Document Detail


Review of policies and guidelines on infant feeding in emergencies: common ground and gaps.
MedLine Citation:
PMID:  11434233     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Recent crises in regions where exclusive breastfeeding is not the norm have highlighted the importance of effective policies and guidelines on infant feeding in emergencies. In 1993, UNICEF compiled a collection of policy and guideline documents relating to the feeding of infants in emergency situations. In June 2000 Save the Children, UK, UNICEF and the Institute of Child Health undertook a review of those documents, updating the list and identifying the common ground that exists among the different policies. The review also analysed the consistency of the policy framework, and highlighted important areas where guidelines are missing or unclear. This article is an attempt to share more widely the main issues arising from this review. The key conclusions were that, in general, there is consensus on what constitutes best practice in infant feeding, however, the lack of clarity in the respective responsibilities of key UN agencies (in particular UNICEF, UNHCR and WFP) over issues relating to co-ordination of activities which affect infant-feeding interventions constrains the implementation of systems to support best practice. Furthermore, the weak evidence base on effective and appropriate intervention strategies for supporting optimal infant feeding in emergencies means that there is poor understanding of the practical tasks needed to support mothers and minimise infant morbidity and mortality. We, therefore, have two key recommendations: first that the operational UN agencies, primarily UNICEF, examine the options for improving co-ordination on a range of activities to uphold best practice of infant feeding in emergencies; second, that urgent attention be given to developing and supporting operational research on the promotion of optimal infant-feeding interventions.
Authors:
A Seal; A Taylor; L Gostelow; M McGrath
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Disasters     Volume:  25     ISSN:  0361-3666     ISO Abbreviation:  Disasters     Publication Date:  2001 Jun 
Date Detail:
Created Date:  2001-07-03     Completed Date:  2001-07-26     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7702072     Medline TA:  Disasters     Country:  England    
Other Details:
Languages:  eng     Pagination:  136-48     Citation Subset:  IM    
Affiliation:
Centre for International Child Health, Institute of Child Health, 30 Guilford Street, London WC1N 1EH. a.seal@ich.ucl.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Guidelines as Topic
Humans
Infant
Infant Nutritional Physiological Phenomena*
International Cooperation*
Organizational Policy*
Refugees*
Relief Work / organization & administration*
United Nations

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