Infant Feeding in Emergencies after Tsunami in Aceh
Earthquake and tsunami in Nangroe Aceh Darussalam (NAD) and
Considering this situation, it is important therefore to put forward the principle of the best interest for the children in undertaking the life sustainability and the welfare condition of infant and children in the disaster area. The 47th World Health Assembly Resolution in 1994 stated that in order to cope with the disaster condition, functionaries in field should protect, promote and support mothers to breastfeeding their babies. At the national context, health affair ministry decision No 237/MENKES/SK/IV/1997 on the market distribution of food complementary to breastfeed Section VI article 13 sub article (3) states that “public health services are prohibited to receive sample or donation of baby and infant feeding milk formula for the interest of research and regularly needs. Sample and donation allowed only in the emergency situation by the license of the local Health Department. UNICEF, WHO and IDAI, on
This meeting was attended by 62 participants (89% of the invited person). Participants were consist of 12 persons from government, 32 persons from national and international NGO, 12 persons from print and electronic media, including 11 breastfeeding counselor facilitators who would go to Aceh. The discussed topics in this meeting were:
- International Policy on Breastfeed delivered by Dr. David Hipgrave from UNICEF.
- Situation and condition of infant feeding in Aceh, presented by Eko Bambang Subiyantoro from Jurnal Perempuan Foundation.
- National Policy and Program Plan for Aceh, presented by Dr. Rachmi Untoro from health department.
- The effective infant feeding in the emergency situation delivered by Dr. Utami Roesli from Sentra Laktasi
- Confines and Benefit of Breastfeeding for infant in Aceh presented by Dr. Hardiono D. Pusponegoro SpA (K) (PB IDAI).
ToT on the Infant feeding in the emergency situation
ToT on the infant feeding in the emergency situation was given by expert facilitators on the topics; they were Dr. Utami Roesli, SpA, MBA. IBCLC., From Sentra Laktasi
Training on infant feeding in the emergency situation
Next to the consultative meeting and ToT, Sentra Laktasi also conducted
- Introduction and problem identification
This method bridged rapport between participants to participants and between participants to facilitators as well as revealed problem that is faced up by participants related to breastfed and breastfeeding
- Presentation and Discussion on the Training Material.
As follow up from the previous session, this presentation session gave facilitator a chance to respond the emerging problem as faced up by participants in their daily life. Facilitator began this session by unraveling the common problem faced by participants.
Next to the presentation on the training material, facilitator carried out a brief evaluation on the participants understanding of the delivered material.
- Presentation and Discussion on Module II and on Additional training material
Following the mid evaluation, facilitator delivered session on policy of infant feeding in the emergency situation. Facilitator also enriched participants with counseling skill material and with material on the manual to make a proper milk formulation in condition if the available milk formula is not proper for the baby’s age.
- Camp visit as a form of practice in field.
The visit was done after the lunch session, before participants visit the refuges camps, the destination camps were defined first. A common problem related to the breastfed was that mothers were too early giving their baby food complementary to breastfeeding. Therefore babies were rarely getting exclusive breastfeeding. Moreover there also babies whose age above 6 months but they had not yet given complementary food. Others constraint for mothers to breastfeeding their baby was the over exposed camp. This condition was not conducive for them because mothers need a private room to breastfeed their baby. Other problem was that
The most unbearable condition was found by the team in the fourth day of their first visit to the refuges camp. There were 8 babies in the worse condition of lacking nutrient. Lately the team heard that one of the babies died even though the baby had gotten the treatment in hospital.
The condition of pregnant and breastfeeding mothers were very apprehensive. Most of them complained for the unavailability of sterile water for drink. Food supplies that available were only rice, instant noodles, and desiccated fish. Mothers should buy with their own money if they need vegetables and eggs, meanwhile they didn’t have any money to buy a thing. Pregnant mothers in one of the refuges camp ever been distributed by Lactamil milk and green peas, but the supply had already stop to operate when the team visit the camp.
- Infant feeding Monitoring in the refugees camps
According to the interview both to the official at the camp and to the mothers, supply for infant feeding such as milk formula and food complementary to breastfeeding were available, but data of the baby and of the available infant feeding from the refuges camp were not accessible. The camp official also could not get the assertive data; they also didn’t want to be transparent on the availability of food supply at the warehouse. Mothers who have baby informed the team that the food supply for baby often did not proper for the baby’s age. Beside this condition, food complementary to breastfeeding was sometime caused diarrhea to baby, therefore mothers choose not to give them food complementary to breastfeeding.
IV. Leaflet, booklet and poster publication on Infant Feeding in the emergency situation.
To support breastfeeding campaign, Sentra Laktasi published and distributed 1000 exemplar posters, 50000 exemplar brochures, and 1000 exemplar books on exclusive breastfeeding written by Dr Utami Roesli. The publication and distribution was supported by Health Department of Indonesian Republic.