AUGUST 1st -7th

M.VAMSEEDHARAN
PRE FINAL MBBS
WHY WBW ?
 IN 2009-9.5 MILLION CHILDREN DIED BEFORE THEIR FIFTH
BIRTHDAY
OUT OF WHICH 66% DIED BEFORE FIRST BIRTHDAY
ATLEAST 35% DEATHS WERE DUE TO UNDER-NUTRITION
AROUND 32% UNDER 5 CHILDREN ARE STUNTED & 10%
ARE WASTED IN DEVELOPING COUNTRIES
IT IS ESTIMATED THAT AROUND 1.4 MILLION UNDER 5
DEATHS & 10% OF UNDER 5 DISEASE BURDEN ARE DUE TO
NON EXCLUSIVE BREAST FEEDING HABITS IN FIRST 6
MONTHS OF LIFE
WBW THEMES TILL 2009
2009: Breastfeeding: A Vital Emergency Response
2008: Mother Support: Going for the Gold Everyone Wins!
2007: Breastfeeding: The 1st Hour - Save ONE million babies!
2006: Code Watch: 25 Years of Protecting Breastfeeding
2005: Breastfeeding and Family Foods: LOVING & HEALTHY
2004: Exclusive Breastfeeding: The Gold Standard Safe,
Sound,sustainable
2003: Breastfeeding in a Globalised World for Peace and Justice
2002: Breastfeeding: Healthy Mothers and Healthy Babies
2001: Breastfeeding in the Information Age
2000: Breastfeeding - It's Your Right!
1999: Breastfeeding - Education for Life
1998: Breastfeeding - The Best Investment
1997: Breastfeeding - Nature's Way
LEARNING FROM THE PAST
While early initiation of breastfeeding contributes to
reducing overall neonatal mortality by around 20 per cent,
the vast majority of mothers do not exclusively breastfeed
their children. However, a number of countries have shown
that this can be changed quickly, even in the most
challenging circumstances.
WABA reports that in the past 20 years, approximately
28% of the 20,000 maternity facilities have fully
implemented the Ten Steps and been certified by the Baby-
Friendly Hospital Initiative (BFHI).
WHAT IS SPECIAL THIS YEAR ?
The year 2010 marks the 20th anniversary of the
Innocenti Declaration, which called for the
implementation of the Ten Steps in all maternity
facilities.
NEW BABY-FRIENDLY HOSPITAL INITIATIVE MATERIALS:
 improvement of delivery practices that affect
breastfeeding, to become MOTHER FRIENDLY
 guidance on adherence to the International code
of Marketing of Breast-milk Substitutes
 Ten Steps for a Baby-Friendly Community
WHY PROMOTE IMPLEMENTATION
OF THE TEN STEPS NOW IN 2010?
UNICEF recently noted that the reduction of child deaths
from 13 million globally in 1990 to 8.8 million in 2008 is partly
due to widespread adoption of basic health interventions such
as early and exclusive breastfeeding...
 More and more studies show that Implementation of the
Ten Steps with continued postnatal support contributes to
increased breastfeeding initiation and exclusive breastfeeding
Rates of exclusive breastfeeding have increased in many
countries.
Vigorous efforts are needed to implement at scale effective
infant feeding strategies, with supportive national policies and
legislation, the Ten Steps implemented in all maternity
facilities, skilled counseling in all health services which care for
mothers and infants, community based support, and
communication through multiple channels
Help friends, colleagues and community to find the Ten steps path
 families, faith- based organisations, schools or the health
care system

Advocate for change in the health care system

 Advocate for the Ten Steps tO be standard practice in all
hospitals, health centres and primary care programmes.

Create change Locally

 Find out what happers to mothers after they leave the
m’aternity hospitaL, and to those who deliver at home

Advocate improvements
WHO ARE BEHIND THIS ?