Bangladesh Breastfeeding Foundation

World Breastfeeding Trends Initiative (WBTi) Perspectives

in challenges and future actions

Country: Bangladesh

Name of the Speaker: Dr. S. K. Roy,Chairperson

Bangladesh Breastfeeding Foundation

Bangladesh Breastfeeding Foundation

List of partners for the assessment process

1. Bangladesh Breastfeeding Foundation (BBF)

2. Bangladesh National Nutrition Counsel (BNNC)

3. Bangladesh Demographic & Health Survey

4. Director General of Health Services

5. Director General of Family Planning

6. Helen Keller International

7. Institute of Public Health and Nutrition

8. Institute of Nutrition & Food Science

9. Institute of Child and Mother Health

10. Integrated Management Childhood Illness

11. Mother and Child Health Training Institute

12. Ministry of Health & Family Welfare

13. Maternal and Child Welfare Centre

14. National Institute of Preventive Social Medicine

Conti..

Bangladesh Breastfeeding Foundation

15. National Nutrition Programme16. Obstetrics and Gynecological Society of Bangladesh17. United Nations Children Fund18. World Health Organization19. Food & Agriculture Organization20. World Vision-Bangladesh21. Save the Children USA22. Save the Children UK23. Plan Bangladesh24. Care Bangladesh25. CONCERN Bangladesh26. BRAC27. Eminence Associate28. Nutrition Foundation of Bangladesh29. Bangladesh Institute of Research and Rehabilitation in Diabetes,

Endocrine and Metabolic30. Disorders31. Bangabandhu Sheikh Mujib Medical University32. Home Economics College

Bangladesh Breastfeeding Foundation

What has changed since 2005 assessment

Criteria Results√ Cheek that apply

Indicator Yes To some degree

No

 1. There is a comprehensive national IEC strategy for improving infant and young child feeding.

2 1 0

√

 2. IEC programmes (e.g. World Breastfeeding Week) that include infant and young child feeding are being actively implemented at local levels

2 1 0

√

 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.

2 1 0

√

 4. The content of IEC messages is technically correct, sound, based on national or international guidelines.

2 1 0

√

 5. A national IEC campaign or programme4 using electronic and print media and activities has channelled messages on infant and young child feeding to targeted audiences in the last 12 months

2 1 0

√

Total Score 5/10

Bangladesh Breastfeeding Foundation

What has changed since 2005 assessmentIndicator -6

National Policy on IYCF approved, action plan finalized

Indicator -7

Revitalization of BFHI initiated (IPHN,NNP- UNICEF )

Indicator-8

Revision of BMS Code under final process (improved)

Indicator-9

Initiative of maternity leave extent 4 to 6 months & Crèche (PM - Committed)

Indicator -10

Health & Nutrition care- indicators improved

Indicator -11

Formation of Mother support group (NNP done and proposed to DGFP)

Indicator -12

National advocacy on IYCF through One million campaign, WBW ’09 & IEC materials for promoting on IYCF, Divisional campaign/ TV extensive

Indicator -13

National PPTCT guideline finalized

Indicator -14

National IYCF strategy joint statement on IYCF in emergency issued by GOB, UNICEF, WHO, BBF (Aila 2009 – no BMS to babies)

Indicator -15

Initiative has been taken to incorporate IYCF indicator in the MIS of GOB (Proposal sent)

Bangladesh Breastfeeding Foundation

Challenges faced during the process

Active participation of the WBTi working group

The data collection from different source was difficult

Shyness to admit the negative results regarding the indicators Reduced commitment after distribution of responsibility

Data on some indicator was not available during the assessment period (BDHS)

In some cases data were not available according to criteria of the indicators

Bangladesh Breastfeeding Foundation

Methods used to tackle the challenges

Regular/frequent follow-up with the group members by BBF office

Included data closest to the indicator’s criteria

BBF went to work in partners offices

All agreed to endorse the process finally

Final output sharing meeting was very successful with DGHS in Chair

Bangladesh Breastfeeding Foundation

Positive experiences during the process Stakeholders were very proud to be in a international

group on BF assessment in the beginning

Most of the data were identified easily during the

assessment

The process created an awareness among the

members including the Government officials and

stakeholder

BBF is preparing work plan on IYCF and advocacy

with different stakeholder according to WBTi indicator

criteria

Bangladesh Breastfeeding Foundation

Positive experiences during the process

Revealed that more MCH and Health areas should be

associated for better result of IYCF outcomes.

Relationship developed among stakeholder’s of IYCF.

Bangladesh Breastfeeding Foundation

Suggestion for improving the process

The circulation to get such data base should be made

sufficiently ahead ( six months)

In-country coordination should be ensured after the

guidelines are available from IBFAN

Uniform data base should used across the countries

Scoring should be done by quantitative measures

Cross communication among countries and groups

such as teleconference/ satellite meetings should be done

frequently.