1. The World Breastfeeding Trend Initiative (WBTi)

2. The Global Strategy for IYCF “WHO and UNICEF jointly developed the global strategy for infant and young child feeding to revitalize world attention to the impact that feeding practices have on the nutritional status, growth and development, health, and thus the very survival of infants and young children …….. ” Malnutrition has been responsible, directly or indirectly, for 60% of the 10.9 million deaths annually among children under five

3. Innocenti Targets 1. Appoint National Level Committees and National Coordinators. 2. Ensure maternity facilities by following the Ten steps of BFHI. 3. Give effect to the International Code and adopt national legislations. 4. Enact maternity protection legislation to protect the rights of working women.

4. Additional Targets set by the Global Strategy Additional Targets set by the Global Strategy 1. Develop, implement, monitor and evaluate a policy on infant and young child feeding. 2. Protect, promote and support exclusive breastfeeding for first six months. 3. Ensure continued breastfeeding for two years with appropriate and timely complementary feeding. 4. Develop guidelines for infant feeding during HIV and infant feeding during emergencies. 5. Support women’s care and nutrition 6. Initiate communications and advocacy for these issues.

5. What is World Breastfeeding Trends Initiative ( WBTi  Participatory, action oriented simple research Tracking, Assessing and Monitoring (TAM) the implementation of Global Strategy for IYCF Ensures uniformity, Objective is to reach about 100 countries by 2012. Integral part of the project the "Global Breastfeeding Initiative for Child Survival" (GBiCS) – Norad, IBFAN, WABA,BPNI

6. Basis WABA’s GLOPAR 1993 WABA’s GLOPAR 1993 WHO’s tool “Infant and Young Child Feeding : A tool for assessing national practices,policies, and programs” (2003/4) WHO’s tool “Infant and Young Child Feeding : A tool for assessing national practices,policies, and programs” (2003/4)

7. How WBTi works?

8. WBTi A:Action oriented A:Action oriented B:Brings people together B:Brings people together C:Consensus and commitment C:Consensus and commitment building building D:Demonstrates achievements D:Demonstrates achievements and gaps and gaps E:Efficacy improving programme E:Efficacy improving programme

9. The Assessment Process Using 15 indicators – Quantitative, Qualitative Using 15 indicators – Quantitative, Qualitative To document achievements and gaps in the existing policy, program and practices in reference to IYCF To document achievements and gaps in the existing policy, program and practices in reference to IYCF

10. Indicators Part-I 1. Early Initiation Rates 2. Exclusive breastfeeding Rates <6months 3 Median duration of Breastfeeding 4 Bottle Feeding Rates 5 Timely Complementary feeding Rates

11. Indicators Part-II 6- National Policy Program and Coordination 7- BFHI 8-Implementation of the Code 9-Maternity Protection 10-Health and Nutrition Care

12. Indicators Part-II 11-Mother Support and Community Outreach 12-Information Support 13-Infant feeding and HIV 14-Infant feeding during Emergencies 15-Monitoring and Evaluation

13. Process

14. What Goes in? Coordination Coordination Training/orientation Training/orientation Organizing national consultations and discussions leading to national assessment Organizing national consultations and discussions leading to national assessment Analyzing and publishing the country report cards Analyzing and publishing the country report cards Compiling and publishing state of world’s breastfeeding, nationally and regionally Compiling and publishing state of world’s breastfeeding, nationally and regionally Publishing results through WBTi web tool Publishing results through WBTi web tool

15. The First Lady of Timor Leste at 7 th Ministerial Consultation on Children Cambodia March 2005 Thank you www.breastfeedingtrends.org