1 State Model for Plan of Action for Protecting, Promoting & Supporting IYCF Dr. Bhupinder Kaur Aulakh Additional Secretary Women Empowerment and Child Development Government of Uttarakhand mRRkjk[k.M “kklu

2 Uttarakhand ♦ Shares international borders with China & Nepal ♦ Area 53,484 Sq. KM, sixty six percent Forest Area ♦ Population: lakh, Pop. Density : 159 per sq. KM ♦ Villages 16826, eighty percent with population less than 500 ♦ Sex Ratio: 964 females per thousand males ♦ Literacy Rate: (Female: 59.06, Male: 83.03)

3 Background Data (2005) Percentage of Children…… ♦ Underweight (under 3 years): 41.8 ♦ Stunted (under 3 years): 46.6 ♦ Wasted (under 3 years): 7.6 ♦ Breastfed within one hour of birth: 24.1 Source: National Family Health Survey II

4 Uttarakhand Percentage of Children…… ♦ Underweight (under 3 years): 38 ♦ Stunted (under 3 years): 31.9 ♦ Wasted (under 3 years): 16.2 ♦ Breastfed within one hour of birth: 32.9 ♦ Age 0-5 months exclusively breastfed: 31.2 ♦ Age 6-9 months receiving solid or semi solid food & breastmilk: 51.6 Source: National Family Health Survey III

5 State Initiative State Government invited BPNI in 2005 Identification & review of existing data Documentation of current situation of IYCF practices at district level (2006) State consultation to share IYCF data and develop State Plan of Action (2007) Implementation of Plan of Action (2007 onwards)

6 Documentation of current status of IYCF All 13 Districts covered BPNI facilitated research coordinator, research team – consultant & field workers Data based on Quantitative, Qualitative and Hospital practices aspects. Analysis of data, tabulation and report writing Mid term discussions

7 State Consultation Sharing data Development of state level plan of action –Participants – ICDS/ Health Department, including district & block level functionaries of ICDS and Health, professional organizations, PRIs –Discussions on IYCF, possible interventions, Group discussions on advocacy, training, IEC, hospital practices –Development of state level plan of action

8 Key Points of Action Plan  Universalize first hour breastfeeding, exclusive breastfeeding up to 6 months, continuing breastfeeding upto two years with semi solid nutrition after 6 months.  Involvement of different Departments- Health, Panchayat, Rural Development, Dairy, Information, ICDS etc.  Core Committee at State level, Headed by Principal Secretary Forest & Rural Development Commissioner

9 Capacity Building  Orientation of all women Self Help Groups on IYCF.  Anganwadi / Mini Workers, ANM & ASHA to be trained as Breastfeeding Counselors.  Focus on family counseling

10 Convergence with Health  ICDS offices at district & block level to be developed as Breastfeeding Counseling & Assistance Centres.  Government Hospitals, Community & Primary Health Centres to be covered under Baby Friendly Initiative.  Breastfeeding Counseling Desk in Government Female Hospitals to provide Demonstration.  Encourage Private hospitals to train staff on Breastfeeding Counseling  Honoraria proposed for ASHA to assist mother in first hour initiation

11 Key Points of Action Plan  IYCF Guidelines 2006 & IMS Act to be part of graduation courses in Home Science, Nursing, Medical and in school education from 9 th class onwards  State Nodal Officers for IYCF & IMS Act

12 Key Points of Action Plan  Promotion of research on Breastfeeding at University & Medical Colleges level.  Involvement of professional associations to promote Breastfeeding in private hospitals  Collection & analysis of Breastfeeding related information in monthly progress reports of ICDS & Health Departments

13 Interdepartmental Coordination  Breastfeeding promotion messages on dairy milk packets  Orientation of PRI representatives on Breastfeeding promotion  Government Departments to promote crèches at workplace, Industry & Labour Departments to issue guidelines

14 IEC  2008 to be celebrated as Breastfeeding Promotion Year  All Government advertisements to focus on Breastfeeding promotion  Wall writings at Anganwadis, ANM sub centre, Panchayat Bhawans, Block offices, Hospitals

15 Incentives  Awards to Breastfeeding Friendly parents, villages, Blocks, Urban Areas, Districts  Breastfeeding promotion to be criteria for Award scheme for Anganwadis  Voluntary organizations to be involved in Breastfeeding Promotion

16 Monitoring and evaluation Quality of trainings to be ensured Weight monitoring each month for 0-12 months age group Breastfeeding 1 st hour Exclusive breastfeeding 0-6 months Continuing breastfeeding upto two years with semi solid nutrition after 6 months

17 THANK YOU