Uploaded on

 

More in: Education
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Be the first to comment
    Be the first to like this
No Downloads

Views

Total Views
511
On Slideshare
0
From Embeds
0
Number of Embeds
0

Actions

Shares
Downloads
14
Comments
0
Likes
0

Embeds 0

No embeds

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
    No notes for slide

Transcript

  • 1. Role of Breastfeeding & Complementary Feeding in controlling Child Anemia
    Dr. Anchita Patil
    USAID/India
    IAPSM Conference, 2010-11
    In absentia presented by:
    Dr. A. K. Gupta
    State Coordinator UP
    USAID Micronutrient Project
  • 2. IAPSM
    2010
    NFHS-3 reports are worrying …
    Anemia rates in children 6-35 months
    India: 78.9%
    Jharkhand: 78.2%
    UP: 85.0%
    Kerala: 56.1%
  • 3. IAPSM
    2010
    The story starts with the mother’s nutritional status
    Low iron reserves in mother
    Reduced iron transferred to fetus
    New Born starts life without adequate iron stores.
    Overall malnutrition in mother (usually linked with IDA)
    LBW baby
  • 4. IAPSM
    2010
    Till of age …
    Iron Stores from mother
    (delayed cord clamping)
    Exclusive breastfeeding for six months
    Enough to maintain the iron stores for the baby
    6 months
  • 5. IAPSM
    2010
    How does BF work against child anemia?
    Low iron content,
    but high bioavailability (50%)
    Vitamin A in Breast Milk helps in iron transport and metabolism.
    Reduced infections, especially diarrhea prevents losses / impaired absorption.
    Animal milk consumption  gut lesions  blood losses
  • 6. IAPSM
    2010
    Beyond six months …
    Infant needs increase
    6 -12 months, Recommended Daily Allowance for Fe: 11mg/day
    ( 0.8 mg of Absorbed Fe)
    Breast-milk not enough
    Complementary Feeding initiated
    + Iron Supplementation
  • 7. IAPSM
    2010
    How does CF work for child anemia (Complementary Feeding)
    Adds-on to low quantity / better bio-availability Fe in Mother’s milk.
    Improve overall nutrition
    Increased availability of absorption facilitators.
  • 8. IAPSM
    2010
    Complementary Feeding
    Balanced energy - dense diet
    Foods with heme iron
    Avoid tea / coffee (absorption inhibitors)
    Fortified foods
    Continue breast feeding
  • 9. IAPSM
    2010
    Breastfeeding Myths
    If it’s so simple, why aren’t women doing it?
    Myth 1:
    Breastfeeding is simple
    Reality: Breastfeeding is natural, not easy!!
  • 10. IAPSM
    2010
    Not enough milk
    PERCEIVED PROBLEM
    Breasts don't seem full
    Baby cries soon after feeding
    EXPLANATION
    Genuine lactation failure – an extremely rare event
    Babies have variable hunger cycles
    Attachment / position
    Baby cry has other causes
    Reassure: weight gain, urine frequency.
    More sucking produces more milk.
    wah!!!!
  • 11. IAPSM
    2010
    Artificial feeding
    PERCEIVED PROBLEM
    Bottle feeding is easier
    Formula IMS as good as breast-milk
    EXPLANATION
    Bottle-feeding has huge issues related to increased infections and nipple confusion
    The “processes” related to bottle feeding (cleaning regime, preparing formula) is more difficult.
    Formula milk has no antibodies, enzymes etc. and does not vary with feed duration, age of baby, season etc.
  • 12. IAPSM
    2010
    Breastfeeding is consuming
    PERCEIVED PROBLEM
    A breast-feeding mother is home-bound.
    Babies should be bottle-fed at night to avoid disturbing the mother
    EXPLANATION
    A breastfeeding mother is free, as she is her baby’s food!!
    Night feeds increase baby’s satiety levels and therefore sound sleep at night
    Most babies develop their own rhythm soon and will sleep for longer periods in the night.
  • 13. IAPSM
    2010
    Breastfeeding myths
    If education is the answer, why are breastfeeding rates lower in the “educated” women?
    Myth 2:
    Informing women about the benefits of breastfeeding will ensure appropriate behavior change
    Reality: A “supportive environment” is essential to ensure “compliance” to IYCF guidelines.
  • 14. IAPSM
    2010
    Working women
    PROBLEM
    Women need to join work often as soon as a few weeks after delivery
    Pumping does not maintain milk supply as well as suckling does
    POTENTIAL SOLUTION
    Maternity break for at least 6 months (investing in the future)
    Improved work-place policies
    Research for viable options …..
  • 15. IAPSM
    2010
    Family and community support
    POTENTIAL SOLUTION
    Health care providers need intense training
    Stronger implementation of IMS Act
    Counseling of family along with mother
    Breastfeeding should be a social norm
    PROBLEM
    Absence of comfort has a negative psychological effect on mother with detrimental impact on milk production and flow
    Health care providers promote formula
  • 16. IAPSM
    2010
    Complementary Feeding Myths
    Reality: Complementary feeding / responsive feeding is an art and science both. It can be and needs to be taught to the caregivers.
    Myth 1:
    Complementary feeding is learnt by trial and error
  • 17. IAPSM
    2010
    Complementary Feeding myths
    Myth 2:
    Complementary feeding is meant to replace breast milk as amount of breast-milk reduces after six months
    Reality:
    Complementary feeding is not “weaning-off” the breast, but adding on to breast-milk
    Breast milk production does not reduce after 6 months; baby’s requirements overshoot the supply.
  • 18. IAPSM
    2010
    Complementary feeding myths
    Reality
    Babies may start off life with low iron stores
    Child’s requirement (per kg weight) is much more than adults.
    More difficult if foods have less bioavailability iron therefore more food bulk needed.
    Supplementation is almost always necessary.
    Myth 3:
    If complementary feeding is given in adequate amounts, it has enough iron to meet the child’s needs
  • 19. IAPSM
    2010
    Iron Deficiency Anemia in children - a complex issue
    Maternal nutritional status, determines birth weight and iron stores
    Period of exclusive breastfeeding
    Age of Complementary feeding (increased iron requirement vs. risk of infections)
    Dietary diversity in complementary food
  • 20. IAPSM
    2010
    Breast-milk is magic.
    Understand it.