1. Rapporteur: Ms V Moodley

2. Critical factors for implementation of guidelines Communication with key community stakeholders ( FBOs, Traditional leaders/ healers, private hospitals, GPs) Advocacy on breastfeeding at all levels; Training of all health care workers, community health based workers and other key stakeholders like traditional healers and Faith & community based organisations; All health facilities be Baby friendly; Need for strong Media advocacy Implementation of IEC campaigns Use of supportive IEC & audio visual materials

3. Resources & structures to support Breast feeding at community level Integration into HIV & AIDS National strategic Plan 2012 Use of breast feeding counsellors to promote EBF Facility managers training & health promotion to be provide at ANC, with use of IEC Use of CBOs, FBOs, Traditional healers & leaders, Community home base carers Rural areas – community leaders – chiefs, indunas

4. Resources & structures to support breast feeding at community level Health Councils – ward councillors, Use of existing programmes: Mothers to mothers communication programme - counselling with families CHWs trained in IMCI – safe motherhood prog – household visits after 3 days of delivery – improve PMTCT uptake Use of health promoters

5. Resources & structures at community level Community Clinic committees Community radio programmes Support groups – elderly Lay counsellors

6. Roles of community support structures Assist in co designing health promotion programmes that is within the community culture, norms and values; Support community based health workers in the implementation of safe motherhood programmes that includes breastfeeding; Community structures assist in identifying potential barriers / challenges within the community, assist with community mobilisation; Traditional leaders and healers can put healthy motherhood onto community agendas.

7. Sustainability Regular feedback from lay counsellors, community care workers Ongoing support & training( Policy & Guidelines) for community based health workers; All health Facilities be baby friendly; Ongoing information given to chiefs & traditional leaders that is disseminated to communities.

8. Sustainability Chiefs & indunas hold regular meeting - have influence to mobilise communities; Maintain support groups by holding monthly meetings at the health facilities within the respective communities; Integration with existing health programmes – community PHC outreach programme;

9. Recommendations (1) Make breastfeeding public & comfortable for all mothers– bylaws should be removed!! Change mindsets of teenagers that breastfeeding is natural ; ANC visits: women is accompanied by the partner, receive IEC & counselling; Need effective audio- visual materials; All PHC Outreach teams include breastfeeding messages and information

10. Recommendations (2) Need to have strong Media advocacy All Health workers be trained and to advocate breastfeeding messages and practice; Mass mobilisation: Need for effective edutainment/ song and dance “ like Jesus is coming” Remove formula feed from the facilities; Community based ambassadors for breast feeding – need multi sectoral approach

11. Recommendations (3) Use celebrities like Yvonne Chaka Chaka – to promote breast feeding “ need a white ambassador & a man too” Need to change the attitude of health care workers – Adolescent friendly services Breast feeding promotion & education should be initiated at ANC National Communication & social mobilisation campaign on “milk banks” – focus groups – formative research – on attitudes, culture, etc Community mobilisation programmes that is specific to community needs and culture.

12. Recommendations (4) Government to support community & establish “mother lodges” in health facilities; Mobilise taxis to transport breast milk; Women feel free to breast feed in public transport; Standardised messages using sms technology after a delivery of a baby; Onsite support for breastfeeding women at community level after delivery of a baby; Effective M & E system to create data bases for follow up on breastfeeding mothers.