Work Shop

Updates 2010
2010

On WBA

Workshop at
Betul District
Hospital to
all Health
(1-7 August 2010)
Staff

Yashoda .
counseling
for Early
Breastfeed by
Yashoda Flip
Chart

Yashoda
wrapping
the infants

Yashoda
looking after
Hygiene care
of Newborn &
Mother.

NIPI SNCU of
Hoshangabad
Distict.

DCHM of Betul
start Breastfed
within one
hour of
Delivery

Workshop of
Betul district
on World
Breastfeedin
g Week
NIPI, Sr. SPO , Madhya Pradesh
ORWAY IDIA PARTERSHIP IITIATIVE

Successful World Breastfeeding Week 2010 • 1-7 August 2010

NIPI FOCUS DISTRICT’s Madhya Pradesh.

Hoshangabad, Raisen, Narsinghpur & Betul

Under NIPI Assisted Programs.

Submitted To: Mission Director, RCH-RHM, Madhya Pradesh.

Sr. SPO, Madhya Pradesh.

ORWAY IDIA PARTERSHIP IITIATIVE
Exclusive Breastfeeding:

Babies who are breastfed are generally healthier and achieve optimal growth and development
compared to those who are fed formula milk.

If the vast majority of babies were exclusively fed breast milk in their first six months of life –
meaning only breast milk and no other liquids or solids, not even water – it is estimated that
the lives of at least 1.2 million children would be saved every year. If children continue to be
breastfed up to two years and beyond, the health and development of millions of children
would be greatly improved.

Infants who are not breastfed are at an increased risk of illness that can compromise their
growth and raise the risk of death or disability. Breastfed babies receive protection from
illnesses through the mother's milk.

Breastfeeding is the natural and recommended way of feeding all infants, even when artificial
feeding is affordable, clean water is available, and good hygienic conditions for preparing and
feeding infant formula exist.

Almost every mother can breastfeed successfully. All mothers, particularly those who might
lack the confidence to breastfeed, need the encouragement and practical support of the baby's
father and their families, friends and relatives. Health workers, community workers, women's
organizations and employers can also provide support.

Everyone has the right to information about the benefits of breastfeeding and the risks of
artificial feeding. Governments have a responsibility to provide this information. Communities
as well as media and other channels of communication can play a key role in promoting
breastfeeding.

Dr Rajan Dubey, Sr. SPO, M.P… on Exclusive Breastfeeding:

Breastfeeding is an unequalled way of providing ideal food for the healthy growth and
development of infants; it is also an integral part of the reproductive process with important
implications for the health of mothers. A recent review of evidence has shown that, on a
population basis, exclusive breastfeeding for 6 months is the optimal way of feeding infants.
Thereafter infants should receive complementary foods with continued breastfeeding up to 2
years of age or beyond. To enable mothers to establish and sustain exclusive breastfeeding for
6 months, NIPI recommend: Initiation of breastfeeding within the first hour of life.

Exclusive breastfeeding –

-The infant only receives breast milk without any additional food or drink, not even water

-Breastfeeding on demand – that is as often as the child wants, day and night

-No use of bottles, teats or pacifiers.

Sr. SPO, Madhya Pradesh.

ORWAY IDIA PARTERSHIP IITIATIVE
Breast milk is the natural first food for babies, it provides all the energy and nutrients that the
infant needs for the first months of life, and it continues to provide up to half or more of a
child’s nutritional needs during the second of the first year, and up to one-third during the
second year of life.

Breast milk promotes sensory and cognitive development, and protects the infant against
infectious and chronic diseases. Exclusive breastfeeding reduces infant mortality due to
common childhood illnesses such as diarrhoea or pneumonia, and helps for a quicker recovery
during illness.

These effects can be measured in resource-poor and affluent societies (Kramer M et al

Promotion of Breastfeeding Intervention Trial (PROBIT): A randomized trial in the Republic of
Belarus. Journal of the American Medical Association, 2001, 285 (4): 413- 420).

Breastfeeding contributes to the health and well-being of mothers; it helps to space children,
reduces the risk of ovarian cancer and breast cancer, increases family and national
resources, is a secure way of feeding and is safe for the environment.

While breastfeeding is a natural act, it is also a learned behavior. An extensive body of

research has demonstrated that mothers and other caregivers require active support for
establishing and sustaining appropriate breastfeeding practices.

Successful Breastfeeding:
The Norway India Partnership Initiative ( NIPI ) has covered the following basic points during World
Breastfeeding week 2010:

Step1) Breastfeeding policy that is routinely communicated to all health care staff .

Step2). Trained all health care staff in skills necessary to implement this policy.

Step3) Motivate and Support pregnant women about the benefits and management of breastfeeding.

Step4) Initiate breastfeeding within a half-hour of birth.

Step5) Orientation of mothers how to breastfeed & Supporting in Proper Positioning and latching of
infants.

Step6) Counseling to mothers & family members by taking sessions for early breastfed & exclusive
breastfed & Enforce education on the risk of artificial feeding and bottle-feeding.

Step7) Community awareness for exclusive breastfed & Encourage breastfeeding on demand.

Step8) Feeding of LBW babies

Sr. SPO, Madhya Pradesh.

ORWAY IDIA PARTERSHIP IITIATIVE
Step9) Counseling and make implement after discharge of mothers for Basic Newborn Care of newborn
& Exclusive breastfed.

Step10) Helps to implement and maintain breastfeeding in community.

Successful Breastfeeding Week August 2010

Step 1) Breastfeeding policy that is routinely communicated to all health care staff. The benefits
of breastfeeding for mothers and children are the focus of World Breastfeeding Week (WBW), August 1-7,
2010. Revitalize activities within health systems, and among healthcare providers and communities to
support women to achieve their breastfeeding intentions.

Objectives of the Workshop

• To reorient the mothers about the exclusive breastfeeding.

• To change the myths and misconception of mothers on breastfeeding for the infants.

• To aware the mothers of infants for exclusive breastfeeding up to 6 months.

• Onsite technical correction for proper positioning of breastfeeding.

• To provide counseling on the optimal duration of exclusive breastfeeding;

• To ensure the practice on the optimal duration of exclusive breastfeeding;

• Demonstrate proper positioning of BF through toy models.

• To satisfy the queries of participants on BF.

• To introduce flipchart on BF for the service providers.

• To disseminate calendars to the mothers about good infant care.

Sr. SPO, Madhya Pradesh.

ORWAY IDIA PARTERSHIP IITIATIVE
Workshop for Breastfeeding Week 2010 NIPI Focus Districts in Madhya Pradesh .

S.No Location Date & Time Workshop Description Participant

A
Betul @ District
Hospital (DH).
B Ghodadongri
Block, Betul
C Multai, Block
Betul
D Vishwa Istanpan Diwas
Amala
1 Hoshangabad
A Training Officers, District Program
Hoshangabad @
District Hospital
B Babai, Block
C Seoni-Malwa
D Pipariya
1 Narsinghpur
A Narsinghpur @ Dr. O. P. Gautam – CMHO & Civil
Sr. SPO, Madhya Pradesh.
Chief guest :
1) Distrct Betul Collector
Vishwa Istanpan
2) S.P Betul
Diwas
3) CEO Betul
Participants Members
2-August-2010, Oriented By: Child 4) Officers of WCD
Health Supervisor & 5) Groups of NGO
6) AWW
Deputy Child Health 7) ASHA
Supervisor 8) Staff Nurse, ANM,
9) Doctors,
10) Betul DCHM
11) CHS, DCHM Betul,
12) Mothers.
Vishwa Istanpan Block Medical Officers, Block Child
Diwas Health Manager (BCHM), Staff Nurse,
2-August, 2010
Oriented By: Block Child ANM, ASHA & others staff members of
Health Manager (BCHM), BPMU. Mothers
Mr. Rajesh Singh Thakur.
Vishwa Istanpan Block Medical Officers, Block Child
Diwas Health Manager (BCHM), Staff Nurse,
2-August, 2010
Oriented By: Block Child ANM, ASHA & others staff members of
Health Manager (BCHM), BPMU. Mothers
Block Medical Officers, Block Child
Oriented By: Block Child Health Manager (BCHM), Staff Nurse,
2-August, 2010
Health Manager (BCHM), ANM, ASHA & others staff members of
BPMU. Mothers
Chief Medical & Health Officers Dr.
R Neemat, Dr, R Gangrade Civil
Surgeon, Dr V K Dubey Nodal
Officers, Dr S K Prohit District
Manager , Mr. Hemant Sharma IEC
3-August-2010 Vishwa Istanpan Diwas Consultan, Doctors Dr Jiterndra Khare
Child Specialist & Dr Danshree Harne
Gynecologist , Staff Nurse , Deputy
Child Health Supervisor (NIPI),
Yashodas, ANM, AWW, ASHA &
Mothers
4-August-2010 Oriented By: Block Child Block Medical Officers, Block Child
Health Manager (BCHM), Health Manager, Staff Nurses, ANM &
Mr. Vishesh Dubey. NIPI ASHA, & Male MPW, Other members of
BPMU.
3-August-2010 Oriented By: Block Child Block Medical Officers, Block Child
Health Manager (BCHM), Health Manager, Staff Nurses, ANM &
Mr. Vineet Agnihotri, NIPI ASHA, & Other members of BPMU.
2-Ausgust-2010 Block Medical Officers, Block Child
Health Manager, Staff Nurses, ANM &
ASHA, & Other members of BPMU.
ORWAY IDIA PARTERSHIP IITIATIVE
District Hospital Surgeon, Dr. R. K. Mehra – DIO, Dr.
5-August-2010
Vishwa Istanpan Diwas Manjari Singh – Gynecologist, Mrs.
Anand, Dy. CHS, Mr. Manish Kumar
Agarwal – DCHM, Mrs. Yogita Gambhir -
CHS, Deputy Child Health Manager,
Yashodas and Staff Nurses.
B
c
1 Raisen
A Raisen at District Chief Medical & Health Officers Dr
Hospital 3-August-2010 Orientation By Block Sudhir Jaisani. Gynecologist Dr
Miss Sunita Chobey Child Kalpana Saxena., Child Health
Health Supervisor NIPI Supervisor , Deputy Child Health
Supervisor, Staff Nurse , ASHA &
Mothers
B Udaipura, Block 2-August-2010 Oriented By: Block Child
Health Manager (BCHM), Block Medical officers, Block child
Mr. Kuwar Pal Singh, NIPI Health Manager , ANM, ASHA, MPW
and BPMU Units health members.

Objectives of the Workshop:

To reorient the mothers about the exclusive breastfeeding.

• To change the myths and misconception of mothers on breastfeeding for the infants.
• To aware the mothers of infants for exclusive breastfeeding up to 6 months.
• Onsite technical correction for proper positioning of breastfeeding.
• To provide counseling on the optimal duration of exclusive breastfeeding;
• To ensure the practice on the optimal duration of exclusive breastfeeding;
• Demonstrate proper positioning of BF through toy models.
• To satisfy the queries of participants on BF.
• To introduce flipchart on BF for the service providers.
• To disseminate calendars to the mothers about good infant care.

Step 1)

Breastfeeding policy that is routinely communicated to all health care staff and Trained & all
health care staff in skills necessary to implement this policy. The benefits of breastfeeding for
mothers and children are the focus of World Breastfeeding Week (WBW), August 1-7, 2010.
Revitalize activities within health systems, and among healthcare providers and communities to
support women to achieve their breastfeeding intentions.

Inform people everywhere that protection, promotion and support of breastfeeding is a mother’s
right, a child’s right, and a human right. Enable women and all who care about human rights to
advocate for healthcare systems which support breastfeeding. Ensure that health workers who
care for mothers and babies are adequately trained to counsel and support them in optimal
infant feeding.

Sr. SPO, Madhya Pradesh.

ORWAY IDIA PARTERSHIP IITIATIVE

Fig1.1 Betul Districts Workshop August 2010 of health worker Fig1.2 Participants of workshop of Betul Districts august 2010

Fig 1.3 Narsinghpur District Workshop August 2010 of Health Workers Fig.1.4 CHS NIPI, DCHS NIPI & DCHM NIPI & Doctors Orientation on WBA.

Fig 1.5 Amla Block, Betul District, BMO, BCHM NIPI, Staff Nurse. WBA. Fig. 1.6 Staff Nurse, BMO community awareness in Mothers & ASHA.

Sr. SPO, Madhya Pradesh.

ORWAY IDIA PARTERSHIP IITIATIVE

Fig 1.7 Raisen District Orientation of Mothers & Family Members. Fig 1.8 Workshop at Raisen of ASHA for community awareness .

Fig 1.9 Workshop at Hoshangabad District on WBA Fig 2.0 The DCHS NIPI, Yashoda and mothers & there family members

In Betul Districts: the work shop Tiltle: Vishwa Istanpan Diwas, on 2-August-2010, the Special Cheif Guest
SHRI ARUN KUMAR BHATT, Betul CEO: & WCD Officers & Members of NGO, Child Health
Supervisor (NIPI), Block Child Health Manager (NIPI) has address the importance of Breastfeeding, in
which they address Breast milk contains all the nutrients in the right proportion which are needed for
optimum growth and development of the baby during the first six months. All health professionals must
be equipped with scientific information regarding the superiority of breast milk and make practice in
regular routine to delivery best service quality in their facility.

In Hoshangabad Districts:the work shop Tittle Vishwa Istanpan Diwas 2010, on 3-August-2010, the
District Chief Medical & Health Officers Dr. R Neemat, Dr, R Gangrade Civil Surgeon, Dr V K
Dubey Nodal Officers, Dr S K Prohit District Training Officers, District Program Manager , Mr.
Hemant Sharma IEC Consultan, Doctors Dr Jiterndra Khare Child Specialist & Dr Danshree Harne
Gynecologist , Staff Nurse , Deputy Child Health Supervisor (NIPI), Yashoda, ANM, AWW, ASHA &
Mothers conduct the workshop and address the importance of Early Breastfeeding week and Exclusive
Breastfeeding week and community awareness in Hoshangabad Districts.

Sr. SPO, Madhya Pradesh.

ORWAY IDIA PARTERSHIP IITIATIVE
In Narsinghpur Districts:the work shop Tittle Vishwa Istanpan Diwas 2010, on 5-August-2010, Dr. O. P.
Gautam – CMHO & Civil Surgeon, Dr. R. K. Mehra – DIO, Dr. Manjari Singh – Gynecologist, Mrs. Anand – Dy. CHS, Mr.
Manish Kumar Agarwal – District Child Health Manager (DCHM) IPI , Mrs. Yogita Gambhir – Child Health
Supervisors(CHS) IPI , Yashodas and Staff Nurses.

In Raisen Districts: the workshop tittle Vishwa Istanpan Diwas 2010, on 3-August-2010, the District Chief
Medical & Health Officers Dr Sudhir Jaisani, Doctors Dr Kalpana Saxena Gynecologist , Staff
Nurse, Child Health Supervisor (NIPI), Deputy Child Health Supervisor (DCHS, NIPI), ASHA &
Mothers conduct the workshop and address the importance of Early Breastfeeding week and Exclusive
Breastfeeding week and community awareness in Raisen District.

Key Points covered during workshop on WBA

The Doctors address: Breast milk contains all the nutrients in the right proportion which are
needed for optimum growth and development of the baby during the first six months. It has a
high percentage of lactose. Galactose, an important component of galactocerebroside , is
essential for brain growth. It also facilitates absorption of calcium. It contains amino acids like
taurine and cysteine which are important neurotransmitters. The fats are mostly
polyunsaturated fatty acids which are necessary for the myelination of the central nervous
system. It contains vitamins, minerals and electrolytes in the right proportion. Breast milk also
contains various hormones and growth factors, some of which are necessary for the maturation
of the intestinal tract. The enzyme lipase in the breast milk helps in the digestion of fats. The
Infants should breastfed within one hour of birth & regular interval of time up to six months, no
other things should be given to child like honey, water, etc. Exclusive Breastfed Only Mothers
milk.!

Staff Nurse address: the Protective factors of breastfed & babies are less likely to develop
infections. Other benefits it’s for the baby Breastfeeding protects against allergies, including
asthma. It enhances emotional bonding between mother and baby. Breastfeeding soon after
birth helps in uterine involution thus reduces chances of post partum hemorrhage.

Child Health Supervisor Address: The Proper Positioning and latching of Infants during
breastfeeding, the more the baby sucks at the breast, the greater is the stimulus for milk
production, It is therefore important for a mother to feed the baby early, frequently and ensure
complete emptying of the breasts at each feed. She also address about the Rooting, Sucking &
Swallowing reflex during breastfed of child. The types of Milks were also discuss. The
composition of breast milk varies at different stages after birth to suit the needs of the baby,-

Colostrum is the milk secreted during the first week after delivery. It is yellow, thick
and contains more antibodies and white blood cells. Though secreted only in small
quantities, it has higher protein content and is most suited for the needs of the baby. It
should NEVER be discarded.

Transitional milk is the milk secreted during the following two weeks. The immunoglobulin
and protein content decreases, while the fat and sugar content increase.
Sr. SPO, Madhya Pradesh.
ORWAY IDIA PARTERSHIP IITIATIVE

Mature milk follows transitional milk. It is thinner and watery but contains all the
nutrients essential for optimal growth of the baby.

Preterm milk is the breast milk of a mother who delivers prematurely. It contains more
proteins, sodium, iron, immunoglobulins and calories that are needed by her preterm baby

Fore milk is the milk secreted at the start of a feed. It is watery and is rich in

Proteins, sugar, vitamins, minerals and water and satisfies the baby's thirst.

Feeding of LBW babies & Kangaroo Mother Care

The WCD & ANM Address: The basic problem identified for the Breastfeeding while counseling the
mother

The myths and misconception of family on breastfeeding for the infants.

The Traditional systems followed by Older women of the house

Low level of awareness among family for colostrum feeding and Exclusive Breastfeeding.

Poor PNC follow-ups resulting in drop-outs in Exclusive Breastfeeding.

The Traditional System is insisted by family elder women.

The solution and case study and field experience were share among all the health workers.

At the end of workshop the Cheif Medical & Health Officers & DPMU Staff address: Review all the
important points again and decided to implements breastfed within one hour of birth and promote
exclusive breastfed practices in community in all facility and field level.

Train staff to implement it, all health care staff who have any contact with mothers, infants and/or
children must receive instruction on the implementation of the breastfeeding policy. Training in
breastfeeding and lactation management should be given to various types of staff including new
employees, A policy is of no use unless it is implemented, nurses in skills necessary to implement this
policy. It ensures that the majority of the staff members are trained in breastfeeding counseling.

Key Points: covered during training:

Advantages of breastfeeding

Risks of artificial feeding

Mechanisms of lactation and sucking

How to help mothers initiate and sustain breastfeeding

How to assess a breastfeeding session

How to resolve breastfeeding difficulties

Orientation and education on hospital breastfeeding policies and practices

Importance of feeding on cue

Positioning and attachment

Risks of artificial feeding and using bottles

Counseling’s and primary care workers to support breastfeeding.

Sr. SPO, Madhya Pradesh.

ORWAY IDIA PARTERSHIP IITIATIVE
Step 2)

Motivation and Support to the mother is the most important corner stone’s for successful
breastfeeding and help mothers initiate breastfeeding within a half-hour of birth along with
show mothers how to breastfeed, Feeding practices in the first few days influence the mother's
breastfeeding performance. Three prerequisite for successful Breastfeeding are a willing and
motivated mother; a active and sucking newborn ; a motivator who can bring mother and
newborn together ( health professional or relative ).The following steps must be practiced.

Fig1.7 Counseling Mothers about breastfeed & wrapping child properly Fig.1.8 Yashoda helping mother to start breastfed within one hour of delivery &

Supporting in Proper Positioning and latching of infants

Fig 1.9 Proper Positioning and latching of infant’s breastfed within one hour of delivery. Fig 2.0 Yashoda Motivate & support to mother and making her relax

IEC & BCC

During training the role plays and discussion were included which help the staff members to
understand, PowerPoint presentations, Breastfeeding Films and Flip Chart , Calendars, Posters,
Banners, Books in Local Language and experts comments were taken in consideration while
conduction the workshop.
Sr. SPO, Madhya Pradesh.
ORWAY IDIA PARTERSHIP IITIATIVE

Sr. SPO, Madhya Pradesh.

ORWAY IDIA PARTERSHIP IITIATIVE
In facility in Maternity wings the sessions and counseling & orientations were given to mothers
and there in In-Laws & family in which more than 60% mothers were given session &
counseling. In which the following key points were covered.
Prenatal education:

Proper positioning and attachment

The benefits of early initiation
How to assure enough milk
The importance of exclusive breastfeeding

PNC Care Increase duration of breastfeeding

Advantages of breastfeeding
Risks of artificial feeding
Mechanisms of lactation and sucking
How to help mothers initiate and sustain breastfeeding
How to assess a breastfeeding session
How to resolve breastfeeding difficulties
Orientation and education on hospital breastfeeding policies and practices
Importance & Exclusive Breastfeed , Importance of breastfed to LBW
Positioning and attachment
Risks of artificial feeding and using bottles.
Babies learn to suckle more effectively
Help mothers learn to breastfeed on cue
Facilitate proper positioning during feedings with the help of a health care professional nearby
Enforce education on the risk of artificial feeding and bottle-feeding.

Initiate breastfeeding within a half-hour of birth:

Mothers in the maternity ward who have had normal vaginal deliveries should confirm that within a
half-hour of birth they were given their babies to hold with skin contact, for at least 30 minutes, and
offered help by a staff member to initiate breastfeeding.

Mothers who have had caesarean deliveries should confirm that within a half-hour of being able to
respond, they were given their babies to hold with skin contact.

It is now well established in NIPI Focus Districts at facility and field that mothers who are supported to
initiate breastfeeding soon after the baby is born are more likely to have a successful breastfeeding
experience. Work to increase community awareness of the importance of early initiation of
breastfeeding and exclusive breastfed. Key Points Covered & Implemented for Early Initiation can
also: Provides colostrum as the baby's first immunization. Takes advantage of the first hour of alertness,
Increase duration of breastfeeding, Facilitate proper positioning during feedings with the help of a health
care professional nearby.

Orientation mothers & family members by taking sessions for early breastfed & exclusive breastfed &
Enforce education on the risk of artificial feeding and bottle-feeding, Community awareness for
exclusive breastfed & Encourage breastfeeding on demand. Feeding of LBW babies.

Sr. SPO, Madhya Pradesh.

ORWAY IDIA PARTERSHIP IITIATIVE

Community Awareness sessions in Facility to Mothers –In –Law & Family Community Awareness sessions by showing breastfeeding films.

World Breastfeeding Week 2010 • 1-7 August 2010

NORWAY INDIA PARTNERSHIP INITITATIVE ( NIPI )
S
N 01- 02- 03- 04- 05- 06- 07-Aug-
o Districts Aug-10 Aug-10 Aug-10 Aug-10 Aug-10 Aug-10 10

Day-1 Day-2 Day-3 Day-4 Day-5 Day-6 Day-7

TOT
DISTRICT Hospital BETUL DISTRICTS AL

1 Total Number of Delivery BETUL (DH) 7 6 7 7 14 7 12 60

2 Total Number of Live Birth BETUL (DH) 6 6 7 7 14 7 11 58
Total Number of Infants Breast Feed
3 Within 1 Hrs BETUL (DH) 6 6 7 7 14 7 11 58
Total Infants Regular Breastfeed Interval of every 2
4 Hours BETUL (DH) 6 6 7 7 14 7 11 58
Total Number of Mother was not aware about
5 Exclusive Breast Feed BETUL (DH) NA# NA# NA# NA# NA# NA# NA# 0
Total Number of Mother Agree about Exclusive
6 Breast Feed BETUL (DH) NA# NA# NA# NA# NA# NA# NA# 0
BLOCK Data
1 Total Number of Delivery Ghodadongri 8 7 10 4 6 4 7 46
2 Total Number of Live Birth Ghodadongri 8 7 10 4 6 4 6 45
Total Number of Infants Breast Feed
3 Within 1 Hrs Ghodadongri 8 6 9 4 5 4 6 42
Total Infants Regular Breastfeed Interval of every 2
4 Hours Ghodadongri 8 6 10 4 6 4 0 38
Total Number of Mother was not aware about
5 Exclusive Breast Feed Ghodadongri 5 5 7 0 0 0 3 20
Total Number of Mother Agree about Exclusive
6 Breast Feed Ghodadongri 8 7 10 4 0 2 3 34
NARSINGHPUR DISTRICTS
1 Total Number of Delivery Narsinghpur 9 17 15 19 13 19 18 110
2 Total Number of Live Birth Narsinghpur 9 17 15 18 12 19 17 107
Sr. SPO, Madhya Pradesh.
ORWAY IDIA PARTERSHIP IITIATIVE
Total Number of Infants Breast Feed
3 Within 1 Hrs Narsinghpur 8 14 12 16 12 14 15 91
Total Infants Regular Breastfeed Interval of every 2
4 Hours Narsinghpur 9 17 15 18 12 19 17 107
Total Number of Mother was not aware about
5 Exclusive Breast Feed Narsinghpur 3 7 5 7 3 9 6 40
Total Number of Mother Agree about Exclusive
6 Breast Feed Narsinghpur 6 10 10 12 10 10 12 70
RAISEN DISTRICTS
1 Total Number of Delivery Raisen 4 7 10 4 5 7 10 47
2 Total Number of Live Birth Raisen 4 7 10 4 6 7 10 48
Total Number of Infants Breast Feed
3 Within 1 Hrs Raisen 2 1 5 2 4 5 6 25
Total Infants Regular Breastfeed Interval of every 2
4 Hours Raisen 4 7 10 4 6 7 10 48
Total Number of Mother was not aware about
5 Exclusive Breast Feed Raisen 0 0 0 0 0 0 0 0
Total Number of Mother Agree about Exclusive
6 Breast Feed Raisen 4 7 10 4 5 7 0 37

Sr. SPO, Madhya Pradesh.

ORWAY IDIA PARTERSHIP IITIATIVE

Fig Comparison of Live Birth Vs Breastfeed within One Hour

Conclusion:

The Live Birth in the facility in districts hospitals and block level facility were breastfeed within one hour is
about 95% .

Awareness in the community like Mothers & Relatives -Mother in law & Husband were given in the facility
and decided to implement the counseling on regular basis in future at facility.

Mother to feed the baby early, frequently and ensure complete emptying of the breasts at
each feed.

Orientation and education on hospital breastfeeding policies and practices

Awareness among family for colostrum feeding and Exclusive Breastfeeding.

Community awareness of the importance of early initiation of breastfeeding and exclusive
breastfed.

The NIPI Focus Districts has started follow up in the Breastfeed within one Hour in
Districts Hospital and Block Level Facility and ensuring regular Breastfeed and counseling
after regular interval of time.

Sr. SPO, Madhya Pradesh.