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WBW
2009 Virtual Breastfeeding Shield Event Pledge
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The
World Breastfeeding Week (WBW) is the greatest outreach vehicle
for the breastfeeding movement, being celebrated in over 120
countries. Officially it is celebrated from 1-7 August. However,
groups may choose other dates to make it a more successful event
in their countries.
Sharing your wonderful work will show linkage and solidarity
with the global WBW campaign. Send your reports, materials you
have produced, photos and we will create a webpage for you which
you can use to further promote your WBW activities to wbw@waba.org.my
SPONSORSHIP:
We do not accept sponsorship of any kind from companies producing
breastmilk substitutes, related equipment and complementary
foods. We encourage all participants of World Breastfeeding
Week to respect and follow this ethical stance.
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World
Breastfeeding Week 2009 • 1-7 August 2009
WBW
around the World
World
Breastfeeding Week - IYCF GLOBAL STRATEGY IN CAMEROON
By
James Achanyi-Fontem, IBFAN Cameroon Link Group Focal Point
A
wide range of resource persons contribute ideas, experiences, technical,
material and financial in puts for the success of activities and achievement
of IYCF Global Goals. It is for this reason that Cameroon Link action
plan touches on varied issues as activities unfold with new strategies
applied for greater population out reach each year.
Breastfeeding
Mothers during
Infant Feeding Counselling in Bonaberi-Douala.
The
main areas covered include: Breastfeeding protection, promotion and
support, Training on the International Code and Monitoring with emphasis
on the application of the Cameroon Code regulations, Advocacy campaign
for maternal and child protection with involvement of men and youth,
Training on breastfeeding counselling for BFHI and BFCI promotion, Animation
of Youth for Breastfeeding Promotion Clubs in colleges, Mapping out
of Men's Initiative Groups, Gender and HIV campaign for mainstreaming
of activity, translation of World Breastfeeding Week materials into
Cameroon local languages for use in community radio stations; capacity
development with participation in WABA and IBFAN policy in relation
to decision making process. Thanks and gratitude go to WABA, IBFAN Africa,
Cameroon Ministry of Public Health, UNICEF and Commonwealth Professional
Awards Commission that have been instrumental in giving Cameroon Link
a lift in support in various ways.
MAJOR
ACHIEVEMENTS IN 2008
- Populations
of the pilot Health Districts in all regions of Cameroon turned out
in great numbers to show their concern about the promotion of infant
and young child feeding and advocacy for maternal protection during
the World Breastfeeding Week.
- Experimentation
of new IEC and Social Mobilisation strategies through breastfeeding
promotion exhibitions were a great success during mass events. Materials
from WABA and IBFAN Africa were distributed for out reach activities
by community health workers.
- Training
on information strategies and community education for mother support
in enterprises was triggered in Cameroon with directors of enterprises
showing concern. The MTN telecommunication economic operator sent
out the World Breastfeeding Week theme received from WABA to all their
2.000.000 business subscribers.

- Networking
with national and international organisations involved in the same
fields with similar activities was reinforced. The membership of the
Federation of Cameroon Breastfeeding Promotion Association, FECABPA,
expanded with partnership.
- Cameroon
Link was honour by two major news making events:
1. The national coordinator was appointment to lead the WABA Men's
Initiative as International Coordinator and was trained in Penang.
2. Cameroon Link was awarded the 2008 WABA WBW Marathon Competition
Gold Medal with a certificate.
- The
policy orientation training at WABA Secretariat in Penang led to the
creation of the information blog and YouTube sites that are accessed
by clicking on http://cameroonlink.blogspot.com
and http://uk.youtube.com/camlink99
- Cameroon
Link's partnership with the Fine Forest Foundation UK created the
opportunity for the Commonwealth Professional Fellowship Commission
to award three persons with in-house training at the Sickle Cell Society
London, UK on programmes management, Practical Quality Assurance for
Small Size Organisation (PQASSO) and fundraising strategies.
WORLD
BREASTFEEDING WEEK, OPTIMAL IYFC AND PMTCT
The
following results were achieved:
-
The personnel of public and private health facilities in Cameroon
were sensitized on the protection, promotion and support missions
of WABA and IBFAN for starting BFHI in the hospitals and maternities
for extending to BFCI within the communities with the involvement
of community health workers and support groups;
- Mothers,
fathers and the communities were sensitized on the place of breastfeeding
for the survival of the child;
- Mothers
and the community were sensitized on the importance of putting to
the breast the baby within the 1st hour that follows delivery and
the practice of exclusive breastfeeding within the first 6 months
for the survival of the child, and complimentary feeding thereafter
with continued breastfeeding up to 24 months and beyond within the
context of BFHI and BFCI promotion.
- The
personnel of health facilities are sensitized on the implementation
of the Baby Friendly Hospital Initiative (BFHI) as strategy for promotion,
protection and support of exclusive breastfeeding for the first six
months and thereafter with complimentary supplements.
-
Media advocacy was organized through conferences, radio and television
programmes and newspaper publications for greater awareness and out
reach of the populations. CD-ROMs and specialized programmes were
produced for social mobilisation campaigns and animation of programmes
on community radio stations in the local languages.
- Men
and Youths were involved through the Men's Working Group activities
in Cameroon for gender mainstreaming, the protection, promotion and
support of exclusive breastfeeding for the first six months within
the IBFAN Africa Maternity Protection Seedgrant 2008.
- The
dispositions of the decree N° 2005/51 68/PM of 1st December 2005
in booklet format regulating the marketing of substitutes of breast
milk in Cameroon was distributed to the personnel of health facilities,
manufacturers and distributors of infant formulae and complementary
food products.
- An
analysis of the Cameroon Code led to a request for updating its content
to include sanctions, through the issuing of the text of application
of the national code in Cameroon.
- A
national exhibition was organized during the mass launching event
of celebrations of the World Breastfeeding Week by at the Hospital
in Essos-Yaoundé. This activity served as opportunity for IBFAN
Cameroon Link Group exposure.
- The
National Social Insurance Fund (CNPS) General Hospital of Essos-Yaoundé
was focal point of the activities of the World Breastfeeding Week
in Cameroon due to the fact that it serves working mothers and women
most for maternity protection purposes through weekly counselling.
- The
Cameroon Link leadership of the Federation of Cameroon Breastfeeding
Promotion Associations, FECABPA, led to closer contacts and negotiation
of partnership with the government for the promotion of infant and
young child feeding through its legal framework document issued in
Yaoundé on the 10th December 2007.
RECOMMENDATIONS
- Members
of the Federation of Cameroon Breastfeeding Promotion Association,
FECABPA, recommend that administrative authorities, municipal and
traditional leaders get more involved in future plans of action consistently.
As decision makers, they can accelerate behaviour change in the communities
and give more colours to the events.
- FECABPA
suggests that sponsors not in the formulae production and distribution
chains should henceforth be associated in the organisation of breastfeeding
promotion events. Examples of such sponsors are in the telecommunication
business sector like ORANGE, MTN, CAMTEL, and PMUC.
- FECABPA
recommends that the government through the ministry of public health
should allocate more funding and technical means to support efforts
of NGOs and associations involved in the protection promotion and
support of breastfeeding.
- FECABPA
recommends that the official launching of the WBW 2009 be organized
out of the capital city of Yaoundé , so that other regions
can also benefit from the side effects of the one week long event
that pulls large populations and decision makers together.
- FECABPA
recommends that more regular training should be planned for recycling
actors at the national and regional levels on breastfeeding promotion
and protection up dates for the achievement of at least one BFHI Certification
by UNICEF in Cameroon and to increase the percentage of exclusive
breastfeeding from 24% to 30%.
- FECABPA
finally recommends that the government should urgently put in place
a National Code Monitoring Committee that would suggest punitive measures
including business closure, suspension of license or financial penalty
for damages caused due to illegal market competition by any company
violators of the existing national code. Sanctions should be included
in the existing Cameroon National Code to strengthen the articles
and encourage effective monitoring strategies that would enforce its
application at all levels.
Cameroon
Men's Support Initiative Snapshot
By James Achanyi-Fontem, Cameroon Link
Generally
in Cameroon, fathers are breadwinners and mother takes care of children
and household. This is in approximately 70% of the cases. It is only
recently that some house wives are beginning to accept to work like
their husbands. Gender equity promotion is getting women to understand
that they do not have to be too dependent on the man, though Cameroon
is ranked number 103 out of the 115 countries in the Global Gender Gap
Report 2006.
Aloysuis
joins first-time Fathes' Club.
Men
and women need to be well educated on gender issues, especially in the
reproductive rights sector for more harmonious families and communities.
Parental commitments are not a big issue. As concerns parental education
around the birth of a child, only mothers are well educated and prepared
during the pre-natal consultation and counseling sessions. This is done
in the Mother & Child Care Centres in public and private hospitals.
Counselling opportunities are not offered the fathers on regular basis.
The number of teen mothers is growing, because girls see pride in early
parenthood. The practice of early marriages (12-16 years of age) is
rampant in Cameroon.
Men's
support groups that focus on parenthood have existed for a long time.
The groups main issue is finance/economy. As concerns counseling or
other support in connection with divorce, separation, visitation and
family violence, this is the duty of the social welfare centres often
attached either to the divisional offices or public security department
for handling of violence. The divisional office social welfare services
handle mother and child welfare issues. Poverty is often the cause of
family conflicts and violence, and infants fall victim of this circumstance.
Father-friendly
hospital initiative is new and not well developed because there are
not enough counselors in the social welfare centers. Most of the counselors
are women, who often lack the capacity to convince the men when it comes
to behaviour change communication issues. This may also be because there
are more serious issues to tackle in the hospitals affecting children
between 0 to 5 years.
About
companies and parental leave, the labour code is respected and parents
are allowed parental leave by companies, though this is very short and
only three days for the men. On the other hand, mothers are accorded
breastfeeding hours in the morning and afternoon.
From what has been said above, we suggest the following:
- Gender
mainstreaming in supportive activities would help change attitudes
and behaviour regarding Infant and Young Child Feeding.
- Leaders
of father support groups should be trained on a number of issues including
major obstacles to breastfeeding and strategies to overcome them (as
the Father Support Micro-credit Initiative).
- Father
Friendly Hospital Initiative should be started in Cameroon hospitals
and health facilities.
- Fathers'
roles should be included in the BFHI and Community Baby Friendly Initiative
protocols to encourage pre-natal and post-partum counseling.
- Fathers
should be as educated as mothers concerning breastfeeding.
- Fathers
should advocate strongly against actions that discourage breastfeeding.
- Co-workers
and employers should be educated on the need for paid paternity leave
and flexible work hours for fathers to concentrate on the support
of the mothers after delivery.
- Men
should take the challenge to organize counseling sessions for the
prevention of breast ironing of their daughters.
- In
Cameroon's patriarchal communities, culture rules that the man supports
the family and be served by the woman. This needs to be corrected.
Breastfeeding would only be fully supported when Cameroon communities
understand that breastfeeding is a shared responsibility wherein all
men's moral support and congenial ambiance is necessary. Having a
baby is a joint decision. So, the responsibility of taking care of
children should also be a joint responsibility. Much more has to be
done in this area.
Profile
of Active FECABPA Affiliates
UFAPROD
- Mfou
UFAPROD-M
is a Women's Community Based Organisation in the rural area of Mfou,
some 100 kms from Yaoundé, national capital city of Cameroon.
It was created in 2003 and accredited by the ministry of public health
in 2006 with a letter of collaboration with special area of intervention
being the promotion of infant and young child feeding.
Lucie
& Bertrand sharing family task.
Since
2006, UFAPROD-M has participated in all meetings organized at the ministry
of public health for the promotion of breastfeeding and taken part during
the World Breastfeeding Weeks. The organization collaborates with the
Health District of Mfou in planning activities for all the different
mother support groups in Mfou town and its rural surrounding villages.
Others partners of UFAPROD Mfou are authorities of the social welfare
services and local associations that group women within village micro-credit
unions. Members of these unions meet on weekly basis to save their weekly
earned revenues, while other women borrow to expand their income generating
activities.
Every
member of UFAPROD has a farm with three or four seasonal subsistence
and cash crops. During harvest periods, the crops are deposited at the
UFAPROD cooperative at Mfou, where suppliers from Yaoundé City
go and collect after buying at reasonable prices. The whole idea of
selling through the cooperative is to guarantee price stability in other
to avoid any losses by the women. This has created equal opportunities
for all women of Mfou, who are now less dependent on their partners.
On
the other hand, it is the men who supply the women with farming tools
as contribution. Money earned from the farming activities is managed
by the women themselves as a means of empowering them and making them
less dependent on men.
The
administrative authorities, Mfou Rural Council and élite accord
substantial aid to the women. The women's group in 2007 benefit from
a ministry of public health subvention equivalent to US $ 5000.00 for
the expansion of their activities and sensitization of mother support
groups for the protection and promotion of breastfeeding.
The
Kingdom of Saudi Arabia Embassy accorded the organisation some material
assistance, which was distributed to mothers at the Mfou Women's Prison.
UFAPROD organizes collection of dresses for children born in prison
every six months, when sensitization activities are planned within the
prisons setting.
With
the introduction of the men's working group into FECABPA action plan,
UFAPROD Mfou has started contacts with the traditional village leaders
to associate men in their weekly discussions. Due to the time table
of the men's activities, meetings are organized twice a month at the
palaces of the traditional leaders on how men can support their partners
in various ways.
ASSF
NGWELE
Association
de Solidarité de Santé des Femmes, ASSF, of Ngwélé-Bonabéri
is a women's counselling and child care organisation created in 2005
after capacity building and gender empowerment training at the Cameroon
Link Documentation Centre. The executive bureau of ASSF was put in place
by the women themselves through democratic elections. The women undertake
activities for mother support and advocacy for the promotion of breastfeeding.
Members of the association meet every first Friday of the month from
2 p.m to 6 p.m to learn an income generating trade from a member within
the frame work of exchange learning and practical training.
One
of the members is chosen to volunteer as facilitator one each occasion
and it is all the women who share the responsibility of bringing the
necessary materials for the practical session through small donations.
Generally a small budget is fixed for the materials and the amount is
shared amongst the women equally before collection day. Before the day
of the meeting, the social secretary goes from door-to-door to remind
the mothers of the time of the trade practical session and the subject
that would be treated and discussed, so that everyone arrives prepared.
COGESID
Bonamikano & Mambanda
COGESID
Bonamikano and COGESID Mambanda are the very first Women Gender Councils
put in place in 2003 through the health development initiative of Cameroon
Link with the technical support of the Canadian Cooperation in Cameroon.
The idea was as a result of a sponsorship announcement by the Canadian
Fund for the Promotion of Gender and Development in Cameroon by the
Canadian International Development Agency.
First-time
mothers during CamLink counselling session in Douala.
As
the name of the organisation "COGESID" stands for " Comité
de Genre, SIDA et Développement. " The women's capacity
building training was organized jointly by Cameroon Link and Consultants
of the MASHAV International Cooperation Centre in Haifa, Israel on the
invitation of the Embassy of Israel in Yaounde. During the course, women
were taught how to operate as a team in collaboration with their partners.
They were educated on what gender is and what it is not. The women were
taught strategies for preventing themselves against HIV/AIDS and how
to become less dependent on men financially. There are currently eight
women gender councils in operating with the technical support of Cameroon
Link in Bonabéri-Douala. These groups are located Bonamikano,
Mambanda, Djébalé, Bonassama-Beseke and Nkoumba, Sodiko,
Ngwélé, and Grand Hangar health areas.
Cameroon
Link emphasis is on getting the women learn a trade through micro-enterprise
creation and management. The training programme runs through a period
of nine months with short theoretical and practical thematic courses
grouping some 20 to 30 women. Each villages or health area selects 20
women and 10 men for the training, which was spread over a period of
nine months covering issues related to gender promotion, HIV/AIDS prevention,
Infant and Young Child Feeding, Mother and Child Protection and the
organization and management of micro-enterprise. The training is interactive
with practical field learning exercises.
Each
group is guided on how to develop group constitution and internal regulations
before election of its leaders. Cameroon Link also facilitates the legalization
process for the groups after elections are conducted for validation
by authorities of the public administration and public health.
The
idea behind the programme is to get the women learn how to organize
themselves, plan their activities, execute them, monitor activities
and evaluate the different phases themselves. In short, the women are
led to the level of community project ownership.
Some
COGESID groups opted to create women's counselling and child care centre
after the legalization phase, while other got involved in micro-credit
enterprise initiative. These centres operates on daily basis with a
team of six women and three men to support them. Some of the women's
groups received their implantation seedgrants from the National AIDS
Control Committee within the prevention of mother-to-child transmission
of HIV project.
Cameroon
Link continues to support the groups technically and organizes short
refresher training for the groups on demand. COGESID has participated
in all World Breastfeeding Week campaigns since their birth. Members
make annual contributions for some funding raising activities at its
centre. The populations of Bonamikano and Mambanda are attracted to
the centres by the health up dates given on weekly basis during counseling
sessions. Difficult situation are referred to the Health District Hospitals.
CLLS
Mambanda
Comité
Local de Lutte contre le SIDA, CLLS, of Mambanda is the very first local
intiative for HIV/AIDS prevention put in place by Cameroon Link in Bonabéri-Douala
with the technical support of the Cameroon National AIDS Control Committee
in 2001. Five of such groups were created in that same year in Sodiko,
Grand Hangar, Quartier Bilingue, Nkomba and Mambanda. CLLS Mambanda
has 50 members who are regularly involved in community health social
mobilization and sensitization for HIV prevention.
The
groups participate in World Breastfeeding Week activities in their health
areas within the prevention of mother-to-child transmission of HIV and
the promotion of behaviour change communication activities. CLLS Mambanda
receives senstization materials through Cameroon Link's Documentation
Centre in Grand Hangar-Bonabéri. Mambanda is the most thickly
populated health area in Bonabéri with over 25.000 inhabitants.
Cameroon
Link WBW Plan of Action (1st - 7th August 2009)
Date |
Activity |
Venue |
Persons
Involved |
Measurable
Indicator |
1st
August |
- Participation
during official National Launching Mass Event
- Organization
of Exhibition by IYCF Promotion NGOs
- Media
Advocacy Action and involvement of Legislators and decision
makers for Code Improvement
|
Venue
to be announced by Ministry of Public |
Health
S.E. Minister of Public Health
Diplomatic
Representatives
MOH
Top level staff
Infant
& Young Child Feeding Networking NGO leaders (FECABPA)
|
Over 5.000 persons out reach with several lactating mothers, expectant
mothers and fathers' support groups involved |
2nd
August |
- Media
campaign on the importance and relevance of WBW 2009 Theme ;
- Revisit
of the decree N° 2005/5158/PM of 01/12/2005 on the marketing
of substitutes of Breast milk and advocacy for text of application.
-
Distribution of sensitization materials, CD-ROMs to media houses
for specialized programmes in local languages.
- Distribution
of translated materials in local languages (Pidgin and Douala)
to community radio stations. CRTV Yaoundé
|
CRTV
Douala
Canal
2 Tv
Community
Radio Stations (Radio Véritas, City Ocean Radio, FM Suelaba,
Radio des Laureats, Sweet FM, Lebialem FM, etc.
Newspaper
Houses
|
Cameroon
Link HQ
Fathers and Mothers' Support Groups
Cameroon Link Staff
FECABPA
Network Members
Journalists
Programme
Producers & Editors
Radio
Broadcasters & Tv Presenters
Community
Health Workers
Breastfeeding
Counsellors
|
- Wide
coverage of event with organisation of specialized radio/Tv
programmes
-
More articles are published in news papers
-
Community Radio Stations organize out reach live shows in local
languages
-
Nutrition NGOs exploit WABA WBW Folders for educative talks.
|
3rd
August |
Social mobilization & advocacy for fathers' and mothers' support
|
Community
Health Centres used as focal point foe action with involvement of
nurses /midwives |
FECABPA
Cameroon Link Group
Expectant mothers, Breastfeeding Working Mothers
Fathers and Youths in Douala |
-
Mass participation of pregnant and lactating mothers
-
Employers involved
|
4th
August |
Organisation
of educative talks for mothers' support groups on breastfeeding
in the context of HIV/AIDS (WHO/UNICEF Up Dated Recommendations).
Counselling of lactating mothers |
Bonassama
Health District - (Grand Hangar, Ngwélé, Sodiko, Bonamikano)
|
Cameroon
Link Group
Fathers' Support Groups
Mothers' Support Groups
Youths' Support Groups |
-
Films on past wbw celebration projects.
-
Health area focal points expand Men's Involvement.
|
5th
August |
Counselling
of Men and Youths on the type of support that breastfeeding mothers
merit from fathers and youths at the time of emergency |
Cameroon
Link
Documentation Centre - Bonabéri |
Community
Health Workers
Father Support Groups
Youth Support Groups |
More
than 200 persons counselled on infant and young child feeding in
emergencies. |
6th
August |
Organization
of Open Door Exhibition and Community Education on risks due to
the use of the artificial feeding. Organisation of quiz and distribution
of wbw materials |
Cameroon
Link Documentation Centre - Bonabéri " General public
and community health workers |
Expectant
Mothers
Fathers
& Youths
|
100
persons counselled 5000 persons reached through materials distributed
and live quiz show |
7th
August |
Conference
on the International Code and organisation of monitoring in super
markets and health facilities of Cameroon by FECABPA members as
part of open day activities. |
Super
Markets in Douala and Yaounde
Grand Hangar-Bonabéri - (Douala City) |
Members
of FECABPA resident in Douala and Yaoundé |
Code
violations identified and reported to the Ministry of Public Health
and the International Code Monitoring Documentation Centre. |
Materials
received from the World Alliance for Breastfeeding Action (WABA) are
translated for use by community health workers and the local radio stations
for out reach
Resources
Persons
James
Achanyi-Fontem, Coordinator - WABA MWG
Dr. Mbunya Nkondem Simon, District Health Chief - Bonassama
Samuel Mibe, Focal Point of Reproductive Health (Regional Delegation
for Health in Douala)
Mrs. Yvonne Bekeny, Development & Cooperation Consultant (Cameroon
Link)
Mrs. Priscille Mouto, President of Women Gender Council - COGESID Bonamikano
Ms. Lilian Nkenganyi, Cameroon Link Code Monitor
Regina Atemafac, Midwife - CS Nkomba
Cyprian Agbor, Cameroon Link Code Monitor
|