Session 6 – Homework Summary
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- Review Handouts
- Customize Infant Feeding Sanitation Kits.
- Learn more about cup feeding, hand expression, relactation, & co-nursing.
- Continue creating your community resource list.
- Field / Community Experience – Strive to do an RNA with 3+ caregivers this month.
- Complete the evaluation for this session.
- Make a suggested donation of $5 per session (optional, but appreciated!)
Additional handouts and resources at the bottom
1. Review Handouts
The handouts listed below are new this session unless noted.
Handout List
- Cup Feeding Quick Reference*
(Pages 4-5 of Quick Reference Guide*) - Cup Feeding Resources
- Hand Expression Quick Reference*
(Pages 6-7 of Quick Reference Guide* + CDC handout) - Hand Expression Resources
- Relactation Resources
- Co-Nursing Resources
- Alimentación Segura Infantil – Many useful feeding resources, especially in Spanish.
- SAFE Feeding Sanitation Kit Decision-making Guide
- Bleach Alternative Notes*
- Water Filters Meeting WHO Standards*
- DIY Sanitation Kit*
- *Indicates previously distributed handouts.
2. Customize Infant Feeding Sanitation Kit
Each area and every emergency are different. This month, put some time into considering how you might want to customize a version of the infant feeding sanitation kit, if it were needed. Using the most common emergency in your area, consider if sanitation kits would be needed and what should go in them.
Use the SAFE Feeding Sanitation Kit Decision-making Guide to help you think through the process.
3. Learn More About Cup Feeding, Hand Expression, Relactation & Co-Nursing
Watch videos (ones we recommend in the resources or those you find). Practice instructing someone if you can. Let us know your favorite resources next time. Please remember your skill level and scope of practice. Anyone can provide peer infant feeding and lactation support, but know when to refer to a trained expert.
4. Continue (or Start) your Resource List
Most organizations serving low-resource people will still operate after an emergency. Start compiling a list of these organizations that would be great referral partners during an emergency. While you are searching, look for the emergency services and disaster planning organizations and contacts that serve your area. See more details here.
5. Field / Community Experience – RNA with 3 caregivers
If you have already done this, great! We encourage you to go out and support more families or help with (more) organizing.
The best way to get comfortable working with families and sites is to do it, then practice periodically to develop and maintain that skill. You don’t need to wait for an emergency situation to occur – there are families everywhere who do not have reliable access to safe water and other resources needed to safely feed children under 3 years old, and organizations that try to meet their needs.
In the next month, aim to use the Rapid Needs Assessment with at least 3 caregivers. If you are unable to connect with people who may be in need, ask someone to help you practice by role playing a scenario.
6. Complete the Evaluation
To track your attendance and help us improve, please complete the short evaluation as soon as possible. This will allow us to verify your attendance for the certificate of completion at the end of the series. https://forms.gle/VeeMBUYYdXYzVJsXA
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.
Handouts, Links & Resources
Handout List
- Cup Feeding Quick Reference*
(Pages 4-5 of Quick Reference Guide*) - Cup Feeding Resources
- Hand Expression Quick Reference*
(Pages 6-7 of Quick Reference Guide* + CDC handout) - Hand Expression Resources
- Relactation Resources
- Co-Nursing Resources
- Alimentación Segura Infantil – Many useful feeding resources, especially in Spanish.
- SAFE Feeding Sanitation Kit Decision-making Guide
- Bleach Alternative Notes*
- Water Filters Meeting WHO Standards*
- DIY Sanitation Kit*
- *Indicates previously distributed handouts.
Cup Feeding Quick Reference Guide
(Pages 4-5 of Quick Reference Guide*)
Cup Feeding Infants / Alimentación con Vaso. Pgs 4-5
SAFE Infant Feeding Quick Reference Guide
Other Cup Feeding Resources
South Carolina Breastfeeding Coalition (various resources): https://www.scbreastfeeds.org/cupfeeding-videos
Cup Feeding a Small (premature) Baby for Mothers(by Global Health Media): https://www.youtube.com/watch?v=-6AU6y6qatc
Hand Expression Quick Reference Guide
(Pages 6-7 of Quick Reference Guide* + CDC handout)
- Hand Expression / La extracción de leche con las manos. Pgs 6-7
- Adapted from CDC hand expression guidance at: https://www.cdc.gov/infant-feeding-emergencies-toolkit/php/hand-expression.html
Relactation Videos:
Co-Nursing (aka wet nursing**) Resources:
- Wet Nursing** Screening Tool (IYCF-E Core Hub, Save the Children, USAID)
https://iycf-uploads.s3.amazonaws.com/uploads/Wet-Nursing-Screening-Tool.pdf - Supporting Wet Nursing** During Emergencies
https://www.ennonline.net/sites/default/files/2025-08/Supporting-wet-nursing-during-emergencies-%28ENGLISH%29.pdf - Facilitators and barriers of wet nursing:** a qualitative study with implications for emergencies (research article)
https://pmc.ncbi.nlm.nih.gov/articles/PMC12098040/
**The term wet nursing is considered by many to be insensitive or derogatory and is strongly discouraged, though many government and organization resources still use it.
Alternately, co-nursing can be called delegated nursing, shared nursing, allo-maternal or allo-parental nursing, or substitute nursing.
Alimentación Segura Infantil (ASI)
This organization, run by Lourdes Santaballa and other dedicated persons, works to support food safety and security for infants, in and outside of emergencies. They have many useful resources, particularly in Spanish.
SAFE Infant Feeding Sanitation Kit Decision-making Guide
Questions to ask when deciding if infant feeding sanitation kits are needed, and what to include in your group’s version.
Bleach Alternative Notes
Notes and facts about cold water purification alternatives other than liquid bleach.
Water Filters Meeting WHO standards
3 *** are better!
https://safeinfantfeeding.org/app/uploads/2025/12/WHO-Water-Treatment-Solutions.pdf
DIY Infant Feeding Sanitation Kit
Instructions for making your own sanitation kit, as the SAFE Team used them in WNC, for disinfecting infant and young child feeding items such as bottles, nipples, pump parts, and sippy cups. For responder or family/caregiver use.
English:
https://safeinfantfeeding.org/app/uploads/2025/12/DIY-Sanitation-Kit-Components-English.pdf
Spanish:
https://safeinfantfeeding.org/app/uploads/2025/12/DIY-Sanitation-Kit-Components-Spanish.pdf
Guidelines, suggestions, signs, and other information about creating baby- and family-friendly spaces in shelters.
Thanks to our Sponsors
We express our gratitude to our sponsors that made this training possible:
Marcia Brady Tucker Foundation
The Marcia Brady Tucker Foundation is 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
Breastfeeding Family Friendly Communities provides technical assistance to breastfeeding coalitions and health departments across the US, including Breastfeed Durham, Breastfeeding Family Friendly Communities of Asheville, and the North Carolina Breastfeeding Coalition. Our newest project, the SAFE Team, revealed national gaps in infant and young child feeding during emergencies. Our core mission of systems change uses the Ten Steps to a Breastfeeding Family Friendly Community to train and educate non-lactating community members to better welcome families, normalize breastfeeding, and prepare for safe infant feeding in emergencies. Together, we build environments where every family can thrive.
Confident Pregnancy (DBA Melinda Delisle Innovations)
We help people be healthier, feel more confident, and find their inner strength so we can show up as our best selves. Learn foundations for staying calmer and more resilient under stress in our upcoming program, Surfing Emotional Currents. Register free on our website.
Birthstone Center for Appalachian Perinatal Resilience
The 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—building resilience in mountain communities before, during, and after birth. Starting as a small private practice, Birthstone has grown into a regional nonprofit that creates innovative solutions to providing a village for Mountain Families.
Sponsor This IYCF-E Training
Creating a detailed and thorough training to the high standards we know you all expect takes funding. If you would like to learn more about sponsoring or other partnership opportunities, please contact us.