Week 1 : Lecture 3 : MIYCF framework

Week 1 : Lecture 3 : MIYCF Framework - Summary Notes

**Summary:** This lecture focuses on a Maternal Infant Young Child Feeding (MIYCF) framework developed and implemented by the speaker at an NGO. The framework emphasizes effective breastfeeding practices, growth monitoring, and appropriate complementary feeding. The lecture highlights the importance of addressing root causes of malnutrition by focusing on nutrition counseling, proper feeding techniques, and creating a supportive environment for mothers and children. The speaker shares insights gained over several years of experience, demonstrating the positive impact of the framework on child health outcomes.

**Key Takeaways:**

* **Focus on Effective Breastfeeding:** The core of the framework emphasizes proper breastfeeding techniques and addressing issues that hinder it.

* **45 Counseling Points:** A structured approach to breastfeeding counseling, covering various aspects from mother’s preparation to baby's latch.

* **Growth Monitoring Importance:** Regular growth monitoring is crucial for identifying and addressing potential nutrition problems early on.

* **Complementary Feeding is crucial**: To have a good complementary feeding, you need to breastfeed your baby well

* **Junk Food Awareness:** Recognizing and addressing the negative impact of junk food is essential.

* **Home Visits and Environmental Factors:** Addressing the home environment to prevent illness and improve hygiene.

* **Electronic Data Monitoring:** Utilizing electronic medical records for better data analysis and program management.

**Detailed Notes:**

**1. Introduction and Background (0:00:16 - 0:00:38)**

* Lecture about the third part of the first session.

* Topic: MIYCF framework.

* Speaker to share a framework created at an NGO.

* The framework took 6 to 7 years to develop.

* NGO showed reduction of underweight, wasting, and stunting.

**2. The Focus on Breastfeeding and Experience (0:01:30 - 0:02:16)**

* Emphasis on breastfeeding as a primary focus.

* Recognized deficiencies in previous breastfeeding techniques, even with guidelines.

* Experience from the U.S. influenced a strict approach to growth monitoring.

* Learning from experiences, cross-cradle hold helped.

**3. Implementing Cross Cradle Hold and Counseling (0:03:11 - 0:04:11)**

* Implementation of cross-cradle hold.

* Aim was to empower pregnant mothers.

* Training pregnant mothers on breastfeeding techniques.

* Preventing formula use after delivery.

* Focus on mothers understanding and adhering to techniques.

**4. Importance of Teaching and Early Initiation (0:04:12 - 0:05:06)**

* Key point: Teach pregnant mothers the 45 points of counseling with the cross-cradle hold.

* Emphasis on early and timely breastfeeding initiation.

* Benefits: Amazing weight gain, and less weight loss.

* Experience in both U.S. and India supports the approach.

**5. Framework Components (0:05:32 - 0:06:29)**

* Pregnant mothers, PHCs taught using health Spoken tutorial.

* Mothers asked to demonstrate with breast model, and doll.

* PHC medical officers and ASMA would train on cross cradle roll and empower them.

* Nutrition and breastfeeding.

* Focus on maternal nutrition and pregnancy.

**6. Growth Monitoring (0:06:54 - 0:07:25)**

* Emphasis on nutrition counseling.

* Focus on early trimester involvement.

* Low birth weight in urban slums.

* Monthly or bi-weekly sessions based on trimester.

* Focus on nutrition focus and red flags.

**7. The Importance of Breastfeeding (0:08:40 - 0:10:48)**

* Why effective breastfeeding: prevent top feed and sam & stunting.

* 92% mothers reported at least one breastfeeding concern.

* 52 mothers reported not feeding well.

* 40 mothers had breastfeeding pain.

* 40 mothers had perceived lack of sufficient milk.

**8. Growth Monitoring Practices (0:10:56 - 0:13:00)**

* Importance of growth monitoring in the program.

* Focus on regular monitoring and follow-up based on weight gain.

* The role of doctors and nurses in the clinic.

* Modified WHO breastfeeding assessment tool.

**9. Breastfeeding assessment and Problem Solving (0:13:00 - 0:14:50)**

* Importance of identifying the breastfeeding problem.

* Problem-oriented solutions using assessment tools.

* The assessment covers preparation, position, latch, and other counseling points.

* Support from the helpline.

* Problem-solving is the goal.

**10. Complementary Feeding and Breastfeeding (0:14:56 - 0:15:16)**

* Focus is on effective breastfeeding, timely and exclusive.

* Importance of proper breastfeeding.

**11. Nutrition for Children (0:16:58 - 0:17:56)**

* Weight checking

* Emphasis on length, and its importance.

* The challenge of training on length check.

* Establishment of a protocol for length checking involving 2-3 individuals to improve the process.

**12. Complementary Feeding (0:17:56 - 0:18:49)**

* Emphasizing the importance of a good foundation for future nutrition uptake.

* Children are tall and strong in the first 6 months with breastfeeding.

* The importance of a good appetite for the baby.

* Emphasizing protein and other type 2 nutrients.

**13. Promoting Variety and Balanced Diet (0:26:34 - 0:29:03)**

* Recipe creation, and promotion of local ingredients.

* Addressing monotonous and starch-based diets.

* Thanking Michael Golden for type 2 nutrient knowledge.

* Emphasis on a balanced diet for children and the use of local ingredients.

**14. Cooking Demos and Responsive Feeding (0:29:03 - 0:31:49)**

* Creating cooking demonstrations and recipes.

* Emphasizing dietary diversity and feeding frequency.

* Importance of responsive feeding techniques.

* Importance of responsive feeding.

**15. Addressing Junk Food and Home Visits (0:31:49 - 0:35:05)**

* Addressing junk food.

* The importance of the home environment.

* Focus on cleanliness.

* Demonstration of baby massage and burping techniques.

* Emphasis on all the important aspects.

**16. Electronic Data Monitoring (0:35:32 - 0:38:53)**

* Use of electronic medical records.

* Emphasis on systematization.

* Using electronic tools

* The value of seeing charts and results.

**17. Contact Points and Conclusion (0:38:59 - 0:41:19)**

* Emphasis on nutrition in ANC, labour room, immunization, etc.

* The role of all the staff.

* Importance of the nutrition basics.

* Developmental classes and their value.

* The importance of plotting the charts