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首页> 外文期刊>Maternal & child nutrition >Scaling-up interventions to improve infant and young child feeding in India: What will it take?
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Scaling-up interventions to improve infant and young child feeding in India: What will it take?

机译：缩放干预措施，以改善印度喂养的婴儿和幼儿：需要什么？

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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.
机译：我们评估了印度愿意通过审查与政策，执行，融资和证据相关的要素来提供婴儿和幼儿饲养（IYCF）干预。我们对（a）营养政策指导和方案平台的审查分析，（b）出版的关于改善印度IYCF的文献的文献，（c）2007年至2012年之间实施的IYCF计划模型。我们发现印度政策很好与咨询干预措施的全球技术指导保持一致。但是，需要重新审视互补食品补充剂（CFS）的准则。两项国家计划与运营基础设施提供IYCF干预措施提供了巨大的规模潜力，但需要更多的运营指导，能力和监测，以积极支持可用的前线工人以规模的方式提供IYCF咨询。迄今为止许多IYCF实施努力已经尝试了改善母乳喂养和启动互补喂养的方法，而不是改善饮食多样性或食物补充剂的质量。融资目前不足以在规模上交付CFS，治理问题影响CFS的质量和覆盖范围。来自印度研究的可用证据支持使用咨询策略来改善母乳喂养行为和对互补喂养的启动，但有限的证据存在改善印度CFS的全面的IYCF实践和影响和运作方面。我们得出结论，印度能够利用现有政策和交付平台支持全方位的IYCF，但能力，融资和证据差距在规划中的关键领域可以限制尺度影响。

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