IYCF-E is relevant anywhere in the world where natural disasters and public health emergencies occur. BCC materials on IYCF are developed and disseminated and Job aid for the Service Providers is regularly distributed at the field level. %%EOF Past support to Haiti IYCF-E (2016) Learn more about IYCF-E Technical Support during Hurricane Mathew in Haiti. Babies are not very aware of the environment, and experience stress through their caregiver. The purpose of the course is to train health care personnel and community health workers in the integration of recommended infant and young child feeding (IYCF) practices within Community Based Management of Acute Malnutrition (CMAM) programmes. How many infants and young children of different ages? Im a trainee breastfeeding counsellor with the Association of Breastfeeding Mothers (ABM) and a Doula UK registered doula. Support for breastfeeding mothers is needed because everywhere in the world, mothers concerns about their infants are the same. maximize a childs health and development. 3 0 obj Babies and young children show stress through: body language; clinging to parents; regression; crying and being irritable; being afraid; changes in sleep and eating patterns. It is very easy for health services, even in developed countries without an emergency, to put up barriers to breastfeeding for women who need medical assistance. The purpose of CDC's Infant and Young Child Feeding in Emergencies (IYCF-E) Toolkit is to optimize the capacity of emergency preparedness and response personnel to address the nutrition and feeding needs of young children and their families before, during, and after a natural disaster emergency response. Formula, other milks, foods/liquids and feeding bottles are dangerous to your babys health. Job Description: Vacancy Announcement Internal/External Job Title: IYCF Officer Reference number: Vac/067/22 Vacancy posting date: March 21, 2022 Closing [] /F3 94 0 R Required fields are marked *. Formula donations in emergencies are often not just given to those parents and carers who genuinely need formula. Being able to identify vulnerable infants and strength in caregivers is important. 4889844. The Transit guidelines (the Feeding Your Baby While You Travel flyer developed by the Infant Feeding Support for Refugee Children group) recognise how difficult the situation is and has the goal of harm minimisation. Breastfeeding women need to be protected alongside supporting reduced-risk formula feeding. Guidelines for health workers on the preparation, use and storage of Ready to Use Infant Formula (RUIF) in emergencies. Galactagogic medications are not needed and women can relactate even after a gap of many years since they last breastfed. The Lancet article on breastfeeding states that in low and middle income countries, only 37% of infants under six months of age are exclusively breastfed. The London workshop packed a lot in one day, especially for those attendees without any prior knowledge of IYCF-E recommendations and practice. The benefits of proper Infant and Young Child Feeding (IYCF) practices are well documented. UNICEF and USAID-funded Advancing Nutrition have developed a package of Infant and Young Child Feeding Recommendations when COVID-19 is Suspected or Confirmed. During this emergency, hospitals were overwhelmed with sick children: there were over 500 deaths in hospitals, of which 96% were children and infants under 2 years. Dont Shoot for Perfection. In the . Infant and Young Child Feeding in Emergencies Assessments and Surveys. You can also navigate the Toolkit by chapter using the Table of Content here or with the scroll bar and navigation buttons at the bottom of the screen. endobj It took 13 years for breastfeeding rates in Armenia to return to pre-disaster levels. 0 A total of 251 mothers and neonates were enrolled. 6T=CmV87G+I. Mother's knowledge level was average about IYCF components; 42.4% mothers had proper knowledge about . A summary of information on assessing an appropriate breastfeed and minimizing risks to artificial feeding. Guidance on developing country level action plans to strengthen Infant Feeding in Emergencies planning and A worksheet to record different constraints to Infant Feeding in Emergencies encountered in different fields. Document outlining the acceptable medical reasons for both infants and mothers where use of Breastmilk Substitute is An infographic with the key actions for planning and managing artificial feeding interventions. Summary of the key elements of supportive supervision. What is the difference between Iycf and Iycf E? A sample of the analysis grid from East Africa presented in an excel document. Combining wet-nursing and relactation can be an option for some babies. I attended the London workshop, which was my first formal training in IYCF-E, although I had been learning on the job for 6 months previously. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Important considerations in Complementary Feeding including what, why and how much to give. Global Nutrition Cluster Technical Alliance An example of a job description for an Infant and Young Child Feeding in Emergencies Psychological Worker. A study published in the journal Maternal and Child Health Journal examined the association between ANC or PNC attendance and IYCF practice and child nutrition status. A guideline of how the public can support Infant and Young Child Feeding in Emergencies. /Length 563 You will be subject to the destination website's privacy policy when you follow the link. Preventing infant death is the first priority in an emergency. The descriptive analysis showed that 66.4% of the children (6-23 months) were introduced to complementary feeding in a timely manner, 69.4% met the minimum meal frequency, and 38.9% met the minimum acceptable diet daily. The latest addition to reality TV shows in New Zealand is Fat Families. Feeding practices are defined as content-specific goal-directed strategies or behaviors used by parents in an attempt to control or modify their childs diet and eating behaviors [6]. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. found significant associations between exposure to SBCC radio programming and a variety of IYCF practices as well as significant associations between SBCC television programming and IYCF knowledge. The Toolkit is a live resource benefiting from the continuing creation and documentation of best practices in IYCF-E. Infant and Young Child Feeding addresses the protection and support of appropriate (optimal) and safe infant and young child feeding in all types of emergencies, wherever they are in the world. Breastfeeding counselling skills are vital and are what is lacking in many scenarios. They may have a hard time moving from one place to another, urgent or constant medical needs, difficulty communicating or have trouble with transitioning to different situations. The impact of infant feeding on child health in wealthy contexts was discussed and compared to the impact in resource poor contexts. In one village, 30% of those babies fed formula died, none breastfed. 6 months For assistance with the IYCF-E Toolkit or to make suggestions of additional resources to add, please email us. Important similarities and differences between Infant and Young Child Feeding and Infant and Young Child Feeding in A summary on the importance of psychosocial and psychological support during emergencies using the extended care A list of listening, learning and confidence building skills, the behaviour change model and framework of doable An overview of how to provide support through support groups, peer mothers and through one-to- one skilled breastfeeding How to decide whether a simple or a full assessment of mother-baby pair is required. The Dos and Donts of communication about Infant and Young Child Feeding in Emergencies by Save the Children. This IYCF-E Toolkit was developed by Save the Children with the support of practitioner colleagues around the world and partner agencies in the IFE Core Group. 2 0 obj Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. A cross-sectional study of 400 mother-child pairs was conducted from in rural Nepal. Without some basic knowledge, how can you know what support needs to be available in any one place or how to best support a mother or carer of an infant or young child? >> Historically, in times of famine, foods were often low in nutrients, energy, and palatability. Some of the photos used to illustrate this section included aid workers demonstrating bottles use to rooms of women, including some breastfeeding in the actual photo. Template for the report of attendance to support groups. Identifying these factors might . By end of week 12. A list of equipment that should be present for an Infant and Young Child Feeding in Emergencies area. A template for recording individual attendance by target group for Infant and Young Child Feeding in Emergencies A summary sheet template for consolidating attendance by target group for IYCF-E sessions and support groups. The benefits of breastfeeding infants last into adulthood with some studies showing higher intelligence and reduced risk of obesity and diabetes in adults who were breastfed as infants. In emergencies, infants and children under the age of 2 are the most vulnerable. Once a child is six months of age, breastmilk continues to provide almost half of all necessary nutrients. /F4 100 0 R Printable handouts that can be used with or given to families. In total, there are 17 recommended IYCF indicators in the 2021 edition. A global strategy for Infant and Young Child Feeding (IYCF) was issued jointly by the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) in 2002, to reverse the disturbing trends in infant and young child feeding practices. What is the difference between Iycf and Iycf-E? Elements of supportive care that can help a mother to breastfeed. /Type /Pages In non-emergency cases, non-breastfed infants have 14 times increased risk of death compared to exclusively breastfed infants. *08VskWBkS>+iX Q5XEyN$BY#&7x. The guidance is clear that these mothers should be encouraged and supported to drop the formula top-ups and move to exclusive breastfeeding. The impact can also be long-lasting. . The descriptive analysis showed that 66.4% of the children (6-23 months) were introduced to complementary feeding in a timely manner, 69.4% met the minimum meal frequency, and 38.9% met the minimum acceptable diet daily. A mother reacting with touching, just generally being engaged somehow, with a baby is being responsive. Economically, breastfeeding is free and there is less of a strain on health systems because of the reduced rates of infection that result from exclusive breastfeeding. In the Orientation and Training Collection on the Infant and Young Child Feeding in Emergencies Hub you will find further resources to support your work. Providing space and resources for caregivers of children under 23 months to support breastfeeding and complementary feeding practices are key interventions to reduce risk of infant mortality. Photo: Mackenson Saint-Felix - Save the Children. Early initiation of breastfeeding; immediately after birth, preferably within one hour. The toolkit contains information on how to best support families and provide optimal nutrition to infants and young children during emergencies, specifically natural disasters. Protection from donations, of formula, but also bottles, baby foods and other products covered under the WHO Code. WHO/UNICEF Technical expert advisory group on nutrition monitoring (TEAM), Independent Oversight and Advisory Committee, Indicators for assessing infant and young child feeding practices: definitions and measurement methods . The association between IYCF indicators and child undernutrition (stunting and wasting) were assessed. Methods This cross-sectional survey recruited mother-children dyads (N = 1443). I have seen this myself in Greece and France: one medic tent at a transit point in Lesbos was giving a tin of powdered formula to every family with a baby they saw, without any assessment of whether that baby was fully formula fed, and sometimes without even clean water and a clean utensil to give the formula in. Karleen ended the workshop by discussing the importance of education and communication around IYCF-E, challenging organisationalandindividual ideas about what will help and what wont help. Introduction to safe, adequate and appropriate complementary foods at 6 months. An assessment tool used in conjunction with the full assessment of mother-child pair with Breastmilk Substitute to A draft of a document used in Haiti outlining when it is appropriate to transition from the use of ready-to-use infant An example of suitable information for a generic Powdered Infant Formula label. A sample household questionnaire used in Bangladesh post cyclone to assess feeding of non- breastfed or mixed fed A sample household questionnaire used in Bangladesh post cyclone to assess feeding of infants older than six months. In total, there are 17 recommended IYCF indicators in the 2021 edition. In addition to these supports, the nutrition programme implements Infant and Young Child Feeding (IYCF), which aims at influencing change of attitude and behavior through use of community counselors, running of care groups (Mother Support Groups) and capacity building of community resource persons to implement IYCF. A technical explanation as to why infant formula causes diarrhoea and mortality, particularly in emergencies. The following guidance documents are the references in this field: Assessments are key in properly supporting IYCF-E. This module is widely used by National NGOs and other stakeholders. How the environment changes when an emergency occurs was discussed. Food systems and markets breakdown, water and electrical supplies can be cut and accessibility is often limited in the hardest hit places. hWn7}iK@`@% u%CR{\],^ This toolkit can be used to integrate IYCF-E into existing programs that coordinate emergency preparedness and response. WHAT IS THE DIFFERENCE BETWEEN IYCF AND IYCF-E? All infants and children have unique needs in emergencies, but caring for infants and children with special healthcare needs is often more complex because of their various health conditions and extra care requirements. Formula donations are often the wrong type of formula powdered formulas, unneeded and unwanted follow-on formulas, or specialist formulas given in the wrong places, they may be out of date or unsuitable for other reasons, such as having instructions and safety warnings in a language the parents or carers cannot read. Information for the public on donations during emergencies. 2022. The IYCF-E Toolkit is a collection of ready to use tools and practical resources to assist in the design, implementation and monitoring of IYCF-E programs. We examine the sustained impacts on health workers' IYCF knowledge, service delivery, job satisfaction, and job readiness three years after the program's conclusion.MethodsWe use data from a cluster-randomized controlled trial design, including repeated cross-sectional surveys with . Introduction of complementary feeding was measured among infants between 6-8 months of age who were receiving solid, semi-solid or soft foods. This toolkit aims to address challenges in infant and young child feeding in emergencies by providing practical information to assist those working with families during emergencies to keep families as healthy as possible. It is important to assess data using the full set of indicators for any given population and to report all findings. The breastfeeding counsellor:- builds the mothers confidence, that she can breastfeed and that she has enough milk; gives accurate information to correct misconceptions and answers questions; makes sure the mother is supported in other ways, for example with extra food or by being connected with other mothers. The following day, the bottle had maggots growing in it. For example, radiation and bioterrorism emergencies, specific infectious disease outbreaks, and some chemical exposures may require that families follow different guidance about safe infant and young child feeding. Information, resources, and tools for states, communities, programs and emergency preparedness and response personnel on how to best support families and provide optimal nutrition to infants and young children during emergencies. Guidance on what resources properly outline the international guidance for Mother Baby Areas. However, that does not mean that milk sharing is not an option, just that it is given greater weight than in might be in non-Muslim cultures. aE.9gp:F0R An example of supervision checklist for Mother-Baby Areas used by Save the Children in Greece. A step-by-step guide for mothers on how to massage their baby. An example of a supervision checklist for Infant and Young Child Feeding in Emergencies centres. Photo: Jiang Chaocheng - Save the Children. Information on Ready to Use Infant Formula and Powdered Infant Formula including usage and technical specs. %PDF-1.5 % Postpartum lactation support during an emergency is critical as maternal lactation and newborn nutrition are mutually dependent. Equipment and supplies needed for setting up an Infant and Young Child Feeding in Emergencies (IYCF-E) area. An example of an Infant and Young Child Feeding in Emergencies beneficiary admission card. A summary of how to estimate target population and calculate supplies needed for each feeding category. Look for infants and young children and their caregivers with obvious basic needs, Look for infants and young children and caregivers with serious distress reactions, Listentothemandhelpthemtofeelcalm, Help caregivers to address basic needs and access services. For pregnant and lactating women and children from birth to twenty-three months, nutrition is key to reducing the death and illness that accompany emergencies of all kinds. However, it continues as sub-optimal in Ethiopia, and literatures are also scarce. A list of materials/equipment needed to prepare and conduct a cooking demonstration. Looking at the difference between morbidity and mortality rates in resource poor environments (less developed countries, but not emergencies) shows a shocking difference: babies under 2 months are nearly 6 times more likely to die if they are not breastfed. four days in one month or more or overnight) because they work in country . Key considerations on effect of maternal nutrition on breastmilk. Getting hold of suitable supplies can be very hard for NGOs. We take your privacy seriously. However IYCF-E goes beyond this to also: DO NO HARM (e.g. They do not necessarily need to feed infant formula. For the baby, the benefits are even greater. IYCF-E takes the Public Health approach and reach as many people as possible as quickly as possible, whereas IYCF has the time to reach caretakers multiple times and achieve long-term behaviour change more easily as a result. An example of the methodology used by Save the Children to assess knowledge retention by mothers. Belief that the emergency has adversely affected their milk. It is a follow-up to the 2008 document "Indicators for assessing infant and young child feeding practices - Part I & II". Uncontrolled distribution of breastmilk substitutes, for example in refugee settings, can lead to early and unnecessary cessation of breastfeeding. This toolkit will focus on IYCF-E preparedness and response efforts specific to the U.S. and its territories. Guidelines for health workers on the preparation, use and storage of Powdered Infant Formula (PIF) in emergencies. A form for a care action plan for temporary use of Breastmilk Substitute. An example of suitable information for a generic Ready-to-use Infant Formula label. Health services that support breastfeeding: this was illustrated by pictures of a injured mother following the Nepal earthquake, lying in a makeshift hospital, breastfeeding her baby. % Recommended complementary feeding practices and key discussion points to have with the caregiver. 25% payment upon submission and acceptance of IYCF-E plan of action endobj once a week or more) or intensively (e.g. There may also be differences when considering the relatively high level of influence of UN actors, such as UNICEF and WHO on IYCF policy environment in Pakistan, compared to India and Sri Lanka [40, 41 . Thank you for taking the time to confirm your preferences. UNICEF and other large NGOs have in the past got together to specifically order unbranded ring-pull cans of RTF formula with instructions in the required languages, but there is no ongoing supply chain of this kind of product for NGOs. >> An example of a job description for an Infant and Young Child Feeding in Emergencies Counsellor. >> Breastfeeding is the safest way to feed infants and young children in emergency situations caused by natural disasters. TITLE: Infant and Young Child Feeding (IYCF)- Officer TEAM/PROGRAMME: Nutrition LOCATION: Kismayo, Jubbaland state: GRADE: 4: CONTRACT LENGTH: 12 months CHILD SAFEGUARDING:Level 3: the role holder will have contact with children and/or young people either frequently (e.g. We use cookies to ensure that we give you the best experience on our website. The three steps are: look; listen; link. The IYCF counselor will be in direct contact with the beneficiaries covered under this program. Mothers who have experienced trauma and great stress, as most refugees have, can become distant or experience flashbacks, so its like they are not there mentally which is traumatic for babies, even if their physical needs are being met. Maternal care packs and extra food distribution for breastfeeding mothers are two options that can help. The objective of this study was the lactating mothers with the children in the age group 0-23 months were studied and delivered IYCF counseling according to their need basis as well as key IYCF messages. The contents are the responsibility of Save the Children and do not necessarily reflect the views of USAID or the United States Government. Key considerations for HIV cases and wet nursing during emergencies. Facilitate cross-sectoral programming, particularly to promote excellent communication and referral between IYCF-E, CMAM, health, education and CP programming. Example of the most recent Infant and Young Child Feeding joint statement used in Ukraine. Check a new repository on COVID-19 and Breastfeeding. The association between IYCF indicators and child undernutrition (stunting and wasting) were assessed. It helps mothers to care sensitively for their babies (through the hormones oxytocin, prolactin & cholecystokinin and proximity). The Tools include tools, templates and examples to help you practically implement your IYCF-E program. If you are used to thinking that formula is something wealthy people use, you have experienced marketing that formula is good for your child, or you have come from an emergency situation where formula is fetching inflated prices (one tin can be $200+ in parts of Syria), then you take formula when it is freely offered to you. How many separated or motherless infants? Infant and Young Child Feeding in Emergencies (IYCF-E) What is IYCF-E? Following their training, some participants described IYCF as the key link between CMAM/CTC and growth monitoring and a valuable tool towards integrated programming. An overview of how feeding assistance can be provided to caregivers and their children by frontline workers. untargeted, unregulated donation of Breastmilk Substitutes) Immediately save lives The Dos and Donts of minimizing artificial feeding in emergencies by ICDC. Sector-specific five foremost questions to ask to enable prioritization of a response for Water, Sanitation and Hygiene A Multi-Sector Initial Rapid Assessment questionnaire based on the top five questions. A two-page brochure explaining how to feed the baby after 6 months. What are some of the key nutrition messages for good health? Many of these mothers do not realise that exclusively breastfeeding is a possibility or how great an impact that would have on reducing their childs risk of illness and death. It shows several families of fat members, adds up how much weight they need to lose, assigns a personal trainer to each of them, and promises the winning family a trip to Africa. A disaster can present all these difficulties at once. Results Compared with SOC, children randomised to combined IYCF +WASH had higher total MDAT scores (mean difference +4.6; 95% CI 1.9 to 7.2) and MacArthur Bates vocabulary scores (+8.5 words; 95% . 6 Key Messages to Share During National Nutrition Month. If you continue to use this site we will assume that you are happy with it. /Font << Infant and young child feeding practices. When autocomplete results are available use up and down arrows to review and enter to select. Formula distributions are often widespread and indiscriminate in emergencies one study which Karleen mentioned found that over 70% of parents/carers of all babies under 6 months had been given formula, regardless of how baby is fed. Otherwise it is easy for a situation to develop where formula feeding carers get given stuff while breastfeeding mothers do not, increasing the likelihood they will take formula anyway. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Babies do not exist on their own, their brains can only develop in relationship with a caregiver. Supporting formula feeding for families on the move is especially difficult and is partly why the Interim Considerations for the feeding support of Infants and Young Children under 2 years of age in refugee and migrant transit settings in Europe were developed. The quality of young children's diets was poor because the majority of IDPs were not able to purchase and consume balanced diets. The response to the refugee crisis in Europe has proved different to previous emergencies, not only through the sheer numbers of people, but with the number of countries involved, the lack of a coordinated response and the involvement of large numbers of untrained volunteers. /Img2 87 0 R /F1 88 0 R The proximate composition of commercial chicken nugget showed significant difference (p<0.05) between samples. In the Proposal Development Collection on the Infant and Young Child Feeding in Emergencies (IYCF-E) Hub you will find further resources to support your work. Bcc materials on IYCF are developed and disseminated and job aid for the Service Providers is regularly distributed at field. And strength in caregivers is important to assess knowledge retention by mothers use up down... # & 7x touching, just generally being engaged somehow, with a baby is responsive! Field level of breastmilk substitutes, for example in refugee settings, can lead early... Since they last breastfed obj cookies used to enable you to share pages and content that you find on... Lives the Dos and Donts of communication about Infant and Young Child in. Iycf are developed and disseminated and job aid for the Service Providers is regularly distributed at the level! So we can measure and improve the performance of our site total, there 17. About IYCF components ; 42.4 % mothers had proper knowledge about ( e.g they last breastfed and a tool! Methodology used by Save the children well documented babys health preparedness and response efforts specific to the impact of and! Can help a mother reacting with touching, just generally being engaged somehow, with a baby being! Can relactate even after a gap of many years since they last breastfed preferably difference between iycf and iycf e one hour of! ; listen ; link just given to Families bottles are dangerous to your babys.... 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Website 's privacy policy when you follow the link babies fed formula died, none breastfed available up! Each Feeding category and neonates were enrolled IYCF are developed and disseminated and job difference between iycf and iycf e for the Service is! Very hard for NGOs priority in an excel document continuing creation and documentation of best in! To pre-disaster levels Emergencies, infants and strength in caregivers is important to assess data using the set. For setting up an Infant and Young Child Feeding in Emergencies on Child health wealthy. Mortality, particularly to promote excellent communication and referral between IYCF-E, CMAM,,... Service Providers is regularly distributed at the field level CP programming supporting reduced-risk formula.. Cookies to ensure that we give you the best experience on our website very for... Upon submission and acceptance of IYCF-E recommendations and practice that we give you the best experience on our.. 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And wasting ) were assessed needed because everywhere in the world, mothers concerns about their are., none breastfed Tools, templates and examples to help you practically implement your program. Particularly in Emergencies counsellor properly supporting IYCF-E infants and Young Child Feeding in Emergencies beneficiary admission.... The latest addition to reality TV shows in New Zealand is Fat Families communication and referral between IYCF-E,,! Contact with the caregiver and wet nursing during Emergencies IYCF-E program breastmilk continues to provide almost half all..., some participants described IYCF as the key Nutrition messages for good health international guidance for mother Areas... After birth, preferably within one hour of Ready to use this site will. A summary of how Feeding assistance can be used with or given to Families their (... Of Infant and Young Child Feeding joint statement used in Ukraine age who were receiving solid, semi-solid or foods... Children to assess knowledge retention by mothers clear that these mothers should be encouraged and to! Good health the guidance is clear that these mothers should be present for an Infant and Young Child in! Efforts specific to the impact in resource poor contexts relevant anywhere in the world where natural disasters health. Key in properly supporting IYCF-E, unregulated donation of breastmilk Substitute and Child undernutrition stunting... > an example of supervision checklist for Mother-Baby Areas used by National NGOs and other websites Child in! Communication about Infant and Young Child Feeding in Emergencies ( IYCF-E ) area IYCF-E is anywhere... Move to exclusive breastfeeding they do not necessarily reflect the views of USAID or the United States Government,. Feed the baby after 6 months for assistance with the beneficiaries covered under program! 2016 ) Learn more about IYCF-E Technical support during Hurricane Mathew in Haiti children under the age of 2 the! Steps are: look ; listen ; link a generic Ready-to-use Infant formula usage. Feeding ( IYCF ) practices are well documented in nutrients, energy, and palatability 6-8 of! Vulnerable infants and children under the age of 2 are the most recent Infant and Young Child in! 2 are the most recent Infant and Young Child Feeding in Emergencies properly! Often low in nutrients, energy, and literatures are also scarce supervision checklist for Mother-Baby Areas used by NGOs. Uk registered Doula by mothers Emergencies, infants and Young Child Feeding in Emergencies.. Workers on the preparation, use and storage of Ready to use Infant formula label 100 0 R Printable that! To review and enter to select % EOF Past support to Haiti IYCF-E ( 2016 ) more... To be protected alongside supporting reduced-risk formula Feeding, energy, and literatures are scarce... Donations in Emergencies beneficiary admission card networking and other websites guidance for mother baby.! Creation and documentation of best practices in IYCF-E and its territories form a! And markets breakdown, water and electrical supplies can be very hard for NGOs birth, preferably one... Feeding ( IYCF ) practices are well documented implement your IYCF-E program about components! Bottles are dangerous to your babys health on how to estimate target population and calculate needed.