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Infant and Young Child Feeding in Emergencies (IFE) Essential Orientation Slide 2 WHA RESOLUTION 63. - 2010 The Sixty-third World Health Assembly URGES Member States: (8) to ensure that national and international preparedness plans and emergency responses follow the evidence-based Operational Guidance for Emergency Relief Staff and Programme Managers on infant and young child feeding in emergencies, which includes the protection, promotion and support for optimal breastfeeding, and the need to minimize the risks of artificial feeding, by ensuring that any required breast-milk substitutes are purchased, distributed and used according to strict criteria; Slide 3 Origins of Ops Guidance Concept dos and donts emerged 2000 IFE Interagency Group, Version 1.0, 2001 Version 2.0, May 2006 Version 2.1, February, 2007 English, French, Spanish, Portuguese, Arabic, Russian, Chinese, Japanese, Kiswahili, Bahasa (Indonesia), Farsi Slide 4 Dos and donts Need for clear, concise, practical guidance on IFE Pull various components of a response together Non-technical Not just nutrition and health staff, but including logistics, watsan, military, 1-2 pager26 booklet Slide 5 Operational Guidance Key audience: Emergency relief staff incl national governments, UN agencies, national and INGOs, donors International Code for Marketing of Breastmilk Substitutes embedded All emergencies in all countries and to non- emergency contexts (preparedness). Target group: infants and young children 0-2 years of age and their caregivers. Slide 6 Structure of the Ops Guidance Key Points Sections 1-6 1. Endorse or develop policies 2. Train staff 3. Coordinate operations 4. Assess and Monitor 5. Protect, promote and support IFE interventions 6. Minimise the risks of Artificial Feeding Section 7 - Key Contacts Section 8 References Section 9 - Definitions Slide 7 Section 9 Definitions Standard, internationally recognised Infant, Exclusive breastfeeding Infant Formula, Breastmilk substitute (BMS) Optimal infant and young child feeding (IYCF) AFASS criteria acceptable, feasible, affordable, sustainable, safe Standard definitions built upon Infant complementary food Home modified milk Slide 8 Section 9 Definitions, contd Created definitions Nutrition and health emergency response: For an agency to be part of the nutrition and health response, they must have staff actively involved in the healthcare system who are responsible for targeting the BMS, monitoring the infants, and ensuring the supply of BMS is continued for as long as the infants concerned need it. Slide 9 1 Endorse or Develop Policies 1.1 Agency central level endorse/develop policy addresses protection and support of IFE Makes specific reference to what should be included. 1.2 Disseminate it, integrate it, reflect it in procedures Working examples DFID, World Vision Country Level National policy on IYCF in which IFE is specifically addressed Slide 10 2 Train Staff 2.1 Basic orientation for all national and international staff on IFE 2.2 Technical training for health and nutrition staff 2.3 Seek specific expertise national and international level on breastfeeding/infant feeding counselling and support Slide 11 3 Co-ordinate Operations 3.1 UNICEF co-ordinating agency (cluster approach) or designated agency with the necessary expertise Policy coordination specific policy for emergency operation based on national and agency policies Intersectoral coordination food aid, watsan, reproductive health Action plan identifies responsible agencies and mechanisms for accountability Dissemination of policy and action plan, including operational agencies, donors, media Evaluation of emergency response once an operation is over Slide 12 4 Assess and Monitor 4.1 Key information on IYCF always be collected in initial rapid assessment (4.2 details) -Conspicuous infant formula, infants not breastfed pre-crisis 4.3 Additional key qualitative and quantitative information - Water availability and quality, fuel, potential support givers - Nutritional adequacy of food ration, infant feeding practices 4.3.3 Maintain records and share experiences Slide 13 5 Protect, promote and support IFE Integrated Multi-Sectoral Interventions Integrated multi-sectoral Many direct and indirect supports of IFE, eg reproductive health, shelter, water and sanitation, food aid delivery IFE not just a standalone intervention Slide 14 5.1 Basic interventions Meet nutritional needs of the general population. Prioritise pregnant and lactating women with supplementary foods (5.1.1). If foods are lacking, then multiple micronutrients should be given to pregnant and lactating women and children 6-59 months (NB Refer to guidance for malaria endemic areas) (5.1.2) Address infant complementary feeding from the outset Supplement food ration with local foods, micronutrient fortified blended foods, e.g. CSB, WSB (5.1.3) Commercial baby foods consider cost and nutritional value and risk of undermining infant feeding practice (5.1.6) Slide 15 5.1 Basic interventions, contd Establish the population you are dealing with: Demographic breakdown at registration of U2s (0-