IYCF in Afghanistan

Islamic Government of Afghanistan Ministry of Public Health

Public Nutrition DepartmentIYCF section

Dr LudinDecember 10, 2014

• Program and policy • WBTi scores in three assessments• IYCF Advocacy Meeting & Workshop• World Breastfeeding conference 2012• Zero Budget Program • Capacity building of programmatic staff ( IYCF online

training )• IYCF counseling at Health and community level • WBCi• Monitoring system ( database development)

Outline

Program and Policy IYCF policy and strategy developed; IYCF policy components added in Public

Nutrition Policy (PNP); IYCF indicator and component added in Basic

Package of Health Services under SEHAT (System Enhancement for Health Actions in Transition) project / Ministry of Public Health (MoPH) - Focal Point

WBTi result in PNPS; IYCF added in MoPH strategic direction

.

WBTi scores in three assessments

Score in 2005 Score in 2008 Score in 20120

20

40

60

80

100

120

140

30

86.599

Score

Score

WBTi (Report Card 2012)

Afghanistan 12th (Score 99)

Participants: Deputy Minister & other units of MoPH, World Bank, USAID, UNICEF, WHO, FAO, WFP, SC, ACF, CIDA, MI, SHDP, EU, BPHS implementing NGOs (April 4, 2013)

IYCF Advocacy Meeting & Workshop

Decisions:

Including IYCF in Health contract with all provincial health implementers with financial budget (World Bank supporting 21 provinces);

UNICEF support to national IYCF communication campaign (June 2013);

Developing National IYCF Communication Strategy (UNICEF)

IYCF advocacy workshop MoPH leadership, donors, UN, Nutrition partners, NGOs (50 Organizations)

12 participants from Afghanistan RH, CAH, HP, GCMU, PND, NGO, Media, PHC, SC

World Breastfeeding conference 2012

Zero Budget Program

Year 2006-2008

Year 2008-2012

Year 2011-2013

Start of 2014 End of 20140

10

20

30

40

50

60

70

80

90

8 815

42

80

No of BFHI

No of BFHI

Baby Friendly Hospital Initiative (BFHI)

83000 posters, 5000 IYCF flip cards, 18000 BMS code brochures printed and distributed & 12300 min TV and radio spots aired.

IEC Materials

IEC Materials

Play the video

Publications

IYCF guidelines developed, adopted and translated; Breastfeeding counseling 40h course, C-IYCF, BFHI SEHAT (World Bank supported project ) added all

IYCF training components for all health staff (2014 to 2018)

CIYCF: UNICEF accepted to support community IYCF in all provinces with total budget: 2865606

IYCF counseling at Health and community level

• MoPH statement on IYCF in emergency

• Officially circulation of it to all partners

Infant feeding in emergency

MoPH, WHO, UNICEF, World Bank, GCMU, CAH, FAO, ACF,

Launching WBCi

• Distributed CDs, brochures, WBCi User Manual & The need to invest in babies-book

WBCi

World breastfeeding week 2014

National workshop on IYCF Action Plan

National workshop on IYCF Action Plan

• 107 trainers of 66 district hospitals and 34 provincial hospitals (Sep – Dec, 2014)

BFHI training

6 trainers selected from 6 maternity and pediatric hospitals from Nov 22 to Dec 04, 2014;

Malali Maternity Hospital Rabia Balkhi Maternity Hospital Khairkhana 102 bed Hospital Indira Gandhi Child Health Hospital Ataturk Pediatric Hospital Maiwand Hospital

IYCF 4 in 1 Training of trainers

IYCF 4 in 1 Counseling Training Course

World Breastfeeding Week

Implementation of BMS Code

Before After

National data base developed; IYCF reports collected; Regularly monitoring conducted by health and

nutrition staff

Monitoring system of IYCF

Behavior Change Communication, Social Mobilization and Advocacy improve the program outcome;

Coordination and Involvement of MoPH departments and relevant Ministries strengthen the program result;

Financial resources accelerate the on-time accomplishment of interventions;

Lessons Learnt

National and regional Technical workshops to be conducted;

Resource mobilization & new staff to be recruited;

Advocacy for maternity protection;

Coordination should be strengthened & budget to be allocated for BMS monitoring

Challenges• Irregular IYCF

reporting;• Limited resources

(financial & human)• Irregular Maternity

leave (40 days, 90 days …);

• Limited resources for BMS Code monitoring

recommendations

Community IYCF WBTi assessment 2015 IYCF communication strategy implementation Advocacy for institutionalizing nutrition

technical expertise including IYCF. (focal point for IYCF in each health facility)

Inclusion of IYCF in education curriculum

Way Forward

Thanks