Improving Maternal and Infant Nutrition: A Framework for Action

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groups. By being explicit about the developmental process and the assumptionswhich have been made, it has led to the outcomes framework being more amenableto rational examination and, therefore, in the long term more robust.5.17 All of the outcomes are presented overleaf. Several of the short termoutcomes refer to “all those working with”, it is recognised that there is a range ofstaff and organisations who have a role in improving maternal and infant nutrition.Whilst the NHS plays a key role, local authorities, the community and voluntarysector are also crucial. Short term outcome (1) refers to “optimal nutrition” which inthis context means the healthy eating advice for women prior to conception, duringpregnancy and following birth, as detailed in Appendix 3.
OUTCOMESShort Term (0-3 yr) Medium Term (3-5 yr) Longer Term (5 – 10+ yr) National• All those working with womenprior to conception, duringpregnancy & after birth havethe knowledge & skills to givepractical information &support on optimal nutritioneffectively and/or signpostappropriately (1)• All those working withpregnant women & parentshave the knowledge, skills,confidence & attitude to givepractical information &support around breastfeedingand/or signpost appropriately(2)• All those working withfamilies & young childrenhave the knowledge & skillsto give practical information &support on infant milkfeeding, complementaryfeeding & establishing goodeating patterns and/orsignpost appropriately (3)• Services & all those workingwith children & families aremore responsive to theirindividual nutritional needs(4)• Increased identification &engagement of nutritionallyvulnerable children & families(5)• All relevant national & localpolicies support healthymaternal & infant nutrition (6)• More parents & carersunderstand the impact ofoptimal nutrition prior toconception & duringpregnancy on maternalhealth, and consequently onfoetal & child development &health (7)• More parents & carersunderstand the short & longterm benefits ofbreastfeeding on maternalhealth, and childdevelopment & health (8)• More parents & carersunderstand the impact ofinfant milk feeding,complementary food & drinkson infant & child development& health (9)• More parents & carers havethe confidence & skills toimplement good feeding &eating patterns (10)• More parents and carersunderstand the impact ofunder/overweight prior topregnancy and returning to ahealthy weight after birth onthe mother’s future health(11)• Healthy food & drink is moreaffordable & more availableto vulnerable families (12)• More children arebreastfed, and for longer• More parents & carerschoose healthy food &drinks for themselves &their children• Increased acceptability ofbreastfeeding in Scottishsociety in general & indisadvantaged groups• Increased awareness inthe general population ofthe short & long termbenefits of breastfeedingon maternal & childdevelopment & health• Increased awareness inthe general population ofthe impact of nutrition onfoetal & childdevelopment & health• Society values &prioritises maternal &child nutrition• Breastfeeding isincreasingly seen asthe norm• Social & physicalenvironment supportshealthy nutrition foryoung children• Reducedchildhood obesity• Improved childnutrition-relatedhealth & wellbeing• Reducedinequalities inchild nutritionrelatedhealth &wellbeing• Reduced maternalobesity• Improvedmaternal nutritionrelatedhealth &wellbeing• Reducedinequalities inmaternal nutritionrelatedhealth &wellbeing• Our childrenhave the beststart in life andare ready tosucceed• We live longer,healthier lives
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Improving Maternaland Infant Nutrit
Page 3 and 4:
© Crown copyright 2011ISBN: 978-0-
Page 5 and 6:
• Indicators for Outcomes 6.9•
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: Government and WHO publications. It
Page 63 and 64: 5.24 The activities were compared t
Page 65 and 66: • Introduce new routinely collect
Page 67 and 68: 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
Page 85 and 86: 56. Gregory J, Collins D, Davies P
Page 87 and 88: Appendix 1: Membership of Maternal
Page 89 and 90: Appendix 2: Membership of sub-group
Page 91 and 92: Appendix 3: Healthy eating advice f
Page 93 and 94: Appendix 4: NICE Public Health Guid
Page 95 and 96: Appendix 5: Indicators for Short, M
Page 97 and 98: 6 All relevant national & localpoli
Page 99 and 100: complementary feedingRelevant resou
Page 101 and 102: 15 Increased acceptability ofbreast
Page 103 and 104: 23 reduced inequalities in childnut
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Improving Maternal and Infant Nutrition: A Framework for Action

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