WHAT STRATEGIES AND ACTIVITIES ARE NECESSARY FOR SOUTH

AFRICA TO PROMOTE, PROTECT AND SUPPORT BREASTFEEDING

TRACK 2: HEALTH SERVICES

RECOMMENDATIONS TO BETTER PROMOTE, PROTECT AND SUPPORT BF: ROLES, RESPONSIBILITIES AND

ACTIONS

OBJECTIVE 3 Looking at the constraints and barriers in the health services( programme

strategies) what can be done to overcome these in concrete steps

SOLUTIONS

* Train and skill birth attendance (Home Deliveries and feeding

practices)

* Involve CBO’s, NGO’s and TAC

* The need for Community health workers – and recommend tasks and responsibilities (child health priorities)

* Pregnant mothers taught on emergency care

* Involve private sector in all matter pertaining to IYCF

facilities

* Advocacy and responsibility of BF Messages

* Fill in vacant posts

* Bathopele principles be integrated in our training

* Providing an enabling environment( MBFHI)

OBJECTIVE 3 Looking at the constraints and barriers in the health services( programme

strategies) what can be done to overcome these in concrete steps

SOLUTIONS

* Look at and improve working conditions of HCW(Private v/s Public)

* Multi-disciplinary approach

* Fast tracking PHC re-engineering

* Using mass media to promote breastfeeding

* IEC Marketing

* Training of more health care workers (HR Structure)

* Mainstreaming breastfeeding (Dept of Education)

* Address stigma

* Human Milk Banks

* Capturing data (M & E)

OBJECTIVE 4 Define the levels of responsibilities within health services and articulate what

tasks and roles are required by various players.

4. POLICY DEVELOPMENT

* NDOH

2. FOLLOW –UP RESEARCH & ACADEMIC

INSTITUTIONS

e.g MRC

3. TRAINING

* NDOH in consultation with Provinces and districts: To Develop training and IEC material

* Standardize all training material

* Develop core messages

Involve other stakeholders – Private Hospital

- Partners

OBJECTIVE 4 Define the levels of responsibilities within health services and articulate what

tasks and roles are required by various players.

1. MONITORING AND EVALUATION

* Recommendation of new indicators – NDOH

and Provinces

* Core indicators must be included into the DHIS