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Infant and Young Child Feeding (IYCF) Counseling 6-23 Months
https://userforum.dhsprogram.com/index.phpindex.php?t=rview&goto=16774&th=7828#msg_16774
1. Mothers with children 6-23 months who received any Infant and Young Child Feeding (IYCF) counseling in the last 6 months
Definition: Proportion of mothers with children 6-23 months who received any IYCF counseling in the last 6 months
2. Mothers with children 6-23 months who received age-appropriate IYCF counseling in the last 6 months
Definition: Proportion of mothers with children 6-23 months who received age-appropriate IYCF counseling in the last 6 months
Attached to this post is a completed submission form with full justification for the recommendation.
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This recommendation originated in a consultation focused on measuring coverage of programs to support breastfeeding and complementary feeding, co-convened by Alive & Thrive, the International Food Policy Research Institute (IFPRI), and Data for Decisions to Expand Nutrition Transformation (DataDENT). It was further discussed and endorsed at the September 2018 Technical Consultation on Measuring Nutrition in Population-Based Household Surveys and Associated Facility Assessments--a 2-day working meeting convened by the Bill & Melinda Gates Foundation and United States Agency for International Development in collaboration with the World Health Organization (WHO) and United Nations Children's Fund (UNICEF), and coordinated by DataDENT. The consultation included more than 60 technical experts, survey program representatives from DHS, MICS, LSMS and SMART, country data stakeholders, and donors from the nutrition measurement community.
The recommendation is also supported by a nutrition metrics working group that was previously anchored by the Countdown to 2030 initiative; this working group has co-authored a paper forthcoming in BMJ Global Health on the global gaps in nutrition coverage measurement, especially highlighting the gaps in measurement of infant feeding counseling and support interventions.
This recommendation was authored by IFPRI and reviewed by Laurence Grummer-Strawn (WHO), Chika Hayashi (UNICEF), Vrinda Mehra (UNICEF), Chessa Lutter (RTI), Monica Kothari (PATH), and Purnima Menon (IFPRI).
This recommendation is endorsed by the WHO-UNICEF Technical Expert Advisory Group on Nutrition Monitoring (TEAM). Out of the 10 sets of recommendations endorsed by TEAM, this recommendation was prioritized as Tier 2 of 3 (high priority data need).
This recommendation is also endorsed by Countdown to 2030, Alive & Thrive, Global Alliance for Improved Nutrition (GAIN), the nutrition team at the Bill & Melinda Gates Foundation, and the Department of International Health at the Johns Hopkins Bloomberg School of Public Health.
]]>DataDENT2019-03-01T19:08:47-00:00Re: Infant and Young Child Feeding (IYCF) Counseling 6-23 Months
https://userforum.dhsprogram.com/index.phpindex.php?t=rview&goto=16909&th=7828#msg_16909
SUN Movement MEAL Team2019-03-14T01:45:57-00:00Re: Infant and Young Child Feeding (IYCF) Counseling 6-23 Months
https://userforum.dhsprogram.com/index.phpindex.php?t=rview&goto=16911&th=7828#msg_16911
DHS 2020/21 will be used to evaluate progress towards NMNAP / CRRAF targets at the end of the implementation period of the NMNAP 2016-21. Therefore, it is very important for Tanzania to measure IYCF counselling provided by community health workers and health care providers, as these two interventions (i.e. integration of IYCF in the health system and community level IYCF for intense communication for behavior change to caregivers) are strongly prioritized as stunting reduction strategies in the NMNAP, and evidence is needed to track coverage of those interventions and further improve them.
We believe that the second indicators proposed here (i.e. age-specific counselling) is relevant as it measures quality of service, but might not be well understood by interviewees. Also, at this stage of implementation of IYCF interventions in Tanzania, it is better for the moment to prioritize generation of data on coverage.
UNICEF Tanzania Nutrition Team.]]>Mauro Brero2019-03-14T06:06:46-00:00Re: Infant and Young Child Feeding (IYCF) Counseling 6-23 Months
https://userforum.dhsprogram.com/index.phpindex.php?t=rview&goto=16912&th=7828#msg_16912
SOML-PforR Nigeria2019-03-14T06:53:40-00:00Re: Infant and Young Child Feeding (IYCF) Counseling 6-23 Months
https://userforum.dhsprogram.com/index.phpindex.php?t=rview&goto=17005&th=7828#msg_17005
kdearden2019-03-15T10:20:26-00:00Re: Infant and Young Child Feeding (IYCF) Counseling 6-23 Months
https://userforum.dhsprogram.com/index.phpindex.php?t=rview&goto=17013&th=7828#msg_17013
Nsia2019-03-15T10:54:21-00:00Re: Infant and Young Child Feeding (IYCF) Counseling 6-23 Months
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Nsia2019-03-15T10:55:51-00:00Re: Infant and Young Child Feeding (IYCF) Counseling 6-23 Months
https://userforum.dhsprogram.com/index.phpindex.php?t=rview&goto=17017&th=7828#msg_17017
Paula Kawiche2019-03-15T10:59:36-00:00Re: Infant and Young Child Feeding (IYCF) Counseling 6-23 Months
https://userforum.dhsprogram.com/index.phpindex.php?t=rview&goto=17043&th=7828#msg_17043
Marie Ruel2019-03-15T12:08:12-00:00Re: Infant and Young Child Feeding (IYCF) Counseling 6-23 Months
https://userforum.dhsprogram.com/index.phpindex.php?t=rview&goto=17053&th=7828#msg_17053
aperry2019-03-15T12:55:49-00:00Re: Infant and Young Child Feeding (IYCF) Counseling 6-23 Months
https://userforum.dhsprogram.com/index.phpindex.php?t=rview&goto=17072&th=7828#msg_17072
Olutayo2019-03-15T14:35:29-00:00Re: Infant and Young Child Feeding (IYCF) Counseling 6-23 Months
https://userforum.dhsprogram.com/index.phpindex.php?t=rview&goto=17090&th=7828#msg_17090
Rolf Klemm2019-03-15T16:50:03-00:00Re: Infant and Young Child Feeding (IYCF) Counseling 6-23 Months
https://userforum.dhsprogram.com/index.phpindex.php?t=rview&goto=17100&th=7828#msg_17100
salayon2019-03-15T17:20:59-00:00Re: Infant and Young Child Feeding (IYCF) Counseling 6-23 Months
https://userforum.dhsprogram.com/index.phpindex.php?t=rview&goto=17123&th=7828#msg_17123
The GFF Secretariat feels strongly that data on growth monitoring and promotion coverage should be included in the new DHS 8 questionnaires. Data on coverage of growth promotion that is tied to growth monitoring activities can be collected by additions to two of the categories of proposed questions put forth by DataDENT. The first is through an addition to DataDENT's proposal on child growth (labeled #6, please see comment there). The alternative option would be to include the source of information from which counseling on IYCF was received, building on DataDENT's proposal on IYCF counseling 6-23 months questions (labeled as #5, this thread). This recommendation is tied to the need to better understand how much growth promotion is being done as part of national growth monitoring and promotion programs/activities.
Evidence has demonstrated that growth monitoring as a stand-alone intervention produces little to no effect on child nutrition outcomes (Mangasaryan et al., 2011; Bhutta et al., 2008; Garner et al., 2000). Thus, its use is not recommended without adequate nutrition counselling and referrals (Bhutta et al., 2008). Without data on the extent to which growth monitoring is accompanied by promotion as it is meant to be by design, however, policy makers and program planners are limited in the degree to which they can inform program improvement decisions. As stated in DataDENT's proposal, 61% of the 167 member states who responded to the WHO 2016-17 Global Nutrition Policy review are implementing GMP, making it the second most widely implemented nutrition intervention globally. Moreover, over half of countries report that GMP happens monthly, representing an important opportunity to seize data on its coverage and functioning to stimulate appropriate, data-informed action.
References:
Ashworth A, Shrimpton R, Jamil K. Growth monitoring and promotion: review of evidence of impact. Maternal & child nutrition. 2008 Apr;4:86-117.
Bhutta ZA, Ahmed T, Black RE, et al. Maternal and Child Undernutrition 3 What works ? Interventions for maternal and child undernutrition and survival. 2008;371.
Garner P, Panpanich R, Logan S. Is routine growth monitoring effective? A systematic review of trials. Arch Dis Child 2000;82(3):197201.
Mangasaryan N, Arabi M, Schultink W. Revisiting the concept of growth monitoring and its possible role in community-based nutrition programs. Food Nutr Bull 2011;32(1):4253.]]>jruelbergeron2019-03-15T18:28:12-00:00Re: Infant and Young Child Feeding (IYCF) Counseling 6-23 Months
https://userforum.dhsprogram.com/index.phpindex.php?t=rview&goto=17156&th=7828#msg_17156
For question Q1a, please consider adding a couple more categories on "breastfeeding problems" and possibly another on "not feeding sugar-sweetened foods" (Page 4 of 9 of document 5. + IYCF counceling_25+Feb).
]]>PATH2019-03-15T19:15:45-00:00Re: Infant and Young Child Feeding (IYCF) Counseling 6-23 Months
https://userforum.dhsprogram.com/index.phpindex.php?t=rview&goto=17181&th=7828#msg_17181
We support this recommendation and especially urge the need for the second indicator, in addition to the first, so that there is a better understanding of the quality of nutrition counseling that is being given to mothers and caregivers. We are pleased that the proposed questionnaire associated with the second indicator includes counseling on the types of foods that children should consume, as well as those that should not be consumed, including sugar-sweetened beverages.
]]>1000 Days2019-03-15T19:30:39-00:00Re: Infant and Young Child Feeding (IYCF) Counseling 6-23 Months
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Erin Milner2019-03-15T21:46:59-00:00Re: Infant and Young Child Feeding (IYCF) Counseling 6-23 Months
https://userforum.dhsprogram.com/index.phpindex.php?t=rview&goto=17345&th=7828#msg_17345
ktripp2019-03-15T22:02:07-00:00Re: Infant and Young Child Feeding (IYCF) Counseling 6-23 Months
https://userforum.dhsprogram.com/index.phpindex.php?t=rview&goto=17414&th=7828#msg_17414
Judy Canahuati2019-03-16T03:24:09-00:00