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In 2015, Alive & Thrive began testing the feasibility of integrating a comprehensive package of maternal nutrition interventions into the maternal, neonatal, and child health (MNCH) programs of BRAC, a non-governmental organization based in Bangladesh that has partnered with Alive & Thrive since 2009. (See program overview brief here.)

The resources below provide MNCH program leaders and implementers with tools for delivering maternal nutrition programs at scale. The materials were originally developed in 2016 by the Government of Bangladesh, BRAC, and Alive & Thrive. The program was funded by Global Affairs Canada.

This brief outlines how to deliver nutrition interventions as key components of MNCH programs, including a summary of the operational strategy that Alive & Thrive used to achieve scale and impact in Bangladesh.

Alive & Thrive used the tools presented in this document to implement its maternal nutrition program from 2015-2016. These tools are available on aliveandthrive.org and can be adapted for use in other contexts.

 

The following country briefs report on key maternal and child nutrition indicators, progress towards reaching the World Health Assembly global nutrition targets, and current implementation of recommended policies and plans. These briefs were developed by Alive & Thrive and UNICEF, and were used at the 2017 Inter-Parliamentary Union meeting in Ouagadougou, Burkina Faso to help parliamentarians and partners from 20 countries in West and Central Africa set priorities and action plans for the regional Ouagadougou Declaration.

English briefs:

French briefs:

These two infographics summarize Alive & Thrive’s work in Bangladesh from 2009 to 2014. The rigorously evaluated intervention resulted in large scale improvements in exclusive breastfeeding and complementary feeding practices.

From 2010-2014, Alive & Thrive worked in Bangladesh, Ethiopia, and Viet Nam to reduce undernutrition and death caused by sub-optimal infant and young child feeding (IYCF) practices. Our policy advocacy efforts included:

  • Working with the media to elevate the importance of IYCF, build momentum through a steady drumbeat of information and focus on IYCF, and provide a clear advocacy call to action.
  • Developing meaningful partnerships with medical communities, who play an important role in educating families about early child nutrition in Bangladesh and Viet Nam.
  • Helping to shape local nutrition policies through the annual Provincial Planning for Nutrition (PPN) process in Viet Nam.
  • Partnering with influential organizations and champions (i.e. women’s associations) that have a stake in improving child nutrition and IYCF in Ethiopia and Viet Nam.

Based on our experiences, this set of briefs details our best practices and lessons learned:

This program brief is targeted towards state/sub-state level decision makers and program managers, and outlines a set of recommendations for scaling up IYCF-Counselling Centres at state/sub-state level.

With financial and technical support from Alive & Thrive and PATH, the Da Nang Department of Health launched Viet Nam’s first human milk bank at the Da Nang Hospital for Women and Children. Annually, the hospital receives roughly 3,000 – 4,000 babies that are born premature or low-birth weight and that require special care in the neonatal unit (including babies delivered in the hospital and those transferred after birth from nearby hospitals). Hospital staff estimate that roughly 30% of these babies (900-1,200) do not have access to their own mother’s milk in the few days after birth and would benefit immensely from access to donor human milk. This milk bank will hopefully lead to the development of national human milk bank guidelines and a network of human milk banks throughout the country.

Our tools, many of which are used by healthcare staff in the hospital, are included below.

Brief

Video: Human milk bank in Da Nang

This video illustrates the process used in the human milk bank in Da Nang City, Viet Nam to ensure donated breastmilk is safe for at-risk infants, in line with international standards.

Facilitation guides

These facilitation guides are used by human milk bank staff to conduct breastfeeding promotion, donor recruitment, and donor education counselling sessions with mothers in the hospital.

Leaflet

This leaflet is given to mothers and caregivers at the hospital to increase awareness and understanding of the human milk bank.

Poster


For additional resources, please visit PATH’s website on the human milk bank.

With financial and technical support from Alive & Thrive and PATH, the Da Nang Department of Health launched Viet Nam’s first human milk bank at the Da Nang Hospital for Women and Children. This milk bank will improve access to donor human breastmilk for 3,000 – 4,000 at-risk infants annually, and will hopefully lead to the development of national human milk bank guidelines and a network of human milk banks throughout the country.

Read the brief to learn more about this groundbreaking facility.

 

Jody Harris, Phuong H. Nguyen, Quyen To, Edward A. Frongillo, and Purnima Menon. Progress in improving provincial plans for nutrition through targeted technical assistance and local advocacy in VietnamHealth Policy and Planning.

In Southeast Asia, A&T shares its programmatic framework with other countries through the SUN Movement support system. Since 2014, A&T has been providing technical support to SUN Movement countries in Southeast Asia to enhance local capacity to deliver social and behavior change programs at scale. Learn more about the support we offer to SUN countries.

 

Phuong Hong Nguyen, Derek Headey, Edward A Frongillo, Lan Mai Tran, Rahul Rawat, Marie T Ruel, and Purnima Menon. Changes in Underlying Determinants Explain Rapid Increases in Child Linear Growth in Alive & Thrive Study Areas between 2010 and 2014 in Bangladesh and VietnamJournal of Nutrition. January 25, 2017.