Part I
Part II
Is there a national infant and young child feeding/breastfeeding policy that protects, promotes and supports optimal infant and young child feeding and the policy is supported by a government programme? Is there a mechanism to coordinate like National infant and young child feeding committee and coordinator?
[6.1] A national infant and young child feeding/breastfeeding policy has been officially adopted/approved by the government
[6.2] The policy promotes exclusive breastfeeding for first six months and appropriate and adequate complementary feeding thereafter along with continued breastfeeding for two years and beyond
[6.3] A national plan of action developed with the policy
[6.4] The plan is adequately funded
[6.5] There is a National Breastfeeding Committee
[6.6] The national breastfeeding (infant and young child feeding) committee meets and reviews on a regular basis
[6.7]The national breastfeeding (infant and young child feeding) committee links with all other sectors like health, nutrition, information etc. effectively
[6.8] The National Breastfeeding Committee is headed by a coordinator with clear terms of reference Information Sources Used:
[7.1] Percentage of total hospitals ( both public & private ) and maternity facilities offering maternity services have been designated "Baby Friendly" for implementing ten steps to successful breastfeeding N/A 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100
[7.2] Percentage of BFHI designated hospitals that have been certified after a minimum recommended training of 18 hrs for its entire staff working in maternity services. N/A 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100
[7.3] BFHI programme relies on training of health workers
[7.4] A standard monitoring system is in place
[7.5] An assessment system relies on interviews of mothers
[7.6] Reassessment systems have been incorporated in national plans
[7.7] There is a time-bound program to increase the number of BFHI institutions in the country
Information Sources Used:
[8.1] No action taken
[8.2] The best approach is being studied
[8.3] National breastfeeding policy incorporating the Code in full or in part but unenforceable
[8.4] National measures (to take into account measures other than law), awaiting final approval
[8.5] Administrative directive/circular implementing the Code in full or in part in health facilities with administrative sanctions
[8.6] Some articles of the Code as a voluntary measure
[8.7] Code as a voluntary measure
[8.8] Some articles of the Code as law
[8.9] All articles of the Code as law
[8.10] All articles of the Code as law, monitored and enforced Information Sources Used:
[9.1] Women covered by the national legislation are allowed the following weeks of paid maternity leave
Any leave less than 14 weeks
14 to 17 weeks
18 to 25 weeks
26 weeks or more
[9.2] Women covered by the national legislation are allowed at least one breastfeeding break or reduction of work hours daily.
Unpaid break
Paid break
[9.3] Legislation obliges private sector employers of women in the country to give at least 14 weeks paid maternity leave and paid nursing breaks.
[9.4] There is provision in national legislation that provides for work site accommodation for breastfeeding and/or childcare in work places in the formal sector.
[9.5] Women in informal/unorganized and agriculture sector are:
accorded some protective measures
accorded the same protection as women working in the formal sector
[9.6]
a. Information about maternity protection laws, regulations, or policies is made available to workers. b. There is a system for monitoring compliance and a way for workers to complain if their entitlements are not provided.
[9.7] Paternity leave is granted in public sector for at least 3 days.
[9.8] Paternity leave is granted in the private sector for at least 3 days.
[9.9] There is legislation providing health protection for pregnant and breastfeeding workers; and the legislation provides that they are informed about hazardous conditions in the workplace and provided alternative work at the same wage until they are no longer pregnant or breastfeeding.
[9.10] There is legislation prohibiting employment discrimination and assuring job protection for women workers during breastfeeding period.
[9.11] ILO MPC No 183 has been ratified, or the country has a national law equal to or stronger than C183.
[9.12] The ILO MPC No 183 has been enacted, or the country has enacted provisions equal to or stronger than C183.
Do care providers in these systems undergo skills training, and do their pre-service education curriculum support optimal infant and young child feeding; do these services support mother and breastfeeding friendly birth practices, do the policies of health care services support mothers and children, and whether health workers responsibilities to Code are in place?
[10.1] A review of health provider schools and pre-service education programmes in the country indicates that infant and young child feeding curricula or session plans are adequate/inadequate Adequate Inadequate No-reference
[10.2] Standards and guidelines for mother-friendly childbirth procedures and support have been developed and disseminated to all facilities and personnel providing maternity care. Adequate Inadequate No-reference
[10.3] There are in-service training programmes providing knowledge and skills related to infant and young child feeding for relevant health/nutrition care providers. Adequate Inadequate No-reference
[10.4] Health workers are trained with responsibility towards Code implementation as a key input. Adequate Inadequate No-reference
[10.5] Infant feeding-related content and skills are integrated, as appropriate, into training programmes focusing on relevant topics (diarrheal disease, acute respiratory infection, IMCI, well-child care, family planning, nutrition, the Code, HIV/AIDS, etc.) Adequate Inadequate No-reference
[10.6] These in-service training programmes are being provided throughout the country Adequate Inadequate No-reference
[10.7] Child health policies allow mothers and babies to stay together when one of them is sick Adequate Inadequate No-reference Information Sources Used:
Are there mother support and community outreach systems in place to protect, promote and support optimal infant and young child feeding?
[11.1] All pregnant women have access to community-based support systems and services on infant and young child feeding? Yes To Some Degree No
[11.2] All women have access to support for infant and young child feeding after birth Yes To Some Degree No
[11.3] Infant and young child feeding support services have national coverage. Yes To Some Degree No
[11.4] Community-based support services for the pregnant and breastfeeding woman are integrated into an overall infant and young child health and development strategy (inter-sectoral and intra-sectoral). Yes To Some Degree No
[11.5] Community-based volunteers and health workers possess correct information and are trained in counseling and listening skills for infant and young child feeding. Yes To Some Degree No Information Sources Used:
Are comprehensive Information, Education and Communication (IEC) strategies for improving infant and young child feeding (breastfeeding and complementary feeding) being implemented?
[12.1] There is a comprehensive national IEC strategy for improving infant and young child feeding Yes To Some Degree No
[12.2] IEC programmes (eg World Breastfeeding Week) that include infant and young child feeding are being actively implemented at local levels Yes To Some Degree No
[12.3] Individual counselling and group education services related to infant and young child feeding are available within the health/nutrition care system or through community outreach Yes To Some Degree No
[12.4] The content of IEC messages is technically correct, sound, based on national or international guidelines Yes To Some Degree No
[12.5] A national IEC Campaign or programme using electronic and print media and activities has channeled messages on infant and young child feeding to targeted audiences in the last 12 months Yes To Some Degree No Information Sources Used:
Are policies and programmes in place to ensure that HIV – positive mothers are informed about risks and benefits of different infant feeding options and supported in carrying out their infant feeding decisions?
[13.1] The country has a comprehensive policy on infant and young child feeding that includes infant feeding and HIV Yes To Some Degree No
[13.2] The infant feeding and HIV policy gives effect to the International Code/ National Legislation Yes To Some Degree No
[13.3] Health staff and community workers receive training on HIV and infant feeding policies, the risks associated with various feeding options for infants of HIV-positive mothers and how to provide counseling and support. Yes To Some Degree No
[13.4] Voluntary and Confidential Counseling and Testing (VCCT) is available and offered routinely to couples who are considering pregnancy and to pregnant women and their partners. Yes To Some Degree No
[13.5] Infant feeding counseling in line with current international recommendations and locally appropriate is provided to HIV positive mothers. Yes To Some Degree No
[13.6] Mothers are supported in making their infant feeding decisions with further counseling and follow-up to make implementation of these decisions as safe as possible. Yes To Some Degree No
[13.7] Special efforts are made to counter misinformation on HIV and infant feeding and to promote, protect and support 6 months of exclusive breastfeeding and continued breastfeeding in the general population. Yes To Some Degree No
[13.8] On-going monitoring is in place to determine the effects of interventions to prevent HIV transmission through breastfeeding on infant feeding practices and overall health outcomes for mothers and infants, including those who are HIV negative or of unknown status. Yes To Some Degree No
[13.9] The Baby-friendly Hospital Initiative incorporates provision of guidance to hospital administrators and staff in settings with high HIV prevalence on how to assess the needs and provide support for HIV positive mothers. Yes To Some Degree No Information Sources Used:
Are appropriate policies and programmes in place to ensure that mothers, infants and children will be provided adequate protection and support for appropriate feeding during emergencies?
[14.1] The country has a comprehensive policy on infant and young child feeding that includes infant feeding in emergencies. Yes To Some Degree No
[14.2] Person(s) tasked with responsibility for national coordination with the UN, donors, military and NGOs regarding infant and young child feeding in emergency situations have been appointed. Yes To Some Degree No
[14.3]An emergency preparedness plan to undertake activities to ensure exclusive breastfeeding and appropriate complementary feeding and to minimize the risk of artificial feeding has been developed. Yes To Some Degree No
[14.4] Resources identified for implementation of the plan during emergencies Yes To Some Degree No
[14.5] Appropriate teaching material on infant and young child feeding in emergencies has been integrated into pre-service and in-service training for emergency management and relevant health care personnel. Yes To Some Degree No
Are monitoring and evaluation data routinely collected and used to improve infant and young child feeding practices?
[15.1] Monitoring and evaluation components are built into major infant and young child feeding program activities Yes To Some Degree No
[15.2] Monitoring and Management Information System (MIS) data are considered by program managers as part of the planning and management process Yes To Some Degree No
[15.3] Baseline and follow-up data are collected to measure outcomes for major infant and young child feeding program activities Yes To Some Degree No
[15.4] Evaluation results related to major infant and young child feeding program activities are reported to key decision-makers, both at national and regional/local levels Yes To Some Degree No
[15.5] Monitoring of key infant and young child feeding practices is built into a broader nutritional surveillance and/or health monitoring system or periodic national health surveys Yes To Some Degree No Information Sources Used:
