Scaling-up interventions to improve infant and young child feeding in India: What will it take?

We assessed India's readiness to deliver infant and young child feeding (IYCF) interventions by examining elements related to policy, implementation, financing, and evidence. We based our analysis on review of (a) nutrition policy guidance and program platforms, (b) published literature on intervent...

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Main Authors: Avula, Rasmi, Oddo, Vanessa M., Kadiyala, Suneetha, Menon, Purnima
Format: Journal Article
Language:Inglés
Published: John Wiley & Sons 2017
Subjects:
Online Access:https://hdl.handle.net/10568/148253
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author Avula, Rasmi
Oddo, Vanessa M.
Kadiyala, Suneetha
Menon, Purnima
author_browse Avula, Rasmi
Kadiyala, Suneetha
Menon, Purnima
Oddo, Vanessa M.
author_facet Avula, Rasmi
Oddo, Vanessa M.
Kadiyala, Suneetha
Menon, Purnima
author_sort Avula, Rasmi
collection Repository of Agricultural Research Outputs (CGSpace)
description We assessed India's readiness to deliver infant and young child feeding (IYCF) interventions by examining elements related to policy, implementation, financing, and evidence. We based our analysis on review of (a) nutrition policy guidance and program platforms, (b) published literature on interventions to improve IYCF in India, and (c) IYCF program models implemented between 2007 and 2012. We find that Indian policies are well aligned with global technical guidance on counselling interventions. However, guidelines for complementary food supplements (CFS) need to be reexamined. Two national programs with the operational infrastructure to deliver IYCF interventions offer great potential for scale, but more operational guidance, capacity, and monitoring are needed to actively support delivery of IYCF counselling at scale by available frontline workers. Many IYCF implementation efforts to date have experimented with approaches to improve breastfeeding and initiation of complementary feeding but not with improving diet diversity or the quality of food supplements. Financing is currently inadequate to deliver CFS at scale, and governance issues affect the quality and reach of CFS. Available evidence from Indian studies supports the use of counselling strategies to improve breastfeeding practices and initiation of complementary feeding, but limited evidence exists on improving full spectrum of IYCF practices and the impact and operational aspects of CFS in India. We conclude that India is well positioned to support the full spectrum of IYCF using existing policies and delivery platforms, but capacity, financing, and evidence gaps on critical areas of programming can limit impact at scale.
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spelling CGSpace1482532024-10-25T07:55:48Z Scaling-up interventions to improve infant and young child feeding in India: What will it take? Avula, Rasmi Oddo, Vanessa M. Kadiyala, Suneetha Menon, Purnima food supplements child nutrition nutrition policies complementary foods evaluation nutrition education infant feeding child feeding We assessed India's readiness to deliver infant and young child feeding (IYCF) interventions by examining elements related to policy, implementation, financing, and evidence. We based our analysis on review of (a) nutrition policy guidance and program platforms, (b) published literature on interventions to improve IYCF in India, and (c) IYCF program models implemented between 2007 and 2012. We find that Indian policies are well aligned with global technical guidance on counselling interventions. However, guidelines for complementary food supplements (CFS) need to be reexamined. Two national programs with the operational infrastructure to deliver IYCF interventions offer great potential for scale, but more operational guidance, capacity, and monitoring are needed to actively support delivery of IYCF counselling at scale by available frontline workers. Many IYCF implementation efforts to date have experimented with approaches to improve breastfeeding and initiation of complementary feeding but not with improving diet diversity or the quality of food supplements. Financing is currently inadequate to deliver CFS at scale, and governance issues affect the quality and reach of CFS. Available evidence from Indian studies supports the use of counselling strategies to improve breastfeeding practices and initiation of complementary feeding, but limited evidence exists on improving full spectrum of IYCF practices and the impact and operational aspects of CFS in India. We conclude that India is well positioned to support the full spectrum of IYCF using existing policies and delivery platforms, but capacity, financing, and evidence gaps on critical areas of programming can limit impact at scale. 2017 2024-06-21T09:24:11Z 2024-06-21T09:24:11Z Journal Article https://hdl.handle.net/10568/148253 en John Wiley & Sons Avula, Rasmi; Oddo, Vanessa M.; Kadiyala, Suneetha; and Menon, Purnima. 2017. Scaling-up interventions to improve infant and young child feeding in India: What will it take? Maternal and Child Nutrition 13(S2): e12414. https://doi.org/10.1111/mcn.12414
spellingShingle food supplements
child nutrition
nutrition policies
complementary foods
evaluation
nutrition education
infant feeding
child feeding
Avula, Rasmi
Oddo, Vanessa M.
Kadiyala, Suneetha
Menon, Purnima
Scaling-up interventions to improve infant and young child feeding in India: What will it take?
title Scaling-up interventions to improve infant and young child feeding in India: What will it take?
title_full Scaling-up interventions to improve infant and young child feeding in India: What will it take?
title_fullStr Scaling-up interventions to improve infant and young child feeding in India: What will it take?
title_full_unstemmed Scaling-up interventions to improve infant and young child feeding in India: What will it take?
title_short Scaling-up interventions to improve infant and young child feeding in India: What will it take?
title_sort scaling up interventions to improve infant and young child feeding in india what will it take
topic food supplements
child nutrition
nutrition policies
complementary foods
evaluation
nutrition education
infant feeding
child feeding
url https://hdl.handle.net/10568/148253
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