‘We make a mistake with shoes [that's no problem] but… not with baby milk’: Facilitators of good and poor practice in distribution of infant formula in the 2014–2016 refugee crisis in Europe
Abstract The Infant and Young Child Feeding in Emergencies Operational Guidance (OG‐IFE) gives direction on providing aid to meet infants' and young children's feeding needs in emergencies. Because of the risks associated with formula feeding, the OG‐IFE provides limited circumstances when...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-01-01
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| Series: | Maternal and Child Nutrition |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/mcn.13282 |
| _version_ | 1818969082305708032 |
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| author | Karleen D. Gribble Aunchalee E. L. Palmquist |
| author_facet | Karleen D. Gribble Aunchalee E. L. Palmquist |
| author_sort | Karleen D. Gribble |
| collection | DOAJ |
| description | Abstract The Infant and Young Child Feeding in Emergencies Operational Guidance (OG‐IFE) gives direction on providing aid to meet infants' and young children's feeding needs in emergencies. Because of the risks associated with formula feeding, the OG‐IFE provides limited circumstances when infant formula should be provided in aid. However, distributions against this guidance are common, reducing breastfeeding so risking increased infant morbidity and mortality. This study sought to identify factors that contributed to following (‘good practice’) or not following (‘poor practice’) the OG‐IFE regarding infant formula distribution in the 2014–16 refugee crisis in Europe. Thirty‐three individuals who supported, coordinated, or implemented infant feeding support in the Crisis were interviewed regarding their experiences and views. Reflexive thematic analysis of transcribed interviews was undertaken. It was identified that presence of breastfeeding support, presence of properly implemented formula feeding programmes, understanding that maternal choice to formula feed should be considered within the risk context of the emergency, and positive personal experiences of breastfeeding contributed to good practice. Presence of infant formula donations, absence of properly managed formula feeding programmes, belief that maternal choice to formula feed is paramount and should be facilitated, and personal experience of insurmountable breastfeeding challenges and/or formula feeding contributed to poor practice. Governments, humanitarian organisations, and donors should ensure that infant and young child feeding in emergencies preparedness and programmes are adequately resourced. Emergency responders should be appropriately trained with training including infant feeding experience debriefing. Health and emergency organisations should provide maternity protections enabling employees to breastfeed as recommended. |
| first_indexed | 2024-12-20T14:14:56Z |
| format | Article |
| id | doaj.art-ee92b5e5ab9d4d0096e7e7acb9e2489c |
| institution | Directory Open Access Journal |
| issn | 1740-8695 1740-8709 |
| language | English |
| last_indexed | 2024-12-20T14:14:56Z |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Maternal and Child Nutrition |
| spelling | doaj.art-ee92b5e5ab9d4d0096e7e7acb9e2489c2022-12-21T19:38:04ZengWileyMaternal and Child Nutrition1740-86951740-87092022-01-01181n/an/a10.1111/mcn.13282‘We make a mistake with shoes [that's no problem] but… not with baby milk’: Facilitators of good and poor practice in distribution of infant formula in the 2014–2016 refugee crisis in EuropeKarleen D. Gribble0Aunchalee E. L. Palmquist1School of Nursing and Midwifery Western Sydney University Penrith New South Wales AustraliaCarolina Global Breastfeeding Institute, Gillings School of Global Public Health University of North Carolina at Chapel Hill Chapel Hill North Carolina USAAbstract The Infant and Young Child Feeding in Emergencies Operational Guidance (OG‐IFE) gives direction on providing aid to meet infants' and young children's feeding needs in emergencies. Because of the risks associated with formula feeding, the OG‐IFE provides limited circumstances when infant formula should be provided in aid. However, distributions against this guidance are common, reducing breastfeeding so risking increased infant morbidity and mortality. This study sought to identify factors that contributed to following (‘good practice’) or not following (‘poor practice’) the OG‐IFE regarding infant formula distribution in the 2014–16 refugee crisis in Europe. Thirty‐three individuals who supported, coordinated, or implemented infant feeding support in the Crisis were interviewed regarding their experiences and views. Reflexive thematic analysis of transcribed interviews was undertaken. It was identified that presence of breastfeeding support, presence of properly implemented formula feeding programmes, understanding that maternal choice to formula feed should be considered within the risk context of the emergency, and positive personal experiences of breastfeeding contributed to good practice. Presence of infant formula donations, absence of properly managed formula feeding programmes, belief that maternal choice to formula feed is paramount and should be facilitated, and personal experience of insurmountable breastfeeding challenges and/or formula feeding contributed to poor practice. Governments, humanitarian organisations, and donors should ensure that infant and young child feeding in emergencies preparedness and programmes are adequately resourced. Emergency responders should be appropriately trained with training including infant feeding experience debriefing. Health and emergency organisations should provide maternity protections enabling employees to breastfeed as recommended.https://doi.org/10.1111/mcn.13282bottle feedingbreastfeedingdisastershumanitarian assistanceinfantinfant formula |
| spellingShingle | Karleen D. Gribble Aunchalee E. L. Palmquist ‘We make a mistake with shoes [that's no problem] but… not with baby milk’: Facilitators of good and poor practice in distribution of infant formula in the 2014–2016 refugee crisis in Europe Maternal and Child Nutrition bottle feeding breastfeeding disasters humanitarian assistance infant infant formula |
| title | ‘We make a mistake with shoes [that's no problem] but… not with baby milk’: Facilitators of good and poor practice in distribution of infant formula in the 2014–2016 refugee crisis in Europe |
| title_full | ‘We make a mistake with shoes [that's no problem] but… not with baby milk’: Facilitators of good and poor practice in distribution of infant formula in the 2014–2016 refugee crisis in Europe |
| title_fullStr | ‘We make a mistake with shoes [that's no problem] but… not with baby milk’: Facilitators of good and poor practice in distribution of infant formula in the 2014–2016 refugee crisis in Europe |
| title_full_unstemmed | ‘We make a mistake with shoes [that's no problem] but… not with baby milk’: Facilitators of good and poor practice in distribution of infant formula in the 2014–2016 refugee crisis in Europe |
| title_short | ‘We make a mistake with shoes [that's no problem] but… not with baby milk’: Facilitators of good and poor practice in distribution of infant formula in the 2014–2016 refugee crisis in Europe |
| title_sort | we make a mistake with shoes that s no problem but not with baby milk facilitators of good and poor practice in distribution of infant formula in the 2014 2016 refugee crisis in europe |
| topic | bottle feeding breastfeeding disasters humanitarian assistance infant infant formula |
| url | https://doi.org/10.1111/mcn.13282 |
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