Aug ’18 Newsletter: Trip to IBFAN – My Reflections

By Khatim Hamidon (Vice-President, BMSG)

As an affiliate of IBFAN, or otherwise known as the International Baby Food Action Network, BMSG has been sending representatives every year for the past two years to attend meetings that it organises frequently. IBFAN regularly trains trainers and advocates to share and spread the knowledge and best practices of breastfeeding, particularly at the governance level. Read more to find out about Khatim’s reflections on her recent Train the Trainers’ meet in Jakarta last July.

Members of IBFAN Asia. [Credits: Nia Umar]

It is my hope that more cooperation and synergy will happen in the future between ministries, hospitals and charities in empowering mothers and families to breastfeed. It goes without saying that breastfeeding is the normal way to feed an infant and for said infant to grow optimally – it is indeed natural, but it needs nurturing from every part of the community for it to be normalised.

Khatim Hamidon
Vice-President, BMSG

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Meeting breastfeeding advocates from around Southeast Asia: that was what I had looked forwarded to, when Elaine, BMSG President, and I, were recently invited to the second Train-the-Trainers workshop that was held in Jakarta.

The International Baby Food Action Network (IBFAN) is a coalition of public interest groups working towards a common goal: to protect breastfeeding.

BMSG was previously invited to IBFAN Asia meet-ups in Hong Kong and Bangkok within the past two years.

We arrived in Jakarta and were greeted by the newly minted IBFAN Southeast Asia, headed by its coordinator, the indomitable Nanay Ines Avellana-fernandez.

Sitting through various sharings by the other countries, such as Indonesia, Malaysia, Brunei and the Philippines, I realised that here in safe, cloistered Singapore, we are blessed with relatively good infrastructure in governance, health care and welfare services, that we take so many things for granted.

I would like to share my three main reflections from this trip, in the hope that BMSG will be reminded to stay true and committed to its mission, and that more people will be aware of the global breastfeeding landscape.

BMSG President Elaine Chow sharing about our counselling skills during a sharing session for IBFAN members.

1. Breastfeeding as Food Sovereignty and Empowerment

This would seem weird at first – what has breastfeeding got to do with these mumbo-jumbo? But hear me out!

Ines was part of a natural disaster relief effort a few years back when a typhoon ravaged an area in the Philippines. What Ines and her team did continues to amaze me. (Still nursing my chin, from when my jaw dropped to the floor).

She called up a number of breastfeeding mothers as volunteers and set up camp. The volunteers would come to feed the infants in the refugee camp, and to become coaches to mothers caught up in the disaster.

Often, these mothers would have formula-fed their babies. But in a crisis situation, clean, potable water was limited; much less was available to clean and sterilise feeding bottles and to safely mix infant formula with.

These mothers were then assisted to relactate so that they could begin to breastfeed their own babies. In fact, a number of grandmothers were recruited to be successfully relactated as well, who then chipped in the efforts to feed babies.

Food sovereignty and security – you do not need external aid for infant food. Food for baby is local, and not imported and priced exorbitantly. As long as the mother has sufficient nutrients and enough support, she is enough for her baby.

And how empowering and confidence-boosting that must be for the mothers! That even in difficult situations, she could feed her baby, that she could hand-express milk (without the need to use pumps) to extract milk and see for herself that she could produce milk, that she could count on the sisterhood of mothers for support. She could provide for her baby anywhere and anytime.

Mingling with IBFAN members from other nations has opened the writers’ eyes to how empowering breastfeeding is for mothers.

2. Health Workers as Partners in Breastfeeding Success

Singapore now boasts three Baby-friendly Hospital Initiative (BFHI) hospitals, which are National University Hospital (NUH), KK Women’s & Children’s Hospital (KKH) and Singapore General Hospital (SGH). There is news that a couple of private hospitals are following suit, so we are very happy to hear about this progress as more people recognise the importance of breastfeeding support within the hospital infrastructure.

Even so, our Bruneian and Indonesian counterparts still top us in this aspect!

There are five hospitals in Brunei, with four of them public. Even though none of them are BFHI-certified, the infrastructure supports BFHI and breastfeeding fully – infant formula is strictly regulated within their walls.

The Indonesian contingent, on the other hand, was made up of several doctors – general practitioners and paediatricians – who are also accredited as International Board Certified Lactation Consultants (IBCLCs), which is the gold standard as a breastfeeding clinician. Being a doctor and an IBCLC at the same time is indeed a powerful combination as the medical officer is informed in the breastfeeding management of both mother and child during consultations.

I would love to see more of our doctors, midwives and nurses, whose daily touch points are with babies and mothers, encouraged to be IBCLCs, and support mothers in breastfeeding their babies. With support from family and health workers, a mother is more likely to succeed in breastfeeding her child.

3. The Need to Continue Learning From Others & Improve the State of Breastfeeding in Singapore

I am thankful that Singapore is a safe and peaceful country. We do not have to worry much about clean water, natural disasters and so on.

But that doesn’t mean that we can remain obstinate by not improving the situation of low breastfeeding rates in Singapore. There will always be new challenges to come in the future that may shake the very foundations of breastfeeding.

For example, with the recent news of tainted infant formula milk, many parents simply move on to a different brand.

Even in Singapore, some mothers mistakenly believe that they cannot breastfeed or that formula milk is superior. But what happens when there are no other brands, or a cheaper brand, which is safe?

While the majority of families could head on to the supermarkets to purchase from the many other brands available, low-income families may not be able to afford formula. With more families in Singapore falling between the cracks, these families may stretch out the last can’s contents by diluting each feed with more water than needed, and when the last remaining powder finishes, make milk for baby using evaporated milk.

I don’t need to explain how the baby fares under this.

Learning from our neighbours on how they have changed and improved lives with breastfeeding awareness and assistance, even under mind-boggling circumstances, gives me hope that the best is yet to come.

But first, this haziness in the lack of breastfeeding awareness and literacy needs to be changed. Imagine if the culture of breastfeeding is truly alive in Singapore: mothers are supported in breastfeeding by family, the work place and the community. Lactation consultants are there to assist when challenges arise. When there is a need for human milk, cross-nursing and human milk donations are easily available. What an ideal situation it would be!

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IBFAN Asia is a subsidiary of the larger IBFAN network, which has representatives from all over the world. [Credits: Nia Umar]

Overall, I look forward to be meeting our counterparts in breastfeeding advocacy again in future events. There will always be so many things to learn from their collective wisdom, and how we, in Singapore, can gleam something out of this to apply to our own communities, in the right context.

It is my hope that more cooperation and synergy will happen in the future between ministries, hospitals and charities in empowering mothers and families to breastfeed. It goes without saying that breastfeeding is the normal way to feed an infant and for said infant to grow optimally – it is indeed natural, but it needs nurturing from every part of the community for it to be normalised.