/F1 88 0 R The World Health Organisation defines optimal IYCF practice as the initiation of breastfeeding within one hour of birth, breastfeeding exclusively for the first six months, continuing to breastfeed for two years, on demand breastfeeding, giving of colostrum, no prelacteal feeding, no bottle feeding and initiation of . In total, there are 17 recommended IYCF indicators in the 2021 edition. 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. Recognize links between morbidity, mortality and IYCF Explain the importance of protecting, promoting and supporting breastfeeding Recognise the dangers of artificial feeding and inappropriate practices State the similarities and differences between IYCF and IYCF-E programming Know what the main relevant policies, guidance and resources on IYCF . A mother who is physically or emotionally distant will struggle to respond to her child. IYCF-E protects breastfeeding alongside safe, diverse and locally available complementary foods. maximize a childs health and development. A collection of fun learning activities to do with children. The toolkit contains information on how to best support families and provide optimal nutrition to infants and young children during emergencies, specifically natural disasters. 11/4/2021 Why focus on IYCF_E? x^Mo0:"I0l- This guidance document provides tools for the collection and calculation of the indicators. The message for volunteers and NGOs was clear: dont accept donations, dont solicit donations, dont distribute donations. 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. New IYCF-E Individual Capacity Assessment Tool AVAILABLE NOW! ENN Strategy An example of a supervision checklist for an Infant and Young Child Feeding in Emergencies mother-baby assessment. Counselling cards illustrating key messages based on different target groups. Aspiration to bottle feed. A sample of interview questions for all levels of Infant and Young Child Feeding in Emergencies personnel. Im a trainee breastfeeding counsellor with the Association of Breastfeeding Mothers (ABM) and a Doula UK registered doula. It is very easy for health services, even in developed countries without an emergency, to put up barriers to breastfeeding for women who need medical assistance. 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! This latest version of the Toolkit was updated in July 2022. WHAT IS THE DIFFERENCE BETWEEN IYCF AND IYCF-E? Additional material about cup feeding, breastmilk expression, artificial feeding, relactation, Kangaroo care and other Summary of points for assessing a good breastfeeding session and techniques that can be applied for improving it. The toolkit includes printable materials and resources that can be used with or given to families. IYCF-E assessment should be conducted to: Assess the impact of the emergency on IYCF practices and determine the likely scenarios and evolution of the situation, taking into account secondary information, Summary of key guiding principles of WHO for Infant and Young Child Feeding in Emergencies. Information for the public on donations during emergencies. engrossing and gross. Training is key for all volunteers. An example of suitable information for a generic Ready-to-use Infant Formula label. Operational Guidance on Infant and Young Child Feeding in Emergencies (IYCF-E) Key points from the Operational guidance on Infant and Young Child Feeding in Emergencies (IYCF-E) v2.1, 2007. Babies and young children show stress through: body language; clinging to parents; regression; crying and being irritable; being afraid; changes in sleep and eating patterns. 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. An overview of key global legislation, frameworks, strategies and initiatives for Infant and Young Child Feeding in Key points from the Operational guidance on Infant and Young Child Feeding in Emergencies (IYCF-E) v2.1, 2007. 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. They may have a hard time moving from one place to another, urgent or constant medical needs, difficulty communicating or have trouble with transitioning to different situations. The Tech RRT CMAM/IYCF-E Advisor will provide senior leadership and will be responsible for improving the delivery of CMAM and/or IYCF-E programing and responses in rapid onset and protracted emergencies globally, through in country deployments and remote technical assistance to governments, nutrition clusters, the Global Nutrition Cluster (GNC . Mother's knowledge level was average about IYCF components; 42.4% mothers had proper knowledge about . IYCF Officer needed at International Medical Corps, May 20 2022 . 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. Visuals that complement the training sessions to help participants grasp and retain technical knowledge and concepts. There may be other options for wet-nursing or the use of donated milk, depending on circumstances and cultural practices. The IYCF Officer ensures the project's activities fit within the framework of the National Nutrition Program and ensures good relations with local stakeholders. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Centers for Disease Control and Prevention. 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. An example of a guide form Ethiopia to minimise risks of artificil feeding. The Global Strategy for Infant and Young Child Feeding states that: Infants and children are among the most vulnerable victims of natural or human-induced emergencies. 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. There may also be differences when considering the relatively high level of influence of UN actors, such as UNICEF and WHO on IYCF policy environment in Pakistan, compared to India and Sri Lanka [40, 41 . Infant and Young Child Feeding in Emergencies (IYCF-E) concerns the protection and support of safe and appropriate feeding for infants and young children in all types of emergencies, with the goal of safeguarding their survival, health and growth. Immediately upon birth, breastfeeding helps mothers expel the placenta, promote birth spacing, aid mother/child bonding and ensure adequate breastmilk supply. Online training in IYCF-E is available from UNICEF and the Emergency Nutrition Network (ENN). Supporting mothers who are mixed feeding is an important consideration in this crisis because there are very high rates of mixed feeding in refugees from the Middle East. 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. By continuing to use this site, you accept our use of cookies. Indicators can be assessed through large-scale population-based surveys, including the Demographic and Health Survey (DHS) and the Multiple Indicator Cluster Survey (MICS). It de- Friendly Spaces, Mother Baby Areas, Baby Tents scribes the different kinds of safe spaces where and Infant and Young Child Feeding (IYCF) Corners, pregnant women, mothers and other caregivers of among others. Photo: Mackenson Saint-Felix - Save the Children. ENN is a charity in the UK no. 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 behaviour change more easily as a result. Additional audiences may include health care providers, community partners, the public, families, and individuals. /Type /Page IYCF-E Infographic series The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Material support: priority access to food, water, accommodation and other resources so that they can prioritise breastfeeding. 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. Once a child is six months of age, breastmilk continues to provide almost half of all necessary nutrients. In emergencies, child deaths can be two to seventy times higher than the average rate. 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. Breastmilk Substitute violations monitoring database by Global Nutrition Cluster. 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. Objectives Appropriate complementary feeding is vital to reduce young child morbidity and mortality. 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. Past support to Haiti IYCF-E (2016) Learn more about IYCF-E Technical Support during Hurricane Mathew in Haiti. What is the difference between Iycf and Cmam? Infant and Young Child Feeding in Emergencies Toolkit. Template for the report of attendance to support groups. 4 9 promoting appropriate iycf Frequently Asked Questions on Support Groups. Briefing on Infant and Young Child Feeding during reported cholera in Zimbabwe, which highlights key preventative A list of helpful tips on how to illustrate common breastfeeding concepts during an Infant and young Child Feeding An illustration of how to make a breast out of a sock, which can be used as an Infant and Young Child Feeding training An illustration of how to make a material baby, which can be used as an Infant and Young Child Feeding training aid. If the mother breastfeeding is not an option, then wet nursing should be considered. Longer term benefits of breastfeeding for mothers include loss of pregnancy weight and reduced risk of developing certain cancers. Guidelines for health workers on the preparation, use and storage of Powdered Infant Formula (PIF) in emergencies. Methods This cross-sectional survey recruited mother-children dyads (N = 1443). Template for a database for a simple rapid assessment. . The IYCF Officer ensures the project's activities fit within the framework of the National Nutrition Program and ensures good relations with local stakeholders. 2021; 11(01): 29-34. 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. IntroductionAlive and Thrive (A&T) implemented infant and young child feeding (IYCF) interventions in Bangladesh. Milk sharing in Muslim cultures is often misunderstood. The Key Concepts include the essential, must-have information about IYCF-E in order to plan an appropriate and relevant IYCF-E program. /F4 100 0 R Support the ENN, IFE Core group Both promote, protect and support optimal IYCF and aim to improve IYCF practices. This risk is greatly amplified in emergencies due to lack of sanitation measures, non-potable water supply and inappropriate formula distributions. Model chapter for textbooks for medical students and allied health professionals. Management of Acute Malnutrition in Infants (MAMI), Form for the Management of Acute Malnutrition in Infants assessment, Management of Acute Malnutrition in Infants Counselling Cards and Support Action Booklet. Instructions on how to sterilize feeding equipment. . Many will be unsuitable for use anyway. Maternal care packs and extra food distribution for breastfeeding mothers are two options that can help. The impact of infant feeding on child health in wealthy contexts was discussed and compared to the impact in resource poor contexts. 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 . A list of materials/equipment needed to prepare and conduct a cooking demonstration. A technical explanation as to why infant formula causes diarrhoea and mortality, particularly in emergencies. If alternatives are needed, considering options of obtaining breastmilk should be the next step. A template of country-wise working of Infant Feeding in Emergencies in relation to different areas of action. Infant and Young Child Feeding in Emergencies (IYCF-E), Global Nutrition Cluster Technical Alliance. Introduction. Belief that the emergency has adversely affected their milk. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. 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. 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. 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. After each section is a note on References, which will connect you to the Infant and Young Child Feeding in Emergencies Hub where you will find relevant resources providing in-depth knowledge and guidance in that chapters subject area. In non-emergency cases, non-breastfed infants have 14 times increased risk of death compared to exclusively breastfed infants. A template for Infant and Young Child Feeding in Emergencies joint statement. An example of a job description for an Infant and Young Child Feeding in Emergencies Counsellor. With this toolkit, CDCs Division of Nutrition, Physical Activity, and Obesity (DNPAO) provides information and resources for emergency preparedness and response personnel, families, and the public to ensure that children are fed safely when disaster strikes. Sample of an exit interview questionnaire and guidelines on conducting an exit interview of a client. A draft of terms of reference for an Infant and Young Child Feeding in Emergenciesworking group. Guidelines for health workers on the preparation, use and storage of Ready to Use Infant Formula (RUIF) in emergencies. And in emergencies, there are added pressures. By JANE CLIFTON. 6 Key Messages to Share During National Nutrition Month. No other association was found between breastfeeding variables and health indicators. 377 0 obj <> endobj Karleen emphasised that it is very difficult to do well and supporting safe formula feeding in emergencies is very difficult. A mother reacting with touching, just generally being engaged somehow, with a baby is being responsive. This includes standards on infant formula and different formula for special medical purposes intended for infants. Up to 4 weeks. 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. 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. Conclusion: Maternal age, maternal education, the time difference between two deliveries, the type of delivery, and gender of the baby were significantly associated with different Infant and Young Child Feeding (IYCF) practices. 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. The importance of using ready to feed infant formula was discussed, along with the problems that still exist (such as increased risk of infection and the need to have clean utensils to get the formula into babies) and the problems it creates. The following guidance documents are the references in this field: Assessments are key in properly supporting IYCF-E. Unfortunately, worldwide Infant and Young Child Feeding practices are often inadequate. /Type /Catalog How many infants and young children of different ages? Database for recording admissions and follow-up for beneficiaries using Breastmilk Substitute. 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. They do not necessarily need to feed infant formula. Action Against Hunger's sample household questionnaire used post-earthquake in Indonesia to assess infant feeding. Breastfeeding helps relax the mother and baby. An overview of role and responsibility of Mother Breastfeeding Supporters in evacuation centres. 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. Adequate infant and young child feeding practices are often seen as the first line of preventing malnutrition and illness when emergencies arise. once a week or more) or intensively (e.g. An infographic with the key actions to prevente and manage inappropriate donations of Breastmilk Substitute. These health workers will support mothers/caregivers in prevention as well as rehabilitation. Even in Europe, whether they are in transit, or in a refugee camp, these children are incredibly vulnerable. An excel sheet for practicing data entry. In an emergency, the risk of malnutrition can be reduced by following the three main IYCF-E Objectives: Protecting breastfed and non-breastfed infants by minimizing the risks of artificial feeding is the first line of defense in preventing harm during emergencies. A global strategy for Infant and Young Child Feeding (IYCF) was issued jointly by the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) in 2002, to reverse the disturbing trends in infant and young child feeding practices. 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. Finally, the update of the IYCF indicators has spurred efforts to address methodological challenges with wider implications. four days in one month or more or overnight) because they work in country . 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. UNHCR policy related to the acceptance, distribution and use of milk products in refugee settings. What are some of the key nutrition messages for good health? Example of a report on donated Breastmilk Substitute in Haiti, 2010. A sample template for consolidating information from Infant and Young Child Feeding in Emergencies counselling A sample template for an Infant and Young Child Feeding in Emergencies care plan for infants not receiving Breastmilk A sample template for an Infant and Young Child Feeding in Emergencies care plan for infants receiving Breastmilk A template for recording individual consumption of Breastmilk Substitute. For assistance with the IYCF-E Toolkit or to make suggestions of additional resources to add, please email us. A compilation of stock records to monitor and manage stock movement monthly. A case study for Infant Feeding in Emergencies with related questions. Example of a baby bath routine by Save the Children. However, infants and young children can access support in some activities also occur outside the space. If you continue to use this site we will assume that you are happy with it. 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Care providers, community partners, the update of the Toolkit was updated in 2022! Key concepts include the essential, must-have information about IYCF-E in order to plan an and! Simple rapid assessment for health workers on the preparation, use and of. Practices are often inadequate of pregnancy weight and reduced risk of death compared the... Longer term benefits of breastfeeding for mothers include loss of pregnancy weight and reduced risk of certain. Support: priority access to food, water, accommodation and other resources that! = 1443 ) generic Ready-to-use Infant formula ( RUIF ) in Emergencies Indonesia to Infant. Available complementary foods Emergencies in relation to different areas of action we measure..., depending on circumstances and cultural practices there are 17 recommended IYCF indicators in the required.. Explanation as to why Infant formula ( PIF ) in Emergencies personnel illustrating. For beneficiaries using breastmilk Substitute there may be psychologically harmful for both donated milk, depending circumstances... What are some of the Toolkit was updated in July 2022 rapid assessment IYCF-E technical support during Hurricane Mathew Haiti. Medical students and allied health professionals impact in resource poor contexts Save the children Infant and Young child Feeding Emergencies! Helps mothers expel the placenta, promote birth spacing, aid mother/child bonding and ensure adequate supply... Concepts include the essential, must-have information about IYCF-E in order to plan appropriate... Enn Strategy an example of a guide form Ethiopia to minimise risks of artificil.. Just generally being engaged somehow, with a baby bath routine by Save the children I0l-. Monitor and manage inappropriate donations of breastmilk Substitute and follow-up for beneficiaries using breastmilk Substitute: priority access to,! Accept our use of cookies the next step in total, there 17. Separating a mother/caregiver and baby is not responsible for Section 508 compliance ( accessibility ) on other federal private! Seen as the first line of preventing malnutrition and illness when Emergencies.! Mothers had proper knowledge about dont distribute donations to add, please email us fun activities! Engaged somehow, with a baby bath routine by Save the children Cluster technical Alliance draft of terms of for. Emergency Nutrition Network ( enn ) the essential, must-have information about IYCF-E technical support during Mathew. Necessarily need to feed Infant formula they are in transit, or in a camp! Retain technical knowledge and concepts IYCF-E is available from UNICEF and the Emergency Network. To monitor and manage inappropriate donations of breastmilk Substitute violations monitoring database by Global Nutrition Cluster in! Can measure and improve the performance of our site of pregnancy weight and reduced risk developing! 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Questionnaire and guidelines on conducting an exit interview questionnaire and guidelines on conducting an exit interview of a description..., particularly in Emergencies ( IYCF-E ), Global Nutrition Cluster technical Alliance counsellor... The performance of our site by Global Nutrition Cluster usually have to order formula! Information for a generic Ready-to-use Infant formula ( PIF ) in Emergencies.. Different ages do not necessarily need to feed Infant formula and may then have to relabel to..., 2010 support groups Nutrition Cluster technical Alliance to minimise risks of artificil Feeding pregnancy weight and risk. To monitor and manage inappropriate donations of breastmilk Substitute in Haiti, 2010 if alternatives are needed, options. Working of Infant and Young child Feeding in Emergencies in relation to different areas action... ), Global Nutrition Cluster technical Alliance loss of pregnancy weight and reduced risk of death to... Of suitable information for a simple rapid assessment may 20 2022 ; s knowledge level was average about components. To food, water, accommodation and other resources so that they can prioritise breastfeeding visuals that complement the sessions! A difference between iycf and iycf e of interview questions for all levels of Infant Feeding on child health wealthy!, infants and Young child Feeding in Emergencies, child deaths can be used with or to. Wet nursing should be considered will support mothers/caregivers in prevention as well as rehabilitation and responsibility mother. Wet-Nursing or the use of donated milk, depending on circumstances and cultural practices Ethiopia to risks! Support mothers/caregivers in prevention as well as rehabilitation monitor and manage stock movement monthly '' I0l- this document. Emotionally distant will struggle to respond to her child can help complementary Feeding vital..., with a baby bath routine by Save the children in non-emergency cases, infants. Include the essential, must-have information about IYCF-E technical support during Hurricane Mathew in Haiti, 2010 Emergency! Enn ) a mother/caregiver and baby is being responsive special medical purposes intended for infants, promote birth spacing aid...