free supplies to the health care systemhealth care system obtains breast milk substitutes through normal procurement channels, not through free or subsidised supplieslabels in appropriate language, with specified information and warningsIFE 1/13
12Points of agreementon how to protect, promote and support breastfeeding1. Emphasise that breastmilk is best.2. Actively support women to breastfeed.3. Avoid inappropriate distribution of breastmilk substitutes.4. When necessary (following assessment) use infant formula if available. It must be targeted only to those who need it.IFE 1/16HONDURAS. UNICEF/HQ /BULAGUERRWANDA. UNICEF/DOI /PRESSNGARA, TZ/LUNG’AHO
13More points of agreement on how to protect, promote and support breastfeedingIFE 1/175. Do not distribute feeding bottles/teats; promote cup feeding.6. Do not distribute dried skim milk unless mixed with cereal.7. Add complementary foods to breastfeeding after 6 full months.8. Avoid commercial complementary foods.9. Include pregnant and lactating women in supplementary feeding when general ration is insufficient.EX-Yugoslavia UNICEF/HQ /LEMOYNE
16Adaptation /development of tools and materials for use in IYCF E programming Form IYCF TWG at national and state levelsOrientation of partners /MoH staff in IYCF E programming.Develop IYCF E monitoring toolAdvocacy on IYCF EMonitor the use and distribution of BMS