National Guidance

The MAA programme provides clear guidance on how to implement it and provides requirements for awards as well. Click to download full document.

MAA Programme requirements for Award to the hospital:

  1. The MAA programme requires adherence to the IMS Act and recommends a one-day sensitization programme for the Civil Surgeon, Chief Medical Officer, doctors and nurses to be sensitized  
  2. Have a written infant feeding policy that is routinely communicated to staff and parents- is required for award.
  3. Appropriate data entry for early initiation of breastfeeding column in all delivery registers; monitoring of lactation and breast conditions, support to resolve any breastfeeding related problems.
  4. It requires following trainings are outlined in MAA: 4-day IYCF comprehensive training package including all aspects of breastfeeding, complementary feeding, counseling, growth monitoring and breastfeeding in special situations, for ANM and nurses and the trainer’s guide and  One -day sensitization of Accredited Social Health Activists (ASHAs).
  5. The key responsibility for communication and counselling of mothers/ caregivers is that of staff nurses, RMNCH+A counsellors and Medical Officers. ASHAs to give preliminary counselling at monthly mothers’ meetings IEC material to be displayed in ANC clinics, ANC/delivery wards.
  6. ANM, staff nurses and medical officers conducting delivery are responsible for breast crawl and initiating breastfeeding.
  7. Rooming-in and bedding-in to be provided to all healthy newborns.
  8. A message that “Do not provide breastfed newborns any food or fluids other than breast milk, unless medically indicated”
  9. Link mothers to trained ANM in the community on discharge from the hospital or clinic.