Sanitation Kit Deeper Dive; Support Skills for IYCF-E
Sanitation supplies are a lifeline in emergencies, but using them effectively requires more than a quick overview. In this session, we take a deeper dive into the Sanitation Kit—what’s inside, how each component supports safe infant and young child feeding, and practical ways to use the kit in challenging environments. We then move into essential support skills, including hand expression, cup feeding, relactation, and co‑nursing, exploring when and how each technique can protect feeding continuity for families under stress. Through real‑world examples and grounded guidance, this training equips responders with the confidence and competence to help caregivers maintain safe, nurturing feeding practices during crises.
Topics with Time Stamps
00:00:00 – Introduction and homework review
00:08:47 – Sanitation Kit Deeper Dive – Questions to Ask and Decisions to Make
00:12:03 – Sanitation Kit Essentials, with Considerations and Options
00:21:50 – Sanitation Kit Extras & Other Possible Items
00:32:39 – Sourcing, Storing, & Assembling Sanitation Kit Components
00:36:36 – Rapid Needs Assessment Practice Scenario
00:40:10 – Feeding Situations That May Come Up in RNA & Support After RNA
00:45:36 – Essential Emergency Infant Feeding Skills – Hand Expression
00:49:25 – Essential Emergency Infant Feeding Skills – Cup Feeding w/ Scenario
00:55:27 – Essential Emergency Infant Feeding Skills – Relactation
01:01:58 – Co-Nursing
01:05:53 – Other Skills & When to Refer
01:07:43 – Sponsor Appreciation & Homework
01:13:50 – Q&A
Session 6 homework
- Review Handouts
- Customize Infant Feeding Sanitation Kit
- Learn More About Cup Feeding, Hand Expression, Relactation & Co-Nursing
- Continue (or Start) your Resource List
- Field / Community Experience – RNA with 3 caregivers
- Complete the Evaluation
Full instructions, with everything you need for each step, are on the homework page. The handout is the same material as a printable PDF.
Finished? Complete the session evaluation.
Handouts and Links
Grouped by skill. Every item on the session 6 homework page appears there with a description and a preview.
Start here
- SAFE Infant Feeding Quick Reference Guide — the booklet holding the cup feeding and hand expression pages
Cup feeding
- Cup feeding instructions — CDC
- Cup feeding videos — South Carolina Breastfeeding Coalition
- Cup feeding demonstration — video
Hand expression
- Hand expression guidance — CDC
- Hand expressing — La Leche League International
- Hand expression / Extracción manual — video
- Hand expression and breast care in emergencies — Maya Bolman
Relactation
- Relactation during emergencies — La Leche League USA
- Relactation — CDC
- Relactation discussion — Save the Children (video)
- Drip-drop feeding method — video
- Mass relactation in emergencies — video
Co-nursing (wet nursing)
- Wet nursing screening tool — SAFE Team
- Supporting wet nursing in emergencies — Emergency Nutrition Network
- Peer-reviewed review of wet nursing practice
Sanitation kits
- Sanitation kit decision-making guide — SAFE Team
- DIY sanitation kit components — SAFE Team
- Bleach alternative notes — SAFE Team
- Water filters meeting WHO standards — SAFE Team summary
Also referenced in this session
- Alimentación Segura Infantil (ASI) — the Puerto Rico‑based organisation doing this work in Spanish
- Creating safer spaces — CDC guidance, carried over from session 5
Keep going with us. The SAFE Support and Strategic Core meets quarterly as a free mastermind for people putting IYCF-E into practice — shared problem-solving, peer support, and updates from the team. See the dates and register.
Please Support Our Efforts
If you find this training helpful, please support our efforts with a financial donation. Click below and select “SAFE Team” to earmark for IYCF-E education and disaster response support.
Thanks to our sponsors
This work is free because these people and organizations paid for it.
Marcia Brady Tucker Foundation
A private family foundation dedicated to supporting charitable organizations that align with its mission of giving back. Grants are made only as a result of the Foundation’s own initiative.
Breastfeeding Family Friendly Communities
Provides technical assistance to breastfeeding coalitions and health departments across the US, using the Ten Steps to a Breastfeeding Family Friendly Community. The SAFE Team is a project of BFFC.
In memory of Elsie Perry
Elsie Perry was a founding mother of La Leche League Boston in the 1960s. A gift made in her memory by her daughters funded an eleventh month of this training series.
BabyBjörn
Founded in 1961 and still family-owned, with a mission to make everyday life easier for parents with babies. If your community needs emergency baby gear, reach them at care@babybjorn.com.
Confident Pregnancy
Helps people be healthier, feel more confident, and find their inner strength. Tips for staying calmer and more resilient under stress at MelindaDelisle.substack.com. DBA Melinda Delisle Innovations.
Birthstone Center for Appalachian Perinatal Resilience
Strengthens perinatal health in Western North Carolina by centering families, uplifting birthworkers, and advancing equitable access to lactation, doula and maternal mental health support.
Sponsor this IYCF-E training
Interested in sponsoring or partnering with us? Get in touch.
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