Capacity building and programme-strengthening projects for health workers (n=7)13 14 19 22 32 40 44 | IDPs: Sudan, Syria Refugees: Jordan, Kenya, Lebanon Not specified: Greece, Iraq
| | Trained physician (doctors, nurses) Paramedic staff (midwives, TBAs) Community workers (facility and community based IYCF counsellors, local reproductive health worker)
| Training sessions on IYCF Malnutrition screening and treatment Continuous follow-up and coordination
| Coverage of training: |
Education and awareness activities for mothers (n=7)13 14 18 19 21 24 32 | | Camps: Jordan, Kenya, Lebanon, Pakistan Community: CAR, Lebanon Fixed and mobile clinics: Jordan, Pakistan Healthcare facility: Jordan Pakistan
| Trained physician (lactation specialists) Community workers (nutrition officer, IYCF educator and a community mobiliser)
| Counselling sessions on optimal IYCF-E practices Educational materials and counselling cards distributed Sensitisations on childcare practices and cooking demonstrations given to PLW Distribution of hygiene and baby kits (soaps, blankets, baby spoons and cups for children), and bangles for mothers
| Coverage of IYCF counsellingIn Jordan: 30–40 mothers counselled/day9; 4690 PLWs and 919 mothers counselled in 10 months17 In Lebanon: 10 000 mothers were counselled in 1 year27 In CAR: 758/900 (84.2%) PLW participated16
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Community networking and mobilisation (n=8)13 14 19 20 23 32 40 44 | IDPs: South Sudan, Sudan Refugees: Jordan, Kenya, Lebanon Not specified: Greece, Iraq, Yemen
| | Community workers (refugee mothers, community leaders, ‘leader mothers’ (mothers trained by promotors to teach neighbour women), and ‘neighbour women’ (chosen by community) as community mobilisers)
| Training of community mobilisers by IYCF counsellors, educators, ‘promotors’, programme supervisors and IYCF coordinators on IYCF and the importance of exclusive breast feeding, nutrition Dissemination of messages among mothers through household visits, demonstrations and information sharing within care groups Screening and referring malnourished mothers
| Coverage of health workers training: Coverage of IYCF counselling In Jordan: 4977 PLWs and 31 485 caregivers in 10 months17 In South Sudan: 320 neighbourhood groups, reaching 3832 women18 In Yemen: 50%–60% increase in awareness of mothers/caregivers on nutritious food along with an increase in utilisation of local foods for preparing nutritious meals for infants31
Mass screening and SAM/MAM treatment In Yemen: 90% of children <2 years screened for SAM and MAM, 2563 children were treated for SAM, reduction in number of cases of SAM and MAM children; zero cases of SAM (MUAC<115 mm) in 13/68 model villages by the end of the project31 In Sudan: 150 617 children screened for malnutrition42 In Yemen: reduction in bottle feeding to almost zero31
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Mother baby friendly spaces and mother to mother support groups (n=10)10 13 14 18–21 32 43 44 | IDPs: South Sudan, Sudan Refugees: Albania, Croatia, Jordan, Kenya, Lebanon Not specified: CAR
| Camps: Albania, Kenya, Lebanon Caravans: Jordan Community: South Sudan, Sudan Containers: Croatia Primary healthcare centres: Lebanon
| Trained Physician: paediatrician, lactation consultant Community workers: relief workers, psychosocial workers, paediatrician, lactation consultant, IYCF counsellors and community mobilisers
| Construction of mother–baby friendly spaces, caravans and mother baby centre for counselling and 24 hours support Formation of mother to mother/caregiver support groups Distribution of high energy biscuit, a bottle of water, and shawls for privacy Distribution of food vouchers to mothers for nutritional security and psychological support Screening of children for malnutrition
| Coverage of IYCF counselling in baby friendly spaces and mother-to-mother support groups:In Jordan: 15 600 mothers in 18 months in Jordan9 In Kenya: 581 facilitators trained in IYCF36 In CAR: 199 mothers/caregivers given psychosocial support16
Other outcomes:In Jordan: 120–150 mothers/day visited baby friendly spaces in Jordan9 In Jordan: 50 women attended support group gatherings17 In Sudan: 14 272 infant/mother pairs attended MtMSG42 In Kenya: 713 MtMSG (2801 mothers/caregivers in MtMSG)36
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Lactation support service (n=3)10 13 19 | | Camps: Albania, Jordan Community: Lebanon
| | | Coverage of counselling: |
Baby friendly hospital initiative (n=2)13 35 | | | | Labelling of maternity wards as ‘baby-friendly’ to support breast feeding Capacity building of health workforce Provision of tools and equipment to support breast feeding, reducing use of BMS
| In Bosnia-Herzegovina, from 1997 to 1999: |
Breast milk substitutes (n=5)13 14 19 21 40 | Refugees: Jordan, Lebanon Not specified: Greece, Iraq
| | | Training of healthcare staff and mothers on artificial feeding Counselling of mothers on importance of breast feeding, appropriate use of infant formula and on adverse effects of artificial feeding on infant’s health Monitor and control the distribution of infant formula Provision of BMS supplies and kits (cups and clean water) for safe preparation of infant formula
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