1000 MOST

CRITICAL DAYS

By Mr. Mudenda 2018

 Learning Objectives

1. Give an over view of the 1st 1000 MCDs

2. Explain the 1st 1000 MCDs priority
interventions in Zambia
3. Explain the key practices to support
mother and child survival in the 1st 1000
MCDs
 Introduction
– According to Zambia Demographic Health
Survey (ZDHS) preliminary reports of 2013/
2014
– Zambia faces high levels of malnutrition
– stunting at 40%
– Underweight 15% and wasting 6 %
INTRODUCTION

• The 1000 MCDs is a global campaign to help

address pediatric malnourishment way from
conception to age
Calculation of the 1000 MCDs
• The 1st 1000 most critical days is the period
from conception to 1st 2 years of life
– 270 days of pregnancy period.
– 365 which is the 1st year of life
– 365 which is another (2nd ) year of life
• 270 + 365 + 365 = 1000 days
 Aim of the Campaign
– The campaign aim at reducing under-
nutrition right from conception to two years
of life
 Why are the 1st 1000 Days
Critical?
1. The brain achieves its optimum development during
this peak period of growth
2. The earliest experiences shape a baby’s brain
development -have a lifelong impact on that baby’s
mental and emotional health
3. Fetal or baby exposure to toxic stress can have their
responses to stress (cortisol) distorted in later life
 Why are the 1st 1000 Days
Critical?
– Lagging behind in the 1st year of life makes it difficult to catch
up latter
– If a baby’s development falls behind the norm during the 1st
year of life, it is then much more likely to fall even further
behind in subsequent years, than to catch up with those who
have had a better start
– Babies are disproportionately vulnerable to abuse and
neglect
 1000 MCDs Interventions In
Zambia
PRIORITY INTERVENTION PREGNANCY 0-6 MONTHS 6 – 23 MONTHS

Ferrous Sulphate & Folic acid supplementation

(FEFOL) X

Micronutrients powders X

Multiple micronutrients
X

Promotion of breast feeding (Early initiation,

Exclusive Breast Feeding and Continued Breast X
feeding)
 1000 MCDs Interventions In
Zambia
PRIORITY INTERVENTION PREGNANCY 0 – 6 MONTHS 6 – 23 MONTHS
Promotion of Complementary
Feeding x

Promotion of Diverse Diets

for pregnant and x x x
lactating mothers

Zinc provision during

diarrhoea x
 1000 MCDs Interventions In
Zambia
PRIORITY INTERVENTION PREGNANCY 0 – 6 MONTHS 6 – 23 MONTHS
Promotion of safe water and hygiene
and sanitation X X X
Growth monitoring and promotion
(facility and community) X X

Vitamin A supplementation X

Deworming X X
Expanded integrated management of
acute malnutrition X X
 1000 MCDs Interventions In
Zambia
PRIORITY INTERVENTION PREGNANCY 0 – 6 MONTHS 6 – 23 MONTHS
Promotion of increased availability of
diverse locally available and processed X X X
foods (with focus on women’s
empowerment)

Nutritional sensitive messages in

government of Zambia programs
Farmer Input Support Programme
(FISP), Food Security Pack( FSP), Social X X X
Cash Transfer, School Health Nutrition,
Women empowerment Programme
 1000 MCDs Interventions In
Zambia

– The interventions should start by improving

the health status of adolescents and pre
pregnant women and also addressing their
economic and social status
 Key Practices To Be
Promoted According To Age
S/N AGE OF CHILD OR KEY PRACTICES TO SUPPORT ACROSS THE 1ST 1000 DAYS
MOTHER’S STATUS

1. Pregnancy • Eating variety of locally nutritious foods.

• Eating one extra small meal or snack in a day
• Eating more food when ill
• Taking folic and ferrous tablets
• Supplementation with multivitamin
• De worming and malaria prophylaxis
• Use of insecticide Treated Bed Nets ( ITN)
• Elimination of Mother to Child Transmission( e MTCT)
• Safe water, sanitation and hygiene practices
 Key Practices To Be
Promoted According To Age
S/ AGE OF CHILD OR
N MOTHER’S STATUS KEY PRACTICES TO SUPPORT ACROSS THE 1ST 1000 DAYS

2 Birth to 6 months • Early initiation of breast feeding

• Exclusive Breast feeding
• Breast feeding on demand
• Immunization
• Growth Monitoring
• ITN
• eMTCT
• Safe water, sanitation and hygiene
 Key Practices To Be
Promoted According To Age
S/N AGE OF CHILD OR KEY PRACTICES TO SUPPORT ACROSS THE 1ST 1000 DAYS
MOTHER’S STATUS
3
Breast • Eating variety of locally nutritious foods.
feeding • Eating one extra small meal or snack in a day
mother • Eating more food when ill
• Supplementation with vitamin A
• Use of ITNs
• eMTCT
• Safe water, sanitation and hygiene practices
 Key Practices To Be
Promoted According To Age
S/N AGE OF CHILD OR KEY PRACTICES TO SUPPORT ACROSS THE 1ST 1000 DAYS
MOTHER’S STATUS
4
Baby 6 – 9 • Continue Breast feeding
months • Introduce safe and appropriate
complementary feeds at 6 complete months
• GMP
• Use ITNs
• Safe water, sanitation and hygiene
• eMTCT
• Vitamin A supplementation
 Key Practices To Be Promoted
According To Age
S/N AGE OF CHILD OR KEY PRACTICES TO SUPPORT ACROSS THE 1ST 1000 DAYS
MOTHER’S STATUS

5
Child 9 to • Continue breastfeeding up to 24 months.
12 months • Safe and appropriate complementary feeding practices.
• GMP
• Use of ITNs
• Water, sanitation and hygiene practices
• eMTCT
• IMMUNIZATION.
• Vitamin a supplementation
• Deworming
 Key Practices To Be Promoted
According To Age
S/N AGE OF CHILD OR KEY PRACTICES TO SUPPORT ACROSS THE 1ST 1000 DAYS
MOTHER’S
STATUS
6
Child 12 to • Continue breastfeeding up to 24 months.
24 months • Safe and appropriate complementary feeding practices.
• GMP
old
• Use of ITNs
• Water, sanitation and hygiene practices.
• eMTCT
• Immunization
• Vitamin a supplementation
• De-worming
CONCLUSION

– The 1st 1000 MCDs interventions appear at

all levels of growth and for each level of
growth
– There are key practices that should be
adhered to by individuals and families that
are key for promotion of growth.
……………………………………….