Irma Hidayana1, Judhiastuty Februhartanty2, Vida A Parady3. 1. 1Independent Public Health Consultant,Jakarta,Indonesia. 2. 2South East Asian Ministers of Education Organization (SEAMEO),Regional Centre for Food and Nutrition (RECFON),Universitas Indonesia,SEAMEO RECFON Building,Campus of UI Salemba,Salemba Raya no. 6,Jakarta 10430,Indonesia. 3. 3Department of Communication, Faculty of Social and Political Sciences,Universitas Indonesia,Campus of UI Depok,West Java,Indonesia.
Abstract
OBJECTIVES: To measure compliance with the International Code of Marketing of Breast-milk Substitutes ('the Code') in Indonesia. DESIGN: The study was a cross-sectional survey using the Interagency Group on Breastfeeding Monitoring protocol. SETTING: Public and private health facilities in six provinces on Java island in Indonesia. SUBJECTS: A total of 874 women (382 pregnant women and 492 breast-feeding mothers of infants below 6 months) and seventy-seven health workers were recruited from eighteen participating health facilities. The study also analysed a total of forty-four labels of breast-milk substitute products, twenty-seven television commercials for growing-up milk (for children >12 months) of nine brands and thirty-four print advertisements of fourteen brands. RESULTS: The study found that 20 % of the women had received advice and information on the use of breast-milk substitutes and 72 % had seen promotional materials for breast-milk substitutes. About 15 % reported receiving free samples and 16 % received gifts. Nearly a quarter of the health workers confirmed receiving visits from representatives of breast-milk substitute companies. Two health workers reported having received gifts from the companies. The most common labelling violations found were statements or visuals that discouraged breast-feeding and the absence of mention about the consideration of local climate in the expiration date. CONCLUSIONS: Violations of the Code by health workers, breast-milk substitute companies and their representatives were found in all provinces studied. A regular monitoring system should be in place to ensure improved compliance with and enforcement of the Code.
OBJECTIVES: To measure compliance with the International Code of Marketing of Breast-milk Substitutes ('the Code') in Indonesia. DESIGN: The study was a cross-sectional survey using the Interagency Group on Breastfeeding Monitoring protocol. SETTING: Public and private health facilities in six provinces on Java island in Indonesia. SUBJECTS: A total of 874 women (382 pregnant women and 492 breast-feeding mothers of infants below 6 months) and seventy-seven health workers were recruited from eighteen participating health facilities. The study also analysed a total of forty-four labels of breast-milk substitute products, twenty-seven television commercials for growing-up milk (for children >12 months) of nine brands and thirty-four print advertisements of fourteen brands. RESULTS: The study found that 20 % of the women had received advice and information on the use of breast-milk substitutes and 72 % had seen promotional materials for breast-milk substitutes. About 15 % reported receiving free samples and 16 % received gifts. Nearly a quarter of the health workers confirmed receiving visits from representatives of breast-milk substitute companies. Two health workers reported having received gifts from the companies. The most common labelling violations found were statements or visuals that discouraged breast-feeding and the absence of mention about the consideration of local climate in the expiration date. CONCLUSIONS: Violations of the Code by health workers, breast-milk substitute companies and their representatives were found in all provinces studied. A regular monitoring system should be in place to ensure improved compliance with and enforcement of the Code.
Entities:
Keywords:
Breast-milk substitutes; Indonesia; The Code; Violations
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