Baker Jean, Sanghvi Tina, Hajeebhoy Nemat, Abrha Teweldebrhan Hailu
Jean Baker, Alive & Thrive, FHI 360, 1825 Connecticut Ave., Washington, DC 20007, USA.
Food Nutr Bull. 2013 Sep;34(3 Suppl):S226-30. doi: 10.1177/15648265130343S208.
Improving and sustaining infant and young child feeding (IYCF) practices requires multiple interventions reaching diverse target groups over a sustained period of time. These interventions, together with improved maternal nutrition, are the cornerstones for realizing a lifetime of benefitsfrom investing in nutrition during the 1000 day period.
Summarize major lessons from Alive & Thrive's work to improve IYCF in three diverse settings--Bangladesh, Ethiopia, and Vietnam.
Draw lessons from reports, studies, surveys, routine monitoring, and discussions on the drivers of successful design and implementation of lYCF strategies.
Teaming up with carefully selected implementing partners with strong commitment is a critical first step. As programs move to implementation at scale, strategic systems strengthening is needed to avoid operational bottlenecks. Performance of adequate IYCF counseling takes more than training; it requires rational task allocation, substantial follow up, and recognition of frontline workers. Investing in community demand for IYCF services should be prioritized, specifically through social mobilization and relevant media for multiple audiences. Design of behavior change communication and its implementation must be flexible and responsive to shifts in society's use of media and other social changes. Private sector creative agencies and media companies are well equipped to market IYCF. Scaling up core IYCF interventions and maintaining quality are facilitated by national-level coordinating and information exchange mechanisms using evidence on quality and coverage.
It is possible to deliver quality IYCF interventions at scale, while creating new knowledge, tools, and approaches that can be adapted by others
改善并维持婴幼儿喂养（IYCF）行为需要在一段持续时间内针对不同目标群体采取多种干预措施。这些干预措施，连同改善孕产妇营养，是在1000天期间投资于营养从而实现终身受益的基石。
总结“活力与成长”（Alive & Thrive）项目在孟加拉国、埃塞俄比亚和越南这三个不同地区改善婴幼儿喂养方面工作的主要经验教训。
从报告、研究、调查、常规监测以及关于婴幼儿喂养战略成功设计与实施驱动因素的讨论中吸取经验教训。
与精心挑选且承诺坚定的实施伙伴合作是关键的第一步。随着项目扩大规模实施，需要加强战略系统以避免运营瓶颈。提供充分的婴幼儿喂养咨询服务不仅仅需要培训；还需要合理的任务分配、大量的跟进以及对一线工作人员的认可。应优先投资于社区对婴幼儿喂养服务的需求，特别是通过针对多受众的社会动员和相关媒体。行为改变沟通的设计及其实施必须灵活，并能应对社会媒体使用变化和其他社会变革。私营部门创意机构和媒体公司具备很好的条件来推广婴幼儿喂养。利用质量和覆盖范围方面的证据，通过国家级协调和信息交流机制有助于扩大核心婴幼儿喂养干预措施的规模并维持质量。
有可能大规模提供高质量的婴幼儿喂养干预措施，同时创造可被他人采用的新知识、工具和方法
