Protecting and improving breastfeeding practices during a major emergency: lessons learnt from the baby tents in Haiti
Protecting and improving breastfeeding practices during a major emergency: lessons learnt from the baby tents in Haiti
复制标题
DOI：
10.2471/blt.12.113936
复制
发表时间：
2013-08-01
影响因子：
11.1
通讯作者：
Marhone, Joseline Pierre
中科院分区：
文献类型：
--
作者：
Ayoya, Mohamed Ag;Golden, Kate;Marhone, Joseline Pierre
2010年海地地震造成约150万人流离失所，其中许多人被安置在境内流离失所者营地。预计中断母乳喂养将导致婴儿发病率、营养不良和死亡率的增加。海地卫生部和联合国儿童基金会与当地和国际非政府组织合作，在受地震影响的地区建立了婴儿帐篷。这些帐篷为母亲母乳喂养和非母乳喂养的婴儿提供了一个安全的地方，让他们可以获得即食婴儿配方奶粉。在紧急情况下，如此大规模和协调的婴儿帐篷应急措施在世界任何地方都是从未有过的。当地设置的婴儿帐篷在五个城市设立，但主要是在太子港，海地1 555个流离失所者营地中的大多数都建立在那里。2010年2月至6月，设立了193个婴儿帐篷；婴儿帐篷方案登记了180499对母婴和52503名孕妇。据报道，在6个月以下的婴儿中，70%是纯母乳喂养，10%的“混合喂养者”在登记时转向纯母乳喂养。2010年，13.5%的登记婴儿不能母乳喂养。这些婴儿接受了现成的婴儿配方奶粉。由于项目的迅速扩大，授课人数增加，母乳喂养实践仍然没有中断。然而，需要就婴儿帐篷的实施和监测提供更好的评价方法和全面指导，以应对未来的紧急情况，同时还需要制定一项将婴儿帐篷活动转变为设施和社区方案的明确战略。
Problem The 2010 earthquake in Haiti displaced about 1.5 million people, many of them into camps for internally displaced persons. It was expected that disruption of breastfeeding practices would lead to increased infant morbidity, malnutrition and mortality.Approach Haiti's health ministry and the United Nations Children's Fund, in collaboration with local and international nongovernmental organizations, established baby tents in the areas affected by the earthquake. The tents provided a safe place for mothers to breastfeed and for non-breastfed infants to receive ready-to-use infant formula. Such a large and coordinated baby tent response in an emergency context had never been mounted before anywhere in the world.Local setting Baby tents were set up in five cities but mainly in Port-au-Prince, where the majority of Haiti's 1555 camps for displaced persons had been established.Relevant changes Between February 2010 and June 2012, 193 baby tents were set up; 180499 mother infant pairs and 52 503 pregnant women were registered in the baby tent programme. Of infants younger than 6 months, 70% were reported to be exclusively breastfed and 10% of the "mixed feeders" moved to exclusive breastfeeding while enrolled. In 2010, 13.5% of registered infants could not be breastfed. These infants received ready-to-use infant formula.Lessons learnt Thanks to rapid programme scale-up, breastfeeding practices remained undisrupted. However, better evaluation methods and comprehensive guidance on the implementation and monitoring of baby tents are needed for future emergencies, along with a clear strategy for transitioning baby tent activities into facility and community programmes.