South Asian countries experience some of the highest levels of child undernutrition in the world, strongly linked to poor infant and young child feeding IYCF practices. The regional analysis presented here was conducted by the lead author, and reviewed by each country research team leader for accuracy. Specific strengths with respect to sectoral policies included widespread adoption of counseling as a best-practice intervention, and comprehensive and consistent messaging regarding appropriate IYCF practices. Lata Medical Research Foundation: The aim of this study was to improve understanding of the range and types of policy support for IYCF across countries in South Asia. Admin area Edit this page Log out.
Given poor dietary diversity practices across the regions, the recent policy drive for linking nutrition with food system could have a crucial implication for the improved outcome for complementary feeding practices [ 39 ]. The extraction focused on the following key domains that were identified during the development of the data collection framework:. Comprehensive cross-sectoral support for training The policy support for training varied from high level and sectoral support for both in-service and pre-service training in India, Sri Lanka and Nepal, to support for training only for Lady Health Workers in Pakistan. Nov 24 – 4: This analysis was based on the over-arching research question:
A recent review of IYCF programs in six countries, including in Bangladesh and Sri Lanka, found that policy vase depended not only on supportive provisions, but also on committed partners across sectors, advocacy, training and planning [ 12 ].
It emphasises that feeding In Nepal and Sri Lanka, mandates for awareness campaigns and consistent messaging were outlined within a range of health as well as non-health sector policies [ 2932 ]. With increasing decentralization, more information on sub-national variation in policy would be useful in identifying opportunities to strengthen policy in all countries.
However, some remarked that they do not have enough breastmilk and besides, water, it is believed, is also good for the babies culturally engrained practice. The policy landscape reflected a high degree of recognition that jycf IYCF is essential to good child nutrition and health, and to development. Eur J Pub Health. The following recommendations are based on document review, key informant interviews, and stakeholder meeting at the conclusion of the country visit:.
Data were caxe in — For the best outcomes at a national level, such interventions need to be supported by appropriate government policies [ 6 — 9 ].
Sri Lanka had instituted a Nutrition Coordination Division under the Ministry of Health, with the mandate of coordinating action of relevant sectors on nutrition including IYCF, which is now also a priority area for prevention of non-communicable diseases, as well as child nutrition more broadly [ 29 ]. Iyc would like to acknowledge Prof. Author information Copyright and License information Disclaimer.
Policy content and stakeholder network analysis for infant and young child feeding in Bangladesh. Further detail on the data presented here is given in the other supplement papers.
Challenges identified in the WBTi review by the countries included in this study included: Strategic policy support for monitoring and evaluation Sri Lanka was the only country with high-level strategic policy support for monitoring and evaluation IYCF, as part of provisions for all nutrition programmes [ 29 ].
C – Maternity Protection Convention, No. Our objective was to assess strengths and opportunities in IYCF policy content across the five countries. Relevant sectors were identified as: In line with this, there has been significant investment in regional adaptation and national implementation of policies supporting best-practice IYCF interventions.
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For employed women, there were also workplace-based iycv supporting appropriate IYCF practices. The implementation level policy support lacks the comprehensive and clear guidance for promotion of complementary feeding among mothers and caregivers.
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Conclusions The key opportunities for strengthening IYCF policy support were in relation to translating strategic directives into implementation level documents; improving multi-sectoral support and coordination; and increased clarity regarding roles and responsibilities of frontline workers interacting with mothers. Overall, there were significant gaps in coverage, particularly in the srudy sector, and also recommendations in Sri Lanka for maternity and paternity leave provisions to be reviewed [ 29 ].
We used this to describe the content related to IYCF, within the umbrella of nutrition more broadly, for each policy document identified.
Sthdy support for IYCF was present in National Development Plans or equivalent strategy documents in all five countries [ 28 — 32 ]. Dear ENN, If there is one thing that we have learnt from the current Ebola virus disease EVD outbreak it is that regardless of infection status, Ebola comes bringing bad These findings can support efforts to strengthen IYCF policy at the national and regional level.
Infant and Young Child Feeding Programme Review – Case Study: Uganda
Operational Plan for Community Based Healthcareto ensure consistency across clinics cqse 29 ]. Comment on question two – women HIV leadership. The extraction focused on the following key domains that were identified during the development of the data collection framework: AMT designed the study, analysed the data across study sites, and led the preparation of the manuscript.
For this regional overview paper, country-level findings were analysed to identify sub-themes within each of the pre-determined themes, regarding how support for IYCF is operationalized in the region.