POLICY BACKUP TO STRENGTHEN IYCF IN SRI LANKA L. SIYAMBALAGODA (MB;BS, MSc, MPhil) MINISTRY OF HEALTH SRI LANKA

GENERAL POLICIES Free health and education Accepting public health as a public good Food subsidies Free distribution of supplementary food since 1970’s Availability of counseling personal for every 3000 population including IYCF MCH policy

IYCF SPECIFIC POLICIES National nutrition policy – 2010 (Cabinet Approved) Breastfeeding code (Gazetted under CAA) National Nutrition Strategic Plan (Cabinet Approved) Multi sectorial action plan for nutrition (Inter agency nutrition action plan) (National Nutrition Council) School Health Policy

GOVERNMENT CIRCULARS Guidelines on IYCF Protocol on managing mal-nutrition in the community IYCF during emergencies Circular on vitamin A mega dose supplementation Circular on Breastfeeding Guidelines on multiple Micro Nutrients Supplementation De-worming guidelines Zn supplementation in Diarrhea Management etc. etc.

MATERNITY PROTECTION – Government workers 84 working days paid leave in respective to every live birth 84 days half pay leave 84 days no pay leave

MATERNITY PROTECTION – Private Sector Workers Shop and Office Employees regulation of employment and remuneration of act no 1954 Entitle to get leave for 14 working days prior to confinement and 70 working days after confinement for 1 st and 2 nd live child births Other confinements 42 working days Women worker should not be terminated

MATERNITY PROTECTION – Female estate workers 12 weeks – 2 weeks prior to confinement Women worker is paid 6/7 for the wage ½ hour duration is provided to nurse the baby of under one year Crèche facility should be provided under the law for children under the age of 6 years

SPECIFIC GUIDELINES AND TRAINING PROGRAMMES IYCF Guidelines MCH Strategy and Guidelines Training Programmes Capacity building of the service providers In-service training programmes Lactation Management – 40hr course IYCF counseling – An integrated course – 5 ½ days Growth Monitoring and Promotion- 3 Days

SPECIFIC GUIDELINES AND TRAINING PROGRAMMES cont.. Baby Friendly hospital Initiative – 3 days Essential Newborn Care Course – 4 days Nutrition Rehabilitation Programme – 2 days Adolescent Friendly Health Services – 3 days (TOT for health and education service providers) SMI Training – 3 days Revised Antenatal care package – 2 days Incorporation of the subject into basic training curricula and courses

GOVERNANCE National Nutrition Council (TOP Level Policy Making Body under the direct preview of Head of the State) Nutrition Advisory Committee (Inter Agency Advisory Body) National Nutrition Secretariat (Coordinating Body) National Steering Committee (Health) Policy Making Body in the Health Secretor MCN Sub Committee (Technical Advisory Body) District Nutrition Committee (Planning) Divisional Committee (Planning & Implementation)

Thank You !