
UNICEF Maharashtra office would like to specially acknowledge the contribution of Dr. Prashant Gangal, Dr. Sanjay Prabhu and
the team of BPNI (Maharashtra) who made this path breaking video on nature's miraculous way of initiating breastfeeding by the "Breast Crawl". Special Acknowledgement is also due to the mother and the child from Nandurbar who allowed us to document this miracle.
The Government of Maharashtra in collaboration with UNICEF and BPNI took up an ambitious plan for improving infant and young child feeding practices in
the state as a critical strategy to prevent malnutrition in young children.
Nandurbar district in Maharashtra is one of the most backward tribal districts with high rates of malnutrition in young children due to poor
feeding and caring practices. This district was selected as a pilot to test the
Infant and Young Child Feeding (IYCF) training programme before scaling it up in the entire state.
This miracle of Breast Crawl was first filmed in a government hospital in Nandurbar as part of the IYCF counselling training. The response was
excellent. It moved the mothers, caregivers, functionaries, community volunteers and policy makers which encouraged us to create a specific video
on the "Breast Crawl" as the method to promote early initiation of breastfeeding.
I congratulate Dr. Prashant Gangal of BPNI who has made tireless efforts to bring this video along with the technical dossier to the world.
I also take this opportunity to acknowledge the contributions made by our partners – Mrs. Vandana Krishna, Secretary – Department of Women and Child,
Mr. V. Ramani, Director General – the State Nutrition Mission, Mr. Ujjwal Uke, Commissioner – Integrated Child Development Schemes, Mrs. Anna Dani,
Secretary – Public Health, Dr. Anblagan, CEO, Zilla Parishad, Nandurbar, Dr. Nipun Vinayak, CEO, Zilla Parishad, Jalna and the entire team of trainers,
facilitators from Nandurbar. This video was filmed by Mr. Saptarshi Pratim who participated in the entire training programme to understand the context.
We specially thank Dr. Marshall Klaus and Ms. Phyllis Klaus, the pioneers of this technique of initiation of breastfeeding, for having patiently reviewed
our effort and for writing a wonderful preface.
We would also thank all our pioneers in the field of infant and young child feeding, i.e. Dr. R. K. Anand, Dr. N. B. Kumta and Dr. G. S. Hathi and Dr.
Felicity Savage of the Institute of Child Health, London.
We would like to thank Dr. Werner Schultink, Chief, Child Development and Nutrition, UNICEF, Mr. David Clark, Legal Officer, Nutrition Section, UNICEF
and Dato Anwar Fazal, Chairperson Emeritus, World Alliance for Breastfeeding Action (WABA) for their technical contribution. I would like to acknowledge
the contribution made by Ms. Rajlakshmi Nair, Child Development and Nutrition Officer, UNICEF – Maharashtra who has been instrumental in
facilitating the entire process jointly with the key partners.
We appreciate all the contribution made by our reviewers, trainers, community volunteers, NGOs and key training institutes of the government.
Last, but not least, special thanks to Mr. Nand Wadhwani, who has been instrumental in technically supporting the reviewing and for developing this
special website: breastcrawl.org for communicating this 'miracle' worldwide.
We hope that this video and the dossier would create a demand for endorsing 'Breast Crawl' as the method for initiating breastfeeding by the nature's
way.
Gopinath Menon
State Representative, UNICEF (Maharashtra)
Compiled and Edited by
Prashant Gangal MD, DCH
Mother Support and Training Coordinator, BPNI Maharashtra
Authors
Prashant Gangal
Kartikeya Bhagat Sanjay Prabhu
Rajlakshmi Nair
Technical Advisors |
|
Marshall Klaus Phyllis Klaus Werner Schultink David Clark |
Felicity Savage R. K. Anand N. B. Kumta G. S. Hathi |
|
Policy Advisors – Government of Maharashtra V. Ramani |
|
Vandana Krishna P. Anbalagan |
Ujjwal Uke Nipun Vinayak |
Photography and Video Documentation
Saptarshi Pratim
Fullframe, Mumbai
Communications
Nand Wadhwani
The Mother and Child Health and Education Trust
motherchildtrust.org
Scientific Team, Trainers and Facilitators
Scientific Team from BPNI Maharashtra
Paediatricians, Obstetricians, Community Medicine Experts, Anaesthesiologists
Kartikeya Bhagat…MD
Practicing Obstetrician, Grace Maternity and Nursing Home, Kandivali, Mumbai
Rachna Bhagat…MD
Practicing Obstetrician, Grace Maternity and Nursing Home, Kandivali, Mumbai
Kamakshi Bhate…MD
Associate Professor, Dept. of Community Medicine, Seth G. S. Medical College, Mumbai
Janki Borkar…MBBS, DGO, PGDPPHC
Practicing Obstetrician and Gynaecologist, Amravati
Secretary, BPNI Amravati
Sanjio Borade…MBBS, DGO, DCH
Practicing Obstetrician and Paediatrician, Amravati
Pushpa Chaturvedi…MD, FIAP
Prof. and Head, Dept. of Pediatrics, Mahatma Gandhi Inst. of Medical Sciences, Sevagram, Wardha
Hema Dave…DA, MD
Practicing Anaesthesiologist, Kandivali, Mumbai
Prashant Gangal…MD, DCH
Practicing Pediatrician, Malad, Mumbai
Mother Support and Training Coordinator, BPNI Maharashtra
Rujuta Hadaye…MD, DNB, DPH, DHA (TISS)
Associate Professor, Dept. of Preventive and Social Medicine, L, T. M. Medical College, Sion, Mumbai
Vasant Khatav…MD, DCH, MRSH
Practicing Paediatrician, Borivali, Mumbai
Founder President, BPNI Maharashtra
Nilima Kulkarni…MD
Practicing Obstetrician and Gynaecologist, Nasik
District Coordinator, BPNI Nasik
Shama Kulkarni…MBBS, DCH
Practicing Paediatrician, Nasik
District Coordinator, BPNI Maharashtra
Vidyagauri Kulkarni… MD, DCH
Ex Assistant professor of Paediatrics, Seth G.S. Medical College, Mumbai
Ex Honorary Paediatrician, Dr R. N. Cooper Hospital, Mumbai
Committee Member, BPNI Maharashtra
Alka Kuthe….MBBS, DGO
Practicing Obstetrician and Gynaecologist, Amravati
President, BPNI Maharashtra
Sushma Malik…MD, DCH
Associate Professor, Dept. of Pediatrics, T. N. Medical College and B. Y.
L. Nair Hospital, Mumbai
Secretary, Mumbai Breastfeeding Promotion Committee 2006-2007
Anita Panvalkar…MD, DCH
Practicing Pediatrician, Goregaon, Mumbai
Committee Member, BPNI Maharashtra
Sanjay Prabhu…MD, DCH
Practicing Pediatrician, Borivali – Dahisar, Mumbai
Secretary, BPNI Maharashtra
Jayant Shah… MBBS, DCH, MD, DNTYM, DNYS
Practicing Paediatrician, Nandurbar
Nandurbar District Representative, BPNI Maharashtra
Charu Suraiya…MD, DCH
Honorary Paediatrician, Bhagwati Municipal General Hospital, Borivali, Mumbai
Past President, BPNI Maharashtra
Satish Tiwari…MD, LLBY
Practicing Paediatrician, Amravati
Secretary Medical Legal Group and Secretary IYCF group of Indian Academy of Pediatrics
Past President, BPNI Maharashtra
Rekha Udani…MD
Former Prof and Head, Dept. of Neonatology, K. E. M. Hospital and Seth G. S. Medical College, Mumbai
Past President, Mumbai Breastfeeding Promotion Committee
Paresh Ved...DA, MD
Practicing Anaesthesiologist, Kandivali, Mumbai
Mother Support Group Leaders (BPNI Maharashtra)
|
Rupal Baxi
Sarita Bhagwat
Sheetal Chhaya
Maushumi Deshmukh
Suchita Ghag
Geeta Kadam
Akanksha Kulabkar |
Ila Mahidhar
Sneha Panchal
Heena Patel
Hema Patel
Amita Shah
Dipti Shah
Mona Shah |
Jyoti Shinde
Reshma Siddhaye
Swati Temkar
Sangita Vakharia
Manju Verma |
Key Facilitators from Government of Maharashtra
Sanjay Kumar…IAS
Divisional Commissioner, Aurangabad Division
P. Anbalagan…IAS
CEO, Zilla Parishad, Nandurbar
Pravin Gedam…IAS
CEO, Zilla Parishad, Latur
Sanjeev Kumar…IAS
CEO, Zilla Parishad, Hingoli
Facilitators and Trainers from Government of Maharashtra
Chandrasen Turkar
State Coordinator (UNICEF Programmes), Dept. of Women and Child Development
K. M. Nagargoje
Director, RJMCH and Nutrition Mission
Naresh Gite
Director, RJMCH and Nutrition Mission
Anand Jagtap
Deputy Commissioner, Aurangabad Division
Ujjwala Bawake
Asst. Commissioner, Aurangabad Division
M. D. Borkhade
Deputy Commissioner, ICDS
Manjusha Molawane
Deputy Commissioner, ICDS
Gopal Pandge
Deputy Director, RJMCH and Nutrition Mission
Kondiram Pawar
Principal, HFWTC, Amravati
K. D. Bhosale
Principal, HFWTC, Aurangabad
Sudhir Bhatlawande
Deputy CEO, Latur
B. D. Dalvi
Deputy CEO, Jalna
Arun Mohod
Deputy CEO, Yewatmal
Sharad Wadekar
Deputy CEO, Nasik
Anant More
Consultant, UNICEF
Pandurang Sudame
Consultant, UNICEF
Reviewers
Documentary and Dossier Reviewed By
R. K. Anand…MD, FRCP (Edin.), FIAP, DCH (Lond.)
Head, Dept. of Pediatrics, and Neonatology, Jaslok Hospital and Research Center, Mumbai
David Clark
Legal Officer, Nutrition Section, UNICEF, New York
Marshall Klaus...MD
Professor Emeritus of Pediatrics, University of California, San Francisco
Phyllis Klaus... MFT, LCSW
Licensed Psychotherapist and Clinical Social Worker
Milton H. Erickson Institute in Santa Rosa, California
Vandana Krishna…IAS
Commissioner, Family Welfare, Govt. of Maharashtra
N. B. Kumta…MD, DCH, FIAP, FICP
Former Hon. Prof. and Head, Dept. of Paediatrics, Seth G. S. Medical College and K. E. M. Hospital, Mumbai
National Chief Coordinator, BPNI (1992-2004), Founder Advisor, BPNI Maharashtra;
Past President, IAP
V. Ramani…IAS
Director General, RJMCH and Nutrition Mission, Govt. of Maharashtra
Werner Schultink
Chief, Child Development and Nutrition Section, UNICEF, New York
Ujjwal Uke…IAS
Commissioner, ICDS, Govt. of Maharashtra
Nand Wadhwani
Founding Trustee, The Mother and Child Health and Education Trust
Dossier Reviewed By
R. K. Agarwal …MD, MNAMS, FIAP
President Elect, IAP 2007
Chairperson, IAP IYCF Group
C. R. Banapurmath…MD, DCH, MNAMS, FIAP
Prof., Dept. of Pediatrics, J. J. M. Medical College, Davangere
Central Co-ordination Committee Member, BPNI, INDIA
S. N. Daftary…MD
Prof. Emeritus, Dept. of Obst. and Gynaec. and Former Dean, Nowrosji
Wadia Maternity Hospital
Past President, FOGSI
Rae Davies…BSH, CD (DONA), LCCE, IBCLC
WABA Health Care Practices Task Force Co-coordinator
International Mother-Baby Childbirth Initiative BOD Member
Hema Divakar… MD, FICOG, DGO, FICMCH, PGDMLE
Practicing Obstetrician and Gynaecologist, Divakar's Speciality Hospital,
Bangalore
Chairperson, Perinatology Committee, FOGSI
Anwar Fazal… Dato (Dr.)
Chairperson Emeritus, World Alliance for Breastfeeding Action (WABA)
Armida Fernandez…MD, DCH, FIAP, FNNF
Former Prof. and Head, Dept. of Neonatology and Former Dean, L. T. M. Medical College and L. T. M. G. Hospital, Sion, Mumbai
Founder Trustee, SNEHA, Mumbai
Sailesh Gupta…MD, DCH
Practicing Paediatrician, Malad
Former Secretary, BPNI Maharashtra
Former Convenor, BFLM Committee, IAP
G. S. Hathi…MD, DCH
Former Hon. Prof. and Head, Dept. of Pediatrics, Seth G. S. Medical College and Dr. R. N. Cooper Hospital, Mumbai
Former Chairman, Breastfeeding and Lactation Management Committee of IAP
Simin Irani…MD, DCH
Former Prof. and Head, Dept. of Neonatology, Seth G. S. Medical College and K. E. M. Hospital, Mumbai
Founder and Past President, NNF
Pravina Kandoth…MD, DCH
Former Prof. and Head, Dept. of Paediatrics, T. N. Medical College and B. Y. L. Nair Hospital, Mumbai
Rajesh Kasla…MD, DCH
Practicing Paediatrician, Malad, Mumbai
Archana Kher…MD, DCH
Associate Professor, Dept. of Pediatrics, In Charge NICU, T. N. Medical College and B. Y. L. Nair Hospital, Mumbai
K. P. Kushwaha... MD, FIAP
Professor, Dept. of Pediatrics, B. R. D. Medical College, Gorakhpur, UP
Breastfeeding: Practice and Policy Course (London)
Chairperson: Task Force on IYCF, BPNI, Delhi
Jayashree Mondkar…MD, DCH
Prof. and Head, Dept. of Neonatology, L. T. M. Medical College and L. T. M. G. Hospital, Sion, Mumbai
Director, Human Milk Bank, LTMG College and Hospital, Mumbai
Ruchi Nanavati…MD, DCH
Prof. and Head, Dept. of Neonatology, Seth G. S. Medical College and K. E. M. Hospital, Mumbai
Director, Human Milk Bank and Kangaroo Mother Care Centre, K. E. M. Hospital, Mumbai
Daksha Pandit…DPH, MD
Prof. and Head, Dept. of Community Medicine, L. T. M. Medical College and L. T. M. G. Hospital, Sion, Mumbai
President, Mumbai Breastfeeding Promotion Committee
Shashank Parulekar…MD, DGO
Prof. and Head, Dept. of Obstetrics and Gynaecology, Seth G. S. Medical College and K. E. M. Hospital, Mumbai
Felicity Savage…MD
Honorary Senior Lecturer, Institute of Child Health, London
Director "Breastfeeding Practice and Policy" Course, ICH, London
P. K. Shah…MD, FICOG, FCPS, FICMU, FICMCH, DGO, DFP
Prof. and Unit Head, Dept. of Obstetrics and Gynaecology, L. T. M. Medical College and L. T. M. G Hospital, Sion, Mumbai
Prem Sheth…MD, DCH
Head, Dept. of Pediatrics and Neonatology, Institute of Medical Sciences, Bombay Hospital, Mumbai
Former Prof. of Pediatrics, Seth G. S. Medical College and Bai Jerbai Wadia
Children's Hospital, Mumbai
Uday Thanawala…MD, DGO, DFP
Practicing Obstetrician, Navi Mumbai
Chairperson, Medical Disorders Committee, FOGSI
Nipun Vinayak…IAS
CEO, Zilla Parishad, Jalna
Ann-Marie Widström
Karolinska Institute, Sweden
BREAST CRAWL
Initiation of Breastfeeding by Breast Crawl
(Insert with Breast Crawl Video)
First Edition
Published by:
UNICEF Maharashtra
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Parsee Panchayat Road, Andheri (E)
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The named authors alone are responsible for the views expressed in this publication.