Sunday, February 23, 2014

EVERY ONE in Pakistan: A glance at 2013


In 2013, the EVERY ONE Campaign really increased its reach and impact in Pakistan. We saw many successes such as the introduction of laws on breastfeeding, meaning that mothers are encouraged to exclusively breastfeed their children for first six months of child life. The laws prohibits the promotion of any milk produced as partial or total replacement for mother’s milk or represented as a complement to mother’s milk to meet the growing nutritional needs of an infant.

Using TV talk shows, radio programmes and street theatre, we engaged the public on issues such as malnutrition, and the importance of health workers and immunisation. We produced a documentary on nutrition, which was shown on 2 national and 18 cable channels across Pakistan. We also hosted television talk shows with speakers from the federal and provincial governments, policy makers, experts including GAVI, campaign ambassadors and civil society organizations. The Ministers of Health from Balochistan and  KP also participated in these talk shows, where we discussed malnutrition, immunization and health workers and how these issues impact women and children. Through TV and radio commercials, a radio drama and short stories, we reached 11 million people with our messages.

In all four provinces, we worked with local actors who performed street theatre, informing the public about malnutrition, importance of health workers and immunization. Total 28,399 people including 16,280 male and 12,119 females were reached through street theatre performances.

Early in the year we launched the ‘Super food for babies’ report in a consultation where government, civil society and parliamentarians were present.

The launch was an opportunity to increase the advocacy around breastfeeding in Pakistan. At the event, Dr Sania Nishtar, the President and Founder of Heart file said that breast milk is not only free but also provides the best protection for infants to fight common diseases and prevent stunting. She committed to take forward the findings of the Save the Children’s Breastfeeding Report and stressed on the need for implementing the breastfeeding legislation in line with the International Code for Breastfeeding Violations Letters were sent to the Chief Ministers in all four provinces and the Minister for Health at the federal level, for effective steps for the implementation of the breastfeeding laws. The research report “Breastfeeding: A roadmap to promotion and protection” and a documentary on breastfeeding were launched in a National Conference on Breastfeeding in Islamabad with representation from all the four provinces from civil society, Government, UN agencies and media. Maiza Hameed Gujjar MNA (Member National Assembly), assured Save the Children she would play her role for the implementation of Breastfeeding laws at the national and Punjab level. Mr. Shaukat Yousafzai, Minister for Health Government of Khyber Pakhtunkhwa (KP) announced that the Provincial Government is soon going to enact the KP Protection of Breastfeeding and Child Nutrition Bill. Similarly Mr. Bugti Head of Nutrition Cell Government of Balochistan said that the Balochistan Protection and Promotion of Breastfeeding Bill will be placed before the Provincial Assembly for enactment in its coming session. The immediate result was notification of the Infant Feeding Board at the Federal level within a week.

Another major step towards highlighting the situation of under nutrition in Pakistan was the launch of the Lancet Series on Maternal and Child Nutrition, on 21st August 2013. Dr Zulfiqar Ali Bhutta was one of the key note speakers. The launch was covered by some of the leading newspapers of the country covered, while Express Tribune also did an editorial the very next day.

Throughout the year we have been regularly collaborating with the Development Partners for Nutrition (DPN), including national consultation on “The Role of Private Sector in Addressing Malnutrition in Pakistan” and five media roundtable discussions to engage media in highlighting the issue of malnutrition. This resulted in several contributions by media persons in leading English and Urdu newspapers. We also organized Multi-stakeholders’ workshops in Lahore & Quetta to accelerate the implementation of the UN Every Woman Every Child (EWEC) Strategy in Pakistan. To gather more support around the issue of malnutrition a number of sessions were organized at Islamabad, Karachi, Lahore, Peshawar and Quetta with human rights organizations. Our aim was to increase understanding and knowledge of nutrition which will ultimately lead to improved nutrition advocacy initiatives by civil society organizations.

During the measles outbreak in Sindh and Punjab, we worked together with Child Rights Movement, to write letters to the provincial chief ministers and advocate for strengthening routine immunization. Around the same time, the EVERY ONE Campaign was made part of the Khyber Pakhtunkhwa Provincial communication Technical Committee on Immunization. We also supported the midterm and annual review of the Expanded Program for Immunization (EPI) in Khyber Pakhtunkhwa, which resulted in the inclusion of training for Lady Health Workers in the EPI manual.

Our engagements with the Technical Advisory Group continued throughout the year, where we regularly reviewed the mother and child health situation in each province. For the first time in Pakistan, the EVERY ONE Campaign engaged the Parliamentarians from both the ruling and opposition parties on the country’s achievement of MDG 4 and related issues of under nutrition in Pakistan, strengthening routine immunization and increasing the number of Lady Health Workers and Community Midwives.

The EVERY ONE Campaign also worked with 1,564 children from 12 children’s clubs at Muzaffargarh in Punjab and 62 children clubs of Sanghar in Sindh and educated them on the importance of immunization, nutrition and lady health workers. As part of engaging children in the campaign, we held a press conference with the Children group on Universal Children’s Day. During the press conference, children highlight the health and education related issues. The call for attention was that it is due time that the government took a proactive lead to change the lives of these children. The press conference got coverage by one of the leading English newspaper along with some Urdu papers.
Last year we focused on educating journalists around health reporting. We collaborated with MIISHAL (Media Agency) to identify 20 potential journalists from across Pakistan to train them on the situation of under nutrition among children and women in the country, its link with the under 5 mortality and the role of media. The training was followed by field visits to the various health facilities in Sindh, Balochistan and Khyber Pakhtunkhwa.  This training resulted in significantly more media coverage on malnutrition. To appreciate the efforts of the journalists, the EVERY ONE Campaign collaborated with Agahi Awards to award the best journalists in the health category.

The EVERYONE Campaign will continue to build on the momentum created in 2013 and strive for achieving results in 2014. We’ve begun 2014 with provincial consultation on Every Newborn Action Plan consultations in collaboration with UNICEF. We are going to launch “Ending Newborn Deaths” report in Islamabad involving the federal and provincial governments, civil society and media. We’ll hold Health Workers Awards with a focus on Lady Health Workers and Community Midwives and will launch our documentary on health workers during the week involving high level provincial government officials with a focus on increase in the number of LHWs and CMWs. The EVERYONE Campaign is in the final stages of producing a documentary on immunization which will be launched during the immunization week. We are also working on a research together with the Expanded Programme of Immunization (EPI) about the causes of poor immunization in low performing districts of Punjab. Findings of the research will be used during the immunization week and later for advocacy to strengthen routine immunization. Together with DPN we are working to establish the SUN CSOs network. We’ll continue with our advocacy for provincial inter sectoral strategies and budgetary allocation for nutrition and continue to follow up on the implementation of the breastfeeding code. The State of the World’s Mothers report will be launched, breastfeeding week will be celebrated and a national research about newborns will be conducted and launched during the year. We’ll continue to engage with Private Sector at provincial level. We’ll continue to engage with key stakeholders including children, parliamentarians, DPN, civil society, media and government.

http://everyone.savethechildren.net/articles/every-one-pakistan-glance-2013

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