How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s...
-
Upload
nicholas-lawrence -
Category
Documents
-
view
213 -
download
0
Transcript of How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s...
![Page 1: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/1.jpg)
How IMS Act implementation can bring down IMR in Karnataka
State?
Dr Arun Gupta MD
Member, PM’s Council on India Nutrition ChallengesCo-Chair Global Council International Baby Food Action
Network(IBFAN) and Regional Coordinator Asia
![Page 2: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/2.jpg)
![Page 3: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/3.jpg)
........“Inappropriate feeding practices lead to infant malnutrition, morbidity and mortality in our children. Promotion of infant milk substitutes and related products like feeding bottles and teats do constitute a health hazard. Promotion of infant milk substitutes and related products has been more pervasive and extensive than the dissemination of information concerning the advantages of mother’s milk and breastfeeding and contributes to decline in breastfeeding. In the absence of strong interventions designed to protect, promote and support breastfeeding, this decline can assume dangerous proportions subjecting millions of infants to greater risks of infections, malnutrition and death………”
Sh. Arjun SinghSh. Arjun SinghMinister of Human Resource Development while introducing Minister of Human Resource Development while introducing the Bill read out the Statement of objecives in the the Bill read out the Statement of objecives in the ParliamentParliament
![Page 4: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/4.jpg)
The criticality of feeding practices is not just children are vulnerable , this time their brain develops very fast.
Years of life
Brain development
Underweight (-2sd) NFHS-3
Over 60 million
1.35 million die
by 5 years,
1. million
during first year
First Year is Critical!
![Page 5: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/5.jpg)
India enacted a Law in 1992India enacted a Law in 1992
1992:Bill 41 of 1992 was enacted
“Infant Milk Substitutes, Feeding Bottles and Infant Foods (Regulation of Production, Supply and Distribution) Act, 1992’(IMS Act)
It was strengthened by an Amendment in 2003 Cable TV networks Act in 2000 banned all TV ads All Parties supported it. ACASH and BPNI gazetted as NGOs
![Page 6: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/6.jpg)
Guidelines on Infant & Young Child FeedingGuidelines on Infant & Young Child Feeding
![Page 7: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/7.jpg)
Breastfeeding Saves LivesBreastfeeding Saves Lives!!Risk
of
Mor
tality
![Page 8: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/8.jpg)
National Norms of infant and young child feeding
• Initiation of breastfeeding within one hour of birth
• Exclusive breastfeeding for the first six months
• Timely and appropriate complementary feeding after six months along with continued breastfeeding till 2 years or beyond
![Page 9: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/9.jpg)
Lancet Child Survival Series,2003, Jones G et al. Indian J Pediatr 2006
U-5 Child deaths (%) saved by universalising key interventions in
India
![Page 10: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/10.jpg)
Impact of NOT Following Recommended Norms
Deaths attributed to sub-optimal breastfeeding Public Health Nutr. 2006 Sep; 9(6): 673-85
10
![Page 11: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/11.jpg)
Impact of Following Recommended Norms
Protective effect on non-communicable diseases ◦Obesity◦Diabetes ◦high systolic blood
pressureIncreased performance
in intelligence tests 11
![Page 12: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/12.jpg)
Child Feeding Practices-KarnatakaChild Feeding Practices-Karnataka
![Page 13: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/13.jpg)
Routine maternity practices in Routine maternity practices in medical college hospitals medical college hospitals
![Page 14: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/14.jpg)
Facilitating factors
Evidence based advocacyPolitical willLegislations to protect from commercial sector, Legislation for Maternity protectionWorkforce training Implementation at facility and community levelCommunication campaignsResearchMonitoring and evaluationCoordination and multi-sector engagement (Advances in Nutrition 3, 790-800, 2012)
![Page 15: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/15.jpg)
Need For the Act
Parliament noted that promotion of baby
foods was pervasive that led to decline of
breastfeeding, which is responsible for disease
and death among children as well as
malnutrition.
![Page 16: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/16.jpg)
Objectives of IMS Act
1. Prohibit any kind of promotion.
2. Educate pregnant women & lactating mothers.
3. Restrict & Control use of Infant Milk
Substitutes & Infant Foods.
4. Define roles & responsibilities of health care
institutions & health workers.
![Page 17: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/17.jpg)
What Needs to be done? What Needs to be done?
ProtectionPromotionSupport
![Page 18: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/18.jpg)
Program Coordinationand Advisory Committee
IHACIHACCode + Code +
Maternal Maternal BenefitisBenefitis
Brazilian Breastfeeding PolicyBreastfeeding and
Complimentary Brazil Network
Legal Protection
Brazilian Human Milk Bank Network
Innovating Component
Kangaroo Method
Monitoring and Evaluation
Education
Broadcasting, Social Mobilization
and AwardsWBW
Baby and Mother Friendly Hospital
Initiative
The breastfeeding gear model for scaling up and sustainability of breastfeeding programs.
![Page 19: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/19.jpg)
The breastfeeding gear model for scaling up and sustainability of breastfeeding programs.
Exclusive Breastfeeding 0-6 months and BF trends comparing Brazil and Mexico
Perez-Escamilla et al.Adv. Nutr. 3: 2012.
19
![Page 20: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/20.jpg)
1867: Nestle started the commercialisation of formula and has been the subject of a global boycott since 1977 Nestle advert from 1936.
Baby food market was built on‘Trust’
![Page 21: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/21.jpg)
“In less developed countries, the best form of promoting baby food formulas may well be the clinics which the company sponsors”
Nestlé in Developing countries 1970
and dependency
![Page 22: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/22.jpg)
Nestle AD 1915
Offering Free Sample
![Page 23: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/23.jpg)
Nestle Advertisement 1920Nestle Advertisement 1920
A Mother’s Treasure!
![Page 24: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/24.jpg)
What is so critical?
For milk ejection3/4
![Page 25: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/25.jpg)
Enhancing factors Hindering factors
Emptying of breast
Frequent Suckling
Expression of milk
Night feeds
Bottle feeding,Incorrect positioning,
Painful breast
Sensory impulse from nipple
Prolactin in blood
Prolactin “milk secretion” reflexProlactin “milk secretion” reflex
![Page 26: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/26.jpg)
Action ONE on Promotion Gear
![Page 27: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/27.jpg)
IYCF Counsellors in Health facilitiesFor good skilled counselling, accurate information,
unbiased , free from commercial pressuresBaby Friendly Hospitals …Both in public and private sectorPrivate sector can make it an income generating
activity.This action is part of this guidelineFacility Based Newborn care could form the Vehicle for human resource, funding etc. Its time for action
![Page 28: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/28.jpg)
Action TWO on Protection Gear
![Page 29: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/29.jpg)
Implement the IMS Act effectivelyDistrict level seminars for health care workers Inform people about itMonitor regularly and reportAppoint a State/Distt. nodal persons
Ban sponsorship of conferences completely Its time for action to protect women and children
![Page 30: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/30.jpg)
Action THREE on Support Gear
![Page 31: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/31.jpg)
WABA World Breastfeeding Week 1-7 August WABA World Breastfeeding Week 1-7 August 2015 2015
![Page 32: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/32.jpg)
Need to support women
Six months maternity leave for all women Informal sector needs the most
NFSA: IGMSY……….. universalize it.Breastfeeding breaks, Flexi hours: Private sector should come forward and create
breastfeeding space for working women at work and allow six month leave.
Its time for action to support women and children
![Page 33: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/33.jpg)
Have a PLAN..2-3 year with a budget
Appoint a Coordinator State Committee on IYCF/BF
LeadershipHigh priority
Action FOUR on Master Gear
![Page 34: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/34.jpg)
World Breastfeeding Costing Initiative (WBCWorld Breastfeeding Costing Initiative (WBCii))
Supported by:
![Page 35: How IMS Act implementation can bring down IMR in Karnataka State? Dr Arun Gupta MD Member, PM’s Council on India Nutrition Challenges Co-Chair Global.](https://reader031.fdocuments.us/reader031/viewer/2022032606/56649ea75503460f94ba9bec/html5/thumbnails/35.jpg)
Thanks for your
attention !!