Monday, July 7, 2008

Malnutrition in Indonesia linked to decline in breastfeeding

Asia News Network
First Posted 17:41:00 07/07/2008

JAKARTA -- A decline in breastfeeding practice in Indonesia is one of the primary causes of the rise in child malnutrition in the country, a UN official said.

Head of the health and nutrition section at Unicef Indonesia, Anne H. Vincent, said that in 2007 only 7.2 percent of children in the country were breastfed exclusively until the age of six months, from 7.8 percent in 2002. On average, Indonesian children are breastfed exclusively for less than two months.

The UN body has found one in every four children in the country suffers from malnutrition. Regions in Indonesia have reported deaths of children due to malnutrition. From January to June this year, some 31 malnutrition-related deaths of children under the age of five were reported in East Nusa Tenggara, 20 in West Nusa Tenggara, 10 in Lebak, Banten, and five in Bone, South Sulawesi.

Vincent said the primary cause of malnutrition was poor infant feeding practices, like inadequate breastfeeding and complementary feeding.

According to a Unicef review of data from 42 countries, exclusive breastfeeding proved to have the highest impact (13 percent) on saving lives of children under the age of five.

"Exclusive breastfeeding for six months can save more than 30,000 Indonesian children from dying each year," Vincent said recently.

Malnourished children are more prone to infectious diseases such as diarrhea and upper respiratory infections.

Barriers to breastfeeding in Indonesia include low awareness of the benefits due to inadequate counseling and support. For working mothers, a lack of supporting facilities such as designated space in the workplace for breastfeeding and adequate maternity leave to support six months of exclusive breastfeeding also hinders the program.

While breastfeeding rates are declining, sales of infant formula have nearly doubled in the last five years.

According to Vincent, aggressive marketing of breastmilk substitutes by companies is another challenge for the breastfeeding campaign.

International code on breastmilk substitute marketing bans promotional campaigns for the products. In Indonesia this ban is regulated under a 1997 ministerial decree. A legislative draft on breastmilk substitute marketing is still being discussed.

The Association of Baby Food Producers' head of government relations and Frisian Flag director Hendro H. Poedjono said the association had set up a team to monitors violations.

He said the team had handed down sanctions to members that broke regulations. "Every month around one or two members are sanctioned," he said.

He said promotions for breastmilk substitutes sometimes were conducted by retailers, not producers.

"Supermarkets sometimes have their own policies, they organize promotions, or offer discounts on certain products, including infant formula, without our knowledge," he said. Prodita Sabarini, The Jakarta Post-ANN

Friday, April 18, 2008

2nd International Conference on RH Management

More than a decade after the International Conference on Population and Development (ICPD) in Cairo and eight years in pursuit of the Millennium Development Goals (MDGs), many public, civil society and private development organizations have already accumulated a wealth of experience in managing the implementation of reproductive health (RH) interventions to achieve results and create impact in target communities. Scaling up or replicating what really works at the community level will facilitate the attainment of the MDGs by the year 2015.

Reproductive health management (RHM) deals with maximizing the potentials of individuals, groups, and institutions working in the reproductive health sector in designing, implementing and sustaining specific initiatives aimed at addressing relevant community aspirations and needs while contributing to the attainment of the MDGs. It has six functional areas: (1) governance, policy, ethics and standards; (2) organization and human resource development and management; (3) knowledge management; (4) service delivery and operations management; (5) resource mobilization, partnership and alliance building; and (6) social entrepreneurship and enterprise development, institutionalization, and sustainability. In addition RHM deals with 10 elements or concerns of reproductive health as defined by the ICPD.

Recognizing the need to properly manage reproductive health initiatives, the Asia Pacific RHealth and Development Center (APRHDC) of the Philippines NGO Support Program, Inc (PHANSuP) organized the first ICRHM conference on 2006, in Manila with the supported of European Commission, The David and Lucile Packard Foundation, the United Nations Population Fund and the Australian Agency for International Development. The conference theme was "Creating the Impact in Communities: are we ready for the future?". The conference was attended by 625 participants from 11 countries and many international donors and communities. The conference was very successful in sharing the lesson learned of reproductive health management across the communities, organization, and countries.

In the second ICRHM, participants will share their current expertise and experiences in managing the reproductive health program for achieving the better results and impact. The conference will give special emphasis on discussing the management of family planning program. It will also highlight critical issues of reproductive health programs, such as access, quality, leadership, community participation, and youth empowerment.

Family planning is critical to economic development and poverty reduction. It has demonstrated its effect on reducing the maternal deaths and suffering, reversing the HIV/AID epidemic, improving the gender equality and promoting the youth empowerment. Better access to safe and affordable contraceptive methods will accelerate the achievement of) MDGs. Therefore contraceptive prevalence rate (CPR) now has become an indicator of MDGs.

However, post ICPD 1994, International as well as national commitment towards family planning programs has been dwindling. There is a large funding gap between what is needed and what is currently being mobilized for family planning. In fact, donor assistance for family planning as a percentage of all population assistance has decreased considerably since Cairo, from 55 per cent in 1995 to around 16 per cent in 2007. Decentralization in many developing countries also is causing the family planning programs less priority by the local government.

OBJECTIVE OF THE CONFERENCE

ICRHM aims to provide an opportunity for participants to develop a common agenda and build a consensus on ways to best pursue it, to share learning across individuals and organizations, to build skills, and to renew commitments to continue their work. Towards this end, ICRHM2008 will:

1. highlight current and emergent practices in managing reproductive health in relation to other development concerns;
2. identify gaps, gains, lessons, insights, challenges and opportunities in pursuing multiple priorities in the area of reproductive health and development; and
3. reach a consensus on future actions to advance reproductive health management in accelerating the achievement of MDGs

CONFERENCE THEME

ICRHM2008 focuses on how best to manage specific reproductive health initiatives with special emphasis on family planning in the light of equally pressing concerns that affect the living conditions of people particularly in developing countries. Thus the conference will adopt the theme "Convergence: working together for Results and Impact".

And thus we would like to invite everyone to visit the website and join in the upcoming conference entitled “2nd International Conference on Reproductive Health Management (ICRHM) 2008” which will be held on 6 - 8 May 2008 in Kuta, Bali - Indonesia.


Click here to visit ICRHM2008 Website.



Thank you.