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CONTENTS

FOREWORD: ................................................................................................................................................................... 9

BACKGROUND: .............................................................................................................................................................. 9

INTRODUCTION: .......................................................................................................................................................... 11

PURPOSE ...................................................................................................................................................................... 12

INTENDED USERS ......................................................................................................................................................... 12

REQUIREMENTS ........................................................................................................................................................... 13

Hardware requirements .......................................................................................................................................... 13

Software requirements ............................................................................................................................................ 13

The structure of the IYCF WBCi ............................................................................................................................... 13

QUICK START................................................................................................................................................................ 14

Downloading, saving and opening the WBCi: .......................................................................................................... 14

Starting using the WBCI: Complete the Country Profile .......................................................................................... 15

start: Go to Country Profile ................................................................................................................................. 15

the Main Menu .................................................................................................................................................... 18

Costing COMPONENTS of the programme management unit ............................................................................ 21

Description of data entry: .................................................................................................................................... 22

Program Management unit ................................................................................................................................. 22

Operations ........................................................................................................................................................... 23

Human Resources ................................................................................................................................................ 25

Monitoring and Evaluation .................................................................................................................................. 27

Capital Cost .......................................................................................................................................................... 29

Other Activities .................................................................................................................................................... 30

Standardcosting components per each IYCF strategy ......................................................................................... 31

COMMON DATA ENTRY INSTRUCTIONS FOR ALL IYCFSTRATEGIES ............................................................................. 31

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Research/Studies/Surveys ................................................................................................................................... 31

Conferences/Seminars/Workshops ..................................................................................................................... 32

Advocacy-dialogues/meetings ............................................................................................................................. 33

Policy/Law/Plans Dissemination activities ........................................................................................................... 34

Social Mobilization and other Advocacy Events .................................................................................................. 35

Training ................................................................................................................................................................ 35

Monitoring Visits and evaluation ......................................................................................................................... 37

Other activities .................................................................................................................................................... 39

IYCF National plan of Action ................................................................................................................................ 40

Codex Coordinating Activities .............................................................................................................................. 41

Codes Conferences/Meetings/Management ...................................................................................................... 42

Monitoring Compliance with the BFHI Standards ............................................................................................... 43

Monitoring Compliance with the international (national) Code ......................................................................... 44

Maternity Entitlements ....................................................................................................................................... 45

Development Cost for Pre-Service/In-Service Training Programs ....................................................................... 47

Monitoring and Evaluation, TRaining Follow-Up ................................................................................................. 48

Breastfeeding Support Groups (Peer COUNSELORS/volunteers) ........................................................................ 49

Community Outreach Activities ........................................................................................................................... 51

Development of a Nutrition/IYCF Emergency Preparedness/Response Plan ...................................................... 52

Mobilization of Breastfeeding Support Groups during Emergencies .................................................................. 53

IEC/Communication Materials ............................................................................................................................. 54

VIEWING SUMMARIES ............................................................................................................................................ 57

Summary by Strategy ........................................................................................................................................... 57

Overall Summary ................................................................................................................................................. 61

PRINTING OF SUMMARIES ...................................................................................................................................... 64

Printing of Individual Strategy Summary ............................................................................................................. 64

Sample Print Strategy SummaryPage: ................................................................................................................. 66

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Printing the Overall Summary Report: ................................................................................................................. 67

Sample Print Page Overall Summary: .................................................................................................................. 68

Figure 1: Project Title ...................................................................................................... Error! Bookmark not defined.

Figure 2: Select Country ............................................................................................................................................... 15

Figure 3: Exchange Rate............................................................................................................................................... 16

Figure 4: Data Entry Country Profile ............................................................................................................................ 17

Figure 5: To Main Menu .............................................................................................................................................. 18

Figure 6: IYCF Strategies .............................................................................................................................................. 18

Figure 7 Go Top ........................................................................................................................................................... 19

Figure 8: Components Programme Management ....................................................................................................... 21

Figure 9: National Programme Management Unit ...................................................................................................... 22

Figure 10: Budget Items Operating Costs .................................................................................................................... 23

Figure 11: Information System .................................................................................................................................... 23

Figure 12: Research and Development ........................................................................... Error! Bookmark not defined.

Figure 13: Annual Planning .......................................................................................................................................... 24

Figure 14: Personnel Cost ............................................................................................................................................ 25

Figure 15: Monitoring Visits ........................................................................................................................................ 27

Figure 16: Cost of Programme Evaluation ................................................................................................................... 28

Figure 17: Capital Investment ...................................................................................................................................... 29

Figure 18: Others ......................................................................................................................................................... 30

Figure 19: Common Costing Components ................................................................................................................... 31

Figure 20: Research and surveys ................................................................................................................................. 31

Figure 21: Conferences and Seminars ......................................................................................................................... 32

Figure 22: Advocacy Meetings ..................................................................................................................................... 33

Figure 23: Public Dissemination Forum ....................................................................................................................... 34

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Figure 24: Social Mobilization ...................................................................................................................................... 35

Figure 25: Training ....................................................................................................................................................... 36

Figure 26: Monitoring .................................................................................................................................................. 37

Figure 27: Evaluation Cost ........................................................................................................................................... 38

Figure 28: Other Activities ........................................................................................................................................... 39

Figure 29 Saving facility ............................................................................................................................................... 40

Figure 30: Development of an IYCF Plan of Action ...................................................................................................... 40

Figure 31: CODEX coordinating activities .................................................................................................................... 41

Figure 32: Codex: Conferences and Seminars ............................................................................................................. 42

Figure 33: Monitoring Compliance with BFHI .............................................................................................................. 43

Figure 34: Monitoring the Code .................................................................................................................................. 44

Figure 35: Maternity Entitlements, Option 1............................................................................................................... 45

Figure 36: Maternity Entitlements: Option 2 .............................................................................................................. 46

Figure 37: Maternity Entitlements: Option 3 .............................................................................................................. 46

Figure 38: Development of Pre-Service/In-Service Modules ....................................................................................... 47

Figure 39: Training Follow-Up ...................................................................................................................................... 48

Figure 40: Community Support Groups, Option 1 ....................................................................................................... 49

Figure 41: Community Support Groups, Option 2 ....................................................................................................... 50

Figure 42: Community Support Group, Option 3 ........................................................................................................ 50

Figure 43: Community Outreach Activities .................................................................................................................. 51

Figure 44: Development of an IYCF Preparedness/Response Plan .............................................................................. 52

Figure 45: Mobilization of BF Support Groups during emergencies ............................................................................ 53

Figure 46: Development on an IYCF Communication Plan .......................................................................................... 54

Figure 47: Celebration of the World Breastfeeding Week .......................................................................................... 55

Figure 48: Development, Production and Distribution of IEC/Communication Materials .......................................... 55

Figure 49: Cost for placement of newspapers/magazines articles .............................................................................. 56

Figure 50: Development and Airing of TV/Radio Ads .................................................................................................. 56

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Figure 51: Viewing of Strategy Summary .................................................................................................................... 57

Figure 52: Viewing of Strategy Summary: Step 2 ........................................................................................................ 58

Figure 53: View of Strategy Summary ......................................................................................................................... 59

Figure 54: Tracking and monitoring of budget allocations and utilizations ................................................................ 60

Figure 55: Overall Summary View: Option 1 ............................................................................................................... 61

Figure 56: Overall Summary View: Option 2 ............................................................................................................... 61

Figure 57: Sample Overall Summary ............................................................................................................................ 62

Figure 58: Summary Costs, sources and utilization ..................................................................................................... 62

Figure 59: Summary costs, allocations and utilization ................................................................................................ 63

Figure 60: Printing Strategy Summary, Step 1 ............................................................................................................. 64

Figure 61: Print Strategy Summary, Step 2 .................................................................................................................. 64

Figure 62: Print Strategy Summary, Step 3 .................................................................................................................. 65

Figure 63: Printing Overall Summary ........................................................................................................................... 67

Figure 64: Printing all individual strategy summaries .................................................................................................. 69

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INFANT AND YOUNG CHILD FEEDING (IYCF)

FINANCIAL PLANNING TOOL (BPNI/IBFAN)

USER’S MANUAL THE WORLD BREASTFEEDING COSTING INITIATIVE (WBCI)

INTERNATIONAL BABY FOOD ACTION NETWORK(IBFAN) SOUTH ASIA REGIONAL COORDINATING OFFICE (WBCI)

C/O Breastfeeding Promotion Network of India (BPNI) BP-33, Pitampura, Delhi-110034

Phone: +91-11-27312705 Email: wbtigs@gmail.com

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Disclaimer: The Country highlighted on the strategy sheet is just an example

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FOREWORD:

When the International Code of Marketing for Breastmilk Substitutes came into existence, International Baby Food Action Network (IBFAN) took on the task of initiating action at country level to give effect to it. Further, when the WHO launched the Global Strategy for Infant and Young Child Feeding (IYCF), IBFAN took the lead and pioneered a simple tool for assessing its implementation. We adapted the assessment tools developed by WHO into a simple and easily understandable tool and converted them into an initiative to generate local action - the World Breastfeeding Trends Initiative (WBTi). It was launched in South Asia in 2004, and in 2008/09 globally. To date more than 90countries have assessed their policies and programmes. From more than 100 reports it has emerged, we found that country after country lacked a plan of action and budgetary provisions. Investments on IYCF have been insufficient by governments or donors. That inspired us to develop another initiative - World Breastfeeding Costing initiative (WBCi). The WBCi has two components. There is an advocacy paper, “The Need to Invest in Babies” to advocate to all countries to implement the Global Strategy in its entirety. The paper helps in making financial decisions. The second component is a 'financial planning tool' that helps in development of specific plans of action and accurate budget estimates. This is an Excel based tool for assisting the countries to developing single or multi- year plans on one or more indicators. I hope this tool will serve as a big help to the programme managers wanting to implement and integrate infant and young child feeding within child health and nutrition programmes, and create specific budget lines and demands to do so. At the same time it will also help donors, agencies, and project staff,who wanted to focus on infant and young child feeding, to prepare the projects. Needless to say, the WBCi bridges a major gap of allocating resources, which is critical for tackling undernutrition.

Dr. Arun Gupta MD, World Breastfeeding Trends Initiative(WBTi),

and CentralCoordinator BPNI

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BACKGROUND:

BPNIhas been in the forefront of breastfeeding protection, promotion and support for the past thirty years. Advocacy, Promotion, Policy development, education and capacity building activities have been pillars in the work of the organization.

Since 2010 BPNI/IBFAN-Asia has been spearheading a pioneering initiative in South Asia.Thanks to the support of the World Bank assisted SAFANSI Project (South Asia Food and Nutrition Security Initiative). Evidence shows that breastfeeding and IYCF practices have been stagnant. The organization identified the lack of policies and the insufficient resources allocated for it, as main gaps and initiated the development of a strategic paper “The need to invest in babies?”, to call on governments, donors and the global community on increasing their financial commitment towards nutrition and specifically towards IYCF.

Breastfeeding and IYCF programs all over the world require resources, to improve and to contribute to saving children’s lives, the WBCi guides and support countries in their efforts to determine what resources are needed at the country level is needed. The Financial Planning Tool of the WBCiis a milestone of BPNI/IBFAN, that aims at filling a gap in programme management, and helping governments and donors, cost necessary programmatic strategies to improve IYCF in the country.

The WBCi–financial planning tool follows the strategic approach of the Global Strategy for Infant and Young Child Feeding as well as the structure and directions of the World Breastfeeding Trends Initiative (WBTi).

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INTRODUCTION:

One hundredthirty dollars (US$ 130) per live birth a year (US$ 17 billion a year) can help prevent 12% of under five deaths according to the WBCi estimates. This is a modest investment if we consider that the US alone will be able to save US$ 13 billion a year if breastfeeding rates alone are increased to 90%, and avert 749 infant deaths.

Despite the overwhelming evidence, global rates of optimal infant and young child feeding, especially exclusive breastfeeding – have remained stagnant over the past decade. Of the 135 million babies born every year, only 41% - 55 million - are able to practice exclusive breastfeeding for six months and timely, safe and adequate complementary feeding is still.1

The neglect of interventions particularly to enhance breastfeeding rates has been particularly reflected in the lack of a global budget specifically for implementing them. Evidence is being generated on the cost effectiveness specific interventions to improve Infant and Young Child Feeding.

Countries are encouraged to:

1. Integrate the Global Strategy for Infant and Young Child Feeding as a key priority in the countries’ development agenda, maternal and child survival frameworks and programmes

2. Pass laws that will ensure the protection, promotion and support appropriate IYCF practices:

o Legislate for the implementation of the International Code of Marketing of Breastmilk Substitutes and subsequent WHAs resolutions; and

o Maternity protection laws for women working in the formal and particularly the informal sector, providing them with some entitlements during their maternity period.

3. Integrate IYCF counseling and support (Health facility and community based) in the existing poverty alleviation cash programs: e.g. Conditional Cash Transfer programmes (CCTs)

4. Ensure that the budget line/allocations for Nutrition includes Breastfeeding and Infant and Young Child Feeding protection, promotion and support costs.

5. Devise packages/schemes to be financed by the National Insurance System for but not limited to:

Integrate Health Facility based nutrition counselling services as a essential in the public health systems and reimbursable (prenatal, post-partum) in the national insurance system

1UNICEF. Infant and Young Child Feeding Database, 2018 https://data.unicef.org/topic/nutrition/infant-and-young-child-feeding/

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Deliveries in BFHI practicing facilities to be recognized with higher reimbursement /additional grants/additional allocations.

PURPOSE

The WBCifinancial planning tool has been developed following the principles and structure of the WBTi, its key components and strategies are consistent with the WBTi and are the minimum set necessary to implement the Global Strategy for Infant and Young Child Feeding. It is flexible, user friendly and countries can easily customize it to their specific context.

Annual IYCF financial plans, as well as multi-year estimates can be easily generated, using local estimates, inputs and information. The aim of the WBCi, is for programme managers and partners to initiate constructive and productive advocacy with national governments and donors, towards a more evidence based effort in identifying the actual financial and human resources required to protect, promote and support appropriate breastfeeding and complementary feeding practices in the country.

INTENDED USERS

This Financial tool is to assist and guide Infant and Young Child Feeding planners, child health coordinators, nutrition officers, mother and child coordinators, other public health practitioners, finance and programme personnel in developing an annual or multi-year budget to achieve key development targets. The intended users of this tool are health budget specialists, breastfeeding/IYCF agency directorsand programme managers.This tool ishelpful forthe preparation of project budgets and in doing costing analysis.

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REQUIREMENTS

The Tool has following needs.

HARDWARE REQUIREMENTS

The WBCi tool programme will run on most computer desktops and laptops using the Windows Operating System (OS). It will require only the basic hardware enough to run Windows 7 – 500MHz CPU; preferably 512MB RAM; and at least 1 GB of free hard drive space.

SOFTWARE REQUIREMENTS

The tool programme runs on Microsoft Office Excel 2007 under Windows 7. No other software is required to operate the programme. The WBCi contains Excel built-in formulas and macro programmes which will require enabling macros in opening Excel.

THE STRUCTURE OF THE IYCF WBCI

The tool is lodged on Microsoft Office Excel 2007. As such, it looks and runs like any other programme under Excel, except that the toolcontains formulas, macro programme and protected cells/worksheets to automate the procedure and safeguard the data from accidental changes or erasure.

The programme has four (4) parts.

The first part is the Country Profile where the user is asked to fill up the profile sheet and select the country and the currency exchange rate to USD. The second part is the Main Menu which contains the different interventions. Selecting any of the interventions will bring you to third part of the programme - the budget worksheet for the different interventions. The budget worksheets provides table where user enters data to generate the corresponding budgets for the different activities or cost items under the particular component strategy. The fourth part contains the summary pages – the summary per component and the overall summary. The summaries can be printed – the overall summary, the summaries by component or all the component summaries.

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QUICK START

DOWNLOADING, SAVING AND OPENING THE WBCI:

The WBCi programme with the filename WBCi_Release_1.1 can be downloaded at http://worldbreastfeedingtrends.org/uploads/WBCi_Ver_PLUS_2018_July13.xlsor copied from any USB or CD that contains the programme file. The programme can be started as in any Office file – either by double clicking the file icon or title, or by opening once excel is open.

Please note that for the programme to open, Excel 2007 should be set at

“ENABLE MACROS”.

The Financial tool has an automatic saving feature when users navigate through the worksheets and also provides buttons for saving at any time. The worksheets can also be saved through the usual ‘save’ option of the Excel programme. The user can therefore change the file name by “Saving As” and using another file name.

Reminder:

Once you open the financial tool, You may see the following “Security Warning”

If yes, then follow the steps below:

Step 1: Please click on the “options” button

Step 2: Click on “Enable Content” Step 3: Click OK

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In updating the Financial Tool file, users should access the file that was last saved.

The first part

STARTING USING THE FINANCIAL TOOL: COMPLETE THE COUNTRY PROFILE

START: GO TO COUNTRY PROFILE

Step 1: Select the country

Select the name of the country for which you are developing the plan. Automatically the name of the country will appear as the project title.

Figure 1: Select Country

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Step 2: After selecting the country. You will have to enter the “prevailing/average exchange rate of your currency with the US$. Please do enter.

Figure 2: Exchange Rate and total duration of the plan

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Step 3: Next you will have to enter the total no. of years that the plan will be covering. Once you haveentered the no.of years, the same will appear near the name of the country in your project title.

Figure 3 Plan duration and title

Step 4: Using the most recent data from your country, please fill up the Country Profile. Indicate the year(as of when ) the data is updated.

Figure 4: Data Entry Country Profile

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The main menu contains the following:

1. Programme Management Component 2. IYCF strategies, in order:

a. Policy Development, Legislation, Planning and Coordination b. Baby Friendly Hospital Initiative c. Implementation of the International Code and WHAs d. Maternity Protection e. Health and Nutrition Care System f. Mother Support and Community IYCF Actions g. IYCF in exceptionally difficult circumstances (HIV and Emergencies h. IYCF Communication for behavior and social change

The Financial Tool helps estimate the cost necessary to implement all the key interventions and activities at the strategy level. In the following pages we will present the components for each strategy and a brief description of the data to be entered accordingly.

SAVING FACILITY

The Financial Tool provides you with the opportunity to save the work entered at any stage and from any component you are in. It is recommended that you save the work you are doing periodically, so as to avoid any inconvenience.

Figure 7 Go Top

If you are in the main menu, you can save all the work done and automatically go to the country profile page.

Remember: You can find the saving facility at the top of the table, next to Main Menu and Component Summary

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Reminder: Please when you enter in the page of a specific strategy, you may need to scroll down to be able to see all the possible costs that can be computed using the Financial Tool.

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Definition (s):

The positions listed are generally common, for the following we define them as:

1. Programme/Technical Consultants: Any technical support personnel/consultant that needs to be hired for short/long term engagements. On a project basis or for a specific output/product. Usually paid per day/week/month of work.

2. IYCF Staff: Members of the IYCF team/specifically assigned to support the programme (100% of their time). Their salary is fully charged to the IYCF programme.

3. IYCF Training Specialists: Health and non-health professionals employed/not employed that will be tapped as trainers for the conduct of national/sub-national training activities. They are usually paid according to national rates, and per day of service rendered.

4. IYCF Training Assistants: Health and non-health professionals/skilled employed/not employed that provide support services during the training (e.g. documenters, secretariat services, logistics management, venue and transportation,etc.). They are usually paid ona per day/week/month depending on the number of training they are going to be involved.

5. Non-health professionals: Any non-professional personnel (not yet listed) that will need to hire. Examples are: drivers, general maintenance staff, writers, database managers, administrators etc.

6. Non-health technicians: IT support and maintenance technicians, programmers, possibly depending on the programme characteristics also medical equipment technicians and cold chain technicians.

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Pagge | 62

Figure 49: Summary costts, allocations and utilizationn

Pagge | 63

Page | 64

PRINTING OF SUMMARIES

The Financial tool provides the option to:

1. Print an individual strategy summary 2. Print all strategy summaries 3. Print the overall summary

PRINTING OF INDIVIDUAL STRATEGY SUMMARY

Step 1:IF you are in the page of a specific strategy, please press the “Main Menu” button

Figure 50: Printing Strategy Summary, Step 1

Step 2:Once you are in the Main Menu, please click on “Overall Summary”

Figure 51: Print Strategy Summary, Step 2

Page | 65

Step 3: In the overall summary, go to “Print Component” and select the summary of the strategy you are interested in.

Figure 52: Print Strategy Summary, Step 3

Page | 66

SAMPLE PRINT STRATEGY SUMMARYPAGE:

Page | 67

PRINTING THE OVERALL SUMMARY REPORT:

Options:

1. Print Overall Summary

Step 1: From the Overall Summary Page, click on “Print Overall Summary”

Figure 53: Printing Overall Summary

REMEMBER

Please note: you can adjust/resize printing page (s).

Page | 68

SAMPLE PRINT PAGE OVERALL SUMMARY:

Page | 69

2. Print all summaries

Step 1: From the Overall Summary Page, click on “All components”

Figure 54: Printing all individual strategy summaries

Page | 70