Lactational Amenorrhea Method and Breastfeeding十字路口哺乳闭经避孕方法和母乳喂养ppt课件.ppt

USAID PRH FP- MNCHN Integration MeetingFamily Planning and Nutrition SessionLactational Amenorrhea Method (LAM), Exclusive Breastfeeding and the Transition To Other Family Planning Methods  ; Why does integration of services providing infant feeding, LAM, and family planning (FP) make sense?;LAM: Efficacy established in clinical research studies ; ;LAM supports exclusive breastfeeding:Dual benefits for mother and baby;Low levels of LAM use at 3.0 to 5.9 months postpartum 2003-2007DHS analysis, ACCESS-FP;Full Breastfeeding At 3.0 To 5.9 Months Postpartum2003-2007DHS analysis, ACCESS-FP;Challenges for integration of LAM with optimal breastfeeding practices;LAM users were more likely to use contraceptives at 12 months postpartum, Jordan;Modern contraceptive use increased over postpartum (PP) period, when women received LAM and FP via integrated MNCH care, Bangladesh ;Barriers to transitioning to another FP method, Bangladesh and GuineaACCESS-FP, 2010;LAM Integration in Programs;Current Situation – Jharkhand, India and Mali LAM, EBF, and FP messages integrated into programs LAM and FP messages not well integrated (FP in Mali is encouraging) LAM not conjoined with EBF Prenatal care messages received LAM: 14% while 67% in India, 68% in Mali received EBF message FP: 18%- India, 41% - Mali Postnatal care messages received LAM: 1% - India, 17% - Mali EBF: 48% - India, 61% - Mali FP: 12%- India, 40% - Mali India: Late initiation of breastfeeding, early introduction of foods, and low exclusive breastfeeding rates present challenges for implementing LAM, where LAM use is nonexistent (1%). Mali: infant feeding practices are more favorable, LAM use is low (4.5%). Kavle, 2010, Georgetown IRH ;Program Component: ADVOCACY;Program Component: MESSAGING;Program Component: INTEGRATED SERVICES;Program Component: INTEGRATED SERVICE (cont) COMMUNITY CONTACTS;Bangladesh (HFS): Contraceptive Use Pro