Cover Image
close this book Community Nutrition Action for Child Survival
View the document Table of contents
View the document Introduction
View the document How to use community nutrition action for child survival
close this folder Part I - Community nutrition problems and interventions
close this folder Unit 1 - The nutrition of women and children
View the document Session 1: What is malnutrition?
View the document Session 2: Focus on the nutrition of women and children
View the document Session 2: Focus on women and children
View the document Session 3: Important causes of malnutrition in women and children
View the document Session 4: Community nutrition action for child survival
close this folder Unit 2: Measuring and monitoring growth in young children
View the document Session 1: Measuring growth
View the document Session 2: Arm circumference
View the document Session 3: The road to health chart
View the document Session 4: The thinness chart
View the document Session 6: Counseling, referral and follow-up of malnourished children
close this folder Unit 3: PROMOTING BREASTFEEDING
View the document Session 1: The importance of breastfeeding
View the document Session 2: Helping mothers breastfeed
View the document Session 3: Breastfeeding information for Kenyans
close this folder Unit 4: Introducing weaning practices in the community
View the document Session 1: Changing weaning practices
View the document Session 2: Making improved meaning foods in the home
View the document Session 3: Weaning food practice
View the document Session 4: Case study: Village weaning food projects in Thailand
View the document Session 5: Weaning foods - Village production techniques
close this folder Unit 5: Preventing diarrhea
View the document Session 1: Preventing diarrhea*
View the document Session 2: Diarrhea home management
View the document Session 3: Community activities to prevent diarrhea*
close this folder Unit 6: Immunization
View the document Session: Improving immunization coverage - The community's role
close this folder Unit 7: Family planning and nutrition
View the document Session 1: Family planning and nutrition
View the document Session 2: Providing the facts about family planning
View the document Session 3: Community-based distribution of family planning methods
close this folder Part II - Planning nutrition action projects
close this folder Unit 1: Working with the community to improve nutrition
View the document Session: Simulation exercise
close this folder Unit 2: Finding the causes of malnutrition
View the document Session 1: Conducting a community nutrition mini-survey
View the document Session 2: Analyzing community nutrition information
close this folder Unit 3: Deciding what to do
View the document Session 1: Visits to on-going nutrition projects
View the document Session 2: Case studies/panel discussion
close this folder Unit 4: Planning nutrition action projects
View the document Session 1: Describing the problem
View the document Session 2: Writing project goals and objectives
View the document Session 3: Choosing project activities
View the document Session 4: Developing a project work plan
View the document Session 5: Planning how to evaluate
View the document Session 6: Preparing a budget
close this folder Unit 5 - Session: Writing a project proposal/Mini-Workshop
View the document Session: Writing a project proposal Mini-Workshop
close this folder Part III - Project management systems
close this folder Unit 1: Training community nutrition workers
View the document Session 1: Introduction
View the document Session 2: Assessing training needs/writing objectives
View the document Session 3: Choosing training methods
View the document Session 4: Scheduling training content
close this folder Unit 2: Evaluating progress
View the document Session 1: What do he need to know? How can we find out?
View the document Session 2: Records and reports
View the document Session 3: A prototype record keeping system
View the document Session 4: Evaluating activities with the community
close this folder Unit 3 - Supervising community nutrition activities
View the document Session 1: The role of the supervisor
View the document Session 2: Identifying and solving problems
View the document Session 3: Problem-solving/role play
View the document Session 4: Planning and conducting supervision visits

Session 1: The importance of breastfeeding

Purpose:

In this session, trainees list the advantages of Breastfeeding and the dangers of bottle-feeding and breast milk substitutes. Rules for successful Breastfeeding are presented and discussed.

Time: 1 hour

Materials:

- Handout - "Breastfeeding Self-Test" plus answer sheet

- Handout - "Rules for Successful Breastfeeding"

- Flipchart and marking pens

Steps:

1. Distribute the "Breastfeeding Self-Test" and ask trainees to complete it individually. When they finish, tell them that you will discuss the test at the end of the session.

2. Ask trainees to brainstorm the advantages of Breastfeeding for mothers and infants. List their responses on the flipchart. Then, ask trainees to brainstorm the dangers of bottle-feeding and early introduction of foods other than breast milk. List these on the flipchart. Add any advantages or dangers that you feel trainees have missed.

Summarize: "Breastfeeding has many advantages for mothers and infants. Breastfed infants are generally healthier than infants fed with bottles and breast milk substitutes. This is especially true in low income families because breast milk is a clean, nutritious and low cost food for infants. Breast milk also contains anti-infective agents that help breastfed infants fight against infection. Infants who are not breastfed and those who are given foods other than breast milk during the first months of their lives are very often malnourished and at "high risk" of sickness and death."

3. Distribute the Handout - "Rules for Successful Breast-feeding." Discuss each of the rules and the reasons why each one encourages successful breastfeeding.

4. Discuss the importance of giving colostrum. In many countries, women believe that colostrum should not be given to newborn infants. This is not true! The composition of colostrum is different from the milk produced by the mother 3-5 days after birth. Colostrum contains large amounts of protein substances (including secretory immunoglobulin) which helps prevent infection in the newborn. It is a good idea to put the infant to the mother's breast immediately after delivery since frequent sucking is necessary to establish lactation.

5. Summarize this session by asking the trainees to repeat the self-test taken at the beginning of the session. After they finish, review the correct answers to each of the questions and compare scores before and after the session. Leave some time for additional questions and answers.

ANSWERS TO BREASTFEEDING SELF-TEST

1.

T

7.

T

2.

F

8.

T

3.

F

9.

T

4.

F

10.

T

5.

F

11.

F

6.

F

   

 

BREASTFEEDING SELF-TEST

Answer the following questions TRUE or FALSE.

 

T

F

1. Breast milk contains all the nutrients an infant needs until he/she is four months to six months of age.

   

2. Women with small breasts will have difficulty breastfeeding.

   

3. Colostrum has no nutritional value. It should be discarded.

   

4. Breastfeeding should be on a schedule.

   

5. After birth, it is best to wait 24 hours before putting an infant to the breast.

   

6. Malnourished women cannot breastfeed their infants successfully.

   

7. Most women can breastfeed successfully.

   

8. Pregnancy should be avoided while the youngest child is still breastfeeding.

   

9. Frequent breastfeeding will increase milk production.

   

10. Women who are breastfeeding should eat extra food and drink plenty of liquid every day.

   

11. It is advisable to give an extra bottle of milk or formula if an infant appears to be hungry after breastfeeding,

   

HANDOUT

GUIDELINES FOR SUCCESSFUL BREASTFEEDING

1. Breastfeed as soon after birth as possible.

The infant's suckling at the breast stimulates milk production. It also insures that the infant receives colostrum, the first yellowish liquid produced by the breast. Colostrum contains concentrated anti-infective agents that help protect the infant against sickness.

2. Breastfeed frequently (on demand).

The production of milk is stipulated by the baby's suckling so the baby should be fed on demand rather than according to a schedule. The more an infant breastfeeds, the more milk the breast will produce.

3. If possible, eat extra food every day.

During breastfeeding, the caloric needs of the mother are increased. It is estimated that an additional 500 calories per day are needed by the mother. If these calories are not available, the mother's fat supply will be used for milk production. Most women, even in countries where chronic malnutrition is prevalent, are able to breastfeed their infants exclusively for 4-6 months. Research has found that breastmilk from undernourished mothers contains amounts of protein and lactose similar to those of well-nourished mothers. Emphasis should be placed on improving maternal diet before supplementing the diet of the breastfeeding infant.

4. Relax.

Breastmilk is released by the ejection or let-down reflex. It can be temporarily inhibited by tension or anxiety.

5. Do not give other foods and liquids until the infant is at least four months old.

Do not give other foods and liquids until the infant is at least 4-6 months of age. Breastmilk alone is generally sufficient until this age. Supplemental foods reduce the amount of time the infant sucks on the breast and therefore reduces the amount of milk the mother produces.

6. Avoid bottle feeding!

When the infant is 4-6 months of age, foods in addition to breastmilk can gradually be added to the infant diet. A cup and spoon should he used.