Cameroon Link - IBFAN Africa

Cameroon Link
Reg. N° 001357/RDA/JO6/BAPP of 10th December 2007
B.P. 1460 Douala, Cameroun - Tel: (237) 677 75 88 40 - (237) 694 34 08 74
- Email: [email protected] –http://camlink.blogspot.com
2015 World Breastfeeding Week Report
Breastfeeding and Work: Let’s make it work!
With contributions by:
James Achanyi-Fontem, Cameroon Link Douala
Helen Ayamba, Administrative Assistant
Emma Atangah, Lebialem, South West
Lissouk Germaine, NOLFOWOP Yaoundé
CHUM Joshua Tata, HEG Mbengw, North West
Samuel Mbah Ndakwe, MEWA Bamenda
Fankam Kamganng, CADACHA Bafoussam
Tientcheu Josephine ACMS Douala
Josephine Kenfack - OFM Mabanda
Priscille Mouto, COGESID Bonamikano
TCHANA Eric, APDEC Ngaoundere
Mbarga Honorine, AFFE Mbalmayo
We thank IBFAN Africa and WABA for their continued support to our community empowerment initiatives.
Programmes are still being edited and these will be put on line on camlink radio channel for sharing.
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Cameroon Link
Reg. N° 001357/RDA/JO6/BAPP of 10th December 2007
B.P. 1460 Douala, Cameroun - Tel: (237) 677 75 88 40 - (237) 694 34 08 74
- Email: [email protected] –http://camlink.blogspot.com
2015 World Breastfeeding Week Report
Breastfeeding and Work: Let’s make it work!
By James Achanyi-Fontem, President, Cameroon Link
The civil society organisation, Cameroon Link, has organised a media and infant feeding stake holders briefing on
Saturday, 1st August 2015 at Cameroon Link conference hall in Grand Hangar-Bonaberi on the theme, ‘’Breastfeeding
and work: Let’ make it work.’’ The theme was adopted by the World Alliance for Breastfeeding Action in Penang,
Malaysia this year. The briefing worked the media coverage strategies for raio, television and newspaper otganisations.
The objective of the briefing was to galvanise, promote, inform, strengthen and engage all infant and young child feeing
to get stakeholders involved and to take action in their various areas of jurisdiction. Cameroon Link will galvanise multidimensional support from all sectors to enable women everywhere to work and breastfeed safely and adequately.
Participants came from the south west, north west, south, centre, east and littoral regions.
It promoted actions by employers to become family/Parents/Baby and Mother Friendlyand they were told that
stakeholders have to actively facilitate and support employed women to continue breastfeeding their children within
the first six months exclusively and continue with breastfeeding and complimentary feeding up to 24 months and above.
Cameroon Link and other stakeholders informed the different target groups of the latest in global maternity protection
entitlements, and awareness of the need to strengthen related national legisl ation and implementation. They will
strengthen, breastfeed facilitate and showcase supportive practices that enable women working in the informal sector
to
.
2
The sensitisation and briefing engaged with target groups like trade unions, women’s rights organisations, and human
rights agencies on women’s occupational health and youth groups to protect breastfeeding rights of women in the
workplace.
The activity was supported by the ministry of public health, WABA, IBFAN Africa and Nutrition Institute of Africa.
Cameroon Link took the opportunity to highlight global pertinent changes that have taken place within the international
networks of WABA and IBFAN Africa. Talking about changes, Joyce Chanetsa retired as Coordinator of IBFA Africa and
Barbara Nalubanga took over. She can be reached through the following lines Cell: +268-766-100-72, Tel: +268-240-45006, Email: [email protected], [email protected]
Changes at the World Alliance for Breastfeeding Action (WABA), resulted from voting as officiated and certified by a
legal officer, auditor, and witnessed by WABA Executive Director, Jay Sharma, and Sita Senior Coordinator of
Administration and Governance at the WABA Secretar7at on Friday, 26 June 2015. The Global position and the Europe
position received the highest votes for Anne Batterjee and are duly elected to serve from 1st January 2016 for a period
of 3 years. It should be noted that Sarah Amin stepped down earlier as WABA Executive Director before Jay Sharma,
took over. Europe Steering Committee Position is occupied by Maryse Arendt.
Rationale
For the best start of life, WHO, UNICEF and the Ministry of the Public Health of Cameroon recommend that infants are
nourished exclusively during the six first months of their life with breast milk, followed by the pursuit of breastfeeding
until two years and beyond. Deployed efforts in the course of the decade 90 by the different intervening stake holders
have:
- Increased of the rate of exclusive breastfeeding to 6 month of less of 1% in 1991 to 21% in 2004, through 12% in 1998
and above 30% following the first World Breastfeeding Trend Initiative, (WBTi) survey of 2009. The median duration of
breastfeeding of 18 months
.
The results of the Cameroon social demographic survey of 2006 shows that very few children receive adequate
complementary foods quantitatively and qualitatively from six month. For example, only 43% of children from six to
twelve months receive complementary foods of animal origin, which is indispensable for their growth and development.
These insufficiencies in the practice of the feeding of complementary foods can be explained by the fact that before the
age of two years, 33% of Cameroonian children have a very low weight for their age, which is an indicator of
malnutrition and lack of proteino-energetic foods. This is the underlying cause of 38% of death of children of preschooling age.
Aware of the importance of breastfeeding for the survival and development of children, a whole week has been
instituted as the World Breastfeeding Week celebrated each year from 1st to 7th August. The theme retained for 2015
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is: “ Breastfeeding And Work, LETS MAKE IT WORK!”. This week was an opportunity for the Ministry of the Public
Health and its partners to sensitize national opinion on the importance of breastfeeding.
Objective of WBW
• to draw the attention of the public on the interest of the pursuit of breastfeeding until two years and beyond, by
connecting with other breastfeeding advocates by email or radio programme, traning, conferences,educative talks,
publication on web blogs, on Facebook or Twitter and start action.





to make public aware of the risks and costs that represents the introduction of others foods and drinks before 6
months, and thus to strengthen the support of exclusive breastfeeding during the first 6 months, by involving
local communicators, teachers, journalists, media officers, students, community leaders, to help them build and
share vital messages and raise awareness.
to up date information and ideas on foods and drinks and the different types of foods that nursing babies need
from the age of 6 months and for the young children after 6 months, by involving health centres and helping
them implement outreach efforts for pregnant women and breastfeeding mothers or training courses for
lactation consultants, journalists, community health leaders, members of youth health clubs and breastfeeding
counsellors.
to share ideas by writing to employers asking them to sponsor a WBW event, while warning them to prevent
conflicts of interest and sharing up date information
to render complementary feeding easier, healthier and to make feeding of infants a moments for caring for
babys and giving them the warmth they need.
Encourage breastfeeding education in schools, colleges and universities through the health clubs by highlighting
breastfeeding through a variety of activities.
Breastfeeding from 0 to 6 months
For the best start in life, the World Health Organization (WHO) , UNICEF and other health promotion organizations. WHO
recommend six (06) months of exclusive breastfeeding, followed by the pursuit of complimentary feeding?
Continuing Breastfeeding
Breast milk continues to be an important nutritional source for the infant and young child after the first six (6) months,
especially when mothers continue to breastfeed while giving other foods to the child.
On the average, the maternal milk covers 70% of the energy a baby needs from 6 to 8 months, 55% from 9 to 11
months, and 40% from 12 to 24 months. Breast milk is also a preponderant source of proteins, vitamins, minerals and
essential fat acids. Breast milk is a rich food in calories and in nutriments; it provides more calories and nutriments per
ml than most of the other foods.
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Complementary Feeding
After the age of six months, young children need other foods in addition to breast milk to respond to their nutritional
needs. The fact giving other foods and drinks in addition to breast milk is called "complementary feeding". Giving other
foods would have to complete the nutriments of breast milk. An optimal complementary feeding has to be: We advice
mothers to make good choices of compliment product by reading the introction by the manifacturers.
Family Meal
Between 6 and 24 months children grow rapidly, but the size of their stomach is always relatively small (almost the size
of a fist). During this period, they need very nutritional foods that provide them a lot nutriments in a small quantity of
food: dense foods in nutriments. In many families in the world, infants are fed the same foods that other members of
the family eat. This does not mean that old babies can pass directly from exclusive breastfeeding to eating foods based
on the same dishes of the rest of the family. Infants and young children have to receive the best family meal portions, as
beans, vegetables, fish and meat, but modified (crushed, minced, soft, etc...) in a manner to adapt them to their
capacities to feed.
Around 12 months, most children have physical aptitudes to eat foods of the same consistency that other members of
the family eat. In some circumstances, families can choose to prepare different nutritional foods specifically for their
babies.
Foods formulae for babies enriched in an appropriate manner with necessary quantities of vitamins and minerals can be
useful if the family has means to buy formulae. But they are generally an expensive manner of feeding infants and
young children, and can contain additives and inappropriate recipients. The mothers were advised to make a well
informed chpice and always verify the expiry date on the formulae.
The resource persons, Honorine Mbarga of AFFE Mbalmayo and Germaine Lissouck of NOLFOWOP Yaoundé gave ansers
to the following questions. Why Prepare the World Breastfeeding Week? What aspects feeding of children after 6
months have improved in Cameroon. On what objective of the WBW do we want to centre our activities?
Mothers were advised to read the flyer produced by WABA and Nutrition Institute of African. He added that studies on
infant feeding ars also found on internet links.
The president of Cameroon Link treated questions which included the following:



Do mothers in general breastfeed their babies after the first six months?
When does one begin usually to give to babies other foods/drinks apart from breast milk?
What are usually the first foods/drinks that are given to the infant?
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
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


What other foods/drinks the infant and young children of the age groups 6 to 8 months, 12 to 24 months receive
commonly?
Where do mothers find generally information concerning the solid foods introduced?
What information and advice is usually given to mothers on the introduction of solid foods during the feeding of
their babies?
Is this information and advice updated regularly?
What do labels on the products commercialized for infant feeding say? From when and at what frequency have
they indicated that the formulae should be given?
Can one find baby foods produced locally?
Situation of the Maternal Nursing in Cameroon
INDICATORS
Rate of nursing in the hour that follows the birth
Rate of exclusive maternal nursing before 2 month
Rate of exclusive maternal nursing to 6 month
Feeding completed in timely time
Rate of feeding to the bottle before 6 month
Rate of feeding to the bottle to 12 month
Rate of nursing pursuit to 12 month
Rate of nursing pursuit to 24 month
Median duration of the nursing
Source: FECABPA Independent Research Group(2014)
1998
37,9%
30%
12,1%
42,2%
19%
18,5%
74,9%
23,1%
18,6 m
2004
43%
36%
21%
79,7%
15%
9,7%
83%
28,5%
18 m
2009
48%
42%
38%
82%
12%
7,2%
91%
25.2%
20m
2014
52%
48%
35%
85%
16%
12%
86%
20%
24m
Analysis made in the year 2014 show that 24% of deaths of Cameroonian children of less than one year were attributed
to the bad practices of breastfeeding and malnutrition. From the sixth month, infants have to receive complementary
foods in addition to breast milk. Rich local foods in energy, proteins, iron and vitamin have to be the basis of this feeding
practice. Unfortunately, in Cameroon very few children receive adequate complementary foods on a quantitative and
qualitative basis from six months. For example, only 52% of children from 6 to 12 months receive foods of animal origin
as complement indispensable to their growth and development.
If nothing is done to improve on this practice, more than 150.000 children of less than one year will continue to die
before the year 2020.
The recommendation for the introduction of solid food complements from six months seems to be better respected:
one observes that 80 % of children from 6 to 9 month receive food supplements.
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Poorly fed children run a high morbidity risk and mortality, as well as a disadvantageous situation of mental
development. The anthropometry furnishes the most important indicators of the state of nutrition of children.
A delay of growth is a sign of chronic malnutrition, and reflects a situation that is generally the consequence of an
inadequate feeding and//or sicknesses occurred during a period relatively long or that demonstrate the repeated
several cases of malaria. According to the Demographic Health Survey of 2014, almost two children out of three
suffered from chronic malnutrition (32 %), with 13 % under its severe form. Levels of the delay of growth increase
rapidly with the age, being the highest among children from 12 to 24 months (43 %) and are stable from 34 - 35 %
among older children. The level of the delay of growth is the highest among children in the northern part of Cameroon.
Results show that 5 % of children suffer from emaciation or thinness, with one out of 5 (1 %) severely emaciated. This
form of sharp malnutrition is the consequence of an insufficient feeding. It can be the result of recent illnesses,
especially the diarrhea or a rapid deterioration of the condition of feeding. The level of the emaciation is the highest for
children from 12 to 24 months, corresponding to the period in the course of which we observe an escalation of sevrance
and greatest exposure of the child to illness linked to the new unhygienic foods and the exploration of the immediate
environment by crawling on the soil, etc.). The emaciation is notably high for children of the regions of Extreme - North
(9 %) and North-west (8 %). 18% of cameroonian children from the ages of 0 to 5 years present an insufficiency ponder
age and 4 % under its severe form. This indication reflects the two preceding forms of malnutrition which are chronicle
and sharp.
National Outreach Strategy
Cameroon Link has opted for the Community of Learning strategy for national outreach during the World Breastfeeding
Week because of the 3D. The theme for 2015 saw activities in two dimensions: the time from pre-pregnancy to weaning
and the place (home, community, health care system and so on). None can have much impact without a THIRD
dimension –
Communication
Communication and dialogue are essential parts of protecting, promoting and supporting breastfeeding. Cameroon Link
and its partners promote “Learning for Health Development. Mrs. Armelle Bakoga of Nutrition Institute of Africa
suggested that collaboration xould be worked out for carrying out breastfeeding promotion activities every three
months in order to reach many mothers and not only during the World Breastfeeding Week.
CAN MATERNITY PROTECTION FOR RURAL WOMEN BECOME A REALITY?
by Mrs. Flavia Okoth and technically reviewed by Mrs. Joyce Chanetsa
Rural women wageworkers are largely invisible and therefore vulnerable and seem to fall outside the parameters of
state mandated labor legislations regarding wages, hours of work, occupational hazards, and welfare provisions such as
paid maternity leave but in reality, they are covered under the International Labour Organization (ILO) Convention 183
(2000).
Due to inadequate collective bargaining activities of their unions, these women have been unable to negotiate fair
compensation for income lost during pregnancy and after childbirth, or remove the unjust them from maternity
benefits.
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While each episode of maternity exacerbates their vulnerability and they are never sure of child survival, the employer
d/or governments in many countries have failed to provide them with unconditional maternity protection in a period of
increased impoverishment and high expenses.
Adequate maternity protection at work can be a matter of life and death for most women, let alone those in the rural
areas. Maternal mortality continued to be strikingly high in rural areas in 2010, with 640 deaths per 100,000 live births
were compared with 447 in urban areas in Sub-Saharan Africa, where progress towards Millennium Development Goal
(MDG) 5 was predicted to reduce maternal mortality by 75 per cent
In the Niayes region of Senegal, for instance, it is quite common to see women in an advanced state of pregnancy
working in Agriculture yet, such a practice can have severe repercussions on the health of these women, and the
children they carry.
As is common in many rural areas around the world, giving birth without the assistance of a skilled health professional is
a widespread practice in Niayes. This can often lead to complications and even the death of the mother or her child. A
quarter of these women have experienced miscarriages related to different extent of their agricultural work. They have
also been exposed to many other work-related diseases and injuries during their pregnancies and while nursing.
In addition, most of Niayes women, whatever their condition, were back to work on the fields before they felt wellrested and had recovered after childbirth, as they had no other sources of income.
But the picture is not all bleak, as actions are being taken to make maternity protection everywhere a reality. For
instance, the ILO Work Improvement in Neighbourhood Development (WIND) programme has been implemented in
Senegal, Benin and Mali to foster better living and working conditions for rural women workers by improving, amongst
others, occupational safety and health for pregnant and nursing women and their access to rest and health care.
In particular, appropriate medical and sanitary infrastructures, access to maternal healthcare, awareness-raising of
healthy working practices during and after pregnancy, as well as of breastfeeding upon return to work, have been set up
as part of WIND. The programme has also helped raise awareness about the importance of effective maternity
protection at work to promote the health and well-being of rural women and their families.
Such provisions as the right to rest around the time of childbirth, access to cash maternity benefits and maternal health
care, healthy working conditions, non-discrimination, as well as the protection of breastfeeding, all of which are
essential elements of maternity protection at work, have been enshrined in the most recent ILO Maternity Protection
Convention, 2000 (No. 183).
1.
Safe working conditions and occupational safety and health (OSH) at the workplace for the agricultural sector,
with focus on the special needs of women, are also guaranteed by the Safety and Health in Agriculture Convention, 2001
(No. 184) .
It cannot be denied that in this case as well as all over the world, employers and governments are still struggling to put
in place maternity protection practices that extend to the whole of informal sector. In Dakar, Senegal, Women trade
unionists from Senegal argued in May 2015, for the ratification and implementation by Government of Convention
No.183 of the International Labour Organisation, which provides maternity protection to all workingwomen.
Speaking at a press conference after a day of awareness and advocacy for the ” imminent” ratification of this
Convention, the president of the Network of Women Unionists, Fatoumata Bintou Yafa welcomed the ”first step of the
government in adopting the Convention, but asked him to speed up the procedure for its ratification.
8
Ms Yafa and her comrades are committed to this purpose to mobilize at all levels and conduct advocacy, awareness and
training. The Senegalese government adopted on 29th April, 2015 Convention No. 183 and Recommendation No. 191 on
maternity protection for women workers in the formal and informal sectors. Among other benefits, Recommendation
No. 191 awards a maternity leave of 18 weeks against 14 currently being implemented in Cameroon.
The ILO works along with Governments and Employers’ and Workers’ organizations to achieve the MDGs through the
promotion and the effective application of ILO principles and measures on maternity protection at work around the
world.
The WIND programme is one of many innovative examples of how the expertise and creativity of ILO constituents have
come together to provide concrete solutions to the maternity protection needs of rural women.
In their assessment of progress towards the MDGs , in September 2010, Member States of the United Nations
recognized the need to support women’s unpaid work, especially in rural areas, and guarantee maternity protection
everywhere, as a means to achieve the reduction of child mortality , improvement of maternal health, and promotion of
gender equality and women’s empowerment. By 2013, the maternal mortality ratio dropped by 45 per cent from 380 to
210 deaths per 100,000 live births globally. To date, all regions have made progress but accelerated interventions are
required in order meet the target.
Moreover, UN Member States further recognized the key role that ILO plays. While more efforts are needed to promote
the ratification and effective implementation of ILO Conventions, the pledge to firmly support the living and working
conditions of rural women has been recently reaffirmed at the highest levels of the UN System.
All in all, in many parts of the world, women working in the agricultural sector and also in other areas of the informal
sector are still having challenges regarding maternity protection. In as much as ILO programmes like WIND are making
progress in the case of rural women in some countries, other areas of the informal sector in many countries are making
little or no progress due to inadequate government resources to enable full ratification of ILO Convention No.183 and
Recommendation No.191. There is need for respective governments to give priority to this issue in order for Maternity
Protection to be achieved at all levels.
Cameroon Link Tells Story of World Breastfeeding Week (WBW)
The celebration of the World Breastfeeding started in 1991, in line with the implementation of the Innocenti Declaration
adopted after the decision makers meeting of WHO and UNICEF on breastfeeding held from the 30 th July to 1st August,
1990 at Spedale degli Innocenti in Florence, Italy. The first step in the implementation of the key document for the
promotion, protection and support of breastfeeding was the setting up of the World Alliance for Breastfeeding Action
(WABA). WABA since its creation adopted an action plan that aims to strengthen social mobilization for breastfeeding. It
envisioned a comprehensive strategy to rally around the promotion of breastfeeding. The implementation of this
9
strategy led to the idea of a day of celebration that subsequently turned into a week called World Breastfeeding Week
(WBW), commemorated each year from 1 to 7 August. The first celebration under the name of “WBW” was in 1992. The
coordination of the WBW is assured by the WABA Secretariat based in Penang, Malaysia. These celebrations currently
involve more than 170 countries and numerous agencies of the United Nations such as UNICEF, WHO, FAO, etc.
According to the EDS-MICS 2011 survey, Cameroon recorded 122‰ under five deaths, with one out of three deaths due
to inadequate breastfeeding practices. However, applying good breastfeeding practices guarantees a good start in the
child's life, especially when it is practiced exclusively for the first six months as recommended by UNICEF, WHO and
MOH. Reducing the number of less than 5 deaths and juvenile diseases is therefore a development factor taken into
account in the overall objectives of the WHO that the rate of exclusive breastfeeding during the first 6 months must be
at least 50 % by 2025
In Cameroon, Demographic and Health Surveys (DHS) conducted from 1991 to 2011 showed a sensitive rise of the
exclusive breastfeeding rate up to six months between 1991 and 2004` We noticed a drop from 2006 to 2011 with only
20% of children exclusively breastfed.
The sensitive rise observed until 2004 was explained by the setting up of a Breastfeeding National Policy validated in
1994 by the Minister of Public Health and the sensitization of communities and Health staff during the World
Breastfeeding Weeks (WBW).
Each year, as it has been the case since 1991, Cameroon joins the rest of the international community, to celebrate the
World Breastfeeding Week (WBW). This is a week of activities in which all those involved in the child and mother health
care work hard to attract people's attention on the importance of exclusive breastfeeding for the first six months and
complimentary feeding thereafter while continuing with breastfeeding beyond 24 months. The activities of this 21th
edition of the World Breastfeeding Week within the theme " Breastfeeding Support: Close to mothers " placed
particular emphasis on providing ongoing support to the breastfeeding mothers from her immediate environment, and
by those around her. Counselling was organized during home visits of mothers not reached through mass attendance
events.
DIFFERENT STAGES OF WBW EXECUTION
Before the WBW
1. An organizing committee is created through the Federation of Cameroon Breastfeeding Promotion Associations
(FECABPA) to plan and coordinate in collaboration with local associations, all the activities that are implemented during
the week;
2. Each region identified community radios and the public press, websites, TBAs and pioneers of exclusive breastfeeding
involved in the implementation of activities of WBW with mothers.
During the WBW
1. Discussions are held in community radio (and / or public);
2. Interventions are broadcast on television;
3. A briefing meeting with the media, opinion leaders and the health workers, administrative authorities is organized in
each region
4. A sensitization workshop of the network of journalists is organized
6. Awareness campaign of Decree No. 01 Dec.2005 2005/5168/PM regulating the marketing of breast milk substitutes
will be effective in all regions;
7. Communication media such as posters, banners, books, t-shirts, flyers and others are distributed;
8. Throughout the week a trailer on the AME was broadcast on local radio stations;
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9. Awards are given to some pioneer mothers in the form of soap, t-shirts, books, etc;
10. The committee decided to propose certain activities to associations in the context of each region (skit, songs,
interviews, caravans, community events, meetings, quiz: questions/answers with the involvement of pediatricians and
nurses, etc.).
After the WBW
A debriefing meeting is organized to collect feedback on impact of the celebration. Each stakeholder presents activities
in his/her area of jurisdiction and highlight the difficulties encountered.
Summary of Cameroon Code on the Marketing of Breastmilk Substitutes
Here is a summary of the Prime Ministerial Decree of 5 December 2005, regulating the marketing of breast milk
substitutes in Cameroon. It is recommended to encourage the implementation of the decree regulating the marketing of
breast milk substitutes in Cameroon.
1) Prohibition of promotion of breastmilk substitutes to the general public;
2) Prohibition of giving away free samples (milk, other substitutes, and bottles) to women;
3) Prohibition of promoting products in the healthcare system;
4) Prohibition of the use of staff paid by the manufacturers (medical representatives) for counselling mothers;
5) No gifts or personal samples to health workers;
6) No pictures of infants or other graphic representations which may idealize the use of infant formula on the product
label;
7) The information provided by the manufacturers and distributors to health professionals and scientists must be
confined to facts;
8) Each package or label should clearly indicate the superiority of breastfeeding and include a warning against the risks
and costs of artificial feeding;
9) No promotion of condensed sugar milk, or other inappropriate products as food for infants;
10) All products must be of good quality and the expiry date must be indicated; terms like "humanized" or "formula" are
not allowed.
Balance sheet of WBW 2015 Disbursements by Cameroon Link
No
1
Region
Centre
(Yaoundé)
2
Littoral
(Douala)
3
Reference
Discharge
110744185
03.08.2015
Discharge
106463197
03.08.2015
Discharge
113376088
03.08.2015
Discharge
103522917
03.08.2015
Discharge
106941011
03.08.2015
Beneficiary
Germaine
Lissouck
Field Supervisor
NOLFOWOP
Mary Ngwa Neh
Field Supervisor
Ojong Helen
Ayamba
Adm. Assistant
Priscille Mouto
President
COGESID
Bonamikano
Kalngui Louise
Florence
Maleo Santé Plus
New Bell -
Contact Address
Tel: 699580024
Email:
[email protected]
CFA
500.000
Tel.: 99923333
Email:
[email protected]
Tel.:71806969
Email:
[email protected]
500.000
Signature
70.000$$$
Tel.: 699651302
Email:
[email protected]
70.000
Tel.: 677222454
[email protected]
70.000
11
4
North
West
(Bamenda)
Discharge
03.08.2015
Chum Joshua
Field Supervisor
Tel.:699337655
Email:
[email protected]
500.500
5
West
(Bafoussa
m)
Express Union
Z4S3110130030
03.08.2015
Ide Carine
Tchounga
Fie[d Supervisor
500.000
6
South
(Ebolowa)
Z6S011113005
03.08.2015
Mbarga Honorine
AFFE Pont So’o
Tel: 699505077
Email:
[email protected]
r, [email protected]
Tel.: Tel: 696945513
7
South
West
(Buea)
Z7S171013004
03.08.2015
Atangah Emma
Fied Supervisor
Tel: 675931651
Email:
[email protected]
500,000
8
Cameroon
Link
National
Coordination
and Supervision
Ja mes AchanyiFontem
Prog. Manager
Centre, Littoral, South,
South West, North West
and West Regions
400.000
Three Million Four Hundred and Ten Thousands Francs CFA
400.000
Total: CFA 3.410.000
WBW 2015 - Distribution of Social Mobilisation Support Materials
No
Item
Contact Person
1
2
3
Banner
Media dossier
4
Exclusive BF
Folders
Brochures BF
après 6 mois
WBW Folders
(waba)
Depliants
Allaitement
Aires de Santé
5
6
7
8
9
Breastfeeding
Positions Posters
No. Associations
Total
distrib
uted
Centre
Littoral
North
West
West
Mary
Chum
Ide Carine
Ngwa Neh
Joshua
Tchounga
Supervisor Supervisor Supervisor
COGESID
HEG
Ass.Femmes
Mbengwi Medumba
1
1
1
15
7
7
50
15
15
South
West
South
Atangah
Emma
ADA Menji
Supervisor
1
10
15
Mbarga
Honorine
AFFE Pont
So’o
Mbalmayo
1
6
15
6
60
160
Germaine
Lissouck
Supervisor
NOLFOW
OP
1
15
50
160
5o
5o
30
30
30
30
1400
500
500
100
100
100
100
4000
1000
1000
500
500
500
500
1500
500
500
100
150
100
150
200
28
50
6
50
6
30
5
20
4
30
4
20
3
12
Les principales activités de la SMAM 2015 étaient :

Causeries éducatives avec le personnel et les communautés sur l’importance de l’allaitement maternel

Sensibilisation grand public
«Allaitement : Un défi pour la vie »
Ce thème affirme l'importance d'accroître et de maintenir la protection, la promotion et le soutien de
l'allaitement maternel - dans les Objectifs du Millénaire pour le développement (OMD).
Objectifs généraux de la SMAM
1
Informer les gens sur les
objectifs du Millénaire
pour le développement
(OMD) et comment ils se
rapportent à l’allaitement
maternel et à
l’alimentation du
nourrisson et du jeune
enfant.
2
Mettre en valeur les
progrès accomplis à
ce jour ainsi que les
principales lacunes
concernant
l’allaitement maternel
et l’alimentation du
nourrisson et du
jeune enfant.
Objectifs
globaux de la
Semaine
Mondiale de
l’Allaitement
Maternel.
3
Attirer l’attention sur
l’importance d’intensifier
les actions visant à
protéger, promouvoir et
soutenir l’allaitement
maternel comme une
intervention clé dans le
compte a rebours des
OMD, et dans la
période post 2015.
4
Encourager les
jeunes des deux
sexes à comprendre
la pertinence de
l’allaitement
maternel dans le
monde changeant
d’aujourd’hui.
Quel est le lien entre l'allaitement maternel et les OMD?
Les Objectifs du Millénaire pour le développement (OMD) sont censés être atteints d’ici 2015 - c’est
l’année prochaine ! Bien que beaucoup de progrès aient été réalisés, il reste encore beaucoup de «
travail inachevé ». Voici quelques exemples : La pauvreté a baissé, mais beaucoup de personnes
souffrent encore de la faim. La sous-nutrition touche environ un quart de tous les enfants dans le
monde. Le surpoids aussi, l’autre forme de malnutrition, est de plus en plus fréquent. Au Cameroun la
mortalité des moins de cinq ans (pour 1000 naissances vivantes) reste élevée. En 2012 elle était de
95 pour 1000 en 2012 (State of the World Children, 2014). Ces décès sont dus principalement aux
maladies évitables. Un panel d'experts économiques a publié le Consensus de Copenhague en 2012.
Le panel a sélectionné comme première intervention à haut retour sur investissement la lutte contre
la malnutrition chronique. Un investissement d’environ 100 $ par enfant dans la réduction de la
malnutrition chronique a un retour sur investissement de 3000 dollars (30$ de retour sur
investissement pour chaque dollar investi). Ce paquet d'interventions pourrait réduire la malnutrition
chronique de 36 % dans les pays en développement (promotion de l’allaitement maternel),
compléments en micronutriments, aliments de complément, traitement contre les vers intestinaux et
les maladies diarrhéiques, prise en charge des maladies de l’enfant, et programmes pour le
changement de comportement).
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Au Cameroun, la mortalité maternelle a diminué, de 720 pour 100 000 naissances vivantes en 1990 à
590 en 2013 (Trends in Maternal Mortality : 1990 to 2013, Estimates by WHO, UNICEF, UNFPA, The
World Bank and the United Nations Population Division), mais ce taux reste élevé et moins de la
moitié des femmes accouchent dans des maternités. En nous engageant à protéger, promouvoir et
soutenir l’allaitement maternel, nous pouvons contribuer à chacun des OMD de façon substantielle.
L’allaitement maternel exclusif et l’alimentation de complément adéquate sont des interventions clés
pour améliorer la survie des enfants, ce qui pourrait sauver environ 20% d’enfants de moins de cinq
ans. Passons en revue comment l’allaitement maternel est lié à chacun des Objectifs du Millénaire
pour le développement selon le Comité scientifique sur la nutrition de l’ONU.
Allaitement maternel et les OMD
Objectif
1
3
2
Assurer l’éducation
primaire pour tous
Réduire l’extrême pauvreté et
la faim
L’allaitement maternel et
L’alimentation complémentaire
adéquate sont fondamentaux pour la
disposition à apprendre. L’allaitement
et des aliments complémentaires de
bonne qualité réduisent de manière
significative le risque de retard
de croissance, ce qui améliore le
développement mental, favorisant
l’apprentissage.
L’allaitement maternel exclusif et la
poursuite de l’allaitement maternel
pendant deux ans fournissent de l’énergie
et des nutriments de haute qualité, et
peuvent aider à prévenir la faim et la
malnutrition. L’allaitement maternel est un
moyen rentable de nourrir bébés et
jeunes enfants. Il est abordable pour tout
le monde et ne pèse pas sur les budgets
des ménages par rapport à l’alimentation
artificielle.
Objectif
4
Objectif
Objectif
Réduire la
mortalité infantile
La mortalité infantile pourrait être
facilement réduite d’environ 13% avec
l’amélioration des pratiques
d’allaitement
seulement, et de 6% avec une
alimentation
complémentaire améliorée. En outre,
environ 50-60% de la mortalité des
moins
de 5 ans est secondaire à la
malnutrition,
Objectif
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Objectif
5
Promouvoir
l’égalité des sexes et
l’autonomisation des femmes
L’allaitement maternel est le grand
égalisateur,
donnant à chaque enfant un départ équitable
dans la vie. La plupart des différences de
croissance
entre les sexes commencent lorsque les
aliments
complémentaires sont ajoutés dans
l’alimentation,
et la préférence de genre commence à agir
sur les
décisions d’alimentation. L’allaitement
Améliorer la
santé maternelle
L’allaitement est associé à une
diminution de pertes sanguines
maternelles du post-partum et a la
réduction des risques de cancer de
sein, cancer de l’ovaire, cancer de
l’endomètre et de l’ostéoporose.
L’allaitement maternel contribue
également à accroitre les intervalles
entre les naissances, ce qui réduit les
risques de grossesses trop
rapprochées
Assurer un
environnement
durable
L’allaitement maternel contribue
à réduire les déchets de
l’industrie
laitière, les déchets
pharmaceutiques,
les déchets de plastiques et
Combattre
le VIH/SIDA,
le paludisme et
d’autres maladies
Objectif
6
L’allaitement maternel exclusif
associé
à une thérapie antirétrovirale
pour les
mères et les bébés peut réduire
à un
Mettre en place un
partenariat mondial
pour le
développement La
Stratégie mondiale pour
l’alimentation du nourrisson et du
jeune enfant favorise la
collaboration
multi-sectorielle, et peut
s’appuyer sur
Objectif
8
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Que devons-nous savoir sur l’allaitement maternel exclusif ?
L’allaitement maternel exclusif signifie nourrir le bébé UNIQUEMENT avec du lait maternel
durant les 6 premiers mois (pas d’autre lait, de nourriture ou de liquides, pas même une
gorgée d’eau), à l’exception de médicaments prescrits par un médecin ou une infirmière.
Le lait maternel fournit toute la nourriture et l’eau dont votre bébé a besoin pendant les 6
premiers mois de la vie.
L’allaitement doit commencer dans l’heure qui
suit la naissance. Le premier lait jaunâtre connu
sous le nom de colostrum doit être donné à
l’enfant pour sa protection contre beaucoup de
maladies telles que la diarrhée et les infections
respiratoires
Alimenter le bébé avec le lait maternel et
d’autres aliments ou liquides, y compris le lait
maternisé, le lait animal, ou de l’eau (appelée
‘alimentation mixte’) avant 6 mois réduit la
quantité de lait que produit la mère et peut
rendre le bébé malade.
L’allaitement exclusif pendant les six premiers
mois protège la mère contre une nouvelle
grossesse aussi longtemps qu’elle n’a pas de
menstruations.
Même pendant les périodes de forte chaleur, le lait maternel étanchera la soif du bébé
L’alimentation mixte avant 6 mois peut endommager l’estomac du bébé.
L’alimentation mixte augmente les risques de maladies telles que la diarrhée, la pneumonie, et
la malnutrition pour votre bébé.
Les bonnes pratiques d’hygiène (propreté) préviennent
les maladies : par exemple, se laver les mains avec de l’eau et du savon avant
d’allaiter le bébé.
Quand votre bébé atteint 6 mois, continuer l’allaitement et commencer à donner d’autres
compliments alimentaires.
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Que devons-nous savoir sur la nutrition de la femme enceinte et allaitante ?
Au cours de la grossesse, la femme enceinte doit manger un petit repas
supplémentaire ou « casse-croûte » (nourriture supplémentaire entre les repas)
chaque jour pour fournir de l’énergie et des éléments nutritifs pour elle-même et le
bébé en pleine croissance.
Au cours de l’allaitement, la mère doit manger deux petits repas supplémentaires ou
« casse-croûte » (nourriture supplémentaire entre les repas) chaque jour pour fournir
de l’énergie et des éléments nutritifs pour elle-même et le bébé en pleine croissance.
Il est suggéré aux femmes enceintes et allaitantes de manger les meilleurs aliments
disponibles, y compris du lait, des fruits frais et des légumes, de la viande, du
poisson, des œufs, des céréales, des pois et des haricots et de boire le plus souvent
possible.
Il est conseillé de prendre des comprimés de fer et d’acide folique pour prévenir
l’anémie pendant la grossesse et pendant au moins 3 mois après la naissance du
bébé.
Il est conseillé de prendre des capsules rouges de vitamine A immédiatement après
l’accouchement ou dans les 6 semaines qui suivent ; ainsi votre bébé pourra
recevoir de la vitamine A à travers le lait maternel ; cela l’aide à prévenir les
maladies.
Il est conseillé d’utiliser du sel iodé pour aider au bon développement du cerveau et
du corps du bébé et prendre des comprimés antiparasitaires pour aider à la
prévention de l’anémie.
Pour prévenir le paludisme, dormir sous une moustiquaire imprégnée d’insecticides
à longue durée d’action (MILDA) et prendre les comprimés anti paludéens prescrits.
Connaitre le statut sérologique, aller à tous les rendez-vous cliniques et prendre vos
médicaments comme conseillé par le prestataire de soins de santé.
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Les mères adolescentes ont besoin de soins supplémentaires, plus de nourriture et
plus de repos qu’une mère plus âgée. Elles doivent nourrir leur propre corps, qui se
développe toujours, aussi bien que celui de leur bébé en croissance.
For more information, click on the following links to see you tube videos made during
the event.
http://youtu.be/5kRcnqw-lIo
https://youtu.be/ntpj9EXvvYY
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