Home » DHS-8 Questionnaire Review - Archived » Core questionnaire: Nutrition » Marketing of Breast-milk Substitutes
| Marketing of Breast-milk Substitutes [message #16772] |
Fri, 01 March 2019 13:55  |
DataDENT
Messages: 11
Registered: January 2019
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We propose one indicator that would allow countries to quantify the extent to which mothers are exposed to BMS marketing, which can discourage breastfeeding.
1. Exposure to breast-milk substitute (BMS) promotion
Definition: Proportion of mothers exposed to any promotion or advertising for infant formula or other milk targeted for babies
Attached to this post is a completed submission form with full justification for the recommendation.
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This recommendation originated in the September 2018 Technical Consultation on Measuring Nutrition in Population-Based Household Surveys and Associated Facility Assessments--a 2-day working meeting convened by the Bill & Melinda Gates Foundation and United States Agency for International Development in collaboration with the World Health Organization (WHO) and United Nations Children's Fund (UNICEF), and coordinated by Data for Decisions to Expand Nutrition Transformation (DataDENT). The consultation included more than 60 technical experts, survey program representatives from DHS, MICS, LSMS and SMART, country data stakeholders, and donors from the nutrition measurement community.
This recommendation was authored by Larry Grummer-Strawn (WHO) and reviewed by Marcus Stahlhofer (WHO), David Clark (WHO), Purnima Menon (Institute for Food Policy Research Institute (IFPRI)), Sunny Kim (IFPRI), Chessa Lutter (RTI), and Monica Kothari (PATH).
This recommendation is endorsed by the WHO-UNICEF Technical Expert Advisory Group on Nutrition Monitoring (TEAM). Out of the 10 sets of recommendations endorsed by TEAM, this recommendation was prioritized as Tier 2 of 3 (high priority data need).
This recommendation is also endorsed by Countdown to 2030, Alive & Thrive, Global Alliance for Improved Nutrition (GAIN), the nutrition team at the Bill & Melinda Gates Foundation, and the Department of International Health at the Johns Hopkins Bloomberg School of Public Health.
[Updated on: Fri, 01 March 2019 14:40] Report message to a moderator |
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| Re: Marketing of Breast-milk Substitutes [message #16906 is a reply to message #16772] |
Wed, 13 March 2019 21:43  |
SUN Movement MEAL Team
Messages: 9
Registered: March 2019
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The SUN MEAL Results Framework seeks to track indicators related to the enabling policy environment for protection, promotion and support of breastfeeding. It would be very useful to the SUN Movement to be able to track the level of exposure of mothers to marketing of BMS in member countries.
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| Re: Marketing of Breast-milk Substitutes [message #17032 is a reply to message #16772] |
Fri, 15 March 2019 07:38 |
Rolf Klemm
Messages: 7
Registered: March 2019
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HKI wishes to endorse the Marketing of breast-milk substitutes recommendations for inclusion in DHS-8 (2018-2023). These recommendations were coordinated by DataDENT, authored by Larry Grummer-Strawn (WHO), and endorsed by TEAM, Countdown to 2020, Alive & Thrive, GAIN, the nutrition team at the Bill & Melinda Gates Foundation and Johns Hopkins Bloomberg School of Public Health.
A new question is needed because the International Code of Marketing of Breast-milk Substitutes, adopted by nearly all DHS countries, prohibits the promotion of infant formula and other breast-milk substitutes. Such promotion is well documented to reduce breastfeeding. Nonetheless, data show that exposure to promotion is widespread. Recent studies conducted by HKI in Cambodia, Nepal, Tanzania, Senegal and Indonesia document mothers' reported exposure to commercial promotions for breastmilk substitutes and show rates vary considerably in different countries (Feeley et al., 2016; Helen Keller International & Ministry of Health, 2018a, 2018b; Alissa M Pries, Huffman, Adhikary, et al., 2016; Alissa M Pries, Huffman, Mengkheang, et al., 2016a, 2016b; Vitta et al., 2016).
Adding the proposed marketing of breastmilk substitutes questions will provide information relevant to efforts to increase exclusive breastfeeding, one of the global nutrition targets endorsed by the World Health Assembly. The data from the new questions will be used to provide evidence for the need to strengthen countries' Code legislation and monitoring/enforcement of their national laws that protect breastfeeding. It will also be used by programs to tailor breastfeeding messages to counteract inappropriate marketing of infant formula and other breast-milk substitutes.
References:
Feeley, A. B., Ndeye Coly, A., Sy Gueye, N. Y., Diop, E. I., Pries, A. M., Champeny, M., ... Huffman, S. L. (2016). Promotion and consumption of commercially produced foods among children: situation analysis in an urban setting in Senegal. Maternal & Child Nutrition, 12 Suppl 2, 6476. https://doi.org/10.1111/mcn.12304
Helen Keller International, & Ministry of Health. (2018). Breastfeeding practices and consumption of breastmilk substitutes among children under 36 months in Bandung City. Jakarta, Indonesia: Helen Keller International.
Pries, A. M., Huffman, S. L., Adhikary, I., Upreti, S. R., Dhungel, S., Champeny, M., & Zehner, E. (2016). High consumption of commercial food products among children less than 24 months of age and product promotion in Kathmandu Valley, Nepal. Maternal and Child Nutrition, 12. https://doi.org/10.1111/mcn.12267
Pries, A. M., Huffman, S. L., Mengkheang, K., Kroeun, H., Champeny, M., Roberts, M., & Zehner, E. (2016). Pervasive promotion of breastmilk substitutes in Phnom Penh, Cambodia, and high usage by mothers for infant and young child feeding. Maternal & Child Nutrition, 12 Suppl 2, 3851. https://doi.org/10.1111/mcn.12271
Vitta, B. S., Benjamin, M., Pries, A. M., Champeny, M., Zehner, E., & Huffman, S. L. (2016). Infant and young child feeding practices among children under 2 years of age and maternal exposure to infant and young child feeding messages and promotions in Dar es Salaam, Tanzania. Maternal & Child Nutrition, 12 Suppl 2, 7790. https://doi.org/10.1111/mcn.12292
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| Re: Marketing of Breast-milk Substitutes [message #17425 is a reply to message #16772] |
Fri, 15 March 2019 23:56 |
Olutayo
Messages: 12
Registered: March 2019
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Marketing of breast milk substitutes is a source of intense international debate between industry and public health experts. There are laws restricting such marketing in many countries. It would be quite useful to have information about how effective laws, advocacy and other actions are and this information currently does not exist. I support the inclusion of this indicator in the DHS.
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