Part II
(6) National Policy, Programme and Coordination
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 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
Summarize which aspects of IYCF policy, program and coordination are good and which need improvement and why? Any further analysis needed and recommendations for action (Upto 500 characters)
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(7) Baby Friendly Hospital Initiative (Ten Steps to Successful Breastfeeding)
(7(A))- What percentage of hospitals and maternity facilities those provide
maternity services have been designated "Baby Friendly" based on the
national criteria?
[7.1] Percentage of hospitals and
maternity facilities that provide 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(B)) - What is the skilled training input in BFHI programme?
[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(C)) - What is the quality of BFHI programme implementation?
[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
Summarize how the country is doing in achieving Baby friendly targets in quantity and quality both. List any aspects of the initiative needing improvement and why? Any further analysis needed and recommendations
for action (Upto 500 characters)
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(8) Implementation of the International Code
Is
the International Code of Marketing of Breastmilk substitutes in effect
and implemented? Has any new action been taken to give effect to the
aims and principles of the code?
[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, monitored
[8.10]
All articles of the Code as law, monitored and enforced
Summarize which aspects of the Code compliance have been achieved and which need improvement and why? Any further analysis and recommendations for action (Upto 500 characters)
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(9) Maternity Protection
Is
there legislation that meets International Labor Organization (ILO)
standards for protecting and supporting breastfeeding among working
mothers?
[9.1] Women covered by the legislation are allowed at least 14 weeks of paid maternity leave
[9.2] Women covered by the ILO Convention 183 are allowed at least one paid
breastfeeding break daily
[9.3]
Private sector employers of women in the country give at least 14 weeks
paid maternity leave and paid nursing breaks
[9.4]
There is language in national legislation that encourages work site
accommodation for breastfeeding and/or childcare in work places in the
formal sector
[9.5] Women in informal / unorganized sector are provided same protection
[9.6] Adequate infrastructure and plans exist to ensure that women receive
their maternity entitlement
[9.7] Paternity leave is granted in public sector
[9.8] Paternity leave is granted in the private sector
[9.9]
There is legislation prohibiting employment discrimination and assuring
job protection for women workers during breastfeeding period
[9.10] The ILO MPC No 183 has been ratified
[9.11] The ILO MPC No 183 has been enacted
Summarizewhich aspects of the legislation are good and which need improvement and why? Any further analysis needed and recommendations for action (Upto 500 characters)
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(10) Health and Nutrition care
Do
workers in these systems undergo skills training, and do their
pre-service education curriculum support optimal infant and young child
feeding; Do these services support 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 & 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 & 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
Summarize which aspects of health and nutrition are good and which need improvement and why? Identify areas needing further analysis and recommendations for action. (Upto 500 characters)
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(11) Community Outreach
Arethere community outreach and support mechanisms in place to protect, promote and support optimal infant and young child feeding?
[11.1] Women have access to counseling services on infant and young child feeding in the community during pregnancy?
Yes
To Some Degree
No
[11.2] Women have access to infant and young child feeding counseling after birth
Yes
To Some Degree
No
[11.3] The infant and young child feeding counseling services have national coverage
Yes
To Some Degree
No
[11.4]
Counseling services are integrated into an overall infant and child
health strategy (inter-sectoral and intra-sectoral)
Yes
To Some Degree
No
[11.5] Counselors are trained in skills
Yes
To Some Degree
No
Summarize which aspects of community outreach are good and which need improvement and why? Identify areas needing further analysis and recommendations for action. (Upto 500 characters)
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(12) Information Support
Are comprehensive Information, education and communication (IEC) strategies for improving infant and young child feeding practices (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 (either governmental or non-governmental) 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
Summarize which aspects of the Information, education and communication (IEC) programme are good and which need improvement and why? Identify areas needing further analysis and recommendations for action (Upto 500 characters)
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(13) Infant Feeding and HIV
Are appropriate policies and programmes in place to ensure that mothers with HIV are informed about risks and benefits of different infant feeding options and supported in 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]
Antenatal VCCT (Voluntary and Confidential Counseling and Testing) is
available and offered routinely to couples that are considering
pregnancy and to pregnant women and their partners
Yes
To Some Degree
No
[13.5]
Locally appropriate infant feeding counseling in line with current
international recommendations is provided to HIV positive mothers (See
Annex 7 for health worker guidelines)
Yes
To Some Degree
No
[13.6]
Mothers are supported in their infant feeding decisions with further
counselling and follow up to make 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 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 on infant feeding practices
and 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 provides 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
Summarize
which aspects of HIV and infant feeding programming are good and which
need improvement and why? Identify areas needing further analysis and
recommendations for action (Upto 500 characters)
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(14) Infant Feeding During Emergencies
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] A
policy that addresses key issues related to infant and young child
feeding in emergencies has been endorsed or developed
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]
A contingency plan to undertake activities to facilitate 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 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
Summarize
which aspects of emergency preparedness are good and which need
improvement and why? Identify areas needing further analysis and
recommendations for action (Upto 500 characters)
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(15) Monitoring and Evaluation
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]
Adequate 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
Summarize
which aspects of monitoring and evaluation are good and which need
improvement and why? Identify areas needing further analysis and
recommendations for action (Upto 500 characters)
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