Country Plan of ActionNEPAL

Prof. Prakash S. ShresthaPresident

Nepal Breastfeeding Promotion Forum(NEBPROF)

Policy & Programmes_

PROPOSED1. Advocate the concern authorities for developing

Targeted National Plan on IYCF

2. Advocate the concern authorities for adequate fund for IYCF

3. Advocate chairman of NBC of regular meeting and co-ordination with other sectors

4. Organize meeting with other NGO & INGO, Govt., IYCF for collaborating and strengthening breastfeeding movement

Achieved- National Plan on IYCF developed but

funding was not adequate. - Different partners came to develop

WBTi report

Future Plan - Continue advocating for same

Policy & Programmes

BFHI 2009Proposed1. Advocate concern authorities for

revitalization of BFHI2. Advocacy for adequate fund of BFHI3. Advocate for conducting training on BFHI on

regular basis4. Advocate for phase wise expansion of BFHI5. Advocate for regular monitoring &

reassessment of BFHI with standardized tools

BFHI

Achieved

- None.

Future Plan - Continue advocating BFHI.

The Code and LegislationProposed1. Advocate for sensitization of all health

workers on code2. Advocate for identifying person

responsible for monitoring code at National level

3. Advocate for issuing administrative directives on code to all health facilities

4. Conduct market survey on BMS

The Code and Legislation

Achieved- Development of proposal for market

survey on BMS

Future Plan- Continue advocating for code &

legislation - Conduct market survey

Maternity Protection

Proposed1. Advocate for 6 months maternity

leave in public and private sector2. Advocate maternity protection for

women working informal/unrecognized sector

3. Advocate for implementation of ILO MPC No. 183

Maternity Protection

Achieved - In government offices maternity

leave increased by 15 days- 7 days leave for fathersFuture plan- Continue advocating for 6 months

maternity leave

Health and Nutrition System

Proposed1. Advocate for adequate coverage

of IYCF in pre service curriculum of health professionals

2. Advocate for training of health workers in IYCF

3. Advocate for integration of IYCF in all training

Health and Nutrition System

Achieved - Training of health professionals

on IYCF – ongoing Future plan- Continue advocating for adequate

coverage of IYCF in pre-service training

Mother support and Community Outreach

Proposed1. Advocate for access and counseling

services on IYCF at community level for pregnant women

2. Advocate for national coverage of IYCF at community level

3. Advocate for training of community based health workers on IYCF

Mother support and Community Outreach

Achieved - Government is planning to start

community level IYCF service Future plan- Continue advocating for same

Information supportProposed1. Advocate for national IEC strategy on

IYCF2. Advocate for IYCF activities at local

level3. Organize and prepare IEC materials on

IYCF for electronic and print media4. Organize meeting with media for

Breastfeeding/IYCF movement

Information support

Achieved- Meeting with media during

launching of 1 million campaign to support women to breastfeed

Future plan- Continue advocating

Infant feeding & HIV

Proposed1. Advocate for training of all health workers

on HIV/infant feeding in phase manner2. Advocate for antenatal VCCT in all health

facilities in phase manner3. Advocate for monitoring to see effect of

intervention in transmission of HIV through infant feeding

4. Advocate for regular monitoring of HIV/infant feeding

Achieved- Guidelines for infant feeding &

HIV developed- Training of health professionals

ongoingFuture plan- Continue advocating

Infant feeding & HIV

Infant Feeding During Emergency

Proposed1. Advocate for identification of person

responsible for national co-ordination2. Advocate for developing necessary

guidelines for exclusive breastfeeding and appropriate complementary feeding

3. Advocate for prior resource identification 4. Advocate for appropriate materials on IYCF

in emergencies in pre service curriculum

Achieved - Publication of joint statement by Government

restricting free distribution of BMS during flood

Future plan- Continue advocating for developing necessary

guidelines

Infant Feeding During Emergency

Monitoring and EvaluationProposed1. Advocate for strengthening M & E

component on IYCF in national program2. Advocate for strengthening mechanism

information to decision makers in IYCF 3. Advocate for conducting base line survey

and follow up data on IYCF on regular basis

Monitoring and Evaluation

Achieved

- Not much

Future plan- Continue advocating for

strengthening M&E component on IYCF

THANK YOUTHANK YOU