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3. Supporting Exclusive Breastfeeding, Probolinggo District, East Java Province
• The District Head of Probolinggo became the Breastfeeding Ambassador for
Probolinggo District and has issued a District Head Regulation on ensuring safe delivery and IEBF for all mothers, developed in cooperation with MSFs.
• The District Head published a prohibition letter forbidding the supply of formula milk to
health facilities and private midwife practices throughout Probolinggo District. •
The District Head, together with the District Health Office, actively conducted surprise supervisory visits to all health facilities and midwife practices to check whether formula
milk was still promoted or sold, and issued sanctions to violators. •
Implemented the katuk leaf planting movement, whose leaves are beneficial for improving lactation, and ensured that katuk leaves were part of the menu for all women
giving birth at health centers and hospitals. •
Cooperation with the private sector to ensure breastfeeding rooms are provided in the work place.
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CHAPTER 4 RECOMMENDATIONS FOR REPLICATION
Recommendations for the Government
These recommendations are intended for the national government Ministry of Health, provincial governments, district governments, and district health offices.
a Commitment
High commitment is required from the District Head, legislature and district health office, through creating district legislation, providing financial support, supporting local champions, and training
human resources.
b Ensuring Community Participation
Provide local resources for establishing MSFs and ensuring complaint mechanisms are available to encourage a visible form of active participation on the demand side, and to support transparency as
well as accountability on the supply side that will improve health care performance and meet minimum service standards and goals.
c Individual and Community Supervision
MSFs should work together with local governments to perform monitoring and supervision in order to ensure district regulations are implemented appropriately.
d Materials for Health Centers
Support district health offices to adopt and adapt KINERJA ’s model at the health center level,
with the assistance of materials and equipment from the KINERJA Learning Series and guidance from former KINERJA staff, IOs, and partner health centers.
e Health personnel
Support the health service to provide health personnel with the knowledge and skills required according to national standards and SOPs. Support is required from parties such as MSF, the
legislature, and provincial and national governments to perform advocacy in order for health centers
