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Page
11 Липень 2022
Busted: 14 myths about breastfeeding
https://www.unicef.org/eca/node/4011/busted-14-myths-about-breastfeeding
1. Myth? Breastfeeding is easy. Babies are born with the reflex to look for their mother’s breast. However, many mothers need practical support with positioning their baby for breastfeeding and making sure their baby is correctly attached to the breast. Breastfeeding takes time and practice for both mothers and babies. Breastfeeding is also time intensive, so mothers need space and support at home and work.   2. Myth? It’s usual for breastfeeding to hurt – sore nipples are inevitable. Many mothers experience discomfort in the first few days after birth when they are learning to breastfeed. But with the right support with positioning their baby for breastfeeding and making sure their baby is correctly attached to the breast, sore nipples can be avoided. If a mother faces breastfeeding challenges like sore nipples, support from a lactation consultant or other skilled professional can help them overcome the issue.   3. Myth? You should wash your nipples before breastfeeding. Washing your nipples before breastfeeding isn’t necessary. When babies are born, they are already very familiar with their own mother’s smells and sounds. The nipples produce a substance that the baby smells and has ‘good bacteria’ that helps to build babies’ own healthy immune system for life. Мать кормит грудью своего ребенка в Центре семейной медицины № 1 города Ош, Кыргизстан. Did you know? Breastfeeding protects your baby from ear infections, diarrhoea, pneumonia and other childhood diseases. 4. Myth? You should separate a newborn and mother to let the mother rest.  Doctors, nurses and midwives often encourage the practice of ‘skin-to-skin’ – also known as kangaroo mother care – immediately after birth. Bringing your baby in direct contact, so their skin is against yours, is a very important practice that helps them to find and attach to the breast. If you can practice this within one hour after birth and then frequently after, it helps to establish breastfeeding. If the mother cannot do this, then the partner or another family member can step in.   5. Myth? You should only eat plain food while breastfeeding. Like everybody else, breastfeeding mothers need to eat a balanced diet. In general, there is no need to change food habits. Babies are exposed to their mothers’ food preferences from the time they are in the womb. If a mother perceives that her baby reacts to a specific food she eats, it is best to consult a specialist.    6. Myth? Exercise will affect the taste of your milk. Exercise is healthy, also for breastfeeding mothers. There is no evidence that it affects the taste of your milk.    7. Myth? You won’t be able to breastfeed unless you do it straight away. It is easier to get breastfeeding started if you begin in the first hour after birth because a baby’s reflexes are very strong at that time. They are ready to learn to feed at the breast. If you do not latch your baby on right after birth, do it as soon as possible in your situation. If you need help putting your baby to the breast, ask for support from a qualified lactation consultant or other skilled professional. Frequent skin-to-skin contact and putting your baby to the breast will help to get breastfeeding going. Did you know? Breastfeeding protects the mother from diabetes, breast and ovarian cancers, heart disease and postpartum depression. Мать кормит своего ребенка грудью, а отец и старший сын поддерживают их 8. Myth? You can never use formula if you want to breastfeed.  Mothers may decide they need to use formula on some occasions, while continuing to breastfeed. It is important to seek unbiased information on formula and other products that replace breastmilk. To keep breastmilk production going, continue offering the breast to your baby as often as possible. It can be useful for mothers to consult a lactation specialist or skilled professional to help with a plan that works best for them to continue breastfeeding.   9. Myth? Many mothers can’t produce enough milk.  Almost all mothers produce the right amount of milk for their babies. Breastmilk production is determined by how well the baby is latched on to the breast, the frequency of breastfeeding and how well the baby is removing milk with each feeding. Breastfeeding isn’t a ‘one woman’ job and mothers need support. Support like ongoing breastfeeding guidance from health care providers, help at home, and staying healthy by eating and drinking well.   10. Myth? You shouldn't breastfeed if you’re sick. Depending on the kind of illness, mothers can usually continue breastfeeding when they’re sick. You need to make sure you get the right treatment, and to rest, eat and drink well. In many cases, the antibodies your body makes to treat your disease or illness will pass on to your baby, building his or her own defences.   11. Myth? You can’t take any medication if you’re breastfeeding. It’s important to inform your doctor that you are breastfeeding and to read the instructions with any medications you buy over the counter. It might be necessary to take medications at a specific time or in a specific dosage, or to take an alternative formulation. You should also tell the baby’s doctor about any medications that you’re taking. 25 июня 2015 г. мать кормит грудью своего ребенка на собрании группы поддержки грудного вскармливания в Центре здоровья в Беловаре, Хорватия. Did you know? The ‘first milk’ – or colostrum – is rich in antibodies and gives newborns an immunity boost while their own immune systems are still developing. 12. Myth? Babies who have been breastfed are clingy. All babies are different. Some are clingy and some are not, no matter how they are fed. Breastfeeding provides not only the best nutrition for infants, but is also important for their developing brain. Breastfed babies are held a lot and because of this, breastfeeding has been shown to enhance bonding with their mother.   13. Myth? It’s hard to wean a baby if you breastfeed for more than a year. There’s no evidence that it is more difficult to stop breastfeeding after one year, but there is evidence that breastfeeding up to two years is beneficial for both mothers and children. All mothers and babies are different and need to determine together how long they want to breastfeed.   14. Myth? If you go back to work, you’ll have to wean your baby. Many mothers continue breastfeeding after going back to work. First, check the policies in your country and your own workplace. If you have the right to time and a place to breastfeed during working hours, you may be able to go home and breastfeed, ask a family member or friend to bring your baby to you, or to express your milk and take it home. If you don’t have the option to breastfeed during working hours, look for moments during the day to express your milk and then feed your baby directly when you are at home. If you decide to give your baby a breastmilk substitute for some feeds, it still very good to continue breastfeeding whenever you are with your baby. This article was developed in collaboration with Dr. Michele Griswold PhD, MPH, RN, IBCLC. Dr Griswold is a lactation consultant, registered nurse, breastfeeding researcher and advocate. She represents the  International Lactation Consultant Association  to the WHO/UNICEF  Global Breastfeeding Collective , which calls on governments and society as a whole to provide mothers the support they need to breastfeed.
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10 Лютий 2023
UNICEF Emergency Response in Hungary
https://www.unicef.org/eca/unicef-emergency-response-office-hungary
Background Access to primary health care including immunization, advice on adequate nutrition and feeding practices for babies and children, and mental health and psychosocial support remains a challenge for refugees in Hungary due to language barriers and limited capacity of national health systems to absorb increasing numbers of patients. It is therefore important to remove bottlenecks that hinder access for Ukrainian refugees to these critical services. UNICEF’s response Through the collaboration with the Municipalities of Debrecen and Győr as well as with the Hungarian Reformed Church Aid, UNICEF is supporting local health service providers to ensure regular household visits for early identification of children and women in need for immunization, early childhood intervention and development services, specialized mental health support, health promotion and health education. More than 2,100 children and women have received UNICEF-support primary health care services and nearly 600 children and women have received secondary and tertiary health care services through UNICEF-supported facilities in Debrecen and Győr. In December 2022, UNICEF partnered with the Municipality and the University of Debrecen, and the NGO Dorcas Ministries to increase access to health services and promote adequate nutrition and good feeding practices for both refugee and host community families. By the end of 2023 more than 5,900 infant and young child feeding counseling sessions are expected to be held with parents and caregivers to promote and support proper feeding in Debrecen and other settlements where Hungarian Reformed Church Aid provides services for the most disadvantaged families. Through the collaboration with the University of Debrecen, UNICEF is procuring a medical container in the Dorcas Ministries accommodation center. The container will be staffed with health professionals, including Ukrainian health workers to provide services such as immunization, early childhood development support, specialized mental health support, health promotion and health education. Furthermore, as part of the above-mentioned partnership, the Debrecen Health Promotion Center commenced its operations with the support of UNICEF. Within the framework of this partnership, the building underwent renovation, and a wide range of screenings, preventive and developmental services have been introduced to assist both refugees and the host community.
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02 Липень 2020
‘RM Child-Health’: safeguarding the health of refugee and migrant children in Europe
https://www.unicef.org/eca/rm-child-health-safeguarding-health-refugee-and-migrant-children-europe
More than 1.3 million children have made their way to Europe since 2014, fleeing conflict, persecution and poverty in their own countries. They include at least 225,000 children travelling alone – most of them teenage boys – as well as 500,000 children under the age of five. In 2019 alone, almost 32,000 children (8,000 of them unaccompanied or separated) reached Europe via the Mediterranean after perilous journeys from Syria, Afghanistan, Iraq and many parts of Africa – journeys that have threatened their lives and their health. Many have come from countries with broken health systems, travelling for months (even years) with no access to health care and facing the constant risks of violence and exploitation along the way. Many girls and boys arriving in Europe have missed out on life-saving immunization and have experienced serious distress or even mental health problems. They may be carrying the physical and emotional scars of violence, including sexual abuse. The health of infants and mothers who are pregnant or breastfeeding has been put at risk by a lack of pre- and post-natal health services and of support for child nutrition. Two girls wash a pot in the common washing area of the Reception and Identification Centre in Moria, on the island of Lesvos, in Greece. Two girls wash a pot in the common washing area of the Reception and Identification Centre in Moria, on the island of Lesvos, in Greece. Child refugees and migrants also face an increased health risk as a result of crowded and unhygienic living conditions during their journeys and at their destinations. Even upon their arrival in Europe, refugee and migrant children and families often face continued barriers to their health care, such as cultural issues, bureaucracy, and a lack of information in their own language. Southern and South East European countries are at the heart of this challenge, struggling to meet the immediate needs of vulnerable refugee and migrant children. And now, an already serious problem is being exacerbated by the COVID-19 pandemic. Refugee checks on his son
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04 Жовтень 2022
UNICEF Refugee Response Office in Poland
https://www.unicef.org/eca/poland
It’s vital those who’ve fled this brutal war have access to health care. Around 90% of the over 1.5 million Ukrainian refugees registered by the Polish government are women and children. This is a mother-and-child displacement crisis that has put much extra pressure on Poland’s public healthcare system. Low immunization rates in Ukraine mean that refugees are also at risk of vaccine-preventable diseases.   UNICEF’s health response in Poland is focused on preventing diseases through vaccines, building healthcare capacity and capability and looking after the specific needs of mothers, children and newborns.   “I believe that vaccination is important for children, for the entire population of the country. I think even during the war, we shouldn’t stop, because dangerous diseases are still nearby.”  — Kateryna, a mother of two from the Kiyv region of Ukraine, now living in Poland. UNICEF/UN0705564/Strek UNICEF/UN0705564/Strek The solution  In partnership with the Ministry of Health and municipalities, we’re reached more than 500,000 refugees with information on essential child vaccinations via national and local campaigns. Our cooperation with the Ministry of Health also ensured the availability of critical supplies for routine childhood vaccinations.   In close cooperation with the World Health Organization (WHO) in Poland and national partners, we provide refugee families with information on access to health services. We have ensured health screening of refugee children and caregivers identified as vulnerable and have worked with municipalities to provide essential health supplies and access to healthcare.   In partnership with the Ministry of Health, we have developed a programme to support the primary health care of up to 200,000 women and children from Ukraine. To achieve this UNICEF has made a commitment to cover 50% of the cost of health care services provided to Ukrainian refugee women and children made by the National Health Funds to health care providers across the country in the period of February 2023 to August 2023. This is a significant investment in the health and wellbeing of the refugee population.  “My toys are back in Ukraine. My bed is there as well. I also miss my friend Danya, we used to play a lot.”  — Mykyta, 6 after receiving his vaccinations at a medical centre in Krakow In the area of infant and young child feeding, we’re working closely with the Ministry of Health and a local NGO, to encourage mothers to exclusively breastfeed and to provide information and support to ensure refugees are able to feed and care for their babies and young children as they adapt to life in a new country. We have established mother support groups consisting of lactation advisors, neurological speech therapists, psychologists, and physiotherapists in 11 maternity wards, out of which 10 have milk banks, which are the first link of assistance in the case of breastfeeding difficulties. In addition to the promotion of infant and young child feeding, we’ve provided warm meals and complementary food to children in youth camps, preschools and primary schools, as well as accommodation centres. 
News note
31 Липень 2019
Why family-friendly policies are critical to increasing breastfeeding rates worldwide - UNICEF
https://www.unicef.org/eca/press-releases/why-family-friendly-policies-are-critical-increasing-breastfeeding-rates-worldwide
NEW YORK, 1 August 2019 – From supporting healthy brain development in babies and young children, protecting infants against infection, decreasing the risk of obesity and disease, reducing healthcare costs, and protecting nursing mothers against ovarian cancer and breast cancer, the benefits of breastfeeding for children and mothers are wide spread. Yet, policies that support breastfeeding – such as paid parental leave and breastfeeding breaks – are not yet available to most mothers worldwide. “The health, social and economic benefits of breastfeeding – for mother and child – are well-established and accepted throughout the world. Yet, nearly 60 per cent of the world’s infants are missing out on the recommended six months of exclusive breastfeeding,” said UNICEF Executive Director Henrietta Fore. “In spite of the benefits of breastfeeding, workplaces worldwide are denying mothers much needed support. We need to far greater investment in paid parental leave and breastfeeding support across all workplaces to increase breastfeeding rates globally.” Only 4 out of 10 babies are exclusively breastfed: Only 41 per cent of babies were exclusively breastfed in the first six months of life in 2018, as recommended. In comparison, these rates were more than half – 50.8 per cent – in the least developed countries. The highest rates were found in Rwanda (86.9 per cent), Burundi (82.3 per cent), Sri Lanka (82 percent), Solomon Islands (76.2 percent) and Vanuatu (72.6 percent). Research also shows that infants in rural areas have higher levels of exclusive breastfeeding than urban babies. Upper-middle-income countries have the lowest breastfeeding rates: In upper-middle-income countries, exclusive breastfeeding rates were the lowest at 23.9 per cent, having decreased from 28.7 per cent in 2012. Breastfeeding at work works: Regular lactation breaks during working hours to accommodate breastfeeding or the expression of breastmilk, and a supportive breastfeeding environment including adequate facilities enable mothers to continue exclusive breastfeeding for six months, followed by age-appropriate complementary breastfeeding. Working women do not get enough support to continue breastfeeding: Worldwide, only 40 per cent of women with newborns have even the most basic maternity benefits at their workplace. This disparity widens among countries in Africa, where only 15 per cent of women with newborns have any benefits at all to support the continuation of breastfeeding. Too few countries provide paid parental leave: The International Labour Organization (ILO) Maternity Protection Convention 2000 (no. 183) standards include at least 14 weeks of paid maternity leave, and countries are recommended to provide at least 18 weeks as well as workplace support for breastfeeding families. Yet, only 12 per cent of countries worldwide provide adequate paid maternity leave. UNICEF’s latest policy brief on family-friendly policy brief recommends at least six months of paid leave for all parents combined, of which 18 weeks of paid leave should be reserved for mothers. Governments and businesses should strive for at least 9 months of combined paid leave. Availability of longer maternity leave means higher chances of breastfeeding: A recent study found that women with six months or more maternity leave were at least 30 per cent more likely to maintain any breastfeeding for at least the first six months. Breastfeeding makes sense for both babies and their mothers: Increasing breastfeeding could prevent 823,000 annual deaths in children under five and 20,000 annual deaths from breast cancer. Not enough babies breastfed in the first hour: In 2018, less than half of babies worldwide – 43 per cent – were breastfed within the first hour of life. Immediate skin-to skin contact and starting breastfeeding early keeps a baby warm, builds his or her immune system, promotes bonding, boosts a mother’s milk supply and increases the chances that she will be able to continue exclusive breastfeeding. Breastmilk is more than just food for babies – it is also a potent medicine for disease prevention that is tailored to the needs of each child. The ‘first milk’ – or colostrum – is rich in antibodies to protect babies from disease and death. The investment case for breastfeeding: If optimal breastfeeding is achieved, there would be an estimated reduction in global healthcare costs of USD 300 billion. ### Notes to Editors: About World Breastfeeding Week World Breastfeeding Week is marked annually from 1 to 7 August to highlight the critical importance of breastfeeding for children across the globe. Breastfeeding gives children the healthiest start in life and is one of the simplest, smartest and most cost-effective ways we have of ensuring that all children survive and thrive. This fact sheet – marking World Breastfeeding Week – features new data from the 2019 Global Breastfeeding Scorecard, and the latest available evidence on coverage, access to family-friendly policies, and the health and economic benefits of breastfeeding. Mother and father with new born baby UNICEF/UN0206267/Pirozzi
Photo essay
10 Травень 2018
Breastfeeding: the best gift a mother can give her child
https://www.unicef.org/eca/stories/breastfeeding-best-gift-mother-can-give-her-child
Breastmilk saves lives, protects babies and mothers against deadly diseases, and leads to better IQ and educational outcomes, yet rates of breastfeeding in Europe and Central Asia are low, with only 23 percent of the wealthiest families and 31 percent of the poorest breastfeeding up to the recommended age of two. Empowering and enabling women to breastfeed  needs to be at the heart of countries’ efforts to keep every child alive and to build healthy, smart and productive societies. “Breastfeeding is the best gift a mother, rich or poor, can give her child, as well as herself,” said Shahida Azfar, UNICEF’s Deputy Executive Director. “We must give the world’s mothers the support they need to breastfeed.” A mother breasfeeds her baby at a maternity centre in Tashkent region, Uzbekistan. A mother breasfeeds her baby at a maternity centre in Tashkent region, Uzbekistan.  The early initiation of breastfeeding – putting newborns to the breast within the first hour of life – safeguards infants from dying during the most vulnerable time in their lives.  Immediate skin-to skin contact and starting breastfeeding early keeps a baby warm, builds his or her immune system, promotes bonding, boosts a mother’s milk supply and increases the chances that she will be able to continue exclusive breastfeeding.   A mother learns to breastfeed her baby at a maternity hospital in Fergana, Uzbekistan. A mother learns to breastfeed her baby at a maternity hospital in Fergana, Uzbekistan. Breastmilk is safe as it is the right temperature, requires no preparation, and is available even in environments with poor sanitation and unsafe drinking water. It’s also more than just food for babies – breastmilk is a potent medicine for disease prevention that is tailored to the needs of each child. The ‘first milk’ – or colostrum – is rich in antibodies to protect babies from disease and death.   A patronage nurse teachers a mother how to breastfeed in Kyzylorda city, Kazakhstan. A patronage nurse teachers a mother how to breastfeed in Kyzylorda city, Kazakhstan.  In Kazakhstan, UNICEF has been working with patronage nurses to support mothers to breastfeed their children. The project has been running for several years and includes two visits during pregnancy and nine visits until the child reaches the age of three. As a result, there was a 14 percent increase in the number of children who were exclusively breastfed in the pilot region. A patronage nurse visits a family in Kyzylorda city, Kazakhstan. A patronage nurse visits a family in Kyzylorda city, Kazakhstan.  There are several reasons why a mother may not be able to breastfeed, or does not wish to do so. Reasons include low awareness of the importance of breastfeeding and long-term impacts, as well as not knowing how to breastfeed properly which can subsequently cause the mother a lot of pain. Patronage nurses work with mothers to try to overcome these obstacles.    A mother breastfeeds her baby, while the father and the older son support them. Mother Jovana breastfeeds her son Aleksa (two-months-old) while older son Ognjen (18-months-old) and husband Nikola support her at a clinic in Serbia.  Breastfeeding is not a one-woman job. Women who choose to breastfeed need support from their governments, health systems, workplaces, communities and families to make it work.  UNICEF urges governments, the private sector and civil society to create more enabling environments for breastfeeding mothers including arming mothers with the knowledge to make informed decisions, and providing them with the support they need from their families, communities, workplaces and healthcare systems to make exclusive breastfeeding for the first six months happen. Smiling parents watch as their baby breastfeeds at a maternity unit in Armenia. Smiling parents watch as their baby breastfeeds at a maternity unit in Armenia. In Armenia, UNICEF, together with the ministry of health and local health authorities, have created a sustainable parental education system at maternity and primary health-care facilities across the country to encourage breastfeeding and provide support to parents. In a UNICEF-supported space for refugee and migrant families, two mothers breastfeed their babies. In a UNICEF-supported space for refugee and migrant families in Serbia, two mothers breastfeed their babies.  During the refugee and migrant crisis in Europe, UNICEF stepped in to provide support for children and mothers. Support included providing private spaces for breastfeeding mothers, nutritional guidance and breastfeeding support. UNICEF supports action to improve infant and young child nutrition across Europe and Central Asia, aiming to ensure that every child has the best possible nutritional start in life. Through its global campaign, Every Child ALIVE , which demands solutions on behalf of the world’s newborns, UNICEF urges governments, the private sector and civil society to:   Increase funding and awareness to raise breastfeeding rates from birth through the age of two.  Put in place strong legal measures to regulate the marketing of infant formula and other breastmilk substitutes as well as bottles and teats.   Enact paid family leave and put in place workplace breastfeeding policies, including paid breastfeeding breaks.  Implement the ten steps to successful breastfeeding in maternity facilities, and provide breastmilk for sick newborns.  Ensure that mothers receive skilled breastfeeding counselling at health facilities and in the first week after delivery.  Strengthen links between health facilities and communities, so that mothers are ensured of continued support for breastfeeding.  Improve monitoring systems to track improvements in breastfeeding policies, programmes and practices.     
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17 Січень 2023
UNICEF Emergency Response Office in Slovakia
https://www.unicef.org/eca/unicef-emergency-response-office-slovakia
Context Although Slovakia grants “urgent and necessary health services” for Ukrainian citizens registered for Temporary Protection, many Ukrainians face challenges in accessing support. What is “urgent and necessary," however, is often left to the judgment of individual doctors, creating a situation in which quality of health care received by refugees can vary significantly. Ukrainian children tend to have significantly lower vaccination rates compared to Slovaks and front-line health workers are not trained to deal with vaccine hesitancy. The key challenge in the mid-long term is the management of chronic diseases, control and management of infectious and communicable disease, and provision of specialized mental health services and psychological support. In addition, there is a shortage of doctors, particularly pediatricians and nurses, with some regions being underserved even before the crisis. Under the existing legislation, Ukrainian health workers can provide services only under the direct supervision of a senior Slovak health worker, due to the shorter academic curriculum and mandated training required for doctors in Ukraine. UNI396419 UNI396419 UNI396419 UNI396419     UNICEF’s Response Support to recognition of qualifications of Ukrainian health workers is one of four areas of cooperation between UNICEF and the Ministry of Health, in addition to immunization and early childhood development, specialized mental health support, as well as health promotion and health education, including through parenting programmes. In collaboration with the Regional Health Authority in Bratislava, UNICEF supports the provision of primary healthcare services in the Bratislava region, hosting over 30,000 refugees, including more than 12,000 children. Services are provided by two general practitioners, two pediatricians, one gynecologist, and one psychiatrist under the supervision of a senior Slovak doctor. Pediatricians and breastfeeding counselors are integrated into the Blue Dots in Bratislava, Košice and Michalovce. UNI396390 UNI396390 UNI396390 UNI396390   Since 15 July 2022, primary healthcare services have been provided to over 43,000 children and women through UNICEF-supported mechanisms, including consultations for mental health, referrals to higher levels of care, and vaccination of children against measles, polio, and so on.

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