Question

Question: Sometimes, preventive goals seem to collide with each other. Examples include fish consumption advisories, breast feeding advisories, and the use of DDT to control malaria. Please pick one of these or another suitable example, and then answer these questions. What are the trade-offs between the different preventive strategies involved? How could the competing goals be balanced?

Answer 1

PREVENTIVE STRATEGIES INVOLVED TO BREAST FEEDING ADVISORIES:

Strategy 1:Maternity care practice:

• It is related to the breast feeding that takes place during the intrapartum hospital stay and practice can also include immediate prenatal care,care during labor pains and postpartum care.
• It support breast feeding including a written breast feeding policy for the facility and providing education to mother and encouraging early breast feeding initiation and follow up after post discharge.
• Maternity care practice can have a negative effect on breast feeding using medication during labor and giving water or sugar water to breastfeeding infants when not medically necessary.

Strategy 2: Professional Education:

• Education can improve knowledge,attitude,skills and behavior in relation to the importance of breast feeding, physiology of lactation,counsel the mothers about breast feeding.
• Health care provider such as physicians,nurses,nutritionist,lactation consultants and other professionals working in maternity care.

Strategy 3: Access to professional support:

• Health care professional can counsel the mother about the important of pregnancy,after giving birth.It may also include to counsel the mother and baby with lactating position, helping with a lactation crisis and counseling mother returning to work.

Strategy 4:Supporting Program:

• Goal of supporting program can encourage and support pregnant and breast feeding women. It can also provide specific education and training about feeding.

Strategy 5: Support for breast feeding in working Places:

Benefits and services:

• Developing corporate policies for breast feeding women
• Designated work place
• Allowing scheduling to support breast feeding during work
• Providing high quality breast feeding pumps
• Allowing babies at the working places.

Strategy 6: Early care and education for breastfeeding

Strategy 7: Access to Breastfeeding Education and Information:

• The education increase knowledge and skills,helping them to view breastfeeding as normal and develop positive attitudes.
• Information can be provides by libraries,community centers.

Strategy 8:Social marketing:

• It is an excellent tool for promoting health activities, breast feeding practices in hospital,community and educate the healthy infant nutrition practice. Goal of improving personal welfare ny the use of pro-health message

Complementary Feeding:

• Appropriately complementary foods made locally available foods should be introduced at 6months to all babies for continuing breastfeeding.
• Include each meal must be made energy by adding jaggery and ghee.Food must be thick in consistency for providing more calories from smaller volume.
• Foods should be enriched by making fermented ,use of germinated and toasting of grains before grinding.
• Snacks can be added to the meals by adding two or more nutritious snacks.Avoid sweets,chips and other processes foods.
• Include complementary foods such as seasonal uncooked fruits,green vegetables,Mil products,Legumes, Jaggery,and ghee.Encourage iron fortified,iodized foods,vitamin A rich food.
• Avoid junk carbonated drinks,chocolates,bakery products,tinned juices and sugary drinks.

Food to be offered at different ages:

Age	Texture	Frequency	Average amount
6-8 months	Well smashed foods	2-3 meals/day+Breast feeding	2-3 table spoon
9-11 Months	Finely chooped food,Mashed foods	3-4 meals+breastfeeding+Snacks	250ml cup
12-23 Months	Family and chopped food	3-4meals+Breast feeding+Snacks	250ml bowl