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International Code

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History of the Code of Marketing Breastmilk Substitutes

1939 Dr. Cecily Williams - Singapore - declared that ''the death infants resulting from the dairy industry advertisements must be considered murder''.

1968.  Dr. Derrick Jelliffe- Jamaica - called the damage caused by artificial baby food advertisements as "commerciogenic malnutrition".

Seriousness of the advertisement images:

A mother watched a TV commercial of a artificial infant feeding products. She decided to give it to her baby because the commercial had convinced her that it was best for a baby. Awhile later the baby developed diarrhea so the mother took him to doctor. She was told that he needed to be treated for dehydration. The doctor advised the mother to breastfeed her son, because breastmilk was is the nutrition, contains antibodies and would be the best to hydrate the baby. Sadly,  it was late since the baby was used to the bottle and refused the breast.

 

 


                   

The International Code of Marketing of Breastmilk Substitutes is needed to protect parents from the unethical and powerful role that marketing plays in luring parents away from breastfeeding.


Our  aim is to raise awareness of the Code and the answer the common questions posed by health workers.

Q1: What is the meaning of the code?

The Code refers to a set of recommendations that were introduced by the World Health Organization and UNICEF and endorsed by the World Health Assembly in 1981.

Q2: What is the aim of the Code?

The aim of this Code is to contribute to the provision of safe and adequate nutrition for infants, by the protection and promotion of breastfeeding, and by ensuring the proper use of breastmilk substitutes, when these are necessary, on the basis of adequate information and through appropriate marketing and

Q3: Why have the code?

It has been universally recognized that the promotion of commercial baby food products have a negative impact on the spread and continuation of breastfeeding, the Code has been approved to end the practices that impede the marketing of breast-feeding.

Q4: Who voted in favor of the Code?

All States participating in the World Health Assembly in 1981, that is 119 countries, voted in favor of the application of the recommendations except for one country which was the United States of America.

Q5: Is there only one code?

Yes, but many countries have passed national laws or regulations based on the outlines provided by the International Code of Marketing Breastmilk Subsititues.

This is its purpose as the best way for the application of the code is to apply it by local law and regulation in each country.

Q6: What are the products covered by the scope of the Code?

The Code applies to the marketing, and practices related to the following products: all breastmilk substitutes, including infant formula; other milk products, foods and beverages, including bottle-fed complementary foods, when marketed or otherwise represented to be suitable for use as a partial or total replacement of breast-milk; feeding bottles and teats. It also applies to their quality and availability, and to information concerning their use.

Q7-Who is responsible for the implementation of the Code?

It’s the producers and distributors of these products who are responsibility to honor the code.

Ccountries  are requested to  set systems to report irregularities and deal with them. Health workers also need to be informed about the contents of the code, so that they can protect mothers and infants from trade promotion.

Q8: Does the code target a time or specific country?

No, the code is set to regulate laws of marketing of breastmilk substitutes in any country.

Q9: How can you assess whether a marketing practice is incompatible with the objectives of the Code?

The main factor to evaluate is to ask whether these practices are designed to discourage or undermine breastfeeding or not.

( for more details read question 12).

Q10: What are the things that aren’t prevented by the code?

·        The codes doesn’t prevent the production of breastmilk substitutes.

·        Code does not affect the proper use of supplementary food after the age of 6 months.

Q11: What is prohibited in health-care facilities?

  • Distribution of free samples to mothers.
  • Posters and brochure that market the company's products and it have its logo on it.
  • Distributing gifts to health workers or mothers.
  • Distribution of educational pamphlets produced by the companies on breastfeeding or child care.
  • The provision of grants and donations from companies to health-care facilities such as devices, and products.
  • Distribution of books and publications that market company's products to health workers.         
  • Sponsorship of formula manufacturing companies for  meetings, seminars or professional and support staff to attend these meetings.

Q12- Is it possible to summarize the code?

The code contains the following 10 Points:

  • Not to advertise their products directly to the  public.
  • Not to distribute free samples to mothers or family members.
  • Not to advertise their products in health care centers and that includes distributing free goods or giving discounted products.
  • Prevent sales man from these companies to communicate or advise mothers.
  • Not to distribute gifts or free samples to health care workers and if they do receive them not to pass them to mothers.
  • Not to use any images that suggest that artificial feeding has an advantage over breastfeeding, including pictures of infants on their brochures.
  • Information provided to the heath workers (about the product) must be scientific and factual.
  • All information on the artificial nutrition - including the labels on the product - must explain the benefits of breastfeeding, and the cost and risks associated with artificial nutrition.
  • Products not suitable for infant feeding, such concentrated or sweetened milk, should not be promoted for babies.
  • Producers and distributors must commit to apply the Code, even in countries that have not issued any laws or procedures related to the code.

Notes:

WHO and UNICEF recommend the following:

·        Babies should be breastfeed exclusively from the breast until the age of 6 months.

·        Continued breastfeeding until the baby is 2 years old as well as adding complementary, suitable family foods that are clean.

Decision of the world health organization was:

To recommend that health workers obtain a copy of the manual called “Protecting Infant Health, a Health Workers’ Guide to the International Code of Marketing of Breastmilk Substitutes”.

The English copy is available from:

IBFAN/ ICDC
International Baby Food Action Network
International Code Documentation Center
PO Box 19
10700 Penang
Malaysia
Tel: +60-4-656 9799
Fax: +60-4-657 7291

 

 

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