WHY ENSURE EXCLUSIVE BREASTFEEDING FOR ALL BABIES

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Title: WHY ENSURE EXCLUSIVE BREASTFEEDING FOR ALL BABIES
extracted text: SDA-RF-CH-1.60

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development from across OS Allpust 9004
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strategy to save approximately o million out or the iu.y million children under
the ase five who die annually. The expert sroup concluded that at least one
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(meaning, a 90 pci vein cuveiage), abuui 63 pci vein uiiiid deaths cuuid be
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This in effect means that the interventions needed to achieve the UN mandated
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by 20i5 are available. bui are noi being delivered to die mothers and ciiiidien
who need them.
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effective intervention that couid prevent 13-15 per cent of ail child deaths, i nis
coupled with adequate complementary feeding could prevent 19 per cent of all
child deaths.

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CliiTcinly, Oiily 35 pci' vein babicS the Wuild uVci' aic cXCluSiv'cly bi'caSucd
during the first four months. Malnutrition is highest in South Asia, where only

about 45 per cent of 0-3 months babies are exclusively breastfed. In India, only
about 90 per cent babies at six months are exclusively breastfed

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related to malnutrition, which ftieis child beams, l ake the case of inaia, where
26 million children are bom everv year and about 60 million below the aee five

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ciiiidien undci die age five die cavil yetu, abuui 1.6 iiiiiiiun uiiiidicii die duiiiig
their first year itseli. Most these deaths — caused by diarrhoea, pneumonia and
neonatal infections — arc nrcvcntablc.

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transmission. The vims may be transmitted during pregnancy, labour and

deliver.', or through breastfeeding. Recent evidence suggests that 5-20 oer cent
of infants born to HTV-nositive women get infected through breastfeeding
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pregnancy, because of tne nigh viral load shortly after initial infection, inner
factors that significant!’.' increase transmission rates include “mixed feeding” of
infants orieHniTur hnlh hreaxlfeedinu arid artificial feeding} and preventable

In 2003, nine UN Agencies endorsed the HIV and Intant heeding: Framework:
for Priority Action to guide nations about key actions pertaining to infant and
vonna child feeoino- with manrds to special circumstances litre HTV Its aim is tn

ail imams while scaling up interventions 10 reduce HTv transmission.
The Global Strategy tor Intant and Young Child Feeding — developed jointly
by UNICEF and the WHO, and approved" by the World Health Assembly in May
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reducing me risk of rii V Transmission to imams with The necessity of minimizing
the risk of other causes of morbidity' and mortality', the UN guidelines state:
“when replacement feeding is acceptable, feasible, affordable, sustainable and
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To help them make the best choice, the HTV-nositive mothers should receive
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suitable for Their situation. they should also have access to foiiow-up care and
support, including family planning and nutritional support.

More than 99 per cent mothers in South Asia are HIV-negative. Of the
remaining 1 per cent, only a minority gets tested for HIV. The unnecessary use.
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increases in case of "mixed feeding".

Tn formulating a global strategy. UN’s HTV And Infant Feeding: Framework for
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may be) a comprehensive national policy on infant and young child feeding,

which includes HIX7 and infant feeding.”
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alongside complementary feeding till 24 months, i he importance of appropriate
feeding practice is obvious as more than 90 per cent of the brain develops
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Exclusive bi casiiccuiug is best maintained when uioihci and baby have a skin io
skin contact and breastfeeding starts within one hour ot tne baby's birth; when a
baby is properly attached to the breast (this prevents sore nipples and mastitis);
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counselling by skilled personnel can go a long way in ensuring this. Since these
inputs require the skill development of grassroots workers, and are time
intensive, they often remain ignored.
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Accordino tn the Global Stratepv for Infant and Voiino Child Feeding
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dud'iamauic auviu-cvununuu development aim puvciiy icuuvtiun. Governments

will be unsuccessful in the efforts to accelerate economic development in any
significant lons-term sense until optimal child growth and development,
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Tile sliategy vails on Hie ineuibei stales io act ui gently. It uiges all national
policymakers, public health authorities, protessional bodies, UIS agencies,
technics! programme managers and NGOs to promote breastfeeding for the
wnwtb and develonment of their children and societies.

Sources:
Ministry ofHealth, (Government ofIndia
UNICEF’s The State of the World's Children reports
Dr. Ar'iiii Cjiipiti i3 trie i^dtiCrriul CoOrfiUidtOr', Dr'eu5tjeeiiiiig Pr'OiiiCrtiOil i^ctrv'Or ri

ofIndia (BBm), and Regional Coordinator, international Baby Rood Action
Network (1BFAN) Asia Pacific.

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