Menu ENN Search

Challenges to the Programmatic Implementation of Ready to Use Infant Formula in the Post-Earthquake Response, Haiti, 2010: A Program Review

Author: Leisel E. Talley and Erin Boyd
Year: 2013
Resource type: Research

Abstract

Background and Objectives: Following the 2010 earthquake in Haiti, infant and young child feeding was identified as a priority nutrition intervention. A new approach to support breastfeeding mothers and distribute ready-to-use infant formula (RUIF) to infants unable to breastfeed was established. The objective of the evaluation was to assess the implementation of infant feeding programs using RUIF in displaced persons camps in Port-au-Prince, Haiti during the humanitarian response. Methods: A retrospective record review was conducted from April–July, 2010 to obtain data on infants receiving RUIF in 30 baby tents. A standardized data collection form was created based on data collected across baby tents and included: basic demographics, admission criteria, primary caretaker, feeding practices, and admission and follow-up anthropometrics. Main Findings: Orphans and abandoned infants were the most frequent enrollees (41%) in the program. While the program targeted these groups, it is unlikely that this is a true reflection of population demographics. Despite programmatic guidance, admission criteria were not consistently applied across programs. Thirty-four percent of infants were undernourished (weight for age Z score ,22) at the time of admission. Defaulting accounted for 50% of all program exits and there was no follow-up of these children. Low data quality was a significant barrier. Conclusions: The design, implementation and magnitude of the ‘baby tents’ using RUIF was novel in response to infant and young child feeding (IYCF) in emergencies and presented multiple challenges that should not be overlooked, including adherence to protocols and the adaption of emergency programs to existing programs. The implementation of IYCF programs should be closely monitored to ensure that they achieve the objectives set by the humanitarian community and national government. IYCF is an often overlooked component of emergency preparedness; however to improve response, generic protocols and pre-emergency training and preparedness should be established for humanitarian agencies.

Download

Challenges-to-the-Programmatic-Implementation-of-Ready-to-Use-Infant-Formula-in-the-Post-Earthquake-Response-Haiti-2010-A-Program-Review.pdf (PDF, 147kb)

More like this

FEX: Save the Children’s IYCF programme and linkages to Protection, Food Security and Livelihoods in Haiti

A breastfeeding mother who received support in the baby tent By Lucia Pantella Lucia holds a M.Sc. in Humanitarian Programme Management at the Liverpool School of Tropical...

FEX: Save the Children’s IYCF-E Rapid Response in Croatia

By Isabelle Modigell, Christine Fernandes and Megan Gayford Isabelle Modigell is the IYCF-E Adviser for the Technical Rapid Response Team (Tech RRT) at Save the Children. She...

FEX: Infant feeding support at scale in the Haiti 2010 response

Summary of published experience1 Location: Haiti What we know: Sub-optimal breastfeeding practices increase risk of infant morbidity, malnutrition and death. Emergencies...

en-net: Breastfeeding Tent Picture

I am currently working on a project to compile an advice leaflet for local charities with the aim of giving them the knowledge and understanding to better support...

FEX: Retrospective qualitative analysis of an infant and young child feeding intervention among refugees in Europe

Summary of MSc thesis By Alexandra Svoboda Alexandra Svoboda is a student on the MSc Nutrition for Global Health course at the London School of Hygiene and Tropical Medicine...

FEX: Challenges of IYCF and psychosocial support in Lebanon

By Juliette Seguin Juliette Seguin is currently Health and Nutrition Coordinator for ACF Lebanon. She has been working with ACF since 2011 in Haiti, Guinea, Bangladesh, Turkey...

en-net: Emergency Response Team Nutrition Coordinator - IRC

BACKGROUND:
The IRCs Emergency Preparedness and Response Unit (EPRU) leads and oversees IRCs global emergency preparedness and response activities. The mission of the...

en-net: Global Emergency Nutrition Coordinator - IRC

Nutrition Coordinator

Sector: Nutrition
Location: Global
Employee Type: Regular
Employee Category: Not Applicable

FEX: Management of acute malnutrition in infants less than six months in a South Sudanese refugee population in Ethiopia

By Mary T Murphy, Kassahun Abebe, Sinead O'Mahony, Hatty Barthorp & Chris Andert View this article as a pdf Lisez cet article en français ici Sinead O'Mahony is a...

en-net: Specialist in Infant & Young Child Feeding In Emergency - Ethiopia

[b]3 month consultancy with UNICEF in Ethiopia[/b]. [b]Purpose[/b]: Contribute to the reduction of children malnutrition and mortality by addressing poor infant & young child...

FEX: The Haiti Earthquake - Country and Global level Cluster Coordination Experiences and Lessons Learnt

By Carmel Dolan and Mija Ververs Carmel Dolan was Global Nutrition Cluster Coordinator-Consultant at the time of the earthquake and located from the UK to UNICEF Headquarters...

FEX: UNICEF’s perspective on cluster coordination and programme response in Haiti 2010

This postscript is a consolidated response by Nutrition cluster coordination team and UNICEF Nutrition programme staff involved in the Haiti humanitarian response, to some of...

en-net: Infant feeding and Ebola Outbreak

[i]Posted on behalf of Fabienne Rousseau, ACF[/i] I have a question related to infant feeding in the context of the Ebola outbreak in West Africa. Our teams are engaged...

FEX: Evaluation of Concern’s response to the Haiti Earthquake

By Andy Featherstone Andy Featherstone is an independent humanitarian research and policy consultant. With significant experience working for NGOs and interagency networks, he...

FEX: Contributing to the Infant and Young Child Feeding in Emergencies (IYCF-E) response in the Philippines: a local NGO perspective

By Romelei Camiling-Alfonso, Donna Isabel S. Capili, Katherine Ann V. Reyes, A.M. Francesca Tatad and Maria Asuncion Silvestre Romelei Camiling-Alfonso has worked for the...

FEX: Regional IFE workshop in Bali

Summary of meeting1 One hundred and twelve participants from 16 countries and special territories, together with regional and international representatives of United Nations...

FEX: 2011 Edition of the Sphere Handbook Humanitarian Charter and Minimum Standards in Humanitarian Response

Farmers association level consultation at Chuko, Southern Nations, Nationalities and Peoples (SNNPR) province, Ethiopia, August 2009 By Susan Thurstans, Paul Turnbull, Devrig...

FEX: Tech RRT IYCF-E/CMAM adviser: experiences from Niger, Haiti and Nigeria

By Michele Goergen View this article as a pdf Lisez cet article en français ici Michele Goergen has been an IYCF-E/CMAM adviser with the Tech RRT for one and a half...

en-net: Infant & Young Child Feeding in Emergency Consultant

The purpose of the consultancy is to follow-up and implement all the recommendations from the assessment report, with special emphasis on the rapid establishment of baby...

en-net: Prevalence of moderate malnutrition in infants

Are there any data on the prevalence of moderate malnutrition in infants and if so how do these rates compare with prevalence amongst 6-59 month cohorts? Marie jogged my...

Close

Reference this page

Leisel E. Talley and Erin Boyd (2018). Challenges to the Programmatic Implementation of Ready to Use Infant Formula in the Post-Earthquake Response, Haiti, 2010: A Program Review. www.ennonline.net/resources/infantformulapostearthquakehaiti