Sulaiman Zaharah, Mohamad Noraini, Ismail Tengku Alina Tengku, Johari Nazirah, Hussain Nik Hazlina Nik
School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia. Email:
School of Dental Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Asia Pac J Clin Nutr. 2016;25(3):625-30. doi: 10.6133/apjcn.092015.08.
The flood that hit Kelantan in December 2014 was the worst in Malaysian history. Women and their infants accounted for a large proportion of the people at risk who were badly affected, as almost half of the population in Kelantan was in the reproductive age group. This report serves to raise awareness that breastfeeding mothers and infants are a special population with unique needs during a disaster. Four of their concerns were identified during this massive flood: first, the negative impact of flood on infant nutritional status and their health; second, open space and lack of privacy for the mothers to breastfeed their babies comfortably at temporary shelters for flood victims; third, uncontrolled donations of infant formula, teats, and feeding bottles that are often received from many sources to promote formula feeding; and lastly, misconceptions related to breastfeeding production and quality that may be affected by the disaster. The susceptibility of women and their infant in a natural disaster enhances the benefits of promoting the breastfeeding rights of women. Women have the right to be supported which enables them to breastfeed. These can be achieved through monitoring the distribution of formula feeding, providing water, electricity and medical care for breastfeeding mothers and their infants. A multifaceted rescue mission team involving various agencies comprising of local government, including the health and nutrition departments, private or non-governmental organizations and individual volunteers have the potential to improve a satisfactory condition of women and infants affected by floods and other potential natural disasters.
2014年12月袭击吉兰丹州的洪水是马来西亚历史上最严重的一次。在受严重影响的高危人群中，妇女及其婴儿占了很大比例，因为吉兰丹州几乎一半的人口处于育龄期。本报告旨在提高人们的认识，即母乳喂养的母亲和婴儿是灾难期间有特殊需求的特殊人群。在这场大规模洪灾中，确定了她们的四个担忧：第一，洪水对婴儿营养状况及其健康的负面影响；第二，在为洪水灾民设立的临时避难所中，母亲们缺乏舒适地给婴儿喂奶的开阔空间和隐私；第三，经常从多个渠道收到的婴儿配方奶粉、奶嘴和奶瓶的无节制捐赠，这些捐赠往往是为了推广配方奶喂养；最后，与母乳喂养产量和质量有关的误解可能会受到灾难的影响。妇女及其婴儿在自然灾害中的易感性增强了促进妇女母乳喂养权利的益处。妇女有权获得支持，以便能够进行母乳喂养。这可以通过监测配方奶喂养的分发情况、为母乳喂养的母亲及其婴儿提供水、电和医疗护理来实现。一个由包括卫生和营养部门在内的地方政府、私人或非政府组织以及个体志愿者等多个机构组成的多方面救援任务团队，有潜力改善受洪水和其他潜在自然灾害影响的妇女和婴儿的状况，使其达到令人满意的程度。
