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    CF Recipes Bangladesh

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    Joelyn Fatima Burnard
    This document discusses optimal infant and young child feeding practices, including breastfeeding and complementary feeding. It notes that complementary feeding is important for child survival, growth and development. However, rates of timely introduction of complementary foods and consumption of nutritious foods like proteins, vitamins and fats are low in South Asian countries. It analyzes gaps in complementary feeding practices and provides recommendations. Key strategies to improve complementary feeding outlined in the document include implementing policies, strengthening health systems, community-based support programs and behavior change communication.

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    CF Recipes Bangladesh

    Uploaded by

    Joelyn Fatima Burnard
    144 views36 pages
    This document discusses optimal infant and young child feeding practices, including breastfeeding and complementary feeding. It notes that complementary feeding is important for child survival, growth and development. However, rates of timely introduction of complementary foods and consumption of nutritious foods like proteins, vitamins and fats are low in South Asian countries. It analyzes gaps in complementary feeding practices and provides recommendations. Key strategies to improve complementary feeding outlined in the document include implementing policies, strengthening health systems, community-based support programs and behavior change communication.

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    This document discusses optimal infant and young child feeding practices, including breastfeeding and complementary feeding. It notes that complementary feeding is important for child survival, growth and development. However, rates of timely introduction of complementary foods and consumption of nutritious foods like proteins, vitamins and fats are low in South Asian countries. It analyzes gaps in complementary feeding practices and provides recommendations. Key strategies to improve complementary feeding outlined in the document include implementing policies, strengthening health systems, community-based support programs and behavior change communication.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    144 views36 pages

    CF Recipes Bangladesh

    Uploaded by

    Joelyn Fatima Burnard
    This document discusses optimal infant and young child feeding practices, including breastfeeding and complementary feeding. It notes that complementary feeding is important for child survival, growth and development. However, rates of timely introduction of complementary foods and consumption of nutritious foods like proteins, vitamins and fats are low in South Asian countries. It analyzes gaps in complementary feeding practices and provides recommendations. Key strategies to improve complementary feeding outlined in the document include implementing policies, strengthening health systems, community-based support programs and behavior change communication.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 36

    Complementary Feeding: the gap, causal analysis and possible solution in resource and knowledge poor situation

    Dr. S.K. Roy

    Chairman
    Bangladesh Breastfeeding foundation

    Introduction
    Appropriate feeding practices are essential for the nutrition,growth,development and survival of infants and young children. These feeding practices, known collectively as Infant and young child feeding (IYCF) practices, include breastfeeding and complementary feeding.

    Nutrition triangle (UNICEF)


    Food Security

    Breastfeeding Complementary Feeding

    Disease Control

    Caring Practices

    Optimal Infant and Young Child Feeding practices by age of Child


    0 0------------------------------------------------------------------------------------24 Age in month 6 24

    Initiate BF within half hour of birth No prelacteal feeds Give colostrum Exclusive breastfeeding No bottle Feeding

    Continue breastfeeding No bottle feeding

    Feed CF 2-3 times a day plus snacks

    Feed CF 3-4 times a day plus snacks

    Dont start CF

    Increase frequency, amount & variety of CF, including animal foods, fruits & legumes, Oils/Fat.

    Significance
    age-appropriate can have a major impact on child survival

    19% per cent of all under-5 deaths in the developing world could be prevented by appropriate CF (Lancet 2003)
    Even with optimum breastfeeding children will become stunted if they do not receive sufficient quantities of quality complementary foods after six months of age (Lancet 2008)

    Malnutrition rates rise very steeply and peak in CF age (6-23 mo)
    Malnutrition is related to inappropriate feeding practices

    Develop a global partnership and multicultural collaboration

    Provides Low cost , high quality food,thus Eradicate poverty, and hunger

    Neurological Development, enhance later school performance.

    Decreased milk industry waste, Ensure environmental sustainability

    BF
    CF
    Promote gender equality, and empower women

    Combat HIV, malaria, and other diseases Improve maternal health

    Reduce infectious disease incidence and severity and thus Reduce child Mortality,

    Current Situation of CF in South Asian Countries

    Rate of Timely initiation of complementary feeding


    (Introduction of any solid/semi solid food (age 6-7mo)

    84.3 67.6 61.2 52.7 37.4

    Feeding rate

    BAN

    IND

    NEP

    INDO

    PAK

    5 South Asian countries

    Trend in Timely CF rate in Bangladesh according to birth order


    Tim ely CF rate 2000 90 80 70 60 50 40 30 20 10 0 Tim ely CF rate 2004

    76.3

    76.3

    76.3

    23.5 12.2 14.1

    First born

    2nd -4th

    5 or m ore

    Timely CF rate in Bangladesh according to House hold wealth index


    Timely CF rate 2000 90 80 70 60 50 40 30 20 10 0 Poorest Poorer Middle Richer Richest
    12.7 4.5 19.6 24 20 66.9

    Timely CF rate 2004


    80.1 71.6 82.9

    78.8

    *p<0.01

    Trend of nutritional status of <5 children 1996 to 2007 in Bangladesh


    Stunting (height for age) 60 50 40 30 20 10 0 BDHS 1996-97 BDHS 1999-2000 BDHS 2004 BDHS 2007 18 10 13 16 55 56 45 48 43 36 48 46 Westing (wt for ht) Underweight (wt for age)

    BDHS 2007

    Trend in undernutrition in children aged 6-59 months in Bangladesh, 1985 to 2005 (NCHS)
    Underweight 80 70 60 50 40 30 20 10 0 1985-86 1989-90 1992 1995-96 2000 2005 Stunting Wasting MUAC <125 mmm

    UNICEF/BBS-2005

    Trend in Infant and Childhood mortality, 1989 to 2006


    Infant mortality 140 120 100 80 60 40 20 0 BDHS 198693 BDHS 199296 BDHS 199599 BDHS 19992003 BDHS 20032006 50 37 30 24 14 87 82 66 65 52 133 116 94 88 65 Child mortality <5 mortality

    BDHS 2007

    Prevalence of NS in children aged <5 in South Asian Country (NCHS)


    Country
    Afghanistan Bangladesh Bhutan India Maldives

    Underweight
    39 45 19 47 30

    Stunting
    54 40 40 46 25

    Wasting
    7 13 3 16 13

    Nepal
    Pakistan Sri Lanka

    48
    38 29

    51
    37 14

    10
    13 14

    Gap and Causal analysis

    The gaps in complementary feeding practices


    Rate of Minimal acceptable diet and minimum meal frequency are not satisfactory in the south Asian countries Rate of receiving infant formula remains high Only 1 in 10 children are given Protein rich foods (meat , fish , poultry , and eggs) at 6-7 months of age Cereal based complementary food is more common or major source of energy Consumption of vitamin and mineral rich food items remain low Consumption of oil rich food items (fat , ghee, ,or butter) are low Milk products , such as cheese and yogurt are even less likely to be given to young children, and

    Minimum Acceptable Diet (Four or more food groups)


    Age (Months) Country 6-8 mo (%)
    16.1 10.1 36.0 46.8

    9-11 mo (%)
    39.4 25.6 51.8 74.3

    12-17 mo (%)

    18-23 mo (%)
    57.9 47.5 72.8 87.5

    Bangladesh (2007) India (2005-06) Nepal (2006) Indonesia (2007)

    48.4 42.9 74.8 84.5

    Minimal Meal Frequency (Four or more times)


    Age (Months) Country 6-8 mo (%)
    59.7 21.6 63.9 3.4

    9-11 mo (%)
    74.0 15.6 73.7 7.7

    12-17 mo (%)

    18-23 mo (%)
    93.5 28.9 90.7 13.5

    Bangladesh (2007) India (2005-06) Nepal (2006) Indonesia (2007)

    84.6 26.1 87.4 13.8

    SAIFRN Complementary Feeding Analyses

    Rate of receiving infant formula/other milk as complementary food(age 6-7 mo)


    Infant formula
    35 30 25 20 15 10

    30.1%

    15.4%
    Infant formula

    4.6%
    5 0 Bangladesh Nepal Indonesia

    Rate of protein rich food intake ( Meat, fish, poultry and Eggs)
    Protein rich food
    35

    30.7
    30

    25

    21.4
    20 protein rich food 15

    10.1
    10

    9.9

    2.1
    0 BAN INDO NEP PAK India

    5 south Asian countries

    Rate of giving protein rich diet in different age


    40

    35.2
    35

    30

    30.7

    25

    20

    6-7 month of age

    16.3
    15

    6-9 month of age

    10

    10.1

    9.9

    10.6

    0 BAN INDO NEP

    Rate of vitamin A containing food intake(fruits and vegetables) (age 6-7 mo)
    6-7 month of age
    35

    47.6
    30

    25

    20

    26
    6-7 month of age

    15

    10

    7.6
    5

    7.4

    0 BAN INDO NEP

    Rate of carbohydrate rich food intake


    percentage of Carbohydrate rich food intake
    90 80 70 60 50 40 30 20 10 0 Bangladesh Indonesia Nepal India

    80.1

    58.4 50.1 43.9


    percentage of Carbohydrate rich food intake

    Prevention of malnutrition using home based complementary Feeding

    Intervention

    Control

    Roy et al 2008

    What are needed now


    Get the IYCF policy and programs implemented Resource allocation to make it happen in SA Ensure EIB in every household through MSG Mainstream IYCF in Heath systems Institutional capacity building on IYCF strategies Convergence to IYCF by all health programs Campaign and Advocacy at all levels with evidences

    The Global Strategy of IYCF


    Implementation of comprehensive policies by the Government

    Full support for two years of breastfeeding or more

    Promotion of timely, adequate, safe and appropriate complementary feeding

    Guidance on IYCF in especially difficult circumstances


    Legislation or suitable measures giving effect to the International Code

    IYCF strategy in Bangladesh


    The National Strategy outlines responsibilities of stakeholders and nine priority strategies: Legislation, policy, and standards: BMS marketing Code, maternity protection in the workplace, Codex standards for complementary foods, and national policies and plans Health system support: BFHI, mainstreaming and prioritization of IYCF activities, and knowledge and skills of health service providers Community-based support: community-based networks supportive of IYCF IYCF in exceptionally difficulty circumstances: enabling environments for appropriate IYCF practices in cases of HIV infection, emergencies, and malnutrition

    Priority strategies for IYCF in Bangladesh


    Legislation, policy and standards
    Strategy 1: Code of marketing of breast-milk substitutes Strategy 2: Maternity protection in the workplace Strategy 3: Codex standards Strategy 4: National policies and plans

    Continue..
    Health system support
    Strategy 5: Baby-friendly Hospital Initiative

    Strategy 6: Mainstreaming & prioritization of IYCF activities


    Strategy 7:Knowledge & skills of health service providers

    Community based support


    Strategy 8: Community based support for IYCF

    Recommendation
    For infants up to 6 months exclusive breast feeding should be encouraged and promoted as the most desirable feeding practice.

    For older infants and older children, raising community awareness of the critical importance of the timely introduction of adequate quantities of safe nutritious complementary foods is key for improving nutrition Behavior change communication is very important for the success of complementary feeding.
    Action should be taken by the mother, her family, her employer, community, and many others in support of breast feeding and complementary feeding practices to meet the nutritional needs of the child.

    Community based nutrition programme components for development of Complementary feeding:


    Menus of activities Support system Level of activity

    1.food production 2. nutrition education 3. food sanitation/safety 4. antenatal care 5.GMP 6. breast feeding 7. other activities

    1.Tranning 2.Funding 3.problem solving 4.supertion 5.plan/plans 6.implementation 7.planning and evaluation

    1.facilitators 2.mobilizers 3.community level 4.household 5.individual

    Feed your baby adequate and safe complementary feeding for healthy nation. -Thank you

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