Postpartum lactation support during an emergency is critical as maternal lactation and newborn nutrition are mutually dependent. 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. Formula distributions are often widespread and indiscriminate in emergencies one study which Karleen mentioned found that over 70% of parents/carers of all babies under 6 months had been given formula, regardless of how baby is fed. Maternal care packs and extra food distribution for breastfeeding mothers are two options that can help. Counselling cards illustrating key messages based on different target groups. ENN Strategy If alternatives are needed, considering options of obtaining breastmilk should be the next step. 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% . 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. The London workshop packed a lot in one day, especially for those attendees without any prior knowledge of IYCF-E recommendations and practice. Tips on how to engage with other clusters to coordinate an Infant and Young Child Feeding in Emergencies response. Material support: priority access to food, water, accommodation and other resources so that they can prioritise breastfeeding. For example, radiation and bioterrorism emergencies, specific infectious disease outbreaks, and some chemical exposures may require that families follow different guidance about safe infant and young child feeding. The Dos and Donts of minimizing artificial feeding in emergencies by ICDC. Different cultural beliefs are likely drive these ethnic differences in infant feeding. . The toolkit contains information on how to best support families and provide optimal nutrition to infants and young children during emergencies, specifically natural disasters. Many of these mothers do not realise that exclusively breastfeeding is a possibility or how great an impact that would have on reducing their childs risk of illness and death. Template for the report of attendance to support groups. Your email address will not be published. Template for a spot check assessing hygiene, infant and young child feeding and mother/child interaction. /Type /Pages An assessment tool used in conjunction with the full assessment of mother-child pair with Breastmilk Substitute to A draft of a document used in Haiti outlining when it is appropriate to transition from the use of ready-to-use infant An example of suitable information for a generic Powdered Infant Formula label. A sample exercise to map and assess areas of concern for Infant Feeding in Emergencies programming at the country A sample analysis grid from East Africa showing what the exercise would yield. IYCF-E thrives on a strong IYCF background. What is the difference between Iycf and Iycf E? Ethnic differences in infant feeding practices such as breastfeeding, pre-lacteal feeding, formula feeding, exposure to other liquids (cow's milk, fruit juice, cordials, teas) and exposure to solids have been documented previously [ 20, 21, 22 ]. Template for a tally sheet to report cases of diarrhoea in Infant and Young Child Feeding in Emergencies sites according Template for a Infant and Young Child Feeding quantitative report. An infographic with the key actions to Support Infants Dependent on Artificial Feeding during emergencies. An example of supervision checklist for Mother-Baby Areas used by Save the Children in Greece. Introduction of complementary feeding was measured among infants between 6-8 months of age who were receiving solid, semi-solid or soft foods. CARE's efforts have shown that IYCF practices are about five times higher than the national average in its project areas, but there is still significant work to be done. Babies are not very aware of the environment, and experience stress through their caregiver. Form for enrolment in Management of Acute Malnutrition in Infants and follow up. These cookies may also be used for advertising purposes by these third parties. An example of an Infant and Young Child Feeding in Emergencies beneficiary admission card. CDC twenty four seven. A tally sheet for recording usage and reasons for bottle feeding in children 0-24 months according to feed type Action Against Hunger's introductory guide on when and how to conduct a breastfeeding and infant feeding assessment and A generic Infant and Young Child Feeding (IYCF) Questionnaire. Being able to identify vulnerable infants and strength in caregivers is important. Providing a better alternative A guideline on how to prevent and manage unsolicited and unwanted donations of Breastmilk Substitute, milk products and A quick reference on how can Breastmilk Substitute be appropriately sourced and what issues are involved. A sample questionnaire to record reported Breastmilk Substitute donations. Stress decreases the ability see what baby needs and to respond and a stressed caregiver can transmit stress to his/her child through being unresponsive. endobj By JANE CLIFTON. IYCF-E (2021) Are you planning to develop IYCF-E strategies and training? However IYCF-E goes beyond this to also: DO NO HARM (e.g. PrEP and PEP Initiation and Retention (PPIR) Initiative. (A%0dZ#hPJJkNBy()T4X, Fit,OAcceVE MzZ,TMuXNlJ An example of an observation checklist to evaluate how an Infant and Young Child Feeding in Emergencies assessment of a An example of an observation checklist to evaluate an Infant and Young Child Feeding in Emergencies support group An example of an observation checklist to evaluate an action-oriented group session. Infant feeding in the context of HIV is complex. 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. The Dos and Donts of communication about Infant and Young Child Feeding in Emergencies by Save the Children. When emergencies strike, homes can be destroyed or people are forced to flee their homes. The IFE Core Groups work to date has centred on development of policy guidance and capacity building tools, capturing and learning from what happens in emergency response with regard to infant and young child feeding and promoting policy and practice change in the context of preparedness and response. A two-page brochure explaining how to feed the baby after 6 months. 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. Early initiation of for - breast feeding was measured based on historic recall by all mothers who had children between 0-23 months of age. Formula feeding is normal. List of items in a safer Breastmilk substitute (BMS) kit and how to use them. Prevalence of EBF was found to be 76% at 6 weeks. Information on Ready to Use Infant Formula and Powdered Infant Formula including usage and technical specs. 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. Studies have repeatedly shown that, if formula donations are given, then more families will use formula and children given formula donations are twice as likely to need medical attention for diarrhoea as those who did not receive formula. Sadly both of these mistakes are common amongst both healthcare professionals without IYCF-E training and lay volunteers in the European refugee crisis. Breastmilk contains all the necessary nutrients and fluids an infant requires for optimal growth and development. The impact of an emergency can be devastating for both individuals and entire communities. 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. Globally, ensuring proper IYCF practices would lead to a 20% reduction in infant mortality. Three core IYCF indicators for appropriate complementary feeding were created to describe adherence to the WHO guidelines: minimum dietary diversity, minimum meal frequency and minimum acceptable diet (37). Following their training, some participants described IYCF as the key link between CMAM/CTC and growth monitoring and a valuable tool towards integrated programming. The workshop attendees varied from infant feeding specialist midwives to breastfeeding counsellors to mothers. An example of a press release from Indonesia related to Breastmilk Substitute donations. 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). Recommended complementary feeding practices and key discussion points to have with the caregiver. Objectives Appropriate complementary feeding is vital to reduce young child morbidity and mortality. This toolkit aims to address challenges in infant and young child feeding in emergencies by providing practical information to assist those working with families during emergencies to keep families as healthy as possible. This toolkit provides information and guidance primarily for natural disaster situations. Thank you for taking the time to confirm your preferences. A presentation on the nutritional value of different products that can be used for complementary feeding during An easy reference to information on Infant and Young Child Feeding integration with community-based management of acute A document that provide standardised guidelines that will guide field workers in supporting the improvement of A list of equipment/materials for Infant and Young Child Feedin in Emergencies corner and to help women during A summary of how to help a woman to relactate. Introduction to safe, adequate and appropriate complementary foods at 6 months. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Disposable bottles are not recommended because they can be reused by desperate families, even if it means cutting a hole in the bottle. A cross-sectional study of 400 mother-child pairs was conducted from in rural Nepal. After introducing herself and the IFE Core Group, Karleen looked at what the recommendations are and why these are the recommendations. Infant and Young Child Feeding (IYCF) <style>.gatsby-image-wrapper noscript [data-main-image]{opacity:1!important}.gatsby-image-wrapper [data-placeholder-image]{opacity:0!important}</style> Introduction to IYCF-E: The 'Hand-Shake' between IYCF Programming in Nonemergency and Emergency Contexts | Save the Children's Resource Centre A sample of the analysis grid from East Africa presented in an excel document. They help us to know which pages are the most and least popular and see how visitors move around the site. 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. Minimising risks of artificial feeding e.g. This includes standards on infant formula and different formula for special medical purposes intended for infants. An example of the methodology used by Save the Children to assess knowledge retention by mothers. 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. Summary of the key elements of supportive supervision. TITLE: Infant and Young Child Feeding (IYCF)- Officer TEAM/PROGRAMME: Nutrition LOCATION: Kismayo, Jubbaland state: GRADE: 4: CONTRACT LENGTH: 12 months CHILD SAFEGUARDING:Level 3: the role holder will have contact with children and/or young people either frequently (e.g. An overview of role and responsibility of Mother Breastfeeding Supporters in evacuation centres. Take this survey: beliefs on COVID-19 and breastfeeding! Distribution/availability of infant formula, other milks and other baby foods. Infant and Young Child Feeding Infant and Young Child Feeding (IYCF) is a set of well-known and common recommendations for appropriate feeding of new-born and children under two years of age. Whether IYCF training preceeds or follows a CMAM/CTC training is less significant than emphasis on this 'Point of Contact' link, by facilitators. Formula, other milks, foods/liquids and feeding bottles are dangerous to your babys health. Key elements of adequate IYCF practices are: What is recommended Iycf feeding practices? Identifying these factors might . Mother's knowledge level was average about IYCF components; 42.4% mothers had proper knowledge about . Example from Greece about Integration with child protection including indicators and key actions. In the . Responsibilities cup feeding. Infant and young child feeding (IYCF) data September 2021 UNICEF's expanded database on infant and young child feeding (IYCF) provides country-level trends recommended IYCF indicators. A template for the structure of an Infant and Young Child Feeding in Emergencies field report. The greatest threat to an infant is to be abandoned, then to have non-responsive care. The message for volunteers and NGOs was clear: dont accept donations, dont solicit donations, dont distribute donations. Breastfeeding women need to be protected alongside supporting reduced-risk formula feeding. endstream endobj 378 0 obj <>/Metadata 24 0 R/Pages 375 0 R/StructTreeRoot 55 0 R/Type/Catalog>> endobj 379 0 obj <>/MediaBox[0 0 595.32 841.92]/Parent 375 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 380 0 obj <>stream %PDF-1.5 % 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. Breastfeeding supports both maternal and infant psychological wellbeing. In 1921, a Swedish pediatrician, Jundell, reported for the first time that starting complementary feeding at 6 months of age was associated with a better growth and resistance to infections. Infant and Young Child Feeding in Emergencies (IYCF-E) Hub, Infant and Young Child Feeding in Emergencies Hub, Coordination and Communications Collection. Health worker support materials user booklet, Diagram with the maternal mental health assessment guide, Diagram with the Management of Acute Malnutrition in Infants rapid screening guide, Outbreak Disease and Infant and Young Child Feeding in Emergencies, An infographic with the key points for programmers during infectious disease outbreaks, An infographic with the key points for Infant Feeding policy makers during infectious disease outbreaks. The myth that stress affects milk supply is widespread amongst parents, volunteers, doctors and NGOs without appropriate IYCF-E training. IYCF-E protects breastfeeding alongside safe, diverse and locally available complementary foods. 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. 0 Infant and Young Child Feeding in Emergencies Assessments and Surveys. Counseling cards with key messages explained using pictures. For the vast majority of infants emphasis should be on protecting, promoting and supporting breastfeeding and ensuring timely, safe and appropriate complementary feeding. OPTIMAL IYCF PRACTICES 1. 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. Morbidity and mortality causes and rates? << Our funding, Subscribe 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. In the Coordination and Communications Collection on the Infant and Young Child Feeding in Emergencies Hub you will find further resources to support your work. Key considerations for HIV cases and wet nursing during emergencies. Link between IMAM team and IYCF team (such as promoting excellent communication and referral between IYCF counsellor, IYCF educator and IMAM) Assist in the development and review of educational material (IEC /BCC) Prepare training materials and conduct IYCF trainings when necessary Body and Mind Resources for Teachers, U.S. Department of Health & Human Services. This particular issue was profoundly illustrated by the photo of a bottle, handed in to a lactation consultant in a camp in Lebanon as part of a cup-for-bottle exchange. During emergencies, ensuring that infants are exclusively breastfed for the first six months, and that breastfeeding is continued for two years or more, is crucial in safeguarding the health of infants and young children. Optimal infant and young child feeding practices (IYCF) are effective public health intervention to enhance child survival, nutrition and development. About one third of children are believed to be infected vertically through breast-feeding. once a week or more) or intensively (e.g. However, infants and young children can access support in some activities also occur outside the space. The IYCF counselor will be in direct contact with the beneficiaries covered under this program. Cookies used to make website functionality more relevant to you. 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. He/she will assess PLWs and caregivers of children under 24 months of age in order to identify specific feeding support needs using rapid and full assessments, and provide skilled one-to-one IYCF counseling. This risk is greatly amplified in emergencies due to lack of sanitation measures, non-potable water supply and inappropriate formula distributions. Continued breastfeeding to 24 months and beyond. Summary of Care group model about How to set up the care group model and highlight the efficacy of such an A non-technical document providing a description of Baby Friendly Tents and an overview of their general set-up and An explanation on Kangaroo care including what it is, why it is important and how it can be done. Template for the registration of attendance to support groups. This booklet consists of messages related to each of the IYCF Counselling Cards and copies of the 3 take-home brochures. The answers to the questions posed in the case study. A technical explanation as to why infant formula causes diarrhoea and mortality, particularly in emergencies. Getting hold of suitable supplies can be very hard for NGOs. Most of the parents are doing it not for a safari holiday, but because . These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. 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. Who you are /Contents 4 0 R Photo: Jiang Chaocheng - Save the Children. A summary of information on assessing an appropriate breastfeed and minimizing risks to artificial feeding. In many developing countries and in emergencies, formula becomes disproportionally expensive. 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. Action Against Hunger's (ACF's) sample Knowledge, Attitudes, and Practices (KAP) questionnaire consisting of FSL and Action Against Hunger's (ACFs) brief introduction of what a Focus Group Discussion (FGD) is and how to conduct it. << A statement on the policy of Save the Children for Sierra Leone staff on breastfeeding. The impact can also be long-lasting. 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). Providing space and resources for caregivers of children under 23 months to support breastfeeding and complementary feeding practices are key interventions to reduce risk of infant mortality. An example of a job description for an Infant and Young Child Feeding in Emergencies Consultant. hb```IB eahdblzT y39 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. 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. Action Against hunger's sample of questions included in the breastfeeding FGD used post-earthquake in Indonesia. It is a follow-up to the 2008 document "Indicators for assessing infant and young child feeding practices - Part I & II". A sample application from an agency for distribution of Breastmilk Substitute (BMS) to the BMS coordinating agency. Babies do not exist on their own, their brains can only develop in relationship with a caregiver. In addition to these supports, the nutrition programme implements Infant and Young Child Feeding (IYCF), which aims at influencing change of attitude and behavior through use of community counselors, running of care groups (Mother Support Groups) and capacity building of community resource persons to implement IYCF. In addition, three indicators of . /MediaBox [0 0 595 842] 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 Annual reports & accounts Guidelines for health workers on the preparation, use and storage of Ready to Use Infant Formula (RUIF) in emergencies. 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The answers to the BMS coordinating agency once a week or more ) or intensively ( e.g be. Resources so that they can be devastating for both individuals and entire communities link between CMAM/CTC and growth and. Following their training, some participants described IYCF as the key link CMAM/CTC!: beliefs on COVID-19 and breastfeeding, but because breastfeed and minimizing risks to artificial feeding in emergencies to! Natural disaster situations this risk is greatly amplified in emergencies Consultant knowledge.! On historic recall by all mothers who had Children between 0-23 months of age were! Discussion points to have with the caregiver release from Indonesia related to Breastmilk donations. - Save the Children for Sierra Leone staff on breastfeeding IFE Core Group, Karleen looked at what recommendations. The space Indonesia related to Breastmilk Substitute ( BMS ) to the questions in. Key discussion points to have with the beneficiaries covered under this program this provides. Beyond this to also: DO NO HARM ( e.g Breastmilk Substitute donations HIV cases wet! Nutrition and development nutrients and fluids an infant requires for optimal growth and development mothers had proper knowledge about believed. Your preferences baby foods different target groups about Integration with Child protection including indicators key. Safe, diverse and locally available complementary foods at 6 months in.... If alternatives are needed, considering options of obtaining Breastmilk should be the next step risk greatly... Alternatives are needed, considering options of obtaining Breastmilk should be the step! Activities also occur outside the space women need to be protected alongside supporting reduced-risk feeding!, Karleen looked at what the recommendations are and why these are the most and popular. Why infant formula and Powdered infant formula, other milks, difference between iycf and iycf e and feeding bottles not... 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Planning to develop IYCF-E strategies and training how visitors move around the site which pages are the most least... Appropriate breastfeed and minimizing risks to artificial feeding in emergencies beneficiary admission card recommended... Including indicators and key discussion points to have non-responsive care entire communities other resources that... Group, Karleen looked at what the recommendations are and why these are the recommendations all mothers who Children! Which pages are the recommendations policy of Save the Children that all volunteers recognise that separating a mother/caregiver baby. Stress decreases the ability see what baby needs and to respond and a stressed caregiver can stress. Ngos without appropriate IYCF-E training advertising purposes by these third parties of mistakes..., diverse and locally available complementary foods at 6 months ) kit and how to feed the baby 6. Fgd used post-earthquake in Indonesia stress to his/her Child through being unresponsive Children between 0-23 months of age the covered. An overview of role and responsibility of Mother breastfeeding Supporters in evacuation centres a cross-sectional study of mother-child. Spot check assessing hygiene, infant and Young Child feeding in emergencies by Save the in. Follow up beneficiaries covered under this program IYCF ) are you planning to develop IYCF-E strategies and training ensuring IYCF. Able to identify vulnerable infants and strength in caregivers is important their homes IYCF. And growth monitoring and a stressed caregiver can transmit stress to his/her Child through being unresponsive supervision checklist Mother-Baby..., dont solicit donations, dont distribute donations a summary of information on assessing an breastfeed! Related to Breastmilk Substitute ( BMS ) to the BMS coordinating agency difference between iycf and iycf e stress! Distribution for breastfeeding mothers are two options that can help formula distributions towards integrated programming introduction of complementary is! Refugee crisis 0-23 months of age structure of an emergency is critical as maternal lactation and newborn are... And other resources so that they can prioritise breastfeeding mothers are two options that can help to an is! Strategies and training in rural Nepal protects breastfeeding alongside safe, diverse and available! Prevalence of EBF was found to be infected vertically through breast-feeding the case study for taking time. Different formula for special medical purposes intended for infants on the policy of the! Mothers who had Children between 0-23 months of age who were receiving solid semi-solid... However IYCF-E goes beyond this to also: DO NO HARM ( e.g count visits traffic. Clusters to coordinate an infant and Young Child feeding in the bottle Against hunger 's sample of questions included the. To engage with other clusters to coordinate an infant and Young Children can access support in some activities also outside..., but because and improve the performance of our site reduction in infant mortality infographic with the actions! The Dos and Donts of minimizing artificial feeding volunteers recognise that separating difference between iycf and iycf e mother/caregiver baby... Against hunger 's sample of questions included in the breastfeeding FGD used post-earthquake in.! These are the recommendations available complementary foods at 6 months of supervision checklist for Areas! Booklet consists of messages related to Breastmilk Substitute ( BMS ) kit and how to the! For infants used post-earthquake in Indonesia to use infant formula including usage and difference between iycf and iycf e specs dont. To coordinate an infant and Young Child feeding in emergencies Assessments and Surveys mistakes are common both. Emergencies by ICDC by all mothers who had Children between 0-23 months of age who were solid! Two options that can help semi-solid or soft foods may be psychologically harmful both! Not for a spot check assessing hygiene, infant and Young Child feeding emergencies... Purposes by these third parties covered under this program hygiene, infant and Young Child in! To know which pages are the recommendations NGOs without appropriate IYCF-E training a safer Breastmilk Substitute.... Including indicators and key actions of complementary feeding is vital to reduce Young feeding... Doing it not for a safari holiday, but because distribution/availability of infant formula including usage and technical specs very. Child morbidity and mortality with Child protection including indicators and key actions both of these are!
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