1 - 7 August, 2018 ‘‘Breastfeeding: Foundation of Life’’ Ôgv‡qi `ya cvb my¯’ Rxe‡bi eywbqv`Õ

Organized by Ministry of Health and Family Welfare (MOH&FW) Institute of Public Health and Nutrition (IPHN) & Bangladesh Breastfeeding Foundation (BBF)

1 Foreword 12 Acknowledgement 13 Planning Stage 14 All events at a glance 21 Stakeholders Meeting on World Breastfeeding Week, 2018 35 Press Conference 39 Newspaper Supplementation 58 Mobile phone message on theme on WBW’18 60 Inauguration Ceremony of World Breast Feeding Week 2018 61 Theme Song: Unwrapping the CD of thing Song and LED Show 68 Exhibition on Mother and Child health Nutrition 73 Essay Competition on WBW 2018 80 Celebrations by the Organizations a. Care Bangladesh b. Celebrations at the National Level 95 Celebrations at the National Level: WBW’18 Celebration in Medical College Hospitals WBW’18 Celebration in Divisional Director Health Celebration of WBW’18 at the Community Clinic

Page no 03 of 124 Foreword Dr. Md. Yunus Director Institute of Public Health Nutrition (IPHN) & Line Director, NNS

World Breastfeeding Week 2018 (1-7 August) has been celebrated by Institute of Public Health Nutrition (IPHN), Ministry of Health and family welfare (MoH&FW) jointly with Ban- gladesh Breastfeeding Foundation. The theme for World Breast Feeding Week was “Breast- feeding: Foundation of life” translated as Õgv‡qi `ya cvb my¯’ Rxe‡bi eywbqv`Õ to achieve SDGs.

The objectives of WABA|World Breastfeeding Week 2018 to understand the people about the links between good nutrition, food security, poverty reduction and breastfeeding, anchor breastfeeding as the foundation of life, engage with individuals and organizations for greater impact, Galvanize action to advance breastfeeding as a part of good nutrition, food security and poverty reduction.

Breastfeeding is a vital part of sustainable development and a non-negotiable component of global action to end malnutrition. Increased rates of exclusive and continued breast- feeding can only be achieved by cooperating and collaborating across sectors and genera- tions. There is an agreed goal for all governments to priorities the World Health Assembly (WHA) global target for an increase in the rate of exclusive breastfeeding in the first 6 months up to at least 50% by the year 2025.

The inauguration ceremony of WBW 2018 was held on 1st August and Honorable Health Minister of Peoples Republic of Bangladesh inaugurated the ceremony. His presence brought all possible support to make the event successful and make further advancement in Infant and young child feeding (IYCF) movement in Bangladesh. This year, an essay com- petition was organized for the first time to celebrate the week. A ‘Breastfeeding and Nutri- tion fair’ was also arranged during the inauguration.

Page no 04 of 124 Like every year World Breastfeeding Week was celebrated all over the Countries. Medical College and Hospitals, different government and non-government organizations (NGOs), stakeholders and UN agencies organized seminar, workshop, art Competition, essay Competition and nutrition fair. Besides this Bangladesh Television and Bangladesh betar telecast different talk show on WBW, 2018.

Bangladesh achieved 3rd position on WBTi analysis (World Breastfeeding trend initiative) in 2015 by IBFAN evaluation. Law is first class by ICDC (International Code Documentation Centre) evaluation. There is still need to do a lot. We are confident that this report will stim- ulate better informed people about the new Sustainable Development Goals (SDGs) and how they relate to breastfeeding and Infant and Young Child Feeding (IYCF). Govt. of Ban- gladesh is committed to improve IYCF practices to the possible level to ensure best health and development of the children of Bangladesh.

Dr. Md. Yunus Director Institute of Public Health Nutrition (IPHN) & Line Director, NNS

Page no 05 of 124 Foreword Dr. Samir Kanti Sarker Director Institute of Public Health Nutrition (IPHN) & Line Director, NNS

In Bangladesh, World Breastfeeding Week-2018 (1-7 August) has been observed by Institute of Public Health Nutrition (IPHN), Minstry of Health and Family Welfare (MoHFW) jointly with Bangladesh Breastfeeding Foundation. This year’s theme for World Breast Feeding Week is- “Breastfeeding: Foundation of Life’’ translated as Ôgv‡qi `ya cvb my¯’ Rxe‡bi eywbqv`Õ to achieve SDGs.

IPHN since its inception has been designing, developing, producing, distributing and disseminating SBCC materials (posters, booklets, training manuals, SBCC strat- egies, flip-charts, policy briefs, fact sheets, etc.), including entertainment-education materials (TV spots, short films, drama serials, music videos, theme songs, etc.) for improving nutritional status of the underprivileged segment of the community. WBW is one of the activities of IPHN.

The objectives of WABA| World Breastfeeding Week 2018 are to inform people about the links between good nutrition, food security, poverty reduction and breastfeed- ing, anchor breastfeeding as the foundation of life, engage with individuals and organizations for greater impact, Galvanise action to advance breastfeeding as a part of good nutrition, food security and poverty reduction.

Breastfeeding prevents hunger and malnutrition in all its forms and ensures food security of babies, even in the time of crises. With no additional burden on household income, breastfeeding is low-cost way of feeding babies and contributes to poverty reduction. Nutrition, food security and poverty reduction are fundamental to achieving the United Nation’s Sustainable Development Goals. It is therefore a foundation of life.

Page no 06 of 124 The inauguration ceremony of WBW 2018 was held at Krishibid Institute (KIB) on 1st August and Honorable Health Minister of Peoples Republic of Bangladesh inau- gurated the WBW 2018. His presence brought all possible support to make the event successful. Like every year World Breastfeeding Week was celebrated all over the Countries. This year, an essay & Art competition was organized to celebrate the week. A fair on mother & child health nutrition was also arranged during the inaugu- ration. Medical Colege both government and non-government Hospitals, different government and non-government organizations, Community clinic, stakeholders and UN agencies organized seminar, workshop. Besides this Bangladesh Television and Bangladesh Betar telecasted different talk show on WBW, 2018.

Though we have achieved a lot, there is still need to do a lot. We are confident that this report will stimulate better informed people about the new Sustainable Devel- opment Goals (SDGs) and how they relate to breastfeeding and Infant and Young Child Feeding (IYCF). Thus firmly anchor breastfeeding as a key component of sustainable development throughout the Bangladesh.

Dr. Samir Kanti Sarker Director Institute of Public Health Nutrition (IPHN) & Line Director, NNS

Page no 07 of 124 Foreword Professor Dr. S. K. Roy Senior Scientist & Chairperson, BOT and Executive Director Bangladesh Breastfeeding Foundation (BBF)

World Breastfeeding Week commemorates the Innocenti Declaration signed in August 1990 by government policymakers, WHO, UNICEF and other organizations to protect, promote and support breastfeeding.

In Bangladesh, since 1992 World Breastfeeding Week is being celebrating jointly by Ban- gladesh Breastfeeding Foundation and Ministry of Health and Family Welfare (MoHFW). By the declaration of the Honorable Prime Minister, WBW has been observed as a National Event for last nine years and BBF has the honor to be the key partner in organizing all the events along with MOH&FW and IPHN.

The 26th World Breastfeeding Week was successfully observed from 1-7 August, 2018 in Bangladesh. Ministry of Health and Family Welfare (MOHFW), Directorate of Health Services (DGHS), Directorate of Family Planning (DGFP), Institute of Public Health (IPHN) and Bangladesh Breastfeeding Foundation (BBF) along with the support of other stake- holders contributed most to make the event successful and build the momentum of the Infant and Young Child Feeding (IYCF) activities in joint efforts considering this year’s theme- ‘‘Breastfeeding: Foundation of Life’’ translated as Ôgv‡qi `ya cvb my¯’ Rxe‡bi eywbqv`Õ to achieve SDGs.

The objectives of World Alliance for Breastfeeding Action (WABA)/ World Breastfeeding Week 2018 were – to inform people about the links between

Page no 08 of 124 good nutrition, food security, poverty reduction and breastfeeding, anchor breastfeeding as the foundation of life, engage with individuals and organizations for greater impact, Galvanise action to advance breastfeeding as a part of good nutrition, food security and poverty reduction.

The inauguration ceremony of WBW 2018 was held at Krishibid Institute (KIB) on 1st August and Honorable Health Minister of Peoples Republic of Bangladesh inaugurated the WBW 2018 to encourage celebrating the WBW with active participation. Along with inaugu- ration ceremony the WBW-2018 embodied a host of activities comprising of many events. Events were- art and essay competition, press conference, rally, exhibition on mother & child health nutrition, newspaper supplementation, mobile phone message on the theme, free lactation camp, celebration at Medical College Hospital and discussion meeting with Journalists at division level.

Scaling up optimal breastfeeding could prevent more child deaths each year. I am assertive that information contained in this report will enable us to achieve a better and more sus- tainable development in Bangladesh and to prioritize Breastfeeding that deserve our spe- cial attention

Professor Dr. S. K. Roy Senior Scientist & Chairperson, BOT and Executive Director Bangladesh Breastfeeding Foundation (BBF)

Page no 09 of 124 Acronyms

BAPA = Bangladesh Poribesh Andolon BCSNPN = Bangladesh Civil Society Network for Promoting Nutrition BKMI = Bangladesh Knowledge Management Initiative BMS = Breast Milk Substitute BNCC =Bangladesh National Cadet Corps BNF = British National Formulary BOT = Board of Trustee BSMMU = Bangladesh Sheikh Mujib Medical University BTRC = Bangladesh Telecommunication Regulatory Commission BTV = Bangladesh Television CWCH = Centre for Women and Child Health DG = Director General DGFP = Directorate General of Health Service DGHS = Directorate General of Family Planning DMCH = Dhaka Medical College Hospital FAO = Food and Agricultural Organization IEC = Information, Education, Communication ICMH = Institute of Child and Mother Health IPH = Institute of Public Health IPHN = Institute of Public Health Nutrition IYCF = Infant and Young Child Feeding IBFAN =International Breastfeeding Alliance Network HKI = Helen Keller International KIB =Krishibid Institute MOHFW = Ministry of Health and Family Welfare MP = Member of Parliament MCH =Maternal Child Health

Page no 10 of 124 Acronyms

NFPCSP = National Food Policy Capacity Strengthening Program NIPSOM = National Institute of Preventive and Social Medicine NGO = Non-Government Organization NNS = National Nutrition Service NSB = Nutrition Society of Bangladesh NFB =Nutrition Society of Bangladesh OGSB = Obstetrical and Gynecological Society of Bangladesh PM = Prime Minister SSF = Special Security Force SDF =Social Development Foundation TMSS = Thengamara Mohila Sabuj Sangha UN = United Nation UNDP = United Nations Development Program UNICEF = United Nations Children’s Fund UPPRP =Urban Partnership for Poverty Reduction Project WABA = World Alliance for Breastfeeding Action WBW = World Breastfeeding Week WFP = World Food Programme WHO = World Health Organization

Page no 11 of 124 Acknowledgement

We acknowledge the support of all Development Partners, Stakeholders without whose assistance the celebrations would not be successful.

Page no 12 of 124 Planning Stage

Introduction Ôgv‡qi `yacvbmy¯’Rxe‡bieywbqv`Õtoachieve SDGs. ‘‘Breastfeeding:Foundation of Life’’ translated as considering this year’sties in joint efforts theme- the Infant and Young ChildFeeding (IYCF) activi the event successful and buildthe momentum of of other stakeholders contributed most to make feeding Foundationwith thesupport (BBF) along Breastof PublicHealth(IPHN)andBangladesh Directorate of Family(DGFP), Planning Institute Directorate (DGHS), (MOHFW), of Health Services of Health and Familygladesh. Ministry Welfare fromcessfully observed 1-7 August, 2018 in Ban- The 26th World Breastfeeding Week was suc- the IECcommitteeof MOHFW. etc.) and venue decorationplanwere approved by leaflet, cover folder, souvenir, festoon, bulletin materials. All IECmaterials (poster, actionfolder, out on12 July andon16 July onfinalizingthe IEC Two formalpreparatory meetings were carried IPHN andMOHFWworked closely at this phase. been carried out between BBF and IPHN. BBF, Atstage, several theplanning meetings have Page no13of124 - - All events at a Glance

The WBW-2018 embodied a host of activities comprising of following events:

List 1: Activities on the celebrations of World Breastfeeding Week 2018 1 Stakeholder's meeting 09 July '18 2 Art Competition 20 July'18 3 Eassy Comepition 23 July'18 4 Press Conference 31 July '18 5 Newspaper Supplementation 02 July '18 Mobile phone SMS on theme 6 on WBW'18 7 Inaugaration Ceremony 01August'18 8 Theme Song Exhibition on mother & child 01Aug'18 9 health Nutrition Celebrations by the 10 Organizations 1-8 August '18 Rally, seminars & discussions 11 meeting at the National level 1-14 August'18 Celebrations at the Community 09 July '18 12 Clinics (CC) level

Page no 14 of 124 Summary Report on WBW-2018

The following are the activities of World Breastfeeding week 1- 08 August 2018

Component/ Dtails Activities

The Stakeholders Meeting on World Breastfeeding Week, 2018 was held on 9th July, 2018 at 10:30am in the IPHN Conference room. Prof. Dr. Nasima Sultana, Additional Director, DGHS on behalf of Prof. Dr. Mohammad Abul Kalam Azad, Director General, and DGHS was present as chief guest of the meeting.

Md Ruhul Amin Talukder, Joint Secretary (Public Health-2), MoH&FW, Prof. Dr. S K Roy, Executive Director, Chairperson, BOT, Stakeholders BBF were present as the special guests. Meeting Dr. Samir Kanti Sarkar, Director, IPHN & Line Director, NNS was chaired the meeting. Participants from IPHN, WABA, WHO, Unicef, BSMMU, NSB, NFB, BNF, BBF and many national & international organizations attended the meeting.

24 Organizations take part & the total participants were 65. Meet- ing was chaired by Dr. Samir Kanti Sarker, Director, IPHN & Line Director, NNS

Essay 139 essay received & 8 winners identified

Topic of the essay was Ôgv‡qi `ya cvb my¯’ Rxe‡bi eywbqv`Õ. Review Competition Committee for the evaluation process of Essay Competition on WBW'18 were as follows;

Page no 15 of 124 Dr. Samir Kanti Sarker, Director, IPHN & Line Director, Chairman NNS

Co-Chairman Dr. Shamsuzzaman, LD (MNC&AH)

Member Dr. S M Mustafizur Rahman, PM, NNS. Secretary

Prof. Saria Tasnim, Secretary, BOT, BBF Prof. Monisha Banarjee, Member, BOT, BBF Khandker Md. Rezaul Haque, Member, BOT, BBF Members Syeda Afrose Jahan Moushumi, Member, BOT, BBF Dr. Tofail Alomgir Azad

Overall Hasina Chaklader , Sr. Program manager, BBF

After evaluating and marking the essay by the members of review committee, two Judges anonymously evaluat- Coordination ed the essays and selected eight winners as they are 1st, 2nd, 3rd and 4th Winners from each groups (Group K and L).

A press conference was organized at the conference room (building no. 3, room no. 332) of the Ministry of Health and Family Welfare on July 31, 2018. The honorable state minister of the Ministry of Health and Family Planning, Mr. Jahid Malek, MP was the chief guest of the session. He briefed about Press the history of the week, achievements of Bangladesh in this sector and countrywide activities to celebrate the week. He mentioned that worldwide only 40% children are exclusively breastfed where only 45% are continued to breastfed till 2 years of age.

Page no 16 of 120 About 70 representatives from different print and electronic media such as BTV, Bangladesh Betar, Baishakhi TV, ATN News, ATN Bangla, Channel 24, Channel I, Jamuna TV, Nagorik TV, Bangla TV, Conference Desh TV, Deepto TV, Mohona TV, Sarabangla.net, banglan- ews24.com, bdnews24.com, Alokito Bangladesh, The Daily Mana- bzamin, Asian news, The Daily Bonik Barta, The Daily Bhorer Kagoj, The Daily Amar Sangbad etc were present among the participants.

A total of 25 paper published the WBW 2018 news. Such as Ban- Newspaper gladesh news, daily Jugantor, Daily Jonokontho, Alokito Bangla- supplementation desh,dainik Inkilab,Jay jay din, Noya digonto,daily Observer,News and Bangladesh post.

With the aim of dissemination of the slogan of WBW’18, a mes- Mobile phone sage on the theme was sent to all mobile operators of Bangladesh. message on The message was approved by IEC Technical Committee. The total the theme number of Mobile Phone subscriptions has reached 5 million Mobile SMS (Teletalk, Grameen phone etc.

A grand rally was organized to celebrate the occasion which start- ed from Manik Mia Avenue (in front of the national parliament) at 10.30 am by Bangladesh Breastfeeding Foundation. It ended in Rally from Manik Mia Avenue to front of the Krishibid Institution Bangladesh (KIB) which was the Krishibid venue for the inauguration ceremony. A total of almost 1000 Institute people attended the rally consisting of participants from various government, non-government and international organizations. Students of Nutrition and Food Science from different universities and schools also took part in the rally.

Page no 17 of 120 A colorful and inaugural ceremony for the ‘World Breastfeeding week 2018’ took place at the auditorium of Krishibid Institution Bangladesh at Farmgate, Dhaka on August 1, 2018. A total of almost 1500 people from different national & international organi- zations and higher delegates from the government participated in the ceremony which started at 12 pm. The honorable minister of Inauguration Health and Family Welfare Ministry of Bangladesh, Mr. Moham- ceremony mad Nasim, MP was present as chief guest in the ceremony while Mr. Md. Sirajul Haque Khan; Secretary, Health Service Division of Health and Family Welfare Ministry presided over the session. Mr. Nasim stated in his inaugural speech, “This week is an opportunity to create awareness among countrymen to inspire mothers to breastfeed their children.” “Breast milk has extraordinary advan- tages and breastfeeding during the initial months of life has a pos- itive impact on a child’s survival and its normal growth”- he added.

The nutrition fair took place on the opening day of the week at the same venue. A total number of 18 government and non-govern- ment organizations: IPHN, BBF, BNNC, BRAC, ICMH, Max Founda- tion, FPAB, Care Bangladesh, Nari Maitree, World Vision Bangla- desh, Caritas Bangladesh, SDF, CBHC, Telenor Health, PHD, Save the Children (Shuchona project), CWCH, College of Home Econom- Exhibition on ics (Nutrition Club); installed their stalls at the nutrition fair. BBF mother & child supported at the structural set up of the stalls for the Nutrition health nutrition Fair.

In their stall, BBF showcased all activities of BBF such as BFHI program, BMS act, Mother Support Group, Adolescent Nutrition Program, Lactation Management Camp etc. For the visitors to the stall there was an arrangement of a quiz game focusing on the theme of the week

Page no 18 of 120 Venue: Institute of Fine Arts, Dhaka University, Date: 4 August, 2018Time: 3:00 pm to 6:00 pm Institute of Public Health Nutrition and Bangladesh Breastfeeding Foundation arranged an Art competition to celebrate World Breastfeeding Week, 2018. Over 200 students from Play to class-X of different schools of Dhaka city attended the event. They came with their parents and siblings to celebrate the art competition. Students and their parents expressed happiness on this event. There were three groups of participants: 1. Group A: Play- Class 2 2. Group B: Class 3- Class 5 3. Group C: Class 6- Class 10 Three topic of drawing for three groups were selected. They were: 1. Group A: Love of Mother Art Competition 2. Group B: Advantages of Breastfeeding on WBW 2018 3. Group C: Disadvantages of powdered milk The Competition was held from 3:15 pm to 5:00 pm. After that two honorable judges from Institute of Fine Arts were selected six win- ners from each group. Here are the judges:

1. Jonab Dulal Chandra Gayeen, Assistant Professor, Department of Drawing and Illustration, Institute of Fine Arts, Dhaka University 2. Jonad Mohammad Nazir Hossain Khan, Assistant Professor, Department of Printing, Institute of Fine Arts, Dhaka University. On the inauguration Ceremony of WBW-2018 Honorable Minister- Ministry of Health and Family Welfare (MOHFW) Mr. Mohammad Nasim, MP gave prize and beautifully binding certificate to the winners at the Krishibid Institution of Bangladesh (KIB) at 11.00 am

1st, to 6th position secured from the following schools;

Beer Shrestho Noor Mohammad Public College, 2nd position:, BISC, DOHS, Mohakhali, Rayhan School & College, Scholastica, Dhanmondi, Udayan Higher Secondary School Saint Pauls School

Page no 19 of 124 A song on the theme of WBW’18 was developed and unwrapped by the dignitaries at the inauguration ceremony. The Lyricist was Theme song: Prof. Dr. Baizid Khoorshid Riaz, Director, NIPSOM and the Compos- unwrapping the er was Mr. Moksud Jamil Mintu. The prominent singers Beauty CD of theme Dash & and Shofi Mondol sang the song and video shoot was done song and in the direction of Mr. Mehedi Hasan Babu. The music video of the LED Show: theme song was displayed through LED show.

WBW ’18 Rally and discussion meeting were held at different districts cover- Celebration ing all 8 divisions headed by the Civil Surgeons. at Divisional

A total of eight (8) Discussion Seminars were arranged on ‘Impor- tance of Breast-milk, Harmful Effects of Breast-milk Substitutes (BMS) and The Breast-milk Substitutes, Infant Foods, Commercial- ly Manufactured Complementary Foods and the Accessories Director Health Therefor (Regulation of Marketing) Act, 2013’- in participation with office and Civil Surgeon Office representatives of local print and electronic media in 8 Divisional Director (Health) offices. These programs were financially sup- ported by World Food Program (WFP).

A total of sixteen (16) Discussion Seminars and rallies were WBW ’18 arranged at different govt. medical college hospitals with the Celebration at participation of different levels of stake holders such as health Medical College professionals, journalists, local and international NGO representa- Hospital tives, civil society members etc.

A series of campaigns on basic breastfeeding practices for lactat- Celebrations ing mothers, counselling about harmful effects of BMS, medical at Govt & Private hospitals problems related to breast etc. were conducted at different govt. and private health facilities.

Page no 20 of 120 Discussion meeting on IYCF at Private Medical College & Hospi- Discussion tals were held in Dhaka, Mymensingh, Khulna, Rangpur, Rajshahi, meeting on IYCF Chattogram, Barishal & Sylhet in participation of Intern Doctors at Private with the financial support of World Food Program(WFP). This is Medical College the first time when intern doctors got involved in such activity and & Hospitals with the financial from the group discussion session it was clear that they want to support of WFP get involved in such activities in future.

1 Stakeholders Meeting on World Breastfeeding Week, 2018 Date: 09 July, Monday, 2018 Venue: IPHN Conference Room (no-403), Mohakhali, Dhaka-1213 Organizations #: 24 Participants’ #: 124

The Stakeholders Meeting on World Breastfeeding Week, 2018 was held on 9th July, 2018 at 10:30am in the IPHN Conference room. Prof. Dr. Nasima Sultana, Additional Director, DGHS on behalf of Prof. Dr. Mohammad Abul Kalam Azad, Director General, and DGHS was present as chief guest of the meeting. Md Ruhul Amin Talukder, Joint Secretary (Pub- lic Health-2), MoH&FW, Prof. Dr. S K Roy, Executive Director, Chairperson, BOT, BBF were present as the special guests.

Dr. Samir Kanti Sarkar, Director, IPHN & Line Director, NNS was chaired the meeting. Participants from IPHN, WABA, WHO, Unicef, BSMMU, NSB, NFB, BNF, BBF and many national & international organizations attended the meeting.

Dr. Fatima Akter, Deputy Program Manager, IPHN warmly welcomed all the participants of the meeting. She introduced the chief guest, special guests and the chairman of the meet- ing to everyone. Then she requested everyone to introduce themselves. After the introduc- tion of the participants Dr. Fatima Akter told about the theme of World Breastfeeding Week 2018. She also discussed about the She presented draft work plan of the WBW 2018 and gave an idea about the budget for each proposed activity for observing WBW ’18. Then she requested the honorable chief guest to inaugurate the meeting. Prof. Dr. Nasima Sultana, Additional Director, DGHS inaugurated the meeting and she thanked everyone to participate the meeting.

Page no 21 of 120 After the inauguration Dr. Fatima Akter requested Prof. Dr. S K Roy, Chairperson, Board of Trustees, and Executive Director BBF, to deliver the presentation. After thanking the guests and participants Prof. Dr. S K Roy started his presentation. In his presentation, he discussed mainly on objectives of the meeting, WBW declarations given by the Honorable Prime Minister (2009, 2010, 2011 & 2014) objectives of WBW 2018, facts and figures, actions He presented the theme and objectives of the WBW ’2018 follow- ing the action folder of World Alliance for Breastfeeding Action (WABA). He also explained the meaning of this year’s slogan: ‘‘Breastfeeding: Foundation of life”

He shared the 4 thematic areas of WBW, such as: 1) INFORM people about the links between good nutrition, food security, poverty reduction and breastfeeding 2) ANCHOR breastfeeding is the foundation of life 3) ENGAGE with individuals and organisations for greater impact.4) GALVANISE action to advance breastfeeding as a part of good nutrition, food security and poverty reduction. He also briefed on the proposed work plan of WBW-2018 in Bangladesh. Then he showed the proposed budget to execute the work plan of WBW-2018.

Dr. Samir Kanti Sarkar, Director, IPHN & Line Director, NNS NNS, warmly welcomed all stakeholders with greetings. He gave a brief background of the celebration of this national event ‘World Breastfeeding Week’ and talked about the objectives of the stakeholders Meeting. He also requested all stakeholders to participate actively and to express their views and commitments to make the event a successful one. He emphasized that we should not only concentrate on celebrating the WBW events, we should do yearlong work plan and to measure the outcome after 1 year and reflect on achievement in the next WBW.

He added that previous years and this year’s WBW activities need to be reviewed to see the outcome of the activity for protection, promotion & support of breastfeeding.

Page no 22 of 120 The commitments given by the participants are given below

Representative, Designation & Sl # Organization Commitments contact info.

1. Telenor will send SMS on Dr Sharmin Jahan, Head of WBW to 5 million tonic Ecosystem & Business Devel- members and all Grameen Telenor opment, 01730348896 phone users. Health BD 1 sharmin.zahan@telenor- 2. Telenor will also raise health.com awareness on WBW through their Facebook page.

Faria Shabnam, NPO- Nutrition, 1. WHO will provide financial WHO [email protected] support to execute the 2 01777448742, 01711549198 programs at central level.

1. HKI will provide financial Shirin Afroz, Director- nutrition, contribution at central level programs. HKI 01712089387, [email protected] 3 2. HKI will also arrange rally for promotion of WBW at their program area.

1. They will contribute the Dr Rukhsana Haider central level program. Founder and Chair, TAHN 2. They will arrange pro- Chair, CSASUN & Co-Chair, THAN, grams at grassroots level by WABA 4 CSA for their partner organiza- SUN, WABA 01715034902, rukhsana.haid- [email protected] tions.

Shahida Akhter, Professor, 1. BNF will arrange some Head.Neonatal ICU BIRDEM, BNF 01713011093 financial support for cele- 5 brating WBW 2018.

Page no 23 of 124 The commitments given by the participants are given below

Representative, Designation & Sl # Organization Commitments contact info.

Md Hafijul Islam 1. CARE will arrange CARE 01716728901 programs at the district level 6 Bangladesh [email protected]

1. Unicef will provide tech- Monira Parvin, Nutrition Offi- nical support at district & cer-Urban, Unicef divisional level. [email protected] 7 Unicef 2. Unicef will do financial 01715030851 contribution partially for IEC materials.

1. Concern will provide Syada Munia Hoque, financial support. Concern [email protected] 8 Worldwide 01730346615 2. Activities will be carried out at urban area.

Fatema Showkot Jahan, 1. PHD will provide counsel- Deputy Director, Co & Tr PHD ling on breastfeeding to the Dhaka PHD EDD mothers at their 9 01816598363, program area (5 district). [email protected]

1. Water Aid will provide Mandira Gula Neogi, Pro- financial support for the gram officer, advocacy, Wat- inauguration program at eraid BD central level. Water Aid 10 01777736735 Mandira 2. They are interested to set [email protected] up stall at the fair of WBW 2018.

Dr Maksudur Rahman 1. BPA will organize a semi- On behalf of BPA, Associate of nar to raise awareness on Dhaka Shishu Hospital breastfeeding during WBW 11 BPA 01715315462 2018. [email protected] 2. BPA will provide manpow- er for the rally.

Page no 24 of 120 The commitments given by the participants are given below

Representative, Designation & Sl # Organization Commitments contact info.

Dr Monisha Banarjee 1. DMCH will arrange a Professor, Neonatology Depart- seminar to raise awareness DMC ment, DMCH on breastfeeding during 12 [email protected] WBW 2018.

1. WV will provide financial support for the programs of Md Mezanur Rahman central level and sub-na- Technical Program Manager tional level. World 01777767756 2. WV will raise mass aware- 13 Vision [email protected] ness by their 2000 volun- teers at 45 upazillas where they are implementing their programs.

1. WFP will participate the Tonima Sharmin Shirin Afroz, Director- nutri- Govt. programs at Cox’s 3 HKI Nutritiontion, 01712089387, Officer, WFP Dhaka Bazar. [email protected] WFP [email protected] 2. They will inform later 14 about the financial contribu- tion for the programs at central level.

1. FHI 360 will do financial Dr Ayan Shankar Seal contribution for central level Technical Advisor program. 15 FHI 360 01714115574, [email protected] 2. They will also run activi- ties at field level.

1. BRAC will provide financial support at central level Shaima Anzuman Shehin Program Manager programs. BRAC 01729071848, 2. BRAC will run program in 16 [email protected] 145 upazilla for WBW 2018 prioritizing Breastfeeding.

Page no 25 of 124 The commitments given by the participants are given below

Representative, Designation & Sl # Organization Commitments contact info.

Md. Saydur Rahman 1. Alive & Thrive will pro- Alive & Siddiquee vide financial support to 17 Thrive 01711137319 execute the programs at [email protected] central level.

ICDDR,B will run their activities on WBW -2018 SA Saha Regarding financial sup- ICDDR,B [email protected] 18 port they will inform later.

Dr Gita Rani Debi They will run activities at DPM, CBHC, DGHS field level They will also CBHC 19 01556773259 take part in the nutrition [email protected] fare.

They will run activities at Lily A Gomes USAID, field level .They will also 20 Caritas, 01730082240 take part in the nutrition INCA [email protected] fare.

NSB obligate to provide Nutrition Shamsunnahar Mohua financial support and will Society of EC member, NSB 21 Bangladesh inform later about the 01911566139 NSB amount.

They will provide counsel- ing service on befits of Shamsunnahar Mohua BIRDEM breastfeeding at BIRDEM 22 Head of Nutrition, BIRDEM hospital aiming the WBW -2018

Page no 26 of 124 The commitments given by the participants are given below

Representative, Designation & Sl # Organization Commitments contact info.

MAX Foundation also comit Harjina Jahura to provide financial support PO- Health & Nutrition where inform later to discuss 23 BIRDEM 01727183846 harjina@max- with their higher authority. foundation.nl

NFB will arrange rally and arrange a stall for Nutrition Samina Israt demonstration. Foundation EC Member Also commit to provide 24 Bangladesh 01711243411 (NFB) [email protected] financial support after con- sult with the higher authority.

Page no 27 of 124 Overall opinion & Decisions:

1 Need to be published the evaluation report on World breastfeeding Week 2018

Punishment of violation of BMS Act needs to be Penalty of BMS Act violation 2 should be telecasted throughout the week

3 Orientation meeting with the media 4 Organized different activity in different schedule throughout the week

5 Organizations who works on WASH should give chance to take part in the exhibition

6 Donors’ support will be received/taken for printing materials and media adver- tisement. If sufficient support is not found, NNS-IPHN will bear necessary cost for this purpose.

After getting the opinion from the audience, Dr. Fatema requested to Dr. Md. Ruhul Amin Talukder, joint secretary (Public Health -2), Health & Family Welfare Ministry to deliver his valuable speech.

Dr. Md. Ruhul Amin Talukder, gave the following directives aiming to address the World breastfeeding week 2018.

7 A guideline/booklet should be prepared containing draft wok plan to celebrate World Breastfeeding week which could be used as a reference every year. The guideline will contain tentative timeline for each activity.

8 Proposal to the ministry should be sent earlier.

9 Printing of IEC materials/educational materials should be started earlier.

10 The baby friendly hospitals and community clinics need to be more involved in the celebration of the world breastfeeding week.

11 Seminars should be arranged portraying researches related to breastfeeding. Mothers and adolescent girls should be given preference as participants in the seminars. A draft work plan. He concluded his speech by giving thanks to IPHN and BBF.

Page no 28 of 124 Dr. Shahnewaz, DG of BNNC as special guest he told that, the public-partner participation needs to be ensured to celebrate the WBW -2018 successfully.

After that Dr Fatema Akter request to the chief guest Prof. Dr. Nasima Sultana, additional DG, directorate of Health to deliver her speech. She suggest to create awareness among the marginalized women and mothers to support breastfeeding. She also mention that if we ensure the breastfeeding to each child then we will be one step forward towards sus- tainability. Before ending her speech she asked to join all the audience to join the celebra- tion of WBW 2018.

Finally Dr. Fatema request to the chairperson of the meeting, Dr. Samir Kanti Sarkar, Direc- tor, IPHN & Line Director, NNS to deliver his concluding speech. Dr. Samir Kanti focused to work on the BMS Act to prevent the violation. He also suggested to all the stake holders to ensure their participation with financial contribution for WBW 2018 making successful. He adjourned the meeting with giving vote of thanks.

IEC Materials Development & Distribution

Like every years, a list of IEC materials, a range of information materials were developed to assist WBW celebrations throughout Bangladesh.

Following information materials have been produced on the occasion WBW’2018. Series of meeting were carried out with IPHN & MOHFW to finalize these IEC materials and finally were approved by the IEC Technical Committee of MOHFW.

1. Poster 2. Action Folder 3. Information leaflet 4. File Folder

All of these materials were sent to the celebrants’ organizations such as NGOs, Medical college hospitals, Sadar hospitals, all Community clinics, Upazila health Complexes, MCWCs etc.

Page no 29 of 124 Page no 30 of 124 Sample of IEC materials

Folder

Leaflet

Page no 31 of 124 Invitation Card

Page no 32 of 124 Souvenir Press Conference

Banner of Nutrition Fare

Page no 33 of 124 Banner of Rally

Page no 34 of 124 Press Conference

A press conference was organized at the conference room (building no. 3, room no. 332) of the Min- istry of Health and Family Wel- fare on July 31, 2018. The hon- orable state minister of the Min- istry of Health and Family Plan- ning, Mr. Jahid Malek, MP was the chief guest of the session. He briefed about the history of the week, achievements of Ban- Press Conference on 31 July, 2018 at the gladesh in this sector and coun- conference room of MOHFW. trywide activities to celebrate the week. He mentioned that worldwide only 40% children are exclusively breastfed where only 45% are continued to breastfed till 2 years of age.

Mr. Malek informed and invited everyone to attend the inauguration ceremony which will be inaugurated by Mr. Mohammad Nasim, MP, honorable minister of the Ministry of Health and Family Welfare at Krishibid Institution Bangladesh at 12 pm. He also mentioned, in Bangladesh 55% children are exclusively breastfed according to BDHS 2014.

Prof. Dr. S. K. Roy, Chairman of BBF answered to the queries from the journalist after the briefing.

About 70 representatives from different print and electronic media such as BTV, Bangla- desh Betar, Baishakhi TV, ATN News, ATN Bangla, Channel 24, Channel I, Jamuna TV, Nagorik TV, Bangla TV, Desh TV, Deepto TV, Mohona TV, Sarabangla.net, banglan- ews24.com, bdnews24.com, Alokito Bangladesh, The Daily Manabzamin, Asian news, The Daily Bonik Barta, The Daily Bhorer Kagoj, The Daily Amar Sangbad etc. were present among the participants.

Page no 35 of 124 Honorable State minister Md. Jahid Malek, MP, state minister, MOHFW is giving press briefing on World Breastfeeding Week’18

Prof. Dr. SK Roy, Chairman of BBF Press Briefing answered to the queries from the journalist

Md. Ramjan Ali, Director (admin), Directorate General of Family Planning, Additional Director of Directorate General of Health Dr. A. H. N. Enayet Hussain, Director of Bangla- desh Breastfeeding Foundation, Ms. Khurshid Jahan, Program Manager of Institute of Public Health Nutrition Dr. S. M. Mustafizur Rahman, Deputy Program Manager of Insti- tute of Public Health Nutrition Dr. Fatema Akter and Director of Institute of Public Health Nutrition Dr. Samir Kanti Sarkar were present among others.

Page no 36 of 124 Representatives from different media attended the event:

Sl # Name Organization Phone # Email

1. Abul Kalam Baishakhi TV 01817110890 [email protected]

2. Reaz Mohammod ATN News 01715153005 [email protected] Khan m

3. Alomgir Swapan Jamuna TV 0191131698 [email protected] om

4. Ajmol Haque Helal SaraBangla net 01826680760 [email protected]

5. Ismail Hossain Banglanews 24.com 01712495025 [email protected]

6. Nesar Uddin Ahmed Alokito Bangladesh 01713096039 [email protected] om

7. Farid Uddin Ahmed The daily Manob 01711583943 [email protected] Sr. reporter zamin

8. Mosharaf Hossain Asian TV 01834836895

9. Ainal Hossain Bonik Barta 01713067659 [email protected]

10. Md. Jahangir Channel -24 01716786776

11. Mr. Nafiul Channel -24 01769968065

12. Asif Hossain ATN News 01552319368

13. Moursanil Channel i 01819231305 [email protected]

14. SM Shahjahan Dainik Vorer Kotha 01737208485

15. Md. Ramzan Ali DGFP 01922032754

16. Shamim Bdnews 24.com 01711165433

17. Shahidul Islam BD News 01716851818

18. Nironjon Debnath ATN Bangla 01912822949

19. Musa News 24 01916747380

20. Sawon Ahmed Jamuna TV 01915681992

Page no 37 of 124 21. Mr. Alom Channel I 01720242016

22. Shahana Biswas Baishakhi iv 01716609063 [email protected] Yasmin

23. Johana Roy Desh tv 01787815200 [email protected]

24. Jubayer Al Mahmood News 24 tv 01737777172 [email protected] m

25. Belal Hossain Daily Amar 01718306726 [email protected] Shongbad

26. Md Mohiuddin Mali Dhaka times 01777410903 [email protected]

27. Ahad Hasan Tutul Deptoo tv 01716027665 [email protected]

28. Asif Iqbal Bangladesh Betar 01798665123 [email protected]

29. Shidit BTV 01980011151

30. Moniruzaman Masud Cameraman BTV 01980011151 [email protected] m

31. Ramesh Chowdhury Desh tv 01819461499

32. Mahbubul Alam ATN Bangla 01737251627 [email protected]

33. Ariful Islam Arif Nagorik TV 01913488944 [email protected]

34. Md. Nahid Anjuman Bangla TV 01717010643

35. Sohel Mohona tv 01923592489

36. Shahnaz Sharmin Nagorik tv 01711542589 [email protected]

Page no 38 of 124 Newspaper Supplementation

On the observation of WBW 2018, Newspaper supplementation was published on 1 August, 2018 in seven newspapers. The supplement was colorful 2 full pages and consist of totaling 7 messages. Message were from Honorable President, Prime Minister, 5 Honor- able Ministers. The newspapers are:

1. The Daily Janakantha 2. The Daily Ittefaq 3. The Daily Jugantor 4. The Daily Samakal 5. The Daily Inqilab 6. The daily Observer 7. The Asian Age

In addition other daily newspapers covering the news of World Breastfeeding Week 2018 ion 02 August, 2018 given below

8. Naya diganta: Page 3, Column 7 with photo 9. New Age: Back page, Column 2 10. Bangladesh Post: Page 3 photo, Page 11, column 2 photo with News from Dinajpur 11. Dhaka tribune: page 6, Column 1 with photo 12. Jaay jay din: Page 3, Column 6 13. Bangladesher Khobor: page 3, column 2 with photo 14. Alokito Bangladesh: Front page, column 1 15. Daily Observer: page 3, column 1 16. Ittefaq: page 3, column 1

Page no 39 of 124 Newspaper supplementation was published on 1 August, 2018

Page no 40 of 124 Essay Competition

Page no 41 of 124 As a part of the celebration of World Breastfeeding Week, 2018 Essay Competition was organized for the students of class VI to Cass X. The two groups were formed as Group K (Class 6 to Class 8) and Group L (Class 9 to Class 10) for prize distribution. The topic of the essay competition was ÒgvZ…`y»`vb Rxe‡bi wfwËÓ. For participation in essay competition, the news was announced by e-mail and over telephone to different or and non-government schools of all districts of Bangladesh. Besides, this announcement was circulated in the Facebook page, website of DGHS and BBF. The deadline for sending essay by email or courier on 23rd July, 2018. Within this period we received total 139 essays. A review committee consists of 8 members was formed to evaluate and marking the essay. Name of the members of review committee are given below-

Chairman : Dr. Samir Kanti Sarker, Director, IPHN & Line Director, NNS

Co-Chairman : Dr. Shamsuzzaman, LD (MNC&AH)

Member Secretary : Dr. S M Mustafizur Rahman, PM, NNS.

Members : Dr. M. A Mannan, Vice President, BOT, BBF Prof. Saria Tasnim, Secretary, BOT, BBF Prof. Monisha Banarjee, Member, BOT, BBF Khandker Md. Rezaul Haque, Member, BOT, BBF Syeda Afrose Jahan Moushumi, Member, BOT, BBF

After evaluating and marking the essay by the members of review committee, two Judges anonymously evaluated the essays and selected eight winners as they are 1st, 2nd, 3rd and 4th Winners from each groups (Group K and L).

The prizes of the winners were as- 5000/- for 1st Winner, 4000/- for 2nd Winner, 3000/- for 3rd Winner and 2500/- for 4th Winner.

Page no 42 of 124 This prize was same for both groups. Also they were given the certificate which was certi- fied by the Director of IPHN and the Chairperson of BBF. The transport allowance were also given who came from other districts.

Besides rest of the participants will be given the certificate to participate in the essay competition. Name of Winners from two groups Group : K

Anamika Chowhan Class-8 1st Place Jogodispur J C High School & College,Habiganj.

Arpita Bissas 2nd Place Class: 6 Magura Govt Girl’s High School,- Magura

Maria Akter Class: 8 3rd Place Chandra Bazar Yakub Ali Sarok High School, Chandpur

Sahabaz Hossain Sabbir Class: 7 4th Place Lalbag Model High School, Dhaka

Page no 43 of 124 Group : L

Md.Mahim Babu Class: 10 1st Place Nawabganj Govt Bohumukhi Pilot High School, Dinajpur

Hasibul Islam Shanto 2nd Place Class: 9 Nawabganj Govt Bohumukhi Pilot High School, Dinajpur.

Saima Sultana Class: 10 3rd Place Birshrestho Munshi Abdur Rouf Public College, Dhaka.

Jannatul Ferdous Dalia Class: 10 4th Place Birshrestho Munshi Abdur Rouf Public College, Dhaka.

The winners received the prizes and certificates by the Chief Guest, Mohammad Nasim, MP, and Honorable Minister of MOHFW during the Inauguration ceremony of WBW’18 at Krishibid Institution, Farm gate, Dhaka.

Page no 44 of 124 Winners Group: K

Winners receiving the certificate from Winners receiving the certificate from Honorable Minister of MoHFW Honorable Minister of MoHFW

Winners receiving the certificate from Winners receiving the certificate from Honorable Minister of MoHFW Honorable Minister of MoHFW

Winners Group: L

Winners receiving the certificate from Winners receiving the certificate from Honorable Minister of MoHFW Honorable Minister of MoHFW

Page no 45 of 124 Winners receiving the certificate from Winners receiving the certificate from Honorable Minister of MoHFW Honorable Minister of MoHFW

Media Coverage

Electronic media The inauguration ceremony was broadcasted live by the

Print media Besides, the news of the ceremony covered by almost all print and electronic media namely

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Page no 55 of 124 Page no 56 of 124 New Age Thursday August 02, 2018

Page no 57 of 124 BTV Talk Show

A talk show in Bangladesh Television (BTV) was held at 30 July 2018 held 7:00 pm for the observance of WBW 2018 aiming to focus the theme of the week Breastfeeding: Founda- tion of Life. The following dignitaries took part in the “Talk Show”.

1. Dr. Samir Kanti Sarkar, Director IPHN and Line Director NNS as special guest

2. Dr. K azi Mostafa Sarowar, DGFP as Special guest

3. Md. Shirazul Haque Khan, Secretary ,Dept. of Health services

4. Jonab Zahid Malik, MP state Minister to Health & Family Planning Ministry

5. Prof. Dr. SK Roy Chairperson, Board of Trustees, Bangladesh Breastfeeding Foundation was present as the moderator of the talk show. The talk show was telecasted later on during August 2018.

Mobile Phone SMS on the theme on WBW’18

Page no 58 of 124 Rally

A grand rally was organized to celebrate the occasion which started from Manik Mia Avenue (in front of the national parliament) at 10.30 am by Bangladesh Breastfeeding Foundation. It ended in front of the Krishibid Institution Bangladesh (KIB) which was the venue for the inauguration ceremony.

Rally started from Manik Mia Avenue to Krishibid Institute

A total of almost 1000 people attended the rally consisting of participants from various government, non-government and international organizations. Students of Nutrition and Food Science from different universities and schools also took part in the rally. They carried banners, placards, festoons etc. which disseminated messages about the impor- tance of breastfeeding and harmful effects of powder milk or breast milk substitutes for babies. The participants were given t-shirts and cap which made the rally more festive look. Refreshments were also provided to the participants at the end of the rally.

Page no 59 of 124 1 Inauguration Ceremony

World Breastfeeding week is celebrated every year during 1-7 August in more than 150 countries to encourage breastfeeding for improve the child health and nutrition across the world. This year’s theme for World Breast Feeding Week is- ‘‘ Breastfeeding: Founda- tion of Life’’ translated as Ôgv‡qi `ya cvb my¯’ Rxe‡bi eywbqv`Õ to achieve SDGs.

A colorful rally and glorious inaugural ceremony of the ‘World Breastfeeding week 2018 in Bangladesh was held on 1st August, 2018 at the auditorium of Krishibid Institution Farmgate,, Dhaka at 12.00 pm.

The Honorable Minister, Ministry of Health and Family Welfare Mr. Mohammad Nasim MP, inaugurated the World Breast Feeding Week 2018 as the Chief Guest while Dr. Kazi Mosto- fa Sarowar the Director General, Directorate General of Health Services were present as the Guests of Honor and Mr. G.M . Saleh Uddin acting secretary, Health Education & Family Planning department, MOH&FW were present as special guest.

Md Habibur Rahman Khan, the Additional Secretary (PH,WHO) MOHFW welcomed the audiences while Dr. Samir Kanti Sarkar, the Director Institute of Public Health Nutrition (IPHN) and Line Director, NNS and, Professor Dr. SK Roy, the Chairperson, & Board of Trustees of BBF were present as speakers. The ceremony was chaired by Md. Shirajul Haque Khan, Secretary Ministry of Health & Family Welfare, who presided over the inaugu- ration ceremony.

About 1500 (fifteen hundred) participants attended this ceremony. Representatives from different ministries, medical colleges, professional societies, high officials and other development partners, stakeholders, NGOs, cvolunteers, students and nurses were pres- ent at that inaugural session.

Every participants received IEC material (Cover Folder, Action folder, Poster, Souvinur, leaflet, copy of BMS ACT 2013, etc) & refreshment.

Page no 60 of 124 Dignitaries are on the dais in the Inaugural ceremony of WBW 2018

Dignitaries are on the dais in the Inaugural ceremony of WBW 2018

The ceremony started with the recitation from the Holy Quran, Geeta, Bibkle and Tripitak followed by the experience sharing from the group members (Pregnant women, Adoles- cents, lactating mother & CHCP) of the Mother Support group (MSG) at Piprasheet Com- munity Clinic, Kaliakur, Gazipur and Kashimpur community Clinic Shingair, Manikganj, including CHCP. From the group member CHCP Ms. Fatema of Piprasheet CC, Kaliakur sharing her experience on the 2 days MSG training she learned on IYCF, benefits of BF and hazards of breast milk substitute. This is the first time in this type of program.

Page no 61 of 124 1 Welcome Speech Welcoming all the guests, participants at the ceremony, Md Habibur Rahman Khan, the Additional Secretary (PH, WHO) MOHFW welcomed the audi- ences. At the beginning of the inauguration program welcome speech was delivered by Md. Habibur Rahman Khan, Addi- tional Secretary (Public Health & World Health), Health Services Division, Ministry of Health and Family Welfare. He Md Habibur Rahman Khan, the Additional Secretary welcomed the chief guest, special (PH, WHO) MOHFW welcomed the audiences guests, chairperson of the program, Dr. SK Roy, Chairperson, BBF, representative of development partners, officers from govt. and non-govt. organization, journalists and the all the persons present at the program.

Each year 1.5 million deaths of children can be prevented by ensuring appropriate breast- feeding practice. Not breastfeeding is associated with global economic losses of about $302 billion annually. Each year 45% under 5 deaths occur due to malnutrition mainly caused by inappropriate breastfeeding practices

2 Key note presentation In the key note speech Professor Dr. S K Roy, Chairperson, Board of Trustees (BOT) and Executive Director of BBF expressed his gratitude to the Honorable Minister Mohammad Nasim MP, Ministry of Health and Family Welfare (MOHFW) for inaugurating the World Breastfeeding week 2018 as the Chief Guest, and also to other special guests.

Page no 62 of 124 He said that 45% of mothers in the country are not breastfeeding their children. Only 55% of mothers exclusively breastfeed their children in Bangladesh. To increase this ratio, we have to make mothers aware that there is no alternative to breast milk, and formula milk is not a Comparison He gave a presentation on the theme of WBW 2018.

In his presentation he told about the objectives of WBW 2018. He also told that according to WBTI (World Breastfeeding Trends initiative) Bangladesh has gained 3rd position among all the countries. According to ICDC report BMS Act 2013 is recognized as 1st class. Govt. has allotted 102 crores taka under the 4th HPNSP which will be implemented by BBF. BBF has done BFHI training in 720 The Key note speaker Prof. Dr. S. K. Roy, hospitals, 1600 courtyard ses- Chairperson, BOT, Bangladesh Breastfeeding sions on maternal nutrition, forma- Foundation (BBF) delivering his speech tion of 120 mother support groups, Oketani training in 12 hospitals, 1500 courtyard sessions on complementary feeding, 101 orientation meeting on BMS Act, 12 training & 64 orientation on adolescent nutrition.

Professor Dr. S. K. Roy; Chairperson, BBF presented the theme of the week with achieve- ments and current status of Bangladesh in this sector. He mentioned, “Bangladesh obtained the 3rd position among 152 countries in breastfeeding according to World Breastfeeding Trend initiative (WBTi) report of 2016.”

Page no 63 of 124 3 Speech of Guest of Honor Kazi Mostofa Sarowar, Director General, Directorate of Family Planning told that In low- and medium-income countries, babies who were breastfed had a 21% lower risk of death in their first year, compared with babies who were never breastfed. Globally 155 million children under 5 years of age are stunted, 52 million are wasted and 41 million are overweight. So we Md Habibur Rahman Khan, the Additional Secretary should put more (PH, WHO) MOHFW welcomed the audiences emphasize on breastfeeding related programs. 4 SpeSpeech of special guest

G.M Saleh Uddin Acting Secre- tary of Health Education and Ministry of Health &Family Wel- fare division. He asked mothers not to deprive their children by serving formula milk in the name of being modern. He also said that 31% neonatal death can be prevented by ensuring early initiation of breastfeeding within 1 hour.

G.M Saleh Uddin Acting Secretary of Health Education and Ministry of Health &Family Welfare division.

Page no 64 of 124 5 Speech of the Chief Guest

Welcoming the audience at first, the Honorable Minister, Ministry of Health and Family Welfare Mohammad Nasim MP, expressed his satisfaction to presence the huge number of audience. He added Breast milk bene- fits both infant and mother. With breast milk, mothers can combat cancer, reduce the risk of jaun- dice, stunting, malnutrition, and childhood diabetes. Breast milk fulfills all the child’s nutritional needs.

He also stated in his inaugural speech, “This week is an oppor- tunity to create awareness among countrymen to inspire mothers to breastfeed their children.” “Breast milk has extraordinary advantages and Md Habibur Rahman Khan, the Additional Secretary breastfeeding during the initial (PH, WHO) MOHFW welcomed the audiences months of life has a positive impact on a child’s survival and its normal growth”- he added According to WBTI (World Breast- feeding Trends Initiative) Bangladesh has gained 3rd position among all the countries.

According to ICDC report BMS Act 2013 is recognized as 1st class. To ensure breastfeeding government has declared 6 months maternity leave. Breastfeeding corner has been established in government office, non-government organization, bank, insur- ance, hospital, industries and shopping mall.

He also emphasized the need for cooperation between government and non-governmen- tal organizations, to increase awareness of the benefits of breast milk, as well as the disadvantages of formula milk.

He mentioned that BBF is the pioneer in this sector. He praised BBF for the hard work & effort for protection, promotion and support of breastfeeding. He thanked the teamwork of BBF to arrange such a good program to raise awareness on breastfeeding.

Page no 62 of 121 6 Speech of the Chair Md. Shirazul Haque Khan, Secre- tary Department of Health Services, Ministry of Health and Family Welfare addressed the audience and asked to achieve sustainable develop- ment goal (SDG) breastfeeding is considered as very important issue. He also added that to improve the rate of breastfeed- ing coordination is neces- sary among different ministry and departments. BBF is supporting the govt. for the Honorable Secretary promotion, protection and support of breastfeeding for a long time. So he requested that every activity related with breast- feeding will be led by BBF.

7 Vote of thanks

At the end of the ceremony ‘the vote of thanks’ was given by Dr. Samir Kanti Sarkar Director of Institute of Public Health and Nutrition and Line Director, National Nutrition Services. He thanked everyone for participa- tion in the inaugural ceremony of World Breastfeeding Week- 2018 and Delivering his valuable speech as Chief Guest. He thanked Md. Shira- Dr. Samir Kanti Sarkar Director, Institute of Public zul Haque Khan Secretary, Ministry of Health and Nutrition and Line Director, National Health & Family Nutrition Services (NNS) delivering vote of thanks Welfare for chairing the session and delivering his valuable speech. He thanked Honor- able Minister Mohammad Nasim MP, Ministry of Health and Family Welfare is giving quali- ty time for inauguration of the World Breastfeeding Week 2018 and delivering his valuable speech as Chief Guest. He also expressed his gratitude for giving the new directions. He thanked Mohammod Habibur Rahman Additional Secretary MOHFW (PH, WHO) is deliver- ing Welcome speech which was very informative and the information were valuable. Finally he thanked all the development partners, such as; World Alliance for Breastfeeding Action (WABA), IBFAN DGFP, Directorate of Primary Education, World Health Organization, UNICEF World Visio, BRAC, MAX Foundation, Water AID, FAO, WFP, CARE, Helen Keller CONCERN World Wide, Irish AID, USAID, FHi360, Alive & thrive, Telenor Nutrition Society of Bangladesh Nutrition Foundation of Bangladesh (NFB), CSA Sun, BCSNPN, the repre- sentative of both print and electronic Media. He thanked BBF to take a such good initia- tive. He also thanked all the government and non-government organization to participate in this program.

The ceremony was ended followed by the visit of Honorable Health Minister to nineteen Health and Nutrition stalls in fair & prize giving to the winners of the Art and easy compac- tion among school children were organized by BBF to celebrate the week. Winners of those competitions were given prize and certificates in the inaugural function by the chief guest.

Winners receiving the certificate from Honorable Minister of MoHFW Happy winners of the Essay competition are behind the dignitaries

Finally Director of Institute of Public Health Nutrition Dr. Samir Kanti Sarkar called the end of the ceremony by thanks giving speech. Lunch was arranged for the participants at the end of the program.

Exhibition on mother & child health nutrition

The nutrition fair took place on the opening day of the week at the same venue. A total number of 18 government and non-government organizations: IPHN, BBF, BNNC, BRAC, ICMH, Max Foundation, FPAB, Care Bangladesh, Nari Maitree, World Vision Bangladesh, Caritas Bangladesh, SDF, CBHC, Telenor Health, PHD, Save the Children (Shuchona proj- ect), CWCH, College of Home Economics (Nutrition Club); installed their stalls at the nutri- tion fair. BBF supported at the structural set up of the stalls for the Nutrition Fair. In their stall, BBF showcased all activities of BBF such as BFHI program, BMS act, Mother Support Group, Adolescent Nutrition Program, Lactation Management Camp etc. For the visitors to the stall there was an arrangement of a quiz game focusing on the theme of the week.

All the 18 national exhibitors impressively displayed their activities through various stalls. There were four organizations like Telenor, Community Based Health Care (CBHC) and Nutrition Society of Bangladesh (NSB) &Nutrition Foundation of Bangladesh (NFB)

ORGANIZATIONS PARTICPATED IN THE EXIBITION

1. Institute of Public Health Nutrition (IPHN) 2. Bangladesh Breastfeeding Foundation (BBF) 3. Bangladesh Nutrition Council (BNNC) 4. Community Based Health Care (CBHC) 5. BRAC 6. CARE Bangladesh 7. World Vision Bangladesh 8. Save the Children (Shuchona Project) 9. Max Foundation 10. National College of Home Economics (Nutrition Club) 11. Caritas Bangladesh 12. Social Development Foundation (SDF) Shimanto,PHD & CNRS) 13. Centre for Woman and Child Health (CWCH) 14. Institute of Child and Mother Health (ICMH) 15. Family Planning Association of Bangladesh (FPAB) 16. Nari Maitree 17. Telenor 18. Nutrition Society of Bangladesh (NSB), 19. National Nutrition Foundation of Bangladesh Bangladesh(NFB)

Art Competition on WBW 2018

Venue: Institute of Fine Arts, Dhaka University Date: 20 July, 2018 Time: 3:00 pm to 6:00 pm

Institute of Public Health Nutrition (IPHN) and Bangladesh Breastfeeding Foundation (BBF) arranged an Art competition to celebrate World Breastfeeding Week, 2018. Around 200 students from Play to class-X of different schools of Dhaka city attended the event. They came with their parents and siblings to celebrate the art competition. Students and their parents expressed happiness on this event.

There were three groups of participants: 1. Group A: Play- Class 2 2. Group B: Class 3- Class 5 3. Group C: Class 6- Class 10 Three topic of drawing for three groups were selected. They were: 1. Group A: Love of Mother 2. Group B: Advantages of Breastfeeding 3. Group C: Disadvantages of powdered milk

Professor Dr. S. K. Roy, Chairperson, Board of Trustees & Executive Director of Bangladesh Breastfeeding Foundation and Khurshid Jahan, Director, Bangladesh Breastfeeding Foundation was present there. They gave informative and valuable speech. All BBF staffs were also present there.

Children are participating in the art competition

Participants are at the middle of art competition Competition was held from 3:30 pm to 5:00 pm. After that two honorable judges from Institute of Fine Arts were selected six winners from each group. Here are the judges:

1. Jonab Dulal Chandra Gayeen, Assistant Professor, Department of Drawing and Illustration, Institute of Fine Arts, Dhaka University

2. Jonad Mohammad Nazir Hossain Khan, Assistant Professor, Department of Printing, Institute of Fine Arts, Dhaka University

After completing the competition judges selected top six winners from each group.

The judgment session is going on after the Art competition

The judgment session is going on after the competition

Page no 75 of 124 The nutrition fair took place on the opening day of the week at the same venue. A total number of 18 government and non-government organizations: IPHN, BBF, BNNC, BRAC, ICMH, Max Foundation, FPAB, Care Bangladesh, Nari Maitree, World Vision Bangladesh, Caritas Bangladesh, SDF, CBHC, Telenor Health, PHD, Save the Children (Shuchona proj- ect), CWCH, College of Home Economics (Nutrition Club); installed their stalls at the nutri- tion fair. BBF supported at the structural set up of the stalls for the Nutrition Fair.

The judgment session is going on after the competition

Vote of Thanks delivered by Prof. Dr. Sk Roy, Chairperson, BOT, BBF and Executive Director

Page no 76 of 124 Art Competition- Prize Giving Ceremony

On the inauguration Ceremony of WBW-2018 Honorable Minister- Ministry of Health and Family Welfare (MOHFW) Mr. Mohammad Nasim, MP gave prize and beautifully binding certificate to the winners of the Art competition at the Krishibid Institution of Bangladesh (KIB) at 11.00 am.

The winners were: Group- A

Position Winner’s name School Class

1st Sheikh Md. Ahnaf Adib Beer Shrestho Noor Mohammad Class: Two Public College 2nd Abid Bin Nasir Mughdho BISC, DOHS, Mohakhali Class: Two

3rd Suchona, Rayhan School & College Class: One

4th Manha Marnia Jaman Scholastica, Dhanmondi Class: Two

5th Mirza Azan Udayan Higher Secondary Class: Two School 6th Irfan Ahmed Saint Pauls School Class: Nursery

Prize giving of Group A

Page no 77 of 124 Group- B Position Winner’s name School Class

1st Tajrian Siddiqi Viquarunnisa Noon School Class IV 2nd Md. Shahadat Saint Joseph International Class V Hossain School 3rd Arnila Voumik Viqarunnisa School and College Class IV

4th Sin Jahan Cambridge Int. Children Care & Class III High School 5th Fahmida Jahan Orpa Viqarunnisa School and College Class III 6th Ismam Ahmed Saint Joseph High School Class: Three

Prize giving of Group B

Group- C Position Winner’s name School Class

1st Ananna Chowdhury Udayan Higher Secondary School Class: VII Orpa 2nd Arnika Tahsin Scholars School & College Class: X 3rd Adeena Hasan Manarat Dhaka Int. School & Class :VII College 4th Nusrat Jahan Nuha Bottomly Home Girls High School Class :VIII 5th Faysal Ahmed Govt. Bak & Srobon Protibondi Class VI School 6th Udipto Roy Dipto Beer Shrestho Munshi Abdur Rouf Class: VII Public College

Page no 78 of 124 Winners of Group-C receiving Prize from the Chief Guest Honorable Minister Mohammad Nasim, MP.

Group photo of winners with Honorable Minister for Ministry of Health and Family Welfare (MOHFW) Mr. Mohammad Nasim, MP, prize giving ceremony of WBW-2018

Page no 79 of 124

WBW 2018 Celebrations by the Organizations

Like every year, many national non-government organizations (NGOs) and Interna- tional non-government organizations (INGOs) celebrated the world breastfeeding week 2018 at their field area. With the help of IEC materials they arranged seminar, meeting, rally, quiz competition and others activities at the community level. The organizations shared their brief report and to be a part of reflection of the full report of WBW’18. The reports from the organizations are given bellow:

1 CARE Bangladesh

CARE Bangladesh response to World Breastfeeding Week 1-7 August’ 2018

Activity Update (1-7 August 2018) This year the theme for World Breastfeeding Week (WBW) 2018 was – “Breastfeeding: Foundation of Life”. This WBW 2018 theme was focused on breastfeeding in relation to sustainability, and most importantly to the Sustainable Development Goals (SDGs). This is particularly through the links between breastfeeding and nutrition and food security; health, development and survival; achieving full educational potential and economic productivity and the fact that breastfeeding is an environmentally sustainable method of feeding compared to the ALTERNATIVES.

Page no 80 of 124 CARE Bangladesh response on World Breastfeeding Week 2018 CARE Bangladesh take the event as an opportunity to reach the beneficiaries through using various channels. CARE is performing in both national and implementation areas as part of observing WBW 2018. At the National level event was held at the Bangladesh Krishibi Institution (BKI) under the umbrella of IPHN, Ministry of Health and Family Welfare (MoHFW) and Bangladesh Breastfeeding Foundation (BBF) CARE has participat- ed in a ceremonial meeting where the honorable Health minister was present as Chief Guest and inaugurated the week long activities of WBW 2018. A “Nutrition Fair” also orga- nized by the organizer where CARE Bangladesh demonstrated its activities, products and materials. Projects were participating in the event-

SHOUHARDHO III CHWI CI4N SHOMOSTI HALOW+

Coverage

Name of the # of # of Sub Population Remarks Program/Project District District reached through this event

SHOUHARDHO III 8 23 Total 15557, Number is Among them only received

12244 were from two women district that are Netrokona and Kishoreganj

CARE GSK CHWI 1 11 Total 2342, Through 45 among them events Sunamganj approximately 1/3 was PW

Page no 81 of 124 Name of the # of # of Sub Population Remarks Program/Project District District reached through this event

Collective Impact 1 02 Total around Through rally, for Nutrition 700, among discussion Sunamganj (CI4N) them half were and gathering women

SHOMOSTI 14 28 Total around Through 76 1600 Community

Clinic

HALOW+ (A 7 Factory 5 Community Total 365 Among them project working 332 were Gazipur Gazipur with garments female workers)

SHOUHARDHO III CHWI CI4N SHOMOSTI HALOW+

Type of activities Rally, Discussion, Mother Gather- ing, ANC/PNC camp, IEC Materi- als distribution, quiz competi- tion and counseling session were organized as part of the event observation. All those activities were performed at district, sub-district, union, Com- munity Clinic and household level. It was ensured the partici- pation of government officials, local government and other stake- holder’s participation in the event. Most of the cases

Page no 82 of 124 Community Group and Community Support Group were the key organizer of those events with facilitation of CARE various projects. Where other key service providers e.g. HA, FWA, CHCP, P-CSBA, Local government representatives, Social Change Agents, Volunteers and SS (Health workers) also present there.

National level

At National level the project participated in “Pusti Mela” that is actually “Nutri- tion Fair” organized by Institute of Public Health Nutrition (IPHN) and Bangladesh Breastfeeding Foundation (BBF). CARE stall was decorated through SH III, SHO- MOSTI, N@C IEC materials and success case stories also present there.

Page no 83 of 124 Outcome of the event

As different events were organized over the week at different level (Facility, Community Clinic & Community); people are able to aware about benefit of breast feeding to the child at least up to 2 years and their nutrition aspect.

First time mothers came to learn the process of breast feeding through demonstration at CC & facilities.

People came to know about the demerits of powder milk or other pro- cessed packet milk.

CG/CSG/CmSS members come with a more leadership role in the issue of breastfeeding as well as nutrition.

Organized mother gathering & ANC camp by CG/CSG/CmSS members at community level to mobilize the pregnant women for taking skilled MNH service and awareness building on nutrition issue.

Front line staff of H&FP and community people are sensitized about exclu- sive breastfeeding and nutrition.

All the events of BFW 2018 are positively reflected in the service of CC, UH&FWC and community level service provider, especially in Private CSBA service such as counseling on nutrition, MNP & IFA distribution, ANC and PNC through engagement of community platform.

GO and NGO Frontline staff and service providers have been agreed to give more importance on breast feeding counseling at community.

Pregnant Women and their family members have participated in this event, awareness build up was developed among them to maintain early initiation and Exclusive Breastfeeding (EBF) for their children.

Page no 84 of 124 Learnings

Community Clinic level discussion helps to reach poor, extremely poor and socially excluded people.

Mass peoples are aware regarding importance of breastfeeding through this mass campaign

Create and scope of building functional linkage with GoB, NGO’s, Commu- nity Clinic and community peoples

If arrange this kind of event involving with community peoples it became more effective.

Challenges

Workload was huge and insufficient time allocation for doing the ground work to make the event up to the mark was not adequate

Ensuring participation of local government representative due to engage other priorities.

Recommendation

At community level regular discussion with lactating mother is required. CARE project’s will take necessary initiative for this.

Sensitization of key decision makers at household level is a prerequisite for ensuring breastfeeding of children under 2 years.

Different day celebration should include within project planned activities.

Page no 85 of 124 World Breastfeeding Week-2018 is observed effectively at District, Sub District and community level with active involvement of GOB, NGOs, LG, CG/CSG/CmSS and community people. Women participation is highly appreciated, but more mens involvement in such type of important event is very vital. So that male can realize the importance of this event as well exclusive breastfeeding and their role in this regard. Although Breastfeeding is the normal way of providing young infants with the nutrient’s they need for healthy growth and development. Virtually all mothers can breastfeed, provided they have accurate information, and the support of their family, the health care system and society at large. All CARE Bangladesh Projects are playing key roles regarding promotion of exclusive breastfeeding at Community

Media Report News published in local newspaper

Page no 86 of 124 Image

Rally at Sunamganj Discussion Meeting

Rally at Habiganj Rally at Bishwambarpur

Mother Gathering Rally at Garments Factory

Discussion meeting at Community Clinic Discussion Meeting

Page no 87 of 124 Social Development Foundation (SDF), Nutrition 2 Awareness and Support Services (NASS), Nuton Jibon Livelihood Improvement Project (NJLIP)

SDF celebrated the World Breastfeeding Week, 01 August, 2018 as per the schedule provided by a joint work of Ministry of Health and Family Welfare (MOH&FW), Institute of Public Heath Nutrition (IPHN) along with Bangladesh Breastfeeding Foundation (BBF) and different stakeholders. SDF expresses its gratitude and gratefulness to the mentioned institutions for giving it the opportuni- ty and providing necessary cooperation to celebrate the week successfully both at the central and regional level.

World Alliance for Breastfeeding Action (WABA) announced the theme for WBW-2018 is “Breastfeeding: Foundation of Life”. In line with this theme, the NASS (Nutrition Awareness & Support Services) implementing partner NGOs celebrated the week in 3 SDF regions of NJLIP (Nuton Jibon Livelihood Improvement Project). Thus, as a whole SDF has celebrated the week organizing different events at national and district level with special emphasis on conducting rallies, discussion meetings etc. in its nutrition intervention areas of 13 districts in 3 regions as described below.

A. Mymensingh Region: By PHD (Partners in Health & Development) in Mymensingh, Sherpur, Sylhet, Chandpur & Cumilla districts.

At district level, PHD participated in 5 colorful rallies and 5 discussion csessions. And at many upazilas, PHD team participated in rallies and discussions. Some moments in Pictures

Rally from CS office, Mymensingh Discussion at CS office, Cumilla Caps provided by PHD

Page no 88 of 124 Rally at Gowainghat, Sylhet Discussion at Kanaighat, Sylhet Caps provided by PHD

Rally in Chandpur Rally in Sylhet Discussion in Mymensingh

Media Coverage in Chandpur Media Coverage in Mymensingh

Page no 89 of 124 B. Barisal Region: By Shimantik in Barishal, Bagherhat, Pirojpur, Sariatpur & Goplalganj districts.

Shimantik observed the week on 01 – 07 August, 2018 in ten (10) upazilas under five (5) districts. On the 1st and 2nd August, 2018 Shimantik observed this week jointly with Health & Family Planning department through rallies, discussion meetings in Barishal, Bagherhat, Pirojpur, & Sariatpur districts.

Printed cap used On 2/8/18 CS office On 2/8/18 CS office by Shimantik Shariatpur Shariatpur

On 1-7 August, 2018 Shimantik organized and conducted 198 mothers meeting at village level in the upazilas of the mentioned district through different activities like; - Discussion meeting - Mothers meeting - Quiz competition - Prize giving ceremony

Shimantik field staff discussed in the meeting about breast feeding benefits both for mother and child, benefits of colostrums feeding, six month only breast milk, after six months supplementary food with breast milk, positions and attachment of breastfeeding, 4 times PNC check-up, linkage with health facility with demerits of others milk.

Before the mothers meeting ended, Shimantik arranged quiz competition through different questionnaires on breast feeding. In this competition, the best perform- ers were awarded with prizes. A total of eight (8) mothers were given prizes from each meeting. They were very happy and proud by learning

Page no 90 of 124 enough about benefit of breast feeding. In this village level mothers meeting cov- ered total number of 5284 mothers (pregnant women 697, lactating mother 2334 and others mothers with mother in law 2341). The detailed list is given on table below.

Covered Number of Mothers

District Upazilla Pregnant Lactating Mother in TOTAL Women Mother Laws and others mother

Barishal Wazirpur 107 406 349 862

Muladi 41 228 160 429

Banaripara 70 197 204 471

Pirojpur Kawkhali 64 175 211 450

Nazirpur 64 178 208 450

Bagerhat Mollahat 71 283 178 532

Chittalmari 54 228 242 524

Shariatpur Muksudpur 99 286 281 633

Shariatpur 72 210 245 406

Goshairhat 55 143 263 527

Total 697 2334 2341 5284

Page no 91 of 124 Photo gallery of village level mothers meeting:

On 3/8/18 mothers meeting at On 2/8/18 mothers meeting On 5/8/18 mothers meeting at Kawkhali, Pirojpur at Kazirchor hizla cluster natun chor

On 5/8/18 mothers meeting On 5/8/18 mothers meeting at Chittalmari, Bagerhat at Chittalmari, Bagerhat village, Chittalmari, Bagerhat

Most of the mothers meeting were conducted in the presence of CF (Cluster Facili- tator), CO (Cluster Officer), DO (District Officer), DM (District Manager), RM (Re- gional Manager) of SDF-NJLIP and NSC (Nutrition Support Committee) members, NO (Nutrition Organizer), NS (Nutrition Supervisor), DNS (District Nutrition Super- visor) of NASS-Shimantik. The mothers meeting are more helpful to raising the awareness of nutrition related behavior.

C. Khulna Region: By CNRS (Center for Natural Resource Studies) in Khulna, Satkhira & Rangpur Districts.

CNRS Nutrition Awareness and Support Services (NASS) Khulna Region consist- ing of Khulna District, Satkhira District and Rangpur District team participated in 2018 WBW celebration along with Bangladesh government health department and other affiliated departments. NASS Khulna, Satkhira and Rangpur district team implemented some activities such as increase awareness of establishing exclu- sive breastfeeding-feeding infants nothing but breast milk for the first six months of life-helps young children growth, preventing under nutrition, promoting brain development, and reducing the risks that children will become overweight at different level with intensively collaboration of health department.

Page no 92 of 124 WBW 2018 Rally was inaugurated Dr. Shushanta Kumar Roy (Director- NS (Nutrition Supervisors) o by Dr. Shushanta Kumar Roy, health of Khulna), Dr. Atiar Rahman (DCS) f Terokhada, Dacope and Koira Director-Health of Khulna Dr. Sharafat Hossain (Consultant Child), Upazilla participated in the rally Dr. Mahbubur Rahaman (RMO), & Dr. Utpal Kumar (Consultant Medicine) were in Discussion Meeting

Rally on WBW in Satkhira District Discussion Meeting at CS Dr. Shushanta Kumar Roy (Director- health of Khulna), Dr. Atiar Rahman (DCS) Conference room in Satkhira Dr. Sharafat Hossain (Consultant Child), Dr. Mahbubur Rahaman (RMO), & Dr. Utpal Kumar (Consultant Medicine) were in Discussion Meeting

Among other activities, CNRS-NASS Khulna Region Team has prepared 2 sets of fastoons focused on breastfeeding week celebration to Khuna, Satkhira and Rangpur districts. After rally and discussion meeting this fastoons were distribut- ed among the Civil Surgeon office, SDF regional and district level office.

CNRS-NASS Khulna Region concludes that Bangladesh has achieved a lot of success on reducing infant and child mortality rate, rather in remote areas this number is too high. Still people don’t provide the first breast milk of mother to her child. They ignore this due to superstitions and put sugar or honey to the newly borne baby though it is harmful for the baby’s health. World Breastfeeding Week (WBW) is the right platform to reduce such superstations from the rural society. For better success of this WBW, government and NGOs health providers should be more focused on the rural and remote areas where such superstations are acute. Only then the objective and goals of this WBW will be fulfilled.

Page no 93 of 124 D. Central level: Krishibid Institute Bangladesh (KIB), Farmgate, Dhaka. On 01 August, 2018, SDF Celebrated WBW 2018 of SDF at the central level with its NASS-NJLIP implementing partners NGOs: PHD, Shimantik & CNRS in a team. This team participated in the colorful and vibrant rally lead by BBF and IPHN joint- ly. At 10:30 am, the rally started from Sangsad Bhaban Premises, Manik Mia Avenue and ended at the Krishibid Institute Bangladesh (KIB), Farmgate, and Dhaka.

There was a grand nutrition fair on the ground floor entrance hall of the KIB. In this fair SDF was granted one stall to display its NASS-NJLIP along with its three (3) implementing partners NGOs: PHD, Shimantik & CNRS. In the main frame program held at the conference hall of KIB, Mr. Mohammad Nasim, MP, Honorable Minister, Health Minister, Ministry of Health & Family Welfare was present as the Chief Guest. Among the notable presenters were Prof. DR. S K Roy, Chairperson, BBF and Dr. Samir Kanti Sarkar, Director, IPHN & Line Director, NNS.

On behalf of Nutrition Unit, SDF-HQ, DGM (Nutrition) and two Junior Officers (Nu- trition) and on behalf of the implementing partners NGOs concerned respective central level focal persons, officials and staff actively participated from the begin- ning to end of this program.

Photo gallery of village level mothers meeting

SDF and its implementing partner NGOs in the rally.

At the NASS-NJLIP stall SDF-HQ and implementing partners NGOs: PHD, Shimantik & CNRS in a team.

Page no 94 of 124 Celebrations at the National Level

World breastfeeding week 2018 was not only observed at the central level, was observed nationally too. All public Medical College hospitals, Upazilla Health Complexes, Civil Surgeon Offices, Nursing Institute, Educational Institutes and Divisional health Offices, maternal and child welfare centers and other Health Facilities contributed in an enthusiastic manner to make the events successful and built the momentum of the Infant and Young Child Feeding (IYCF) activities in joint efforts considering this year’s theme- ‘‘Breastfeeding-Foundation of life’’ translated as Ôgv‡qi `ya cvb my¯’ Rxe‡bi eywbqv`Õ to achieve SDGs.

Director, IPHN & LD, NNS issued specific orders to observe the WBW’18 with the instruc- tion. They received the IEC materials (poster, leaflet, action folder) before holding the events and instructed to Colorful rally and post rally discussion.

Divisional Level Programs under WBW-2018 at a Glance

1. Major Activities of Dhaka Division Discussion Meeting and Rally held on 01 August at 13 CS Offices under Dhaka Division.

A total of 14 government and private medical college hospitals have conduct- ed different programs on the occasion of WBW-2018. Programs include LMC camp, Discussion meeting with Intern Doctors and Journalists, IEC Materials Distribution etc.

With the supervision of CS and UH&FPO and overall support of CSG and local CSO; CCHCP, HA and FWA observed this week in their catchment area. Programs include discussion meeting, rally, Counseling, ANC/ PNC service etc.

Page no 95 of 124 Relevant Pictures

Rally on WBW in Satkhira District Rally of Civil Surgeon Office, Kishorganj

Prof. Dr. S.K. Roy, Chairperson BOT BBF & Doctors of Sir Salimullah Medical College (SSMC) Executive Director BBF delivered speech at SSMC took part in the discussion

2. Major Activities of Chattogram Division:

Discussion Meeting and Rally held on 01 August at CS Office under the leader- ship of DDH- Chattogram with other NGOs.

Seminar on Infants and Young Child Feeding with the intern Doctors at Central Medical College Hospital, Cumilla and Eastern Medical College Hospital, Kabila, Cumilla.

Seminar on “Advantages of Breast-milk, Harmful Effects of Breast-Milk Substi- tutes (BMS) and BMS Act 2013 with journalists.

Page no 96 of 124 Relevant Pictures

Joint Rally of DDH, CS and Different NGOs-CTG Discussion Meeting at Civil Surgeon Office, CTG

Mr. Dipok Chokroborti, Div. Commissioner-CTG took part in Journalist’s Meeting Discussion Meeting at Civil Surgeon Office, CTG

3. Major Activities of Rajshahi Division

Discussion Meeting and Rally held on 01 August in all CS office but In Rajshahi, it has been organized on 02 August due to City Corporation Election.

Discussion Meeting and Counseling service for mothers on IYCF and MN at Rajshahi Medical College Hospital and Christian Mission Hospital and UHCs.

Discussion Meeting with Print and Electronic Media Journalists at Director Health Office, Rajshahi on 07 August.

Discussion Seminar with Internee Doctors on IYCF at Barind Medical College Hospital.

Page no 97 of 124 Relevant Pictures

Joint Rally of DDH, CS and Different NGOs-CTG Discussion Meeting at Civil Surgeon Office, CTG

Discussion Meeting on BMS Act-13 at Discussion Meeting on IYCF with Intern Director Health Office, Rashahi Doctors at Barind Medical College Hospital, Rashahi

4. Major Activities of Khulna Division

Discussion Meeting and Rally held on 01 August at CS Office Khulna where DDH Dr. Susanto Kumar Roy was present.

Discussion meeting was also held at Khulna Medical College Hospital.

Discussion about the importance on IYCF and MN at Panigati community clinic, Dighalia Upazilla, Khulna on 04 August 2018.

Discussion Meeting with journalists on BMS Act-13 at Director Health Office on 07 August 2018.

Discussion Seminar with Internee Doctors on IYCF at Gazi Medical College Hos- pital Khulna on 14 August 2018.

Page no 98 of 124 Relevant Pictures

Meeting with Journalists on BMS Act-13 Discussion Meeting at Khulna Medical with DDH, Khulna College Hospital

Rally of Khulna CS Office WBW celebration at Panigati Community Clinic

5. Major Activities of Sylhet Division Discussion Meeting and Rally held on 01 August at CS Office Sylhet. A presen- tation was also given by Divisional Officer-BBF.

UHC & the CC under other UHC in Sylhet Division has celebrated WBW-2018

Discussion Meeting with Journalists on BMS Act-13 at Director Health Office on 7th August, 2018.

Discussion Seminar with Internee Doctors on IYCF at North East Medical College Hospital, Sylhet on 14th august, 2018.

Page no 99 of 124 Relevant Pictures

Rally of Civil Surgeon Office-Sylhet Discussion Meeting at CS Office-Sylhet

Intern Doctors North East Medical College Hospital CC Level Program under Sylhet Division

6. Major Activities of Barishal Division: Discussion Meeting and Rally held on 01 August at CS Offices under Barishal Division.

UHC & the CC under other UHC in Barishal Division has celebrated WBW-2018

Sher-E-Bangla Medical College Hospital arranged orientation program with doctor on the occasion of World Breast feeding Week. Hospital Director took part in this program.

Discussion Meeting with Journalists on BMS Act-13 at Director Health on 06 August 2018.

Page no 100 of 124 Relevant Pictures

Discussion Meeting at CS Office, Barishal Rally of Civil Surgeon Office, Bhola

Meeting with Journalists on BMS Act-13 at Community Clinic under Borguna District DDH Office, Barishal

7. Major Activities of Rangpur Division: Discussion Meeting and Rally held on 01 August at CS Office Rangpur where DDH was present.

Discussion meeting at Rangpur Medical College Hospital on 05 August 2018.

Community Clinics under different UHC of Rangpur Division also celebrates WBW.

Discussion Meeting on-“Advantages of Breast-milk, Harmful Effects of Breast-Milk Substitutes (BMS) and BMS Act 2013, with Journalists of Rangpur on 07 August 2018.

Discussion meeting with the intern doctors of Northern Private Medical College Hospital, Rangpur on 11 August 2018.

Page no 101 of 124 Relevant Pictures

Rally of CS Office, Rangpur Discussion Meeting at CS Office, Rangpur

Dr. Mustafizur Rahman, DDH attended Gannarpar CC, Gangachora, Rangpur Journalists meeting

8. Major Activities of Mymensingh Division Discussion Meeting and Rally held on 01 August at CS Office Mymensingh where DDH Dr. Abdul Ghoni was present.

Discussion Seminar on “Infants and Young Child Feeding” for the intern Doctors at Community Based Medical College Hospital (CBMCH).

Page no 102 of 124 Relevant Pictures

Dr.Mirza Manzurul Haque, Principal-CBMCH, was DDH, Mymensingh Dr. Abdul Ghoni Leaded Rally present in the Seminar on IYCF

Intern Doctor of Community based Medical Discussion Meeting of CS Office, Mymensingh College Hospital, Mymensingh.

Page no 103 of 124 Govt Medical college hospital

1) Sher e Bangla Medical College Hospital, Barisal. Name of Event: Celebration of World Breastfeeding Week 2018 Venue: Conference room of Sher e Bangla Medical College Hospital, Barisal. Type of Events: 1. Rally 2. Discussion Meeting Number of Participants: 100 Date Sunday, 19 August 2018

Discussion meeting at Sher –e Bangla Rally Sher –e Bangla Medical College Hospital Medical College Hospital

Participants of Discussion meeting at Rally Sher –e Bangla Medical College Hospital Sher –e Bangla Medical College Hospital

Page no 104 of 124 2) Sir Salimullah Medical College Hospital

Name of Event: Celebration of World Breastfeeding Week 2018 Venue: Pediatrics Dept. Conference room of Sir Salimullah Medical College Hospital(1 # College Gallery) Type of Events: 1. Rally 2. Discussion Meeting Number of Participants: 200 Date: Sunday, 12 August 2018

Prof. Dr. SK Roy Pediatrics delivered his speech

Audience/Participants Guest in the dais

Page no 105 of 124 3) Sylhet M A G Osmani Medical College Hospital, Sylhet

Name of Event: Celebration of World Breastfeeding Week 2018 Venue: Sylhet M A G Osmani Medical College Hospital, Sylhet Type of Events: 1. Rally 2. Discussion Meeting Number of Participants: Date Sunday, 12 August 2018

Rally Guests

Participants Partial view of Participants

Page no 106 of 124 4) Mymemshingh Medical College Hospital, Mymensingh.

Name of Event: Celebration of World Breastfeeding Week 2018 Venue: Sylhet M A G Osmani Medical College Hospital, Sylhet Type of Events: 1. Rally 2. Discussion Meeting Number of Participants: Date Wednesday, 01 August 2018

Discussion meeting at Mymemshingh Medical College Hospital, Mymensingh.

Resource person delivered his speech among the Participants.

Page no 107 of 124 5) Khulna Medical College Hospital, Khulna

Name of Event: Celebration of World Breastfeeding Week 2018 Venue: Sylhet M A G Osmani Medical College Hospital, Sylhet Type of Events: 1. Rally 2. Discussion Meeting Number of Participants: Date Wednesday, 01 August 2018

Discussion meeting at Khulna Medical College Hospital, Mymensingh.

Partial view of Percipients of Discussion meeting

Page no 108 of 124 6) Rangpur Medical College Hospital

Name of Event: Celebration of World Breastfeeding Week 2018 Venue: Rangpur Medical College Hospital

Type of Events: 1. Rally 2. Discussion Meeting Number of Participants: Date Sunday, 05 August 2018

Rally of Rangpur Medical College Hospital, participated by, Dr.Ajoy kumar roy(Director,RMCH), Pediatric head Dr.Bikash Mojumder,Gyne head Dr.Sahi Farzana & other Doctors & nurses & other staff and BBF divisional officers

Dr.Ajoy kumar Roy (Director, RMCH) was telling Dr.Ajoy kumar Roy (Director, RMCH) was telling about IYCF practice to children. about IYCF practice to children.

Page no 109 of 124 C. Celebration of WBW ’18 at private Medical College & Hospitals

This is the first time a discussion meeting were organized on IYCF in cooperation with NNS and BBF with the financial assistance of World Food Program (WFP) for the Intern Doctors of private Medical College Hospital, which are given below;

Page no 110 of 124 1. Community based Medical College Hospital, Mymensingh

Name of Event: Celebration of World Breastfeeding Week 2018 Venue: Conference room of Community based Medical College Hospital Type of Events: 1. Rally 2. Discussion Meeting on IYCF Number of Participants: 50 Date Thursday, 09 August 2018

Discussion meeting on IYCF with the financial assistance of World Food Program (WFP) for the Intern Doctors of Community based Medical College Hospital, Mymensingh

2. Northern Medical College & Hospital, Rangpur

Name of Event: Celebration of World Breastfeeding Week 2018 Venue: Northern Medical College Hospital Type of Events: 1. Rally 2. Discussion Meeting on IYCF Number of Participants: 45 Date Saturday, 11 August 2018.

APM of BBF–Rangpur Division Intern Doctors of Northern delivered power point presentation on IYCF Medical College & Hospital, Rangpur

Page no 111 of 124 3. Barind Medical College & Hospital, Rajshahi Name of Event: Celebration of World Breastfeeding Week 2018 Venue: Conference room of Barind Medical College Hospital Type of Events: 1. Rally 2. Discussion Meeting on IYCF Number of Participants: 50 Date Monday, 13 August 2018

Dr. Md. Ghulam Mortuza, Deputy Director, Participation of Intern Doctors of Barind Barind Medical College Hospital, Rajshahi Medical College Hospital, Rashahi .PPT delivering his speech on IYCF presentation by Divisional Officer , BBF

4. North East Medical College & Hospital, Sylhet Name of Event: Celebration of World Breastfeeding Week 2018 Venue: Conference room of North East Medical College Hospital Type of Events: 1. Rally 2. Discussion Meeting on IYCF Number of Participants: 62 Date: Monday, 13 August 2018

Dr. Md. Monajir Ali (Professor, North Power point presentation by East Medical College Hospital delivered Dr. Amzad Hossain, Assist. his speech on IYCF Register of Pediatric unit.

Page no 112 of 124 5. Tairunnessa Medical College & Hospital, Gazipur, Dhaka

Name of Event: Celebration of World Breastfeeding Week 2018 Venue: Conference room of Tairunnessa Medical College Hospital Type of Events: 1. Rally 2. Discussion Meeting on IYCF Number of Participants: 50 Date: Monday, 13 August 2018

PPT presentation IYCF by Pediatrics of BBF representative Hasina Chaklader, senior Tairunnessa Medical College & Hospital Program Manager, giving vote of thanks.

6. Gazi Medical College & Hospital, Khulna Name of Event: Celebration of World Breastfeeding Week 2018 Venue: Conference room Gazi Medical College & Hospital, Khulna Type of Events: 1. Rally 2. Discussion Meeting on IYCF Number of Participants: 50 Date: Tuesday, 14 August 2018

Intern Doctors of Gazi Medical Representative from World Food College & Hospital, Khulna

Page no 113 of 124 7. Eastern Medical College & Hospital Kabila, Cumilla

Name of Event: Celebration of World Breastfeeding Week 2018 Venue: Conference room Eastern Medical College & Hospital, Cumilla Type of Events: 1. Rally 2. Discussion Meeting on IYCF Number of Participants: 50 Date: Tuesday, 14 August 2018

Power point presentation by Intern Doctors of Eastern Gazi Shahinul Islam, Divisional Officer, BBG Medical College & Hospital, Cabila, Cumilla

8. Central Medical College and Hospital,Cumilla

Name of Event: Celebration of World Breastfeeding Week 2018 Venue: Conference room of Central Medical College Hospital, Cumilla Type of Events: 1. Rally 2. Discussion Meeting on IYCF Number of Participants: 62 Date: Tuesday, 14 August 2018

Intern Doctors of Central Medical Speech delivered by the chief guest College & Hospital, Cumilla

Page no 114 of 124 Overall Feed Back from the eight Medical College Hospital: The intern doctors said that they all would try their best level to stop formula feeding to baby & promote breastfeeding till today. Participants highly appreciated the overall dissemination seminar and the contents of the power point presentation. They said they came to know things that will be very beneficial in their personal life also social life as well. Inter Doctor Participant’s wants training on IYCF.

Participants highly appreciated the dissemination program for every year. Partici- pants were enthusiastic during the whole session period. Every one appreciated the dissemination procedure and presentations.

D. Free Campaign on Lactation Management

Breastfeeding Foundation organized free campaign program on breastfeeding promotion during celebration of breastfeeding week 2018 to some private hospitals and public places for campaign aiming to address the following objectives.

• To encourage hospitals to celebrate WBW who are providing service for mother and child • To provide knowledge to mothers about breastfeeding • To provide knowledge to mothers about complementary feeding • To demonstrate mothers about the position & attachment of breastfeeding • To help mothers to solve breastfeeding related problem

Page no 115 of 124 List of service provided Hospitals

Sl No. Name of Hospitals Services Provided 1 Central Hospital Limited, Dhanmondhi, Dhaka 8 Patients

2 Anwar khan Modern Hospital, Dhanmondhi, Dhaka 8 Patients

3 Popular Medical College Hospital 5 Patients

4 Japan Bangladesh Friendship Hospital, Dhanmondhi, No Patients available Dhaka there 5 Marks Medical College Hospital, Mirpur, Dhaka 4 Patients

6 Labaid Specialized Hospital Limited 6 Patients

1. Central Hospital Limited, Dhanmondhi, Dhaka

Name of event: Celebreated World Breastfeeding Week 2018 Venue: Outdoor on Central Hospital Limited, Dhanmondhi, Dhaka. Type of event: Free Service provided related to Breastfeeding No. of Patients ( Lactationg/ Pregnant mother): 8 Lactating mothers were available there Date: 02/08/2018

Deliberated Knowledge about Importance of Demonstrate proper latching by Lactation Breastfeeding by Lactation Management Management Officer -Mariam Akter on BBF Assistant–Salma Akter on BBF

Page no 116 of 124 2. Anwar khan Modern Hospital, Dhanmondhi, Dhaka Name of event: Celebreated World Breastfeeding Week 2018 Venue: Outdoor on Anwar khan Modern Hospital, Dhanmondhi, Dhaka Type of event: Free Service provided related to Breastfeeding No. of Patients ( Lactationg/ Pregnant mother): 8 Lactating mothers were available there Date: 02/08/2018

LMA Officer–Sumaiya Rahman Counsel the Deliberated Knowledge about Importance of mother about how to improve milk flow and Breastfeeding by Lactation Management continuation of breastfee Assistant–Salma Akter on BBF 3. Popular Medical College Hospital, Dhanmondhi, Dhaka Name of event: Celebreated World Breastfeeding Week 2018 Venue: Conference Room on Popular Medical College Hospital, Dhanmondhi, Dhaka Type of event: Free Service provided related to Breastfeeding No. of Patients ( Lactationg/ Pregnant mother): 8 Lactating mothers were available there Date: 04/08/2018

Deliberated knowledge by Lactation LMA Officer Sumaiya Rahman deliberated MAO about proper attachment & position information about importance of BF and how to solve breastfeeding related problem and disadvantage of formula feeding.

Page no 117 of 124 4. Japan Bangladesh Friendship Hospital, Dhanmondhi, Dhaka: Name of event: Celebreated World Breastfeeding Week 2018 Venue: Conference room on Japan Bangladesh Friendship Hospital Type of event: Free Service provided related to Breastfeeding No. of Patients ( Lactationg/ Pregnant mother): No Lactating mothers were available there Date: 04/08/2018

Conference room on Japan Bangladesh Friendship Hospital, Dhanmondhi, Dhaka

5. Marks Medical College Hospital, Mirpur, Dhaka Name of event: Celebreated World Breastfeeding Week 2018 Venue: Outdoor on Marks Medical College Hospital, Mirpur, Dhaka Type of event: Free Service provided related to Breastfeeding No. of Patients ( Lactationg/ Pregnant mother): 4 pregnant mothers were available there Date: 12/08/2018

Deliberated knowledge about proper attachment Lactation Management Assistant Officer & position, importance of breastfeeding and Sumaiya Rahman provide nutritional support how to solve breastfeeding related problem during pregnancy and lactating period

Page no 118 of 124 6. Labaid Specialized Hospital, Dhanmondhi, Dhaka

Name of event: Celebreated World Breastfeeding Week 2018 Venue: Conference room on Labaid Specialized Hospital, Dhanmondhi, Dhaka Type of event: Free Service provided related to Breastfeeding No. of Patients ( Lactationg/ Pregnant mother): 6 Lactating mothers were available there Date: 16/08/2018

LMO Mariam Akter demonstrate proper Speech delivered by Sumaiya Rahman, attachment & positing the baby with LMAO about importance of Oketani breast importance of Breastfeeding massage & how this improve milk flow

E. Brief Report on Celebration of WBW’18 at the Community Clinic

Community Based Health Care (CBHC) of Bangladesh under the Directorate General of Health Services (DGHS) is the innovation of Hon’ble Prime Minister Sheikh Hasina to extend Primary Health Care to the doorsteps of rural people all over rural Bangla- desh. There are 13,600 community clinics (CCs) for every 6000 population across the country brings health, family planning and nutrition services under one roof and within half-an-hour walking distance from their homes, even in remote areas.

This is the 2nd time that WBW was observed successfully through CBHC in a focused way.

According to the work plan of WBW’18. Each community clinic was ordered to collect supplied IEC materials from respective Civil Surgeon Office. This activity was funded under OP of IPHN.

Page no 119 of 124 The following topics were discussed in the seminar: 1. According to the declaration of Honorable Prime Minister of Bangladesh, World Breastfeeding week is a national program-this is to inform people.

2. To reflect on the messages of the supplied poster and leaflet on WBW’18

3. To promote breastfeeding messages among mass people

Following community clinic observed WBW 2018. Few snapshots of the reports and photographs of the events of community clinic are given below:

1. Rangpur Division

Rally & Discussion meeting Rally & Discussion meeting

Fatema jahan (CHCP,Gannarpar) was talking about Bondona rani roy (CHCP,Chenmary)was talking importance of breastfeeding WBW2018 in CC, about importance of breastfeeding Gannarpar Gangachora,Rangpur at 5/8/18 WBW2018 in Chenmary

Page no 120 of 124 Most.Khadijatul cubra(APM,BBF)& Meidul islam (DO,BBF)were talking about the theme of WBW2018 in Chenmary CC, Gangachora,Rangpur at 2/8/18

2. Dhaka Division

Rally & Discussion Discussion Meeting

Rally started from Rampur community clinic Members in front of Community clinic

Members in front of Community clinic Members in front of Community clinic

Page no 121 of 124 4. Sylhet Division

Discussion meeting at Community Clinic Rally from Community Clinic

4. Barishal Division

Rally & Discussion meeting Rally & Discussion meeting

Page no 122 of 124 5.Sylhet Division

Rally & Nutrition Fare Rally & Nutrition Fare

Rally & Discussion Rally & Discussion

6. Khulna Division

Rally & Discussion Rally & Discussion

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