Improving Maternal and Infant Nutrition: A Framework for Action

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CONTENTSMinisterial ForewordExecutive SummaryIntroduction• What is our Vision?• Who is the Framework for?• What will the Framework Cover?• What will the Framework not Cover?• Achieving Success and Measuring itChapter 1: Current policy context• Scottish Policy 1.1• UK Wide Policy 1.12• International Policy 1.19Chapter 2: Why is Maternal and Infant Nutrition Important?• Food, Nutrition and Health 2.1• Maternal Nutrition and Foetal Growth and Development 2.3• Birth Weight and Height 2.10• Impact of Maternal Obesity on Health and Breastfeeding 2.13• Infant Feeding and Health 2.15• Breastfeeding 2.16• Infant Feeding and Growth 2.26• Introduction of Complementary Foods and Early Eating Habits 2.37Chapter 3: What is Known about Maternal and Infant Nutrition in Scotland?• Women of Childbearing Age, During and After Pregnancy 3.8• Breastfeeding 3.19• Formula Feeding 3.29• Complementary Feeding and Early Eating Patterns 3.33Chapter 4: Current activity across Scotland• Summary of Mapping Exercise 4.3• Breastfeeding 4.8• Maternal Nutrition 4.14• Nutrition of Children Under Five 4.21• Local Authority Activities 4.29• Community and Voluntary Sector Activities 4.35Chapter 5: Process for Development of the Framework:• Strategy Group 5.1• Logic Model 5.7• Evidence Underpinning Activities 5.9• Generation of Outcomes and Activities 5.15Chapter 6: Research, Monitoring and Evaluation• Implementation 6.5
• Indicators for Outcomes 6.9• Monitoring and Evaluation 6.12Chapter 7: Action Plan for ImplementationReferencesAppendices:• Appendix 1: Membership of Framework Group• Appendix 2: Membership of Sub-Groups• Appendix 3: Healthy eating advice for pregnant and breastfeedingwomen• Appendix 4: NICE Public Health Guidance 11 researchrecommendations• Appendix 5: Indicators for outcomes
Page 1 and 2: Improving Maternaland Infant Nutrit
Page 3: © Crown copyright 2011ISBN: 978-0-
Page 7 and 8: Executive SummaryImproving the nutr
Page 9 and 10: IntroductionIn order to change infa
Page 11 and 12: important for the scope to go beyon
Page 13 and 14: 1.6 In 2003, the Royal College of P
Page 15 and 16: 1.17 The Healthy Start Scheme was i
Page 17 and 18: Chapter 2: Why is Maternal and Infa
Page 19: Birth Weight and Health2.10 A mothe
Page 22 and 23: her wider community. The factors ar
Page 24 and 25: 2.31 Infant formula is manufactured
Page 27: Summary2.48 The diet and nutritiona
Page 31 and 32: Birth weight of infants born in Sco
Page 33 and 34: Breastfeeding at Birth3.23 Informat
Page 35 and 36: Figure 5: Breastfeeding at the 6-8
Page 37 and 38: 3. Water should be added to the bot
Page 39 and 40: Chapter 4: Current Activity across
Page 41 and 42: AccreditedAyrshire Maternity Unit,
Page 43 and 44: Community Mothers Breastfeeding Sup
Page 45 and 46: 4.18 Just over half of Boards had a
Page 47 and 48: policies for each nursery, provisio
Page 49 and 50: 4.26 Eight Boards had an obesity st
Page 51 and 52: Promoting and Supporting Breastfeed
Page 53 and 54: Parents Cooking Group, Gowans Child
Page 55 and 56:
Chapter 5: Process for Development
Page 57 and 58:
FoodMediaKnowledgeSkillsIncomeCommu
Page 59 and 60:
Government and WHO publications. It
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OUTCOMESShort Term (0-3 yr) Medium
Page 63 and 64:
5.24 The activities were compared t
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• Introduce new routinely collect
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Chapter 7: Action Plan7.1 It is rec
Page 69 and 70:
training and be integrated into und
Page 71 and 72:
2. Baby Friendly InitiativeActivity
Page 73 and 74:
3.5 Work with private sector compan
Page 75:
Breastfeeding Mothers• Access to
Page 83 and 84:
18. Kelly Y, Panico L, Bartley M, e
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56. Gregory J, Collins D, Davies P
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Appendix 1: Membership of Maternal
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Appendix 2: Membership of sub-group
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Appendix 3: Healthy eating advice f
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Appendix 4: NICE Public Health Guid
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Appendix 5: Indicators for Short, M
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6 All relevant national & localpoli
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complementary feedingRelevant resou
Page 101 and 102:
15 Increased acceptability ofbreast
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23 reduced inequalities in childnut
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