1. Launch of the Report “Arrested Development” Dr. Arun Gupta MD FIAP Regional Coordinator International Baby Food Action Network(IBFAN) Asia and Central Coordinator BPNI

2. Overview What is World Breastfeeding Trends Initiative (WBTi), Objectives, global experience, recognition and impact How we did the 4 th Assessment in India

3. Objectives of WBTi To provide critical information to governments, needed to bridge gaps in infant and young child feeding policy and practice To provide evidence to IBFAN groups to advocate for greater effort and investment to promote breastfeeding and optimal infant and young child feeding practices in the respective countries and regions To contribute to improved development outcomes in children, reducing undernutrition, child morbidity and mortality and improve women’s health.

4. Global Strategy for Infant and Young Child Feeding

5. World Breastfeeding Trends Initiative( WBTi) Tools

6. Assessment Steps Step One Identify National coordination Core Group Formation Analysis Step Two Inputs into WBTi Ranking Grading Step Three Documentation Report Cards

7. ABCDE of WBTi A= Action B= Bringing people together C= Consensus building D= Demonstration E= Effectiveness It’s like AAA approach

8. World Breastfeeding Trends Initiative (WBTi) Quantitative measure of 15 indicators Multiple questions for each indicator (1 or 2 points/question) 10 points possible for each indicator Range of WBTi score is 0 to 150

9. 1.Nutrition technical officers ( exercise) A.Reviewed gaps and fill the sheet for that gaps WBTi report card of Afganistan

12. WBTi in 106 Countries 552 Partners including Government organization Involved in WBTi assessment process in 57 Countries Assessment completed Introduced / Training Completed

13. CountriesImpact of WBTi tool Afghanistan Data on infant and young child feeding practices collected, which did not exist earlier Implemented several programmes in the health system to mainstream counseling on breastfeeding Started conducting training on breastfeeding counseling and complementary feeding for health care providers The International Code of Marketing of Breastmilk Substitutes became a regulation under MoPH Bhutan IYCF Indicators introduced into the National Nutrition Survey, which made available the data on infant and young child feeding practices collected Developed a National Strategy and Policy on IYCF India Increased Maternity Leave for women in Central Government Financial maternity benefits to pregnant and lactating women Maldives Data on infant and young child feeding practices collected, which did not exist earlier Nepal Development of National Nutrition Policy and Strategy by the Government of Nepal, International NGOs & Local NGOs working in Nepal in support of IYCF Government of Nepal with support from various International NGOs & Local NGOs started carrying out training of different level of health professionals on IYCF Pakistan Government has notified the implementation of Breastfeeding Law (Ordinance) with rules & regulations Developed curriculum/manual on IYCF training for Community Health Workers Impact of the WBTi assessment tool

14. CountriesImpact of WBTi tool Costa Rica Developed a new breastfeeding policy with clear institutional guidelines for Infant Feeding in Emergencies National standards on Human Milk Banking Dominican Republic Developed a comprehensive policy on Infant Feeding and Emergencies National Breastfeeding Committee has started functioning Colombia Developed a comprehensive strategy on early childhood care in people affected by displaced by violence and included infant feeding in disaster situations El Salvador MOH officially established the National Breastfeeding Commission National Congress declared the whole month of August as month of breastfeeding A law on breastfeeding submitted to the congress using WBTi assessmnet as supporting document to lobby Uruguay Enacted the National Breastfeeding Policy as Minister order in 2009 as recommended by WBTi assessment Guatemala Moved the National Breastfeeding Committee to develop 5 year strategic plan for enhancing breastfeeding rates Impact of the WBTi assessment tool

15. CountriesImpact of WBTi tool Gambia Validated a new Nutrition Policy Uganda Led to development of National Policy guideline for IYCF and a district specific 5 year strategic plan Kenya The new WHO guidelines on HIV and Infant Feeding was adapted and included in the MIYCN policy, startegy and guidelines Also used WBTi Score card to involve media houses in broadcasting breastfeeding information Impact of the WBTi assessment tool

16. Global Nutrition researchers find it worthwhile …Chessa K. Lutter and Ardythe L. Morrow. Adv. Nutr. 4: 213,219, 2013.) Study demonstrates implementation of the Global Strategy as measured by WBTi is significantly associated with trends in EBF Strengthen by case studies, the study shows that this association is measurable and possibly causal

17. Annual change in EBF (%) by adjusted WBTI score p=0.012; Adj R 2 = 62%

18. Changes in BF duration (months) and WBTi score

19. WBTi included as data sources in GINA (WHO)

21. Governments are using WBTi for formulating policies

22. WBC i Supported by:

23. WBCi for 5 hospitals BFHI 1.Nutrition technical officers ( exercise)

24. Core Group Meetings of the 4 th Assessment First Core Group Meeting 17 th March 2015 Second Core Group Meeting 24 th April 2015 Core Group Members Public Health Resource Network (PHRN) Breastfeeding Promotion Network of India (BPNI) National Institute of Public Cooperation and Child Development NIPCCD Doctors for You Lady Harding Medical College Working Group For Children Under-6 Alliance for Right to ECD

25. Consensus Building Meeting 5 th June 2015.