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Launch of the Report “Arrested
Development”
Dr. Arun Gupta MD FIAP
Regional Coordinator International Baby Food
Action Network(IBFAN) Asia and Central
Coordinator BPNI
Overview
• What is World Breastfeeding Trends Initiative
(WBTi),
• Objectives , global experience, recognition
and impact
• How we did the 4th Assessment in India
Objectives of WBTi
• To provide critical information to governments, needed
to bridge gaps in infant and young child feeding policy
and practice
• To provide evidence to IBFAN groups to advocate for
greater effort and investment to promote
breastfeeding and optimal infant and young child
feeding practices in the respective countries and
regions
• To contribute to improved development outcomes in
children, reducing undernutrition, child morbidity and
mortality and improve women’s health.
Global Strategy for Infant and Young Child Feeding
World Breastfeeding Trends
Initiative( WBTi) Tools
Assessment Steps
Step One
• Identify National coordination
• Core Group Formation
• Analysis
• Inputs into WBTi
• Ranking
Step Two • Grading
• Documentation
Step Three • Report Cards
ABCDE of WBTi
•
•
•
•
•
A= Action
B= Bringing people together
C= Consensus building
D= Demonstration
E= Effectiveness
It’s like AAA
approach
World Breastfeeding Trends Initiative (WBTi)
• Quantitative measure of 15
indicators
• Multiple questions for each
indicator (1 or 2
points/question)
• 10 points possible for each
indicator
• Range of WBTi score is 0 to
150
WBTi report card of Afganistan
1. Nutrition technical officers (
exercise)
A. Reviewed gaps and fill the sheet for
that gaps
WBTi in 106 Countries
552 Partners including Government organization
Involved in WBTi assessment process in 57 Countries
Assessment completed
Introduced / Training Completed
Impact of the WBTi assessment tool
Countries
Impact of WBTi tool
Afghanistan
• Data on infant and young child feeding practices collected, which did not exist earlier
• Implemented several programmes in the health system to mainstream counseling on
breastfeeding
• Started conducting training on breastfeeding counseling and complementary feeding for
health care providers
• The International Code of Marketing of Breastmilk Substitutes became a regulation under
MoPH
Bhutan
•IYCF Indicators introduced into the National Nutrition Survey, which made available the
data on infant and young child feeding practices collected
•Developed a National Strategy and Policy on IYCF
India
•Increased Maternity Leave for women in Central Government
•Financial maternity benefits to pregnant and lactating women
Maldives
•Data on infant and young child feeding practices collected, which did not exist earlier
Nepal
•Development of National Nutrition Policy and Strategy by the Government of
Nepal, International NGOs & Local NGOs working in Nepal in support of IYCF
•Government of Nepal with support from various International NGOs & Local NGOs started
carrying out training of different level of health professionals on IYCF
Pakistan
•Government has notified the implementation of Breastfeeding Law (Ordinance) with rules
& regulations
•Developed curriculum/manual on IYCF training for Community Health Workers
Impact of the WBTi assessment tool
Countries
Impact of WBTi tool
Costa Rica
•Developed a new breastfeeding policy with clear institutional guidelines for Infant Feeding
in Emergencies
•National standards on Human Milk Banking
Dominican
Republic
•Developed a comprehensive policy on Infant Feeding and Emergencies
•National Breastfeeding Committee has started functioning
Colombia
• Developed a comprehensive strategy on early childhood care in people affected by
displaced by violence and included infant feeding in disaster situations
El Salvador
• MOH officially established the National Breastfeeding Commission
• National Congress declared the whole month of August as month of breastfeeding
• A law on breastfeeding submitted to the congress using WBTi assessmnet as supporting
document to lobby
Uruguay
• Enacted the National Breastfeeding Policy as Minister order in 2009 as recommended by
WBTi assessment
Guatemala
• Moved the National Breastfeeding Committee to develop 5 year strategic plan for
enhancing breastfeeding rates
Impact of the WBTi assessment tool
Countries
Impact of WBTi tool
Gambia
• Validated a new Nutrition Policy
Uganda
•Led to development of National Policy guideline for IYCF and a district specific 5 year
strategic plan
Kenya
• The new WHO guidelines on HIV and Infant Feeding was adapted and included in the
MIYCN policy, startegy and guidelines
• Also used WBTi Score card to involve media houses in broadcasting breastfeeding
information
Global Nutrition researchers find it
worthwhile…Chessa K. Lutter and Ardythe L.
Morrow.
Adv. Nutr. 4: 213,219, 2013.)
Study demonstrates
implementation of the
Global Strategy as
measured by WBTi is
significantly associated with
trends in EBF
Strengthen by case studies,
the study shows that this
association is measurable
and possibly causal
Annual change in EBF (%) by adjusted
WBTI score
p=0.012; Adj R2= 62%
Changes in BF duration (months) and
WBTi score
16
14
Meses
12
10
8
6
4
2
0
1986-88
Brasil
2006-2010
Colombia
México
Republica Dominicana
60
50
WBTi score
40
30
20
10
0
Brasil
Colombia
México
República
Dominicana
WBTi included as data sources in
GINA (WHO)
Governments are using WBTi for
formulating policies
WBCi
Supported by:
WBCi for 5 hospitals BFHI
1. Nutrition technical officers (
exercise)
Core Group Meetings of the 4th
Assessment
• First Core Group Meeting 17th March 2015
• Second Core Group Meeting 24th April 2015
Core Group Members
Public Health Resource Network (PHRN)
Breastfeeding Promotion Network of India (BPNI)
National Institute of Public Cooperation and Child Development
NIPCCD
Doctors for You
Lady Harding Medical College
Working Group For Children Under-6
Alliance for Right to ECD
Consensus Building Meeting 5th
June 2015.