Islamic Republic of Afghanistan Ministry of Public Health Public Nutrition Department Report of World Breastfeeding Costing Initiative (WBCi) Training Prepared by: Dr.Mohammad Hamayoun Ludin National IYCF Consultant, Afghanistan Reporting Date: 19/11/2014 Date of the reporting 02/06/2014 1
Contents Topic page 1. Summary. 2 2. Background 3 3. Process of the WBTI assessment.. 4 4. Result of the WBTi report 2012.. 4 5. WBCi practical exercise: 5 6. Costing of IYCF Policy and programs...7 7. Action points 7 8. List of Participants... 11 9. Conclusion.. 12 10. Acronym 13 Date of the reporting 02/06/2014 2
Location: Kabul, Agha Khan conference room WBCi training Workshop Agenda 1. General introduction of WBCi 2. Tools introduction and Video play of WBCi 3. Practical session on each indicator or WBCi 4. Conclusion of the practical day on WBCi Summary: After Launching WBCi, the training on use and practice of WBCi conducted for MoPH staff and health and nutrition implementing partners. The training on WBCi conducted in Agha Khan conference hall on 5 January 2014 in Kabul, Afghanistan by support of IBFAN and MoPH. The training facilitated by Dr.M.Hamayoun Ludin, IYCF national consultant and public Nutrition Department. The participants were Government officials, technical staff, UN agencies(unicef,who,wfp,fao), health and nutrition implementing NGOs and health and management staff. New practice and new demand, for first time all participants realized that IYCF is not free program but need enough budget to be cost. Background: Dr Ludin started with brief IYCF situation, breastfeeding rate and IYCF interventions; he presented slides on IYCF global strategy and all its components, emphasis on importance of IYCF activities and brain storming on current IYCF activities. Dr.Ludin start presentation on different stages of assessing WBTi in Afghanistan, the active participation of IYCF taskforce members caused finalizing the assessment on time with good quality. The team found gaps and recommended appropriate activities. Process of the WBTI assessment: Date of the reporting 02/06/2014 3
All members of Infant and Young Child feeding task force meeting invited by Dr Ludin (coordinator of WBTi Afghanistan) and briefed them on new assessment, then the tools shared with all IYCF members and they worked on all formats of WBTi and entered data from new MICS(multiple indicator Cluster Survey) 2011, each member worked on specific WBTi indicator and shared with IYCF taskforce members, then the gaps and recommendations reviewed by all members and Director of Public Nutrition Department of MoPH, for more improvement the WBTi report shared with IBFAN/BPNI colleagues, Dr Arun Gupta commented some points and shared with WBTi coordinator, again shared the BPNI comments with IYCF taskforce meeting members and finalized the report. These processes took four months in 5 workshops and 4 individual meetings. 6 call conference meetings and one media orientation workshop. Result of the WBTi report 2012: Trend of all WBTi assessment has been discussed and graph showed for situation: Generally trend showed improvement in the IYCF indicators from 2005 to 2012. But the recent result requires more focus on indicator which still in bottom of the score, like indicator 2, 4,5,6,8 and 9. Date of the reporting 02/06/2014 4
. WBCi practical exercise: Dr Ludin started using WBCi tool and given appropriate information, adding country profile and then working on individual IYCF component. After playing WBCi video, all participants started work on tools, used the excel sheet of WBCi, then each member work specifically on one IYCF indicator. Following processes practiced during WBCi training. Date of the reporting 02/06/2014 5
Costing for program components 1. Budget for BFHI = 54108 USD( 2,705,428 AFS) 2. UNICEF lot of it, but huge for communication = 320000 USD (16000000 AFS) 3. WHO for trainings, 4. Government for maternity protection 5. Nutrition cluster planned for IFE 6. community IYCF = 2865607 USD ( 160,463,950 AFS) How to use WBCi tool Go option Enable it Date of the reporting 02/06/2014 6
WBCi for 5 hospitals BFHI 1. Nutrition technical officers ( exercise) A. Reviewed gaps and fill the sheet for that gaps WBCi 1. Nutrition technical officers ( exercise) A. Reviewed gaps and fill the sheet for that gaps Date of the reporting 02/06/2014 7
Summary in percentage Percentage % For several trainings Percentage % Date of the reporting 02/06/2014 8
WBCi Launching meeting report Afghanistan 17/1/ /2014 Costing of IYCF Policy and programs: Costing plan presented and discussed in the training, the trend of the cost increment is sign of development but is not enough. Action points: Each organization will train their financial and management staff on WBCi tools and prepare budget based on current WBCi documents. It is recommended to support IYCF programs based on it and avoid duplication. Some NGOs committed to support some parts of it. Like UNICEF, WHO, Save the children, World Vission and Islamic Relief. UNICEF announce and committed support to Breastfeeding communication campaign, breastfeeding counseling training to all health facility midwives, pediatric and obstitrict/gyn doctors,unicef also mentioned their support to community based IYCF, and added strongly supporting to BMS Code monitoring and capacity building of the relevant sectors. Date of the reporting 02/06/2014 9
WHO is also taking part in capacity building of health facility staff on IYCF counseling and growth monitoring. Breastfeeding research part was the main part which no organization accepted to be funded and requested to follow this part in future to find the solution. List of Participants Date of the reporting 02/06/2014 10
No Name Position Organization Remarks 1. Tariq Khan Nutrition Pgme ACF manager 2. Dr. Saleh Mohammud Program manager ACTD 3. Dr. Naqeebullah Yaad nutrition Coordinator AMI 4. Dr. S. Mohsin Medical Coordinator AMI 5. Asef Ghyasi Nutrition Manager CAF 6. Dr. Shah Mahmood Nutrition/PH officer CORDAID 7. Nutrition Dr. Muhebullah Latifi Coordinator (FAO- MDG) FAO 8. Dr. Shafiqullah Nutrition coordinator IMC 9. Dr. M. Dand HMIS coordinator IMC 10. Jalal Magsood DMD IMC 11. Dr. Abdul Maten MERLIN 12. Dr. Shaheen Haque MERLIN 13. Dr. Shinwari Director MI 14. Advisor to the Dr. Ahmadzai Minister MOPH 15. Nutrition M&E Dr. Abdul Khalil Samadi Consultant MOPH 16. Micronutrient Dr. Ahmadwali Officer MOPH 17. Nutrition Dr. Karim Hamyon Coordinator Move 18. Abdul Latif Rashed Move 19. Abdul Maroof Behzad Move 20. Dr. S. Shafiquallah Technical Officer MRCA 21. Richard Mmanga Nutri Prog Manager Oxfam Novib 22. Dr. Hafiz Nutrition Officer Oxfam Novib 23. Nutrition Prog Dr. Abdul Razaq Coordinator Oxfam Novib 24. Dr. A. Basir mansoor Director General SAF 25. CDC/Nutrition Dr. Naqeebullah Tareer manager SAF 26. Health and Nutrition Dr. Fahim Program Manager (Chair / NRNC) Save Children 27. MCH Snr Officer, Dr. Suraya Yousufrai Nutrition Focal Point SCA 28. Noorkhanum Ahmedzai Health Coordinator TDH 29. Infornmation Mgt Alfred Kana Officer UNICEF Date of the reporting 02/06/2014 11
30. Roshani Health Specialist USAID 31. Dr. Hatizullah Elham Prog officer WFP 32. Dr. Adela Mubasher MCH/RH NPO WHO 33. Dr. Naqeebullah Yaad nutrition Coordinator AMI 34. Dr. S. Mohsin Medical Coordinator AMI 35. Asef Ghyasi Nutrition Manager CAF 36. Dr. Shah Mahmood Nutrition/PH officer CORDAID 37. Nutrition Dr. Muhebullah Latifi Coordinator (FAO- MDG) FAO 38. Dr. Shafiqullah Nutrition coordinator IMC 39. Dr. M. Dand HMIS coordinator IMC 40. Jalal Magsood DMD IMC 41. Dr. Abdul Maten MERLIN Conclusion: The WBCi tools practiced by all participants and accepted as an important part of IYCF Programing and costing. Everyone shared their idea to add their contribution through current tools. Acronyms: BPHS: Basic Package of Health Services BF: Breastfeeding BFHI: Baby friendly Hospital Initiative BMS: Breast milk Substitutes BPHS: Basic Package of Health Services IYCF: Infant and Young Child Feeding Date of the reporting 02/06/2014 12
MSH: Management science for Health MoPH: ministry of Public Health NGO: Nongovernmental organization UN: United Nations WB: World Bank WBTi: World Breastfeeding Trend Initiative Thanks Date of the reporting 02/06/2014 13