Where and How Much to Invest in Babies Dr M.Homayoun Ludin Kabul Afghanistan 1.
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Transcript of Where and How Much to Invest in Babies Dr M.Homayoun Ludin Kabul Afghanistan 1.
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Where and How Much to Invest in Babies
Dr M.Homayoun Ludin
Kabul Afghanistan
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Why To Invest in Babies?
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Global Infant and Young Child Feeding Practices (%)
135 MILLION
83 MILLION
52 MILLION
Negligible progress in the rates of exclusive breastfeeding < 6 months
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Breastfeeding Saves Lives!
Source: Edmons EK et al, 2007 Source: Black RE et al, 2013
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Contribution of undernutrition to child mortality
Source: WHO 2009. Global health risks: mortality and burden of disease attributable to selected major risks.
Shaded area indicates contribution of undernutrition to each cause of death
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• Protective effect on non-communicable diseases –Obesity–Diabetes –high systolic blood pressure
• Increased performance in intelligence tests
Non Communicable Disease and development benefits
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WHO, 2013
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The economic argument
• US insurers pay US$ 3·6 billion to treat diseases preventable by breastfeeding (Montgomery DL,1997)
• US would save $13 billion per year and prevent an excess 911 infant deaths if exclusively breastfeeding for 6 months is practiced (Bartick MC et al, 2013)
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Where to invest?
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Policy, Plan and Coordination
Communication and Information
Health, Nutrition care System
Mother support, community outreach
BFHI
IYCF in difficult circumstances
Maternity Protection
International Code, WHA
ProtectionPromotionSupport
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Glaring gaps in the state of policy and programmes
Source: IBFAN Asia 2012
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Breastfeeding Gear Model
Pérez-Escamilla R et al. Adv Nutr. 2012
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Coordinated actions improve breastfeeding practices
Exclusive breastfeeding among < 6 mo Median Breastfeeding Duration - months
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How much to invest?
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The Current Estimates
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Behavior change interventions• Breastfeeding promotion and support• CF promotion• Hand washing with soap and promotion of hygiene behaviors
US$2.9 billion15 USD/Per household in 36 high burden countries
Reflects only “Behaviour change interventions to promote breastfeeding.”
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The WB costing does not reflect the full set of interventions needed to improve breastfeeding for Protecting, Promoting and Supporting Breastfeeding
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Costing of Interventions • Development of policies and
plans AND coordination• BFHI• Training of public health
worker• Community services and
mother support• Media promotion• Maternity Protection• Implementing the Code• Monitoring and Research
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Action Area IBFAN estimates USD in billions (214 countries)
One Time Cost 2.08 billion
• IYCF policy devp & review 0.004
• International Code drafting and legislative proccess 0.479
• Trainings• HW• Community support• Code implementation
1.599
Annual Cost 15.48 billion
• BFHI Implementation 2.01
• Media Promotion 0.722
• Monitoring 0.081
• Maternity Entitlement 12.6
Total 17.56 billion
How Much to Invest
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World Breastfeeding Cost Initiative (WBCi)
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Way forward
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Plan and budget for the comprehensive implementation of the GSIYCF
Conduct policy and programme assessments on IYCF to find gaps
Develop national and sub-national action plans with budgets to achieve results
Develop monitoring and reporting systems
Institutionalise research
Report annually on the expenditure incurred on interventions for optimal breastfeeding
Take urgent action on policy matters such as maternity leave
Governments
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Allocate specific budgets for increasing optimal breastfeeding
Revisit estimates on scaling up nutrition intervention
Make a priority commitment of their staff time
Report annually the money spent on programmes on improving policy and programmes for optimal breastfeeding
Setup a special maternity benefit fund for cash assistance to women below the poverty line
Global community
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Thanks !!!