28/01/2021
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: ASC,My names are Maryan Abdi, a Nurse by Profession and an IYCF Counsellor with SORRDO under UNICEF Supported Nutrition Program in the District of Wardhigley, Banadir Region.
: What do you do exactly as an IYCF Counsellor?
: Being an IYCF Counsellor it gives me a privilege to work and pass my knowledge to mothers especially pregnant and Lactating mothers when it comes to Optimal Infant and Young Child feeding Practices.
: What do you mean by Optimal infant and young Child feeding practices?
: Optimal infant and Young Child feeding practices are many among them are ; Early initiation of breastfeeding within one hour of birth and exclusive breastfeeding for the first six months of life, and beyond six months, timely and age-appropriate (in terms of quality and quantity) complementary feeding of children, with continued breastfeeding up to two years of age. This practice remains very critical to child care, nutrition and development.
: What are the challenges facing IYCF Practices in Somalia?
: In Somalia despite adequate Infant and Young Child Feeding practices being crucial for the growth and development of Children, only very few percentage of infants below six months are exclusively breastfed and at the same time very few percentage of mothers breastfeed their infants upto 12 months and it is hardly seen for a mother continuing to breastfeed her child upto 24 months.
: Again in your practice what are the reasons as to why mothers are not doing adequate breastfeeding?
: Mothers in Somalia faces myriads of problem. They carry many responsibility with them; carrying pregnancy, giving birth, caring for their children, fending for them etc.
Having said that some of the reasons from mothers I interacted with are; inadequate knowledge, myths that exist in the community, vigorous advertising of infant formulas and Lack of families support and encourage mothers to breastfeed their infants and ensure the well-being of mothers themselves
: As an IYCF Counsellor what are you doing to change the issues you raised that are hindering adequate breastfeeding?.
: As an IYCF Counsellor am trying to give guidiance and practical help to mothers on IYCF practices.
: Any work-related experience you can share with us?
: In my practice as an IYCF Counsellor I was able to correct many myths related to breastfeeding and also helped many mothers with Infant Young Child Feeding practices through practical teaching and guidiance.
I can remember a mother came to our Ambulatorio facility for delivery and it was her first birth. She was escorted by her mother to the facility. After she delivered we started to do skin contact and early initiation of breastfeeding for her child. Immediately the Mother who escorted the lady got hold of my hand and said” give the child this sugar water, the lady just gave birth and she has no Milk” she said.
I just laughed and told her” but the breast is full of Dambar( Colostrum in English” and she replied by saying “don’t feed the child on that first Milk. Is not good for the child”
From there I realised I have to educate the mother who gave birth and the one who accompanied her on the importance of colostrun and its importnace to the child interms of essential nutrients and immunity. I also counselled them on Exclusive Breastfeeding Feeding, feeding on demand, dangers of artificial milk, how to position and do proper attachement of baby to the breast etc.
Upto now the mother comes to our clinic for immunization and regular IYCF counselling and her child is doing well.
There are also other myths like a mother with small breast can satisfy her child and she should do mix feeding and I was able to talk to them and tell them that breast size doesn’t matter, any mother can produce what can satisfy her child
There are other beliefs that since Mogadishu weather is hot infants less than six months can not survive with water ontop of breast-milk and we are able to convince mothers that breast-milk contain contains enough water that can satisfy the child thirrst and that the infant don’t require any other food or drinlks except breast-Milk.
: Now that WBW is approaching us what is your message to the mothers and other people out there?
Maryan: My message Is this” In our glorious Quran ALLAH tells us in Surah Baqarah Vs 233” And mothers[should] breastfeed their children for a total of two years”
To the mothers out there” Adequate infant and young child nutrition (IYCN) practices are crucial for the growth and development of children. These, include early initiation of breastfeeding and exclusive breastfeeding for the first six months of life, To the fathers and families of breastfeeding mothers out there” Provide families support and encouragement to mothers breastfeeding their infants and ensure their well-being
To the general Public” Let us protect, Promote and support breastfeeding and inturn our children will be protected against Morbidity and Mortality”
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