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| Research article summary (published 16 Jan 2003): |
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Monitoring compliance with the International Code of Marketing of Breastmilk Substitutes in west Africa: multisite cross sectional survey in Togo and Burkina Faso.
Full Abstract
OBJECTIVES:
To monitor compliance with the International Code of Marketing of Breastmilk Substitutes in health systems, sales outlets, distribution points, and the news media in Togo and Burkina Faso, west Africa.
DESIGN:
Multisite cross sectional survey.
PARTICIPANTS:
Staff at 43 health facilities and 66 sales outlets and distribution points, 186 health providers, and 105 mothers of infants aged < or =5 months in 16 cities.
RESULTS:
Six (14%) health facilities had received donations of breast milk substitutes. All donations were being given to mothers free of charge. Health providers in five (12%) health facilities had received free samples of breast milk substitutes for purposes other than professional research or evaluation. Health professionals in five (12%) health facilities had received promotional gifts from manufacturers. Promotional materials of commercial breast milk substitutes were found in seven (16%) health facilities. Special displays to market commercial breast milk substitutes were found in 29 (44%) sales and distribution points. Forty commercial breast milk substitutes violated the labelling standards of the code:
21 were manufactured by Danone, 11 by Nestlé, and eight by other national and international manufacturers. Most (148, 90%) health providers had never heard of the code, and 66 mothers (63%) had never received any counselling on breast feeding by their health providers.
CONCLUSION:
In west Africa manufacturers are violating the code of marketing of breast milk substitutes. Comparable levels of code violations are observed with (Burkina Faso) or without (Togo) regulating legislation. Legislation must be accompanied by effective information, training, and monitoring systems to ensure that healthcare providers and manufacturers comply with evidence based practice and the code.
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Author information
Author/s: Aguayo, Victor M (VM); Ross, Jay S (JS); Kanon, Souleyman (S); Ouedraogo, Andre N (AN);
Affiliation: Helen Keller International, Regional Office for Africa, New York, NY 10010, USA. vaguayo(-atsign-)hkimali.org
Journal and publication information
Publication Type: Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.
Journal: BMJ (Clinical research ed.) (BMJ), published in England. (Language: eng)
Reference: 2003-Jan; vol 326 (issue 7381) : pp 127
Dates: Created 2003/01/17; Completed 2003/02/13; Revised 2007/11/15;
PMID: 12531842, status: MEDLINE (last retrieval date: 11/6/2008)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
Comments and Corrections
CommentIn: BMJ. 2003 Jan 18;326(7381):113-4. (PMID: 12531818)
CommentIn: BMJ. 2003 May 3;326(7396):984. (PMID: 12727747)
CommentIn: BMJ. 2003 May 3;326(7396):984. (PMID: 12727779)
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