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Workshop on Promotion of Breastfeeding in the Community - Establishment of and Training of Community BF Support Groups in the Suburban Areas of Lahore
Organized by:The Network for Consumer Protection, Islamabad
In collaboration with Fatima Memorial System, Lahore

Introduction:
In Pakistan, 400,000 babies die during their first year of life due to diarrhea and Acute Respiratory Infections (ARI). In Pakistan, 37 per cent of infants below six months are exclusively breastfed and this proportion is very low as compared to the recommended 100 per cent exclusive breastfeeding for children less than six months. However, 22% of the neonatal deaths could be prevented if breastfeeding is initiated within first hour by all mothers. Breastfeeding forms a focal point of infant health and protecting the child from plethora of disease including diarrhea, ARI and malnutrition. To expand awareness of breastfeeding, to disseminate updated information on support for breastfeeding mothers and to encourage the creation of optimal conditions for the provision of mother support in all circles, role of civil society organizations is very important and crucial.

TN views the ordinance as an important step in protecting and promoting BF practices and curtailing the hazards of breast milk substitutes in Pakistan. It is working with partners and like-minded institutions to support the effective implementation of the ordinance through creating awareness about the importance of breastfeeding and the role of the BF ordinance in promoting breastfeeding in Pakistan.

For the last twenty years, scattered efforts do exist to promote, protect and support breastfeeding in Pakistan. There is an acute need for collated efforts of civil society towards this National cause to have better impact. In this context, TN formed National Alliance on Promotion of Breastfeeding.

To support the effective implementation of BF ordinance, TN is further linking up with institutions and organizations working at the grass root level such as Fatima Memorial System, Lahore to train community based breastfeeding support groups and establish these groups in the suburban areas of Lahore support groups. Community support groups, BF consultants and BF Counselors have been found effective in promoting BF in the community.

Fatima Memorial System, Lahore is a not-for-profit organization comprising of the Fatima Memorial Hospital (FMH), FMH College of Medicine and Dentistry, FMH Saida Waheed college of Nursing, FMS Allied Health Sciences Institute and FMS Community Outreach Program. The FMS Community Outreach Program is being implemented in 7 suburban communities to support integrated community development. The Saida Waheed college of Nursing is a nursing and midwives training institution in the country offering diploma and graduate training programs. FMS provided the venue, technical support, invitations to participants and arrangement of refreshments etc where as The Network provided funds and distribution materials. Agenda of the Workshop is attached for program details.

Objectives of the workshop
To promote breastfeeding and reduce child morbidity by making available breast feeding expertise at the community level.

Specific
  1. Breast Feeding advocacy
  2. Awareness creation about the Breast Feeding Ordinance 2002
  3. Training of community-based professionals and encouraging them to establish community support groups
Details of the workshop
The workshop was held at the Auditorium of the Saida Waheed FMH College of Nursing with the theme “Promotion of Breast Feeding in the Community”. Mrs. Nighat Durrani, Registrar, PNC was the chief guest of this workshop.

The participants (200) of the workshop were the midwives and nurses from FMH, selected LHWs, Dais and women who have the status of advisors in their community, from the FMS Community Outreach areas.

This one day activity was divided into two sessions. In the morning session 4 presentations were given and discussions were held on importance of breast feeding and the breastfeeding ordinance to create awareness among the participants.

In the afternoon session Mrs Anne van der Wal, Ms Marieke Driessen and Ms Nel Bakker conducted a “Hands on Breastfeeding training”. 40 participants i.e breastfeeding mothers from the FMS Riwand community and some of the midwives and nurses from FMS training programs were given practical training on how to help & support mothers initiate breastfeeding.

The participants took active part in discussions and gave recommendations. Mementoes (shields and certificates) were presented to the speakers and organizing team.

Ms Rubina Bhatti explained the role of TN in promotion and protection of BF through a presentation. She pointed out that rules and regulations of BF ordinance 2002 are very much necessary but behaviors of people at community level are the most important segment to promote the cause of exclusive breastfeeding. We need mass awareness campaign in which people from all sectors (policy makers, employers, health professionals, LHWs, Dais, senior mothers) of life need to contribute to this cause.

The Eminent personalities who spoke at the occasions included Mrs Nighat Durrani, Registrar Pakistan Nursing Council , Mrs Shehla Naeem Zafar, Principal Institute of Nursing Dow University Health Sciences, Karachi, Mrs Janet MacGregor, Principal Saida Waheed FMH College of Nursing, Mrs Irshad Javed, Director Nursing, Development and Education FMH, Mrs Nisab Akhtar, Director of Nursing Saida Waheed College of Nursing, Mrs Shahima Rehman, Chairperson Executive Committee, FMS, Dr. Rehana Nazir, Manager, service delivery & quality care FPAP, Dr. Rashid Ayub, Assistant Professor FMH College of Medicine and Dentistry, Dr. Naeen Ullah Khan, Nutrition Officer from UNICEF Lahore.

Recommendation and Suggestions by the participants
  1. Such type of Excellent Work Shops on Hands on Training and up date Sessions be Reproduced/Held in Future as Well.
  2. Breastfeeding promotion Support Group to be established for Implementations of recommendations today.
  3. Awareness campaign in Girl Colleges be Started/as well as in the community.
  4. In Hospitals-Breastfeeding/Revival Clinics to be established to implement national/WHO Breastfeeding-Guide lines
  5. TheNetwork for Consumer Protection to conduct similar forums on periodic basis.
  6. Focal Persons to be appointed.
  7. Breastfeeding news letter/ Journal to be published.
  8. Breastfeeding Society of Pakistan to be established.
  9. Breastfeeding campaigns be launched on national level.
  10. Local influential persons and politicians be involved esp. females.
  11. Regular Training workshops for Doctors/ Nurses/Midwifes be arranged in Hospitals.
  12. Book on Breastfeeding, regular Pamphlets, Hand outs be published.


ALLIANCES
National Alliance for Promotion & Protection of Breastfeeding

National Alliance of Media for Promotion of BF

Legislation Ordinance on Breastfeeding

Guidelines on "Nutrition in emergencies" by Ministry of Health

Report of Consultative Meeting of Civil Society

International Code of Marketing BMS

Global Strategy for Infant and Young Child Feeding

Publications

Breastfeeding Newsletter

TheNetwork in Media

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