The three steps are: look; listen; link. All publicly available MICS and DHS (phase 5-7) have been reanalyzed to produce standardized estimates across years and surveys programs. We use cookies to ensure that we give you the best experience on our website. Information, resources, and tools for states, communities, programs and emergency preparedness and response personnel on how to best support families and provide optimal nutrition to infants and young children during emergencies. Important considerations in Complementary Feeding including what, why and how much to give. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); Your email address will not be published. << Breastfeeding helps relax the mother and baby. Guidance on developing country level action plans to strengthen Infant Feeding in Emergencies planning and A worksheet to record different constraints to Infant Feeding in Emergencies encountered in different fields. The IYCF counselor will be in direct contact with the beneficiaries covered under this program. The current refugee crisis has displaced millions of people and brought tens of thousands of children and pregnant women to Europe (over 88K children in 2016 alone according to UNHCR figures). Food systems and markets breakdown, water and electrical supplies can be cut and accessibility is often limited in the hardest hit places. UNICEF and other large NGOs have in the past got together to specifically order unbranded ring-pull cans of RTF formula with instructions in the required languages, but there is no ongoing supply chain of this kind of product for NGOs. Cups and spoons are recommended for all babies not breastfed, and bottle exchanges have been successfully run in some camps. Global Nutrition Cluster Learn more, Infant and Young Child Feeding in Emergencies (IYCF-E). Download the entire IYCF-E Toolkit [PDF-19.1MB]. The Dos and Donts of minimizing artificial feeding in emergencies by ICDC. Breastmilk Substitute violations monitoring database by Global Nutrition Cluster. Prevalence of EBF was found to be 76% at 6 weeks. List of items in a safer Breastmilk substitute (BMS) kit and how to use them. In an emergency, it is not possible to provide individual ongoing support like in development programs. The breastfeeding counsellor:- builds the mothers confidence, that she can breastfeed and that she has enough milk; gives accurate information to correct misconceptions and answers questions; makes sure the mother is supported in other ways, for example with extra food or by being connected with other mothers. By focusing on the needs of the majority, clear messages can go out through multiple contact points to reach as many people as possible in the shortest period of time. J. Indones. They help us to know which pages are the most and least popular and see how visitors move around the site. The impact can also be long-lasting. %%EOF Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. The impact of an emergency can be devastating for both individuals and entire communities. This has all contributed to especial risks with regard to infant feeding. A two-page brochure explaining about maternal nutrition during pregnancy and breastfeeding. >> First, an infant feeding supporter needs to identify if breastfeed is possible. The primary audience for this toolkit is emergency preparedness and response personnel, such as first responders, relief workers, community health workers, and volunteers, as well as U.S. state and territory organizations who respond to domestic natural disasters and public health emergencies. 1 0 obj It is a follow-up to the 2008 document Indicators for assessing infant and young child feeding practices Part I & II. Karleen went into some depth, including case studies and a role play, to illustrate what breastfeeding counselling is and is not, covering: the theoretical foundations of counselling practice (unconditional positive regard, congruence, creating emotional safety), the theoretical foundations of counselling process (empathetic understanding, understanding the mothers experience and validating, accepting and valuing that experience), key counselling skills, exploratory questions, clarifying questions, offering information not instruction, offering appropriate reassurance and then offering suggestions and helping to make a plan. An example of a questionnaire for a multi sector interview of key informants during emergency. A summary of information on assessing an appropriate breastfeed and minimizing risks to artificial feeding. In the Staffing Collection on the Infant and Young Child Feeding in Emergencies Hub you will find further resources to support your work. Undertake advocacy targeting other humanitarian actors and local authorities on assessment and following national/international standards on supporting infant and young child . Infant and Young Child Feeding in Emergencies (IYCF-E) Toolkit Natural disasters, such as hurricanes, floods, wildfires, earthquakes, and tornados, can make it difficult for parents or caregivers to feed their infants and young children safely and appropriately. Objectives Appropriate complementary feeding is vital to reduce young child morbidity and mortality. Sector-specific five foremost questions to ask to enable prioritization of a response for Water, Sanitation and Hygiene A Multi-Sector Initial Rapid Assessment questionnaire based on the top five questions. 6T=CmV87G+I. cup feeding. 377 0 obj <> endobj Embrace the Healthy Eating Lifestyle Benefits. However, there are few studies on the . Example of an Infant and Young Child Feeding in Emergencies briefing from Pakistan, which highlights key messages with Joint statement from UNICEF and WHO for the media on protecting infants affected by the earthquake in China by An example of a press release from the Philippines accounting for the needs of non-breastfed infants. BCC materials on IYCF are developed and disseminated and Job aid for the Service Providers is regularly distributed at the field level. Introduction to safe, adequate and appropriate complementary foods at 6 months. Annual reports & accounts Ensuring pregnant and lactating women and children less than 23 months can get their needs met in a safe and enabling environment can help them continue to breastfeed and increase chances of survival. Formula, other milks, foods/liquids and feeding bottles are dangerous to your babys health. A technical explanation as to why infant formula causes diarrhoea and mortality, particularly in emergencies. 0 A template of country-wise working of Infant Feeding in Emergencies in relation to different areas of action. Understanding the associations between infant and young child feeding (IYCF) and ARI and diarrhoea can inform IYCF policy interventions and advocacy in Ethiopia. Seven are new, and four of the 2008 indicators have been excluded from the 2021 list of IYCF indicators. In non-emergency cases, non-breastfed infants have 14 times increased risk of death compared to exclusively breastfed infants. The resources available to support IYCF-E were covered. The prevalence of formula distributions, from all kinds of sources, was illustrated by images of formula donations from national armies and individuals, Karleen mentioned having to, in her role as part of the IFE Core Group, intervene to stop some of these inappropriate and unhelpful donations. Whether IYCF training preceeds or follows a CMAM/CTC training is less significant than emphasis on this 'Point of Contact' link, by facilitators. How do you find the equation of a tangent to a curve? What is the difference between IYCF and IYCF E? We take your privacy seriously. KEY IYCF-E MESSAGES More breastfeeding makes more milk Breastfeed more! Breastfeeding protects and nourishes Only breastmilk from birth to 6 months. An example of a job description for an Infant and Young Child Feeding in Emergencies Counsellor. We examine the sustained impacts on health workers' IYCF knowledge, service delivery, job satisfaction, and job readiness three years after the program's conclusion.MethodsWe use data from a cluster-randomized controlled trial design, including repeated cross-sectional surveys with . An example of suitable information for a generic Ready-to-use Infant Formula label. Pregnant women, particularly those who may birth during an emergency, need emergency preparation-related anticipatory guidance to be able to safely birth and feed their newborns. A mother reacting with touching, just generally being engaged somehow, with a baby is being responsive. A two-page brochure explaining how to feed the baby after 6 months. It helps mothers to care sensitively for their babies (through the hormones oxytocin, prolactin & cholecystokinin and proximity). /F2 91 0 R 11/4/2021 Cont'd IYCF-E takes the public health approach and reach as many people as possible as quickly as possible, whereas IYCF has the time to reach caretakers multiple times and achieve long-term behavior change more easily as a result. Counseling cards with key messages explained using pictures. Postpartum lactation support during an emergency is critical as maternal lactation and newborn nutrition are mutually dependent. A summary of infant feeding guidelines for infants under six months with reference to material available on MAMI within Summary of MAMI approach updated 2021, includes history, definitions anf general info of the most recent MAMI Care Summarized recommended HIV infant feeding and related frequently asked questions. They usually have to order branded formula and may then have to relabel packages to have instructions in the required languages. Integration of IYCF Support in CMAM has been developed to train health care personnel and community health workers in the integration of recommended infant and young child feeding (IYCF) practices within CMAM in order to enable them to support mothers/caregivers. Summarized package of Infant and Young Child Feeding in Emergencies (IYCF-E) resources to help in orientation and A basic seven session training plan for Infant Feeding in Emergencies heads from evacuation centres. Suggested citation: Save the Children. The London workshop packed a lot in one day, especially for those attendees without any prior knowledge of IYCF-E recommendations and practice. For pregnant and lactating women and children from birth to twenty-three months, nutrition is key to reducing the death and illness that accompany emergencies of all kinds. A framework with possible questions to ask while assessing a mother/child pair for Infant and Young Child Feeding How to conduct counselling while applying listening and learning skills and conduct a home visit for follow-up. Infants and young children, as well as pregnant, postpartum, and lactating women havespecificaccess and functional needsthatmay be exacerbatedduringand/or after a natural disaster or public health emergency. Endnote may required a specific filter file to be used. The proximate composition of commercial chicken nugget showed significant difference (p<0.05) between samples. Otherwise it is easy for a situation to develop where formula feeding carers get given stuff while breastfeeding mothers do not, increasing the likelihood they will take formula anyway. Job Description: Vacancy Announcement Internal/External Job Title: IYCF Officer Reference number: Vac/067/22 Vacancy posting date: March 21, 2022 Closing [] Physicochemical (proximate composition, colour, toughness) and sensory properties five brands of commercial chicken nuggets were evaluated. An example of a job description for an Infant and Young Child Feeding in Emergencies Community Mobilizer/Educator. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Infant and Young Child Feeding in Emergencies (IYCF-E) Hub, Infant and Young Child Feeding in Emergencies Hub, Coordination and Communications Collection. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. An example of a press release from Gaza related to Breastmilk Substitute donations. A mother who is physically or emotionally distant will struggle to respond to her child. In March, Karleen held workshops on Infant and Young Child Feeding in Emergencies (IYCF-E) in London, Manchester and Paris, aimed at volunteers working with refugee families in Europe. HIV positive women are confused about feeding methods and mixed feeding continued to be widespread. They help us to know which pages are the most and least popular and see how visitors move around the site. It is a follow-up to the 2008 document "Indicators for assessing infant and young child feeding practices - Part I & II". Framework for action to strengthen IYCF-E preparedness and response in South Sudan, Kenya and Somalia, including country level roll-out of the IYCF-E toolkit and highlighting IYCF-E integration opportunities within country level EPR processes. >> Key messages on breastfeeding post-emergency. The majority of questions for this IYCF module are taken from the WHO and CARE Guidelines on IYCF that seek to harmonise the surveys undertaken in the sector. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. Individual assessment of need is essential and then ensuring that the necessary resources are provided: infant formula, feeding implements, preparation and storage resources, clean water, education and health support. The agenda and training manual on Infant and Young Child Feeding (IYCF) issued by the Ministry of Health aims at meeting the continuous training needs for health staff working in maternal and child health at all levels. Formula fed babies were 30 times more likely to need hospital treatment and were more likely to die: in one hospital cohort of 153 young children, 93% were not breastfed and 33 children died, all of whom were fed formula (32/33 being not breastfed at all). A study published in the journal Maternal and Child Health Journal examined the association between ANC or PNC attendance and IYCF practice and child nutrition status. Knowledge, Attitudes, and Practices (KAP) Surveys. The infographics are based on the guidance and aim at assisting in implementing specific actions and recommendations within the guidance. In many parts of the Middle East, for example, while breastfeeding rates are relatively high, so are formula usage rates a large proportion of babies are mix-fed. This increase in risk decreases as a baby gets older, but for babies 9-11 months old, they are still 1.3 times more likely to die if not breastfed. 2021; 11(01): 29-34. Example from Greece about Integration with child protection including indicators and key actions. Counselling cards illustrating key messages based on different target groups. ENN is a charity in the UK no. The IYCF-E Toolkit is a collection of ready to use tools and practical resources to assist in the design, implementation and monitoring of IYCF-E programs. Infant and Young Child Feeding in Emergencies (IYCF-E) Toolkit. A presentation on growth monitoring including how to take different anthropometric measurements. An example of supervision checklist for Mother-Baby Areas used by Save the Children in Greece. Supporting formula feeding for families on the move is especially difficult and is partly why the Interim Considerations for the feeding support of Infants and Young Children under 2 years of age in refugee and migrant transit settings in Europe were developed. Galactagogic medications are not needed and women can relactate even after a gap of many years since they last breastfed. The answers to the questions posed in the case study. Once a child is six months of age, breastmilk continues to provide almost half of all necessary nutrients. For the baby, the benefits are even greater. 4889844. For example, in their analysis of endline-only ASTUTE data, Beckstead et al. The IYCF Officer ensures the project's activities fit within the framework of the National Nutrition Program and ensures good relations with local stakeholders. between national population and refugee populations. << Milk sharing in Muslim cultures is often misunderstood. ENN Strategy PrEP and PEP Initiation and Retention (PPIR) Initiative. If you are used to thinking that formula is something wealthy people use, you have experienced marketing that formula is good for your child, or you have come from an emergency situation where formula is fetching inflated prices (one tin can be $200+ in parts of Syria), then you take formula when it is freely offered to you. . /F4 100 0 R The Transit guidelines (the Feeding Your Baby While You Travel flyer developed by the Infant Feeding Support for Refugee Children group) recognise how difficult the situation is and has the goal of harm minimisation. And in emergencies, there are added pressures. Globally, ensuring proper IYCF practices would lead to a 20% reduction in infant mortality. Identifying these factors might . Some of the photos used to illustrate this section included aid workers demonstrating bottles use to rooms of women, including some breastfeeding in the actual photo. /Type /Pages Thank you for taking the time to confirm your preferences. A technical paper highlighting the significance of integrating Early Childhood Development (ECD) activities within Recognizing age specific skills and development stages of a child to fully understand that a healthy child is not just A guide to creating age-specific homemade toys and activities to do with children. To receive email updates about this topic, enter your email address. This toolkit may not address all infant and young child feeding challenges that families may face during a natural disaster. Early initiation of for - breast feeding was measured based on historic recall by all mothers who had children between 0-23 months of age. Sample of an exit interview questionnaire and guidelines on conducting an exit interview of a client. Belief that the emergency has adversely affected their milk. Methods This cross-sectional survey recruited mother-children dyads (N = 1443). Different cultural beliefs are likely drive these ethnic differences in infant feeding. Thank you for taking the time to confirm your preferences. For guidance on IYCF-E, please refer to the Operational Guidance on IYCF-E and other resources. The GNC Technical Alliance provided in-depth support for Infant and Young Child Feeding in emergency (IYCF-E) to UNICEF and WFP in 2016 and 2019. A statement on the policy of Save the Children for Sierra Leone staff on breastfeeding. This booklet consists of messages related to each of the IYCF Counselling Cards and copies of the 3 take-home brochures. Your email address will not be published. j]nW&0E'P kR c5b 00`Nc|(P}[A`wo{Ki7o%?ND R HI1pf, }-n The different challenges faced by breastfeeding mothers and carers of formula fed babies in emergencies were brainstormed in group work. The benefits of proper Infant and Young Child Feeding (IYCF) practices are well documented. A sample agreement for agencies on Breastmilk Substitute. . 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