Consultancy - IYCF improvement in China, Beijing, China
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In China, children are faced with the double burden of malnutrition. Thanks to rapid economic development and government interventions targeting undernutrition, the prevalence of underweight and wasting have dropped dramatically. However, stunting remains a problem, especially in poor rural areas. Between 1990 and 2013, in China, the stunting prevalence of children under five decreased from 33.1 per cent to 8.1 per cent, while in poor rural areas, the stunting prevalence of children under five was as high as 18.7 per cent in 2013, 2.3 times the national average. In the meantime, the child overweight and obesity rates have grown rapidly over the past decades in both urban and rural areas, becoming a noticeable public health problem. Between 2002 and 2012, the prevalence of overweight increased from 6.5 per cent to 8.4 per cent and the obesity rate increased from 2.7 per cent to 3.1 per cent among children under five.
Poor infant feeding, and complementary feeding are a result of multiple factors in China. Data from the 2013 China Nutrition and Health Surveillance show that the prevalence of minimum dietary diversity, minimum meal frequency and minimum acceptable diet were 52.5 per cent, 69.8 per cent, and 27.4 per cent among children aged 6-23 months, respectively, with noticeable differences between urban and rural areas. Breastfeeding is undermined for various reasons. In addition to poor legislation and unrestricted environment for marketing and promotion of infant formula, health workers are also poorly trained to support mothers and address common challenges to support breastfeeding. Young mothers, especially in urban areas are increasingly looking for additional support post-partum from service providers trained to provide counselling for lactation. UNICEF will work with the China Nutrition Society members to build their capacity in competencies related breastfeeding.
Among older children, quality, quantity and responsive feeding affects complementary feeding practices, and parents often have limited information on best practices. In year 2012, China's central government launched the child nutrition improvement intervention program by providing Ying Yang Bao, a soybean powder-based micronutrient supplement, or children aged 6-23 months living in poverty areas. Studies conducted on this national program indicated that while the anaemia prevalence among young children decreased significantly, the improvement on a broader set of IYCF practices are limited. Plans are now underway to expand this program to 843 poverty counties, as part of the national program for poverty alleviation. Implemented through the health sector, the expansion to 843 poverty counties is likely to reach 4.2 million children under 2 years of age and offers an enormous opportunity to strengthen complementary feeding practices among the most vulnerable children. UNICEF has been invited to strengthen health worker knowledge and capacity on infant and young child feeding practices and is seeking a consultant to propose a training strategy and adapt the current training curriculum in alignment with global best practices and national requirements.
How can you make a difference?
Under the guidance and direct supervision of the Section Chief of Health Nutrition & WASH, the consultancy will conduct situation and behavioral analysis on IYCF including breastfeeding practice in China, review available training materials, develop IYCF training packages and monitoring tools based on China's situation. The consultancy will also support IYCF it roll out strategy of China.
Main areas of responsibilities include:
For more details on this consultancy role, please visit the TOR -ToR_Consultant on IYCF traning package - for VA.docx
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UNICEF is committed to diversity and inclusion within its workforce, and encourages qualified female and male candidates from all national, religious and ethnic backgrounds, including persons living with disabilities, to apply to become a part of our organization. To apply, click on the following link http://www.unicef.org/about/employ/?job=523046