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. 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. A sample of the analysis grid from East Africa presented in an excel document. A summary of information on assessing an appropriate breastfeed and minimizing risks to artificial feeding. Infants and young children are particularly vulnerable during emergencies, when various exposures can lead to illness, infection, and potentially death. It is very important that all volunteers recognise that separating a mother/caregiver and baby is not helpful and may be psychologically harmful for both. Prevalence of EBF was found to be 76% at 6 weeks. 6 months 6T=CmV87G+I. A form for a care action plan for temporary use of Breastmilk Substitute. Karleen ended the workshop by discussing the importance of education and communication around IYCF-E, challenging organisationalandindividual ideas about what will help and what wont help. Please note that you can download the Toolkit either in full or by chapter, section, sub-section or tool. This toolkit can be used to integrate IYCF-E into existing programs that coordinate emergency preparedness and response. An example of a baby massage routine used in Greece by Save the Children. 25% payment upon submission and acceptance of IYCF-E plan of action In total, there are 17 recommended IYCF indicators in the 2021 edition. Breastfeeding is the safest way to feed infants and young children in emergency situations to prevent illness; however, natural disasters and public health emergencies can create unique challenges for breastfeeding families and feeding challenges for any family. 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. Economically, breastfeeding is free and there is less of a strain on health systems because of the reduced rates of infection that result from exclusive breastfeeding. The IYCF-E Difference May 22, 2017 By: Michele Goergen The benefits of proper Infant and Young Child Feeding (IYCF) practices are well documented. 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. However, it continues as sub-optimal in Ethiopia, and literatures are also scarce. Seeking security, either in a in case we need it mentality or to simply sell on and provide an income. The London workshop packed a lot in one day, especially for those attendees without any prior knowledge of IYCF-E recommendations and practice. Received with grateful thanks from workshop delegate Lindsey Middlemiss, who is a doula, and also helps with antenatal preparation and infant feeding support. How do you find the equation of a tangent to a curve? Saving Lives, Protecting People, Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, State Indicator Report on Fruits and Vegetables, 2018, Using the New Fruit and Vegetable Module in BRFSS, Get the Facts: Sugar-Sweetened Beverages and Consumption, Be Sugar Smart: Limiting Added Sugars Can Improve Health, Priority Strategy: Food Service and Nutrition Guidelines, Priority Nutrition Strategy: Fruit and Vegetable Voucher Incentives and Produce Prescriptions, Travel Recommendations for Nursing Families, Breastfeeding and Returning to Your Workplace, How Much and How Often to Feed Infant Formula, When, What, and How to Introduce Solid Foods, Fortified Cow's Milk and Milk Alternatives, Infant and Young Child Feeding in Emergencies (IYCF-E) Toolkit, Emergency Preparedness, Response, and Recovery, Facts About Infant Feeding During Emergencies, Supporting Optimal Infant and Young Child Feeding in Emergency Shelter Settings, Creating Safe Family-Friendly Spaces in Emergency Shelters, Rapid Needs Assessment Intake for Infant and Young Child Feeding in Emergencies, Concerns Regarding Donations of Infant Formula and Infant Feeding Items During an Emergency, Feeding Solid Foods During a Natural Disaster or Emergency, How to Prepare and Store Powdered Infant Formula During an Emergency, How to Clean Infant Feeding Items During Emergencies, Be Prepared: Emergency Preparation Checklist for Families with Infants and Young Children, Common Questions about Infant Feeding During Emergencies, Healthy Hospital Practice to Practice Series (P2P), Food Service Guidelines for Federal Facilities, Healthy Weight, Nutrition, and Physical Activity, Healthy Schools Promoting Healthy Behaviors, BAM! Protecting the physical safety and emotional development of infants should include supporting breastfeeding. A sample questionnaire to record reported Breastmilk Substitute donations. No other association was found between breastfeeding variables and health indicators. Infant and Young Child Feeding in Emergencies (IYCF-E) Infant and Young Child Feeding in Emergencies (IYCF-E) An LCGB hosted workshop: Infant and Young Child Feeding in Emergencies: working with refugee families in Europe 2016 In emergencies, infants and children under the age of 2 are the most vulnerable. Breastfeeding counselling skills are vital and are what is lacking in many scenarios. The IYCF Officer has the responsibility to ensure high-quality IYCF activities, closely coordinated an integrated with the Emergency Nutrition Response project. A statement on the policy of Save the Children for Sierra Leone staff on breastfeeding. Mothers who have experienced trauma and great stress, as most refugees have, can become distant or experience flashbacks, so its like they are not there mentally which is traumatic for babies, even if their physical needs are being met. maximize a childs health and development. untargeted, unregulated donation of Breastmilk Substitutes) Immediately save lives found significant associations between exposure to SBCC radio programming and a variety of IYCF practices as well as significant associations between SBCC television programming and IYCF knowledge. A step-by-step guide for mothers on how to massage their baby. Consistent and clear messaging ensures that all stakeholders are aware of IYCF friendly messages and that these messages reach those who need them most. The association between IYCF indicators and child undernutrition (stunting and wasting) were assessed. An overview of how feeding assistance can be provided to caregivers and their children by frontline workers. /Type /Page Breastfeeding helps relax the mother and baby. 3. CDC twenty four seven. /Img1 86 0 R Elements of supportive care that can help a mother to breastfeed. The risk of infection, hypoglycemia and hypothermia are reduced because breastmilk provides natural immunity to several diseases. Training is key for all volunteers. The IYCF Officer has the responsibility to ensure high-quality Maternal and child nutrition activities, closely coordinated an integrated with the other Health and nutrition project. A list of contents of a breastfeeding support kit. The latest addition to reality TV shows in New Zealand is Fat Families. Thank you for taking the time to confirm your preferences. 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. There may be other options for wet-nursing or the use of donated milk, depending on circumstances and cultural practices. /F2 91 0 R four days in one month or more or overnight) because they . Suggested citation: Save the Children. Some had experience of working with refugees, or in emergency situations, but many didnt. This results in high stress for families, especially pregnant and lactating mothers, who are often the primary person responsible for nourishing family members and making health care decisions. Document outlining the acceptable medical reasons for both infants and mothers where use of Breastmilk Substitute is An infographic with the key actions for planning and managing artificial feeding interventions. A sample of a format for FGD with caregivers to determine predominant feeding practices and to discover key challenges Multi-sector Initial Rapid Assessment template that includes Infant and Young Child Feeding in Emergencies. Required fields are marked *. Unlike in 2008, no distinction is made between core and optional indicators in this set of recommendations. Up to 4 weeks. Knowledge, Attitudes, and Practices (KAP) Surveys. This toolkit may not address all infant and young child feeding challenges that families may face during a natural disaster. Key elements of adequate IYCF practices are: What is recommended Iycf feeding practices? The Toolkit is a live resource benefiting from the continuing creation and documentation of best practices in IYCF-E. Is the Open University of Israel accredited? Check a new repository on COVID-19 and Breastfeeding. Overall, the median LATCH Score at 24 h was found to be 6 (2,10) and at 48 h was 7 (3,10) whereas the median LATCH score at 48 h for those delivered vaginally was 7 (4,10) and those delivered by LSCS was 6.5 (3,9) (P < .0001).LATCH score of 6 at 48 h had sensitivity and specificity of 80% . Printable handouts that can be used with or given to families. Infant and Young Child Feeding (IYCF) is a set of well-known, common and scientific recommendations for appropriate feeding of newborn and children under two years. 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. 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. The Toolkit is structured in nine chapters with each chapter divided into Key Concepts and Tools. Photo: Jenn Gardella - Save the Children. 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 template for Infant and Young Child Feeding in Emergencies joint statement. The toolkit includes printable materials and resources that can be used with or given to families. Take this survey: beliefs on COVID-19 and breastfeeding! What is the difference between Iycf and Iycf-E? Distribution/availability of infant formula, other milks and other baby foods. There is a gap in evidence linking antenatal care (ANC) utilization, nutrition counseling, and knowledge of pregnant women about infant and young child feeding (IYCF), particularly in low-income settings. Disposable bottles are not recommended because they can be reused by desperate families, even if it means cutting a hole in the bottle. aE.9gp:F0R The purpose of CDC's Infant and Young Child Feeding in Emergencies (IYCF-E) Toolkit is to optimize the capacity of emergency preparedness and response personnel to address the nutrition and feeding needs of young children and their families before, during, and after a natural disaster emergency response. For assistance with the IYCF-E Toolkit or to make suggestions of additional resources to add, please email us. In the Proposal Development Collection on the Infant and Young Child Feeding in Emergencies (IYCF-E) Hub you will find further resources to support your work. So milk sharing from unknown strangers, or using milk banks where milk from different women is mixed, is often not acceptable. Tips on the importance of responsive feeding and how can this be achieved. Babies are not very aware of the environment, and experience stress through their caregiver. 2022. Aspiration to bottle feed. The different challenges faced by breastfeeding mothers and carers of formula fed babies in emergencies were brainstormed in group work. Cookies used to make website functionality more relevant to you. They usually have to order branded formula and may then have to relabel packages to have instructions in the required languages. For guidance on IYCF-E, please refer to the Operational Guidance on IYCF-E and other resources. stream Examples given included volunteers dubbed baby snatchers for the way they would take babies away from mothers and bathe, clothe and hug them without the mothers involvement. How the environment changes when an emergency occurs was discussed. Suitable substitutes, procured, distributed and fed safely as part of the regular inventory of foods and medicines, should be provided. Embrace the Healthy Eating Lifestyle Benefits. Summary of key guiding principles of WHO for Infant and Young Child Feeding in Emergencies. A basic assessment of a situation, such as a refugee camp, should include: Group work was used in the workshop to brainstorm what breastfeeding women need in an emergency. Following the 1988 Armenian earthquake there was an influx of aid and inappropriate distribution of infant formula resulted in an immediate and extended decrease in breastfeeding rates: from 64% of babies exclusively breastfed to 4 months, down to 59% 2 years on and down to 20% 6 years on from the disaster. An overview of role and responsibility of Mother Breastfeeding Supporters in evacuation centres. The following day, the bottle had maggots growing in it. Details on the mothers' knowledge of IYCF, their history of ANC and PNC attendance, along . A basic guide for nutrition personnel to determine the need for Infant and Young Child Feeding in Emergencies (IYCF-E) A technical review of the significance and relevance of the Knowledge Attitude Practice methodology around five core A short explanation on how age terms are defined 'technically' and how we understand them in the common language. The resources available to support IYCF-E were covered. The response to the refugee crisis in Europe has proved different to previous emergencies, not only through the sheer numbers of people, but with the number of countries involved, the lack of a coordinated response and the involvement of large numbers of untrained volunteers. The descriptive analysis showed that 66.4% of the children (6-23 months) were introduced to complementary feeding in a timely manner, 69.4% met the minimum meal frequency, and 38.9% met the minimum acceptable diet daily. All infants and children have unique needs in emergencies, but caring for infants and children with special healthcare needs is often more complex because of their various health conditions and extra care requirements. Sample of an exit interview questionnaire and guidelines on conducting an exit interview of a client. Karleen emphasised that it is very difficult to do well and supporting safe formula feeding in emergencies is very difficult. An example of a questionnaire for a multi sector interview of key informants during emergency. They help us to know which pages are the most and least popular and see how visitors move around the site. Key messages on breastfeeding post-emergency. An example of a daily table of activities for a week in a baby friendly space. 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. endobj Action Against Hunger's sample household questionnaire used post-earthquake in Indonesia to assess infant feeding. For the vast majority of infants emphasis should be on protecting, promoting and supporting breastfeeding and ensuring timely, safe and appropriate complementary feeding. A technical explanation as to why infant formula causes diarrhoea and mortality, particularly in emergencies. hbbd```b``5 dKA$K(d|&IQ0 &% d,4\ $~6lNl/$30z` t /Contents 4 0 R OPTIMAL IYCF PRACTICES 1. In the Orientation and Training Collection on the Infant and Young Child Feeding in Emergencies Hub you will find a NiE training package, the Infant and Young Child Feeding Community based package, Community-Based Management of Acute Malnutrition, Infant Feeding in Emergencies and Complementary Feeding training materials. /Font << These cookies may also be used for advertising purposes by these third parties. J. Indones. 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. 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. Recommended complementary feeding practices and key discussion points to have with the caregiver. Getting hold of suitable supplies can be very hard for NGOs. /Resources << Do discourage donations and do collect and quarantine them on the ground. However, infants and young children can access support in some activities also occur outside the space. in this study, we address this knowledge gap by focusing on three objectives: (a) examine trends in iycf practices between 2006 and 2016, (b) assess the changes in absolute and relative socio-economic inequalities in iycf practices in both rural and urban areas, and (c) identify factors associated with socio-economic inequalities that explain The objective of the IYCF-E Toolkit is to support practitioners to begin implementation as soon as possible by eliminating the time spent searching for (or creating) tools and, thereby, facilitating a more timely response to the needs of mothers, infants, children and their families in humanitarian emergencies. 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