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The WHO Code and Exclusive Breastfee...

Yale University., School of Public Health.

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The WHO Code and Exclusive Breastfeeding in China, India, and Vietnam.

Record Type:	Electronic resources : Monograph/item
Title/Author:	The WHO Code and Exclusive Breastfeeding in China, India, and Vietnam./
Author:	Robinson, Holly.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2018,
Description:	33 p.
Notes:	Source: Masters Abstracts International, Volume: 79-11.
Contained By:	Masters Abstracts International79-11.
Subject:	Asian Studies. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10791726
ISBN:	9780355912791

The WHO Code and Exclusive Breastfeeding in China, India, and Vietnam.
Robinson, Holly.

The WHO Code and Exclusive Breastfeeding in China, India, and Vietnam. - Ann Arbor : ProQuest Dissertations & Theses, 2018 - 33 p.

Source: Masters Abstracts International, Volume: 79-11.

Thesis (M.P.H.)--Yale University, 2018.

This item must not be sold to any third party vendors.

Promoting exclusive breastfeeding (EBF) is a highly feasible and cost-effective means of improving child health. Regulating the marketing of breastmilk substitutes is critical to protecting EBF. In 1981, the World Health Assembly adopted the WHO International Code of Marketing of Breastmilk Substitutes (the Code), prohibiting the advertising and promotion of breastmilk substitutes. This comparative case study aimed to (i) explore the relationships among Code enforcement and legislation, infant formula sales, and EBF in India, Vietnam, and China; (ii) identify best practices for Code operationalization; and (iii) identify pathways by which Code implementation may influence EBF. We conducted secondary descriptive analysis of available national-level data and seven key informant interviews. Findings indicate that the implementation of the Code is a necessary but insufficient step to improve breastfeeding outcomes. Other enabling factors, such as adequate maternity leave, training on breastfeeding for health professionals, health systems strengthening, and breastfeeding counseling for mothers, are needed. Several infant formula industry strategies were identified as harmful to EBF. Finally, transitioning breastfeeding programs from donor-led to government-owned is essential for long-term sustainability of Code implementation and enforcement. We conclude that the relationships among the Code, infant formula sales, and EBF in India, Vietnam, and China are dependent on countries' engagement with implementation strategies and the presence of other enabling factors. The resulting framework proposes a new way forward for leveraging the Code to impact EBF.

ISBN: 9780355912791Subjects--Topical Terms:

1669375
Asian Studies.

The WHO Code and Exclusive Breastfeeding in China, India, and Vietnam.
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500 $a Source: Masters Abstracts International, Volume: 79-11.
500 $a Publisher info.: Dissertation/Thesis.
500 $a Advisor: Perez-Escamilla, Rafael;Curry, Leslie.
502 $a Thesis (M.P.H.)--Yale University, 2018.
506 $a This item must not be sold to any third party vendors.
520 $a Promoting exclusive breastfeeding (EBF) is a highly feasible and cost-effective means of improving child health. Regulating the marketing of breastmilk substitutes is critical to protecting EBF. In 1981, the World Health Assembly adopted the WHO International Code of Marketing of Breastmilk Substitutes (the Code), prohibiting the advertising and promotion of breastmilk substitutes. This comparative case study aimed to (i) explore the relationships among Code enforcement and legislation, infant formula sales, and EBF in India, Vietnam, and China; (ii) identify best practices for Code operationalization; and (iii) identify pathways by which Code implementation may influence EBF. We conducted secondary descriptive analysis of available national-level data and seven key informant interviews. Findings indicate that the implementation of the Code is a necessary but insufficient step to improve breastfeeding outcomes. Other enabling factors, such as adequate maternity leave, training on breastfeeding for health professionals, health systems strengthening, and breastfeeding counseling for mothers, are needed. Several infant formula industry strategies were identified as harmful to EBF. Finally, transitioning breastfeeding programs from donor-led to government-owned is essential for long-term sustainability of Code implementation and enforcement. We conclude that the relationships among the Code, infant formula sales, and EBF in India, Vietnam, and China are dependent on countries' engagement with implementation strategies and the presence of other enabling factors. The resulting framework proposes a new way forward for leveraging the Code to impact EBF.
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