397 0 obj <>/Filter/FlateDecode/ID[<3B426BFB35272046B7D60649EC96F073><650F0EDA39430B42A4ACAEE20CEA1886>]/Index[377 54]/Info 376 0 R/Length 103/Prev 612223/Root 378 0 R/Size 431/Type/XRef/W[1 3 1]>>stream 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. Formula, other milks, foods/liquids and feeding bottles are dangerous to your babys health. In addition, three indicators of unhealthy food and beverage consumption are included. They help us to know which pages are the most and least popular and see how visitors move around the site. Recommended complementary feeding practices and key discussion points to have with the caregiver. 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 two-page brochure explaining how to feed the baby after 6 months. 2 0 obj A basic assessment of a situation, such as a refugee camp, should include: Group work was used in the workshop to brainstorm what breastfeeding women need in an emergency. between national population and refugee populations. An example of a questionnaire for a multi sector interview of key informants during emergency. Centers for Disease Control and Prevention. Complementary feeding practices are also sub-par with an average of 18.4% of infants 6-23 months receiving a minimum acceptable diet. Template for the registration of attendance to support groups. Therefore, this study aimed to determine timely initiation of complementary feeding and associated factors among mothers with children aged 6-24 months in the rural population of northwest Ethiopia. A technical explanation as to why infant formula causes diarrhoea and mortality, particularly in emergencies. A compilation of stock records to monitor and manage stock movement monthly. cup feeding. Do discourage donations and do collect and quarantine them on the ground. 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. The latest addition to reality TV shows in New Zealand is Fat Families. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Breastfeeding is the safest way to feed infants and young children in emergency situations caused by natural disasters. A disaster can present all these difficulties at once. 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. Physicochemical (proximate composition, colour, toughness) and sensory properties five brands of commercial chicken nuggets were evaluated. 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 . The Dos and Donts of minimizing artificial feeding in emergencies by ICDC. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. 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. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. with a breast pump) to slowly build supply. Sector-specific five foremost questions to ask to enable prioritization of a response for Water, Sanitation and Hygiene A Multi-Sector Initial Rapid Assessment questionnaire based on the top five questions. A sample of the analysis grid from East Africa presented in an excel document. Information for the public on donations during emergencies. There may be other options for wet-nursing or the use of donated milk, depending on circumstances and cultural practices. Material support: priority access to food, water, accommodation and other resources so that they can prioritise breastfeeding. This includes: The impact of formula donations was discussed in depth and this is a real issue in this refugee crisis in Europe and elsewhere. A technical paper highlighting the significance of integrating Early Childhood Development (ECD) activities within Recognizing age specific skills and development stages of a child to fully understand that a healthy child is not just A guide to creating age-specific homemade toys and activities to do with children. Integrating smallquantity lipidbased nutrient supplements (SQLNS) into infant and young child feeding (IYCF) programmes can increase consumption of essential nutrients among children in vulnerable populations; however, few studies have assessed the impact of integrated IYCF-SQLNS programmes on IYCF practices. Feeding practices are defined as content-specific goal-directed strategies or behaviors used by parents in an attempt to control or modify their childs diet and eating behaviors [6]. Please note that you can download the Toolkit either in full or by chapter, section, sub-section or tool. You will be subject to the destination website's privacy policy when you follow the link. 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. However, it continues as sub-optimal in Ethiopia, and literatures are also scarce. Photo: Mackenson Saint-Felix - Save the Children. When organisations and groups have freely given formula donations, they want to give it out and are not careful to only give it out when absolutely needed, as they would be when paying for it. Suggested citation: Save the Children. /XObject << Babies not breastfed are more likely to be abandoned, more likely to be abused and neglected (though of course not all will be!). What is the difference between IYCF and IYCF E? In many developing countries and in emergencies, formula becomes disproportionally expensive. 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. Even in Europe, whether they are in transit, or in a refugee camp, these children are incredibly vulnerable. Infant and Young Child Feeding in Emergencies (IYCF-E) Infant and Young Child Feeding in Emergencies (IYCF-E) An LCGB hosted workshop: Infant and Young Child Feeding in Emergencies: working with refugee families in Europe 2016 In emergencies, infants and children under the age of 2 are the most vulnerable. Suitable substitutes, procured, distributed and fed safely as part of the regular inventory of foods and medicines, should be provided. Dr Karleen Gribble PhD is an Adjunct Associate Professor at the School of Nursing and Midwifery of the University of West Sydney, Australia and an Australian Breastfeeding Association Community Educator and Breastfeeding Counsellor. Organization: International Medical Corps Position: IYCF Officer Deadline: 05.25.2022 Employment: Full time Location: East Harage , Oromia . In an emergency, it is not possible to provide individual ongoing support like in development programs. Some of the photos used to illustrate this section included aid workers demonstrating bottles use to rooms of women, including some breastfeeding in the actual photo. In emergencies, child deaths can be two to seventy times higher than the average rate. To assess the consumption of the different types of food for . 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. Timetable for a one-day training on Infant Feeding in Emergencies for field level workers. Infant and young child feeding. CMAM consists of four components: (1) stabilisation care for acute malnutrition with complications, (2) out-patient therapeutic care for severe acute malnutrition without complications, (3) supplementary feeding for moderate acute malnutrition and (4) community mobilisation. . Protecting the physical safety and emotional development of infants should include supporting breastfeeding. Minimising risks of artificial feeding e.g. Supporting safe formula feeding is needed, and Karleen commented that, for many people working in IYCF-E, they come from a breastfeeding support background, but end up spending more time supporting formula feeding! Framework for action to strengthen IYCF-E preparedness and response in South Sudan, Kenya and Somalia, including country level roll-out of the IYCF-E toolkit and highlighting IYCF-E integration opportunities within country level EPR processes. Different cultural beliefs are likely drive these ethnic differences in infant feeding. To receive email updates about this topic, enter your email address. IYCF-E thrives on a strong IYCF background. The IYCF Officer has the responsibility to ensure high-quality IYCF activities, closely coordinated an integrated with the Emergency Nutrition Response project. Summary of key guiding principles of WHO for Infant and Young Child Feeding in Emergencies. However, infants and young children can access support in some activities also occur outside the space. An example of a supervision checklist for an Infant and Young Child Feeding in Emergencies mother-baby assessment. /Pages 2 0 R When supporting families or carers of motherless infants, consider what the options are for obtaining breastmilk. Supporting formula feeding for families on the move is especially difficult and is partly why the Interim Considerations for the feeding support of Infants and Young Children under 2 years of age in refugee and migrant transit settings in Europe were developed. 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. An example of a stock management tool for monitoring and managing available stocks. Being able to identify vulnerable infants and strength in caregivers is important. New IYCF-E Individual Capacity Assessment Tool AVAILABLE NOW! Also, giving a breastfeeding mother formula is NOT kind, as many people without training assume it is. For example, in their analysis of endline-only ASTUTE data, Beckstead et al. Following their training, some participants described IYCF as the key link between CMAM/CTC and growth monitoring and a valuable tool towards integrated programming. Individual assessment of need is essential and then ensuring that the necessary resources are provided: infant formula, feeding implements, preparation and storage resources, clean water, education and health support. A mother reacting with touching, just generally being engaged somehow, with a baby is being responsive. In the Orientation and Training Collection on the Infant and Young Child Feeding in Emergencies Hub you will find a NiE training package, the Infant and Young Child Feeding Community based package, Community-Based Management of Acute Malnutrition, Infant Feeding in Emergencies and Complementary Feeding training materials. ENN is a charity in the UK no. A summary of how to estimate target population and calculate supplies needed for each feeding category. 10. Saving Lives, Protecting People, Emergency preparedness, response, and recovery, Facts about infant feeding during emergencies, Supporting optimal IYCF-E in emergency shelter settings, Creating safe family-friendly spaces in emergency shelters, Feeding solid foods during a natural disaster or emergency, Common questions about infant feeding during emergencies, Concerns regarding donations of infant formula and infant feeding items during an 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, Rapid Needs Assessment Intake for Infant and Young Child Feeding an Emergency, 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! It is far from unknown for aid workers and volunteers, even police women, to breastfeed other babies in emergencies. After completing this training course, health staff will be Acute respiratory infection (ARI) and diarrhoea are the leading causes of childhood morbidity and mortality in Ethiopia. Brief illustration of how Infant Feeding in Emergencies can be supported in evacuation centres. The toolkit contains information on how to best support families and provide optimal nutrition to infants and young children during emergencies, specifically natural disasters. Example of Instructions for cleaning blender after food preparation. For the baby, the benefits are even greater. It is a cross-cutting field, requiring coordination of multiple areas of expertise, and must be integrated into the emergency preparedness and response plans. A list of contents of a breastfeeding support kit. 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. List of items in a safer Breastmilk substitute (BMS) kit and how to use them. Key considerations for HIV cases and wet nursing during emergencies. WHAT IS THE DIFFERENCE BETWEEN IYCF AND IYCF-E? Galactagogic medications are not needed and women can relactate even after a gap of many years since they last breastfed. The risks of feeding infants something other than breastmilk, particularly for the first six months, are increased because of unclean water, crowded and unhygienic living conditions, and inconsistent supplies in the markets. Template for an assessment form of a mother-child pair to identify problems with feeding for a child being given Template for an assessment form of a mother-child pair to identify problems with feeding for a child not being given Template for full Infant and Young Child Feeding assessment in English and Arabic. 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. Tips on how to engage with other clusters to coordinate an Infant and Young Child Feeding in Emergencies response. 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 ]. A sample of interview questions for all levels of Infant and Young Child Feeding in Emergencies personnel. 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. Milk sharing in Muslim cultures is often misunderstood. endobj By end of week 12. Some had experience of working with refugees, or in emergency situations, but many didnt. untargeted, unregulated donation of Breastmilk Substitutes) Immediately save lives Identifying these factors might . Indicators can be assessed through large-scale population-based surveys, including the Demographic and Health Survey (DHS) and the Multiple Indicator Cluster Survey (MICS). 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. Important similarities and differences between Infant and Young Child Feeding and Infant and Young Child Feeding in A summary on the importance of psychosocial and psychological support during emergencies using the extended care A list of listening, learning and confidence building skills, the behaviour change model and framework of doable An overview of how to provide support through support groups, peer mothers and through one-to- one skilled breastfeeding How to decide whether a simple or a full assessment of mother-baby pair is required. Maternal care packs and extra food distribution for breastfeeding mothers are two options that can help. A summarized collection of resources on Infant and Young Child Feeding in Emergencies proposal development, monitoring Summary of key chapters on European Commission's response to undernutrition during emergencies. Up to 4 weeks. Instructions on how to sterilize feeding equipment. They worry about their baby getting enough milk. Seven are new, and four of the 2008 indicators have been excluded from the 2021 list of IYCF indicators. A template for Infant and Young Child Feeding in Emergencies joint statement. Infant and Young Child Feeding in Emergencies (IYCF-E) Toolkit Natural disasters, such as hurricanes, floods, wildfires, earthquakes, and tornados, can make it difficult for parents or caregivers to feed their infants and young children safely and appropriately. Action Against Hunger's sample household questionnaire used post-earthquake in Indonesia to assess infant feeding. All infants and children have unique needs in emergencies, but caring for infants and children with special healthcare needs is often more complex because of their various health conditions and extra care requirements. The prevalence of formula distributions, from all kinds of sources, was illustrated by images of formula donations from national armies and individuals, Karleen mentioned having to, in her role as part of the IFE Core Group, intervene to stop some of these inappropriate and unhelpful donations. aE.9gp:F0R 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. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Aspiration to bottle feed. 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). Immediately upon birth, breastfeeding helps mothers expel the placenta, promote birth spacing, aid mother/child bonding and ensure adequate breastmilk supply. We use cookies to ensure that we give you the best experience on our website. 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. 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. appropriate infant and young child feeding (iycf) improves childhood growth (through reduced risk of diarrhoea and respiratory infections as well as improved nutrition), 1-7 increases the intellectual capacity of children 4 8 and reduces the risk of mothers experiencing diabetes mellitus, overweight and obesity. 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. Infant and Young Child Feeding in Emergencies (IYCF-E) Hub, Infant and Young Child Feeding in Emergencies Hub, Coordination and Communications Collection. A sample agreement for agencies on Breastmilk Substitute. This risk is greatly amplified in emergencies due to lack of sanitation measures, non-potable water supply and inappropriate formula distributions. Health services that support breastfeeding: this was illustrated by pictures of a injured mother following the Nepal earthquake, lying in a makeshift hospital, breastfeeding her baby.