Report for monitoring of Breastmilk Substitute. Code Marketing in Mongolia

Size: px
Start display at page:

Download "Report for monitoring of Breastmilk Substitute. Code Marketing in Mongolia"

Transcription

1 Report for monitoring of Breastmilk Substitute Code Marketing in Mongolia G.Soyolgerel 1, D. Davaasuren 2, R..Galbadrakh 3 1) Ministry of Health 2) Department of Pediatrics, Health Science University of Mongolia 3) National Maternal and Child Health Center This activity highlights the Mongolia's experience in creating efforts to protect and promote breastfeeding and to implement the International Code of Marketing of Breast-milk Substitutes. Since 1992, Mongolia has successfully implemented the Baby-Friendly Hospital Initiative. The United Nations Convention on the Rights of the Child (CRC) is the most comprehensive international human rights framework in this regard. Numerous articles of the CRC are supportive of the aim of the Code, particularly the right of children to the highest attainable standard of health, by, inter alia, reducing infant mortality, and promoting breastfeeding. The CRC s recommendation to Mongolia was to ratify international code to provide legal and normative guidance on protecting, promoting and supporting infant and young child feeding. In , Mongolia conducted a study to evaluate compliance with the International Code of Marketing of Breast-milk Substitutes. The research demonstrated numerous violations of the code by various companies and confirmed the necessity of ongoing activities to promote implementation of the code. Due to the great effort of Ministry of Health and the UNICEF National Law on marketing of BMS was adopted in 2005 by the country's parliament. It reflects almost all the provisions of the international code and, thus, can be considered a strong instrument of breastfeeding protection in Mongolia and protects a mother's right to choose the method of feeding for her baby on the basis of objective and available, complete information on the advantages of breastfeeding. The law also contains provisions to protect children from low-quality and improper nutrition. The Mongolia has a long-standing history of breastfeeding. In recent years, however, despite the widely acknowledged benefits of breastfeeding, country witnessed a decline in infant breastfeeding practices and an increase of high dependence on breast-milk substitutes 1

2 The reasons for these trends were numerous. Some of the more significant influences were as follows: In recent years, the importation and distribution of breast-milk substitutes became common due to the consequences of a social economic situation in Mongolia and breastfeeding was identified as an urgent societal need in order to insure better, more secure food sources for infants in Mongolia and to reduce dependence on formula donations. Consumers are vulnerable to western-style promotion which leads to an average exclusive breastfeeding rate is declining ( 2010). 185 health facilities which have birth delivery service, have earned baby-friendly hospital certificate. Despite the implementation of code/law procedures, much more needs to be done to promote breastfeeding as the normal lifestyle for every woman and to designate all maternity hospitals as babyfriendly, thus ensuring full realization of the law. Mongolia aims to monitor the "Code" regularly to promote breastfeeding and convince infant feeding products sellers, distributors, importers. to comply with "Code." Anecdotally, covert promotional methods have been reported, especially targeted at doctors, who have an important effect on the timing and choice of a breast milk substitute: unsigned, non-prescription slips with specific company names for mothers with the ill defined insufficient milk syndrome ; free funds to attend meetings in abroad and electioneering support for candidates in national society elections known to be passive to breast feeding promotion and code monitoring. Future monitoring should evaluate such covert promotional activities. Objective: To estimate the prevalence of violations of the national law of marketing of breast milk substitutes for in capital city Ulanbatar in Mongolia. This monitoring was led by the National Maternal and Child Health Center together with Mongolian Pediatric association supported by Ministry of Health and the East Asia International Baby Food Action Network (IBFAN). Participation institutions: Department of Pediatrics and Department of Health science University of Mongolia District health centers. Methodology Consensus workshop for monitoring of Breast milk substitute code marketing was discussed with key institutions in area of child health and child nutrition - MOH, National Pediatric association, National midwifery association, Department of Pediatrics and Department of Family Medicine of Health science 2

3 University of Mongolia Maternal and Child health research center agreed to attend workshop in 1 December the proposed A team was appointed by this workshop and 8 persons from different institutions have been trained to interview mothers and health workers using code monitoring tool s questionnaires. Random sampling was used to select mothers of babies within 6 month old to interview at health facilities. 2 health workers were interviewed at each health facility to assess whether the facility provide infant formula, whether they had received free samples, to determine how they had been used, and to determine whether gifts had been given to health workers by companies that imported or distributed breast milk substitutes. Compliance with the marketing code for information given to health workers was evaluated using a checklist. Subjects: 42 mothers of infants aged 6 months, and 24 health workers at 12 health facilities, 11 shops and 3 pharmacies. Process Interview the mothers using the special checklist form in tool. Visit hospitals and clinics, collect product labels and company materials. Observe the promotion in store, Analyzing all collected information Reporting Average number of annual birth is that is profitable market for baby food importing companies, however there is no baby food manufacturers yet. The importing companies distributed number of promotional leaflet or brochure, and billboard in the streets In supermarkets, the sheets also were available in milk shelves free for pregnant mothers to take or the promotional information are published in newspaper as a advertisement. Interview with mothers 42 mothers with babies of 1-6 month of age, were interviewed. 18 mothers out of them who have babies within 6 month were using BMS mostly Humana Nan and Hi-Hi. 12 mothers have been received baby napkins, pencils and baby foods as a promotion Main reason to use of BMS is hypolactation however 1 mother had sever surgery. One mother out of 42 met with company 3

4 representative who presented a gift when she was in hospital. 13 mothers (5 in hospitals 8 at home) were counseled by health care workers to use infant formula due to their insufficient breast milk. All mothers have bought infant formula from the shops. Three mothers received some promotional brochures in Pharmacies. All women interviewed were not given any promotional gift by health care workers. Picture 1. Interview with mother at the district hospital Health facility visit A team visited 11 health facilities (6 maternity hospital, 5 family clinic) and observed no evidence of receiving the donated formula. All health facilities were buying infant formula if they needed in unavoidable circumstance. The representatives of BMS importing companies visited to 2 maternity hospitals and suggested to meet nursing mothers. Health Science University organizes one conference on infant feeding and introduced an infant formula once. 4

5 Advertisement in shops and marketing. A team visited to 1 shopping center (Sky shopping center) 3 supermarkets (Nomin, Sansar, Orgil) 7 small shops, 3 pharmacies. Supermarket chains have taken to advertise many formula brands in their catalogues, often with special offers as shown in the illustration below representing a advertisement. Since supermarkets are distributors they must also abide by the Toddler milks, also known as growing-up milks, are expected to experience the highest growth among all formula products in next future. It is common for growing-up milks to have very similar brand names and logos so as to deliberately resemble the company s infant formula and follow up formulas which cannot be promoted. Advertising and other promotion of these milks will cause confusion and undermine breastfeeding, justifying the move by some countries to include them in the scope of their law. In street billboard and daily newspaper the Nutrilon was advertised for several month..picture 2. Various infant formula commonly used by people, in Sky shopping center. Picture 3. growing-up formulas in SANSAR supermarket 5

6 As shown in this advertisement, the label design, colour schemes and illustrations of the growingup milks are almost identical to the infant formula label on the left. LABELING In Mongolia foreign brands occupy 100% of the powdered milk market. According to the Law of BMS, labels should provide information about the appropriate use of the product, and not discourage breastfeeding. Infant formula containers should carry a clear, conspicuous and easily readable message in an appropriate language about instructions for appropriate preparation, and a warning of the health hazards of inappropriate preparation and stating that the product should only be used on the advice of a health worker as to the need for its use and the proper method of use and superiority of breastfeeding.. Most commonly used infant formula in Mongolia: Hi Hi Friso Nan Milasan Nutrilon Nanyan HiPP Five Secret s Picture 3. Most of infant formulas in shops don t have these instruction in Mongolian language. While a team asked about Labeling the salesmen don t know it and answering that the companies should know why. Picture 4. Several brands in shops have fancy labels such as Gold and Premium, setting off a trend of supposedly high-grade formulas. There is now Nan Gold and Friso Gold are in higher prices.. 6

7 In Pharmacies MONOS and KHURMEN there were various kind of formulas with free advertising leaflets. Picture 5 Infant formulas in Pharmacy Khurmen 7

8 CONCLUSION In Mongolia there are no manufacturer producing infant formula. In Mongolia foreign brands occupy 100% of the powdered milk market. There is Law on BMS marketing however still implementation is weak. Last 10 years import formula import is increased drastically. 40% of mothers interviewed were using infant formula for their infants due to insufficient lactation. 28,4 % of mother received free gift as a infant napkins, baby food as a promotion. Mothers receiving free samples and napkins were from poor families. A team told by health care providers, that at the health facility, company representatives have some interest to organize promotional activity and meet with mothers. There weren t any promotional brochures in places. Some advertisement of infant formula like Nutrilon was posted in street billboard. No regular monitoring due to lack of resource therefore regular monitoring for code implementation is required. Training health workers and allow them to recognize the importance of Code and BF counseling for mothers and strengthen the management of health facilities to ensure that no promotion of breast milk substitutes in hospitals. Picture 6. Monitoring team. 8

CENTRAL SURREY HEALTH BREASTFEEDING POLICY

CENTRAL SURREY HEALTH BREASTFEEDING POLICY CENTRAL SURREY HEALTH BREASTFEEDING POLICY PRINCIPLES To ensure that all children receive a chance to grow and develop to their fullest potential, it is not enough simply to make breastfeeding possible;

More information

Republika e Kosovës Republika Kosovo - Republic of Kosovo Kuvendi - Skupština - Assembly

Republika e Kosovës Republika Kosovo - Republic of Kosovo Kuvendi - Skupština - Assembly Republika e Kosovës Republika Kosovo - Republic of Kosovo Kuvendi - Skupština - Assembly Law No. 05/L -023 ON THE PROTECTION OF BREASTFEEDING The Assembly of the Republic of Kosovo, Based on Article 65

More information

Discussion Paper: Clarification and Guidance on Inappropriate Promotion of Foods for Infants and Young Children

Discussion Paper: Clarification and Guidance on Inappropriate Promotion of Foods for Infants and Young Children BACKGROUND Discussion Paper: Clarification and Guidance on Inappropriate Promotion of Foods for Infants and Young Children 1. Appropriate feeding of infants and young children is central to health and

More information

Sample Breastfeeding Policy for Health Services in the Community

Sample Breastfeeding Policy for Health Services in the Community Sample Breastfeeding Policy for Health Services in the Community Overview: This sample policy covers The Seven Point Plan for the Protection, Promotion and Support of Breastfeeding in the Community. It

More information

Social Marketing and Breastfeeding

Social Marketing and Breastfeeding Global Journal of Management and Business Studies. ISSN 2248-9878 Volume 3, Number 3 (2013), pp. 303-308 Research India Publications http://www.ripublication.com/gjmbs.htm Social Marketing and Breastfeeding

More information

Written contribution to the Committee on the Rights of the Child

Written contribution to the Committee on the Rights of the Child Written contribution to the Committee on the Rights of the Child 2014 Day of General Discussion Digital Media and Children s Rights 12 September 2014 Breastfeeding protection, an essential component of

More information

International Code of Marketing of Breast-milk Substitutes

International Code of Marketing of Breast-milk Substitutes International Code of Marketing of Breast-milk Substitutes World Health Organization Geneva 1981 ISBN 92 4 154160 1 World Health Organization 1981 Publications of the World Health Organization enjoy copyright

More information

Krystal Revai, MD, FAAP. Written Testimony. Breastfeeding as Primary Obesity Prevention. Obesity Prevention Initiative Act Public Hearings

Krystal Revai, MD, FAAP. Written Testimony. Breastfeeding as Primary Obesity Prevention. Obesity Prevention Initiative Act Public Hearings Written Testimony Breastfeeding as Primary Obesity Prevention Obesity Prevention Initiative Act Public Hearings on behalf of the ILLINOIS CHAPTER, AMERICAN ACADEMY OF PEDIATRICS Submitted March 15, 2010

More information

http://english.gov.cn/laws/2005-08/24/content_25746.htm

http://english.gov.cn/laws/2005-08/24/content_25746.htm Page 1 of 5 Measures for Implementation of the Law of the People's Republic of China on Maternal and Infant Care (Promulgated by Decree No.308 of the State Council of the People's Republic of China on

More information

BENEFITS OF BREASTFEEDING

BENEFITS OF BREASTFEEDING BENEFITS OF BREASTFEEDING There are many benefits to breastfeeding. Even if you are able to do it for only a short time, your baby's immune system can benefit from breast milk. Here are many other benefits

More information

The degree that the Greek institutional framework allow and support mothers' free decision about breastfeeding

The degree that the Greek institutional framework allow and support mothers' free decision about breastfeeding The degree that the Greek institutional framework allow and support mothers' free decision about Maria Ι. Daglas Department of Midwifery, Technological Educational Institution of Athens, Athens, Greece

More information

SUPPORT OF BREASTFEEDING FAMILIES IN NICU THE WOMEN S HOSPITAL AT JACKSON MEMORIAL

SUPPORT OF BREASTFEEDING FAMILIES IN NICU THE WOMEN S HOSPITAL AT JACKSON MEMORIAL SUPPORT OF BREASTFEEDING FAMILIES IN NICU THE WOMEN S HOSPITAL AT JACKSON MEMORIAL OBJECTIVES To verbalize the benefits of breast milk for preterm and critical ill infants To recognize how to assist mother

More information

States Parties recognize the right of the child to the enjoyment of the. highest attainable stan-

States Parties recognize the right of the child to the enjoyment of the. highest attainable stan- States Parties recognize the right of the child to the enjoyment of the You CAN Make a Difference! Save the Life of HIV-Positive Children highest attainable stan- Help dard through of Advocacy health.

More information

CODE OF CONDUCT April 2014

CODE OF CONDUCT April 2014 All correspondence to: The Breastfeeding Network PO Box 11126, Paisley PA2 8YB Tel: 0844 412 0995 e-mail: admin@breastfeedingnetwork.org.uk www.breastfeedingnetwork.org.uk PURPOSE CODE OF CONDUCT April

More information

66% Breastfeeding. Early initiation of breastfeeding (within one hour of birth) Exclusive breastfeeding rate (4-5 months)

66% Breastfeeding. Early initiation of breastfeeding (within one hour of birth) Exclusive breastfeeding rate (4-5 months) 56% Early initiation of breastfeeding (within one hour of birth) 29% Exclusive breastfeeding rate (4-5 months) 66% Timely complementary feeding rate (6-9 months) Egypt Demographic and Health Survey 2008

More information

Ontario Disability Support Program Income Support Directives

Ontario Disability Support Program Income Support Directives Ontario Disability Support Program Income Support Directives 6.5 Pregnancy/Breast Feeding Nutritional Allowance Summary of Legislation Where an applicant or member of the benefit unit is pregnant or breast-feeding,

More information

2. Incidence, prevalence and duration of breastfeeding

2. Incidence, prevalence and duration of breastfeeding 2. Incidence, prevalence and duration of breastfeeding Key Findings Mothers in the UK are breastfeeding their babies for longer with one in three mothers still breastfeeding at six months in 2010 compared

More information

Home visiting in Serbia

Home visiting in Serbia Home visiting in Serbia Dr Svetlana Mladenović Janković jankovic.svetlana@gmail.com Institute of Public Health of Belgrade Health care system in Serbia Integrated model of state owned facilities 3 levels

More information

American Academy of Pediatrics Section on Breastfeeding. Ten Steps to Support Parents Choice to Breastfeed Their Baby

American Academy of Pediatrics Section on Breastfeeding. Ten Steps to Support Parents Choice to Breastfeed Their Baby American Academy of Pediatrics Section on Breastfeeding 1 2 3 4 5 6 7 8 9 10 Ten Steps to Support Parents Choice to Breastfeed Their Baby This practice enthusiastically supports parents plans to breastfeed

More information

Introduction to WIC. Objectives

Introduction to WIC. Objectives Objectives Introduction to WIC After completing this lesson, you will be able to: Describe the participants served by WIC. Describe how WIC improves the health of participants. Identify the history and

More information

THE. BREASTFEEDING etc. (Scotland) Act 2005. Advice for Employers

THE. BREASTFEEDING etc. (Scotland) Act 2005. Advice for Employers THE BREASTFEEDING etc. (Scotland) Act 2005 Advice for Employers What is the Breastfeeding etc. (Scotland) Act 2005? The Act makes it an offence to prevent or stop a person in charge of a child feeding

More information

Protecting and improving the nation s health. Vitamin D. Information for healthcare professionals

Protecting and improving the nation s health. Vitamin D. Information for healthcare professionals Protecting and improving the nation s health Vitamin D Information for healthcare professionals 1 Vitamin D: Information for healthcare professionals Why is vitamin D important? Some of the UK population

More information

Breastfeeding. Nursing Education

Breastfeeding. Nursing Education Breastfeeding AWHONN supports breastfeeding as the optimal method of infant nutrition. AWHONN believes that women should be encouraged to breastfeed and receive instruction and support from the entire

More information

Baby Friendly Hospital Initiative in Neonatal Units Expansion of the original WHO/UNICEF BFHI program

Baby Friendly Hospital Initiative in Neonatal Units Expansion of the original WHO/UNICEF BFHI program Baby Friendly Hospital Initiative in Neonatal Units Expansion of the original WHO/UNICEF BFHI program A developmentally supportive family centered breastfeeding strategy Soins de développement en néonatologie.

More information

Infant Feeding Survey 2010: Summary

Infant Feeding Survey 2010: Summary Infant Feeding Survey 2010: Summary Authors: Fiona McAndrew, Jane Thompson, Lydia Fellows, Alice Large, Mark Speed and Mary J. Renfrew A survey carried out on behalf of the Health and Social Care Information

More information

New York State Ten Steps to a Breastfeeding Friendly Practice Implementation Guide June 2014

New York State Ten Steps to a Breastfeeding Friendly Practice Implementation Guide June 2014 Ten Steps to a Breastfeeding Friendly Practice 1. Develop and maintain a written breastfeeding friendly office policy. 2. Train all staff to promote, support and protect breastfeeding and breastfeeding

More information

Healthy Start FAQ: How to Talk with Moms about Breastfeeding: Starting the Conversation

Healthy Start FAQ: How to Talk with Moms about Breastfeeding: Starting the Conversation Healthy Start FAQ: How to Talk with Moms about Breastfeeding: Starting the Conversation On May 12, 2015, Cathy Carothers facilitated the first part of a three-part webinar on breastfeeding. This first

More information

What s on the menu at the Ministry?

What s on the menu at the Ministry? What s on the menu at the Ministry? Dr Harriette Carr Public Health Medicine Specialist Ministry of Health PREPARED BY Dr Harriette Carr, Louise McIntyre, Diana O Neill, Virginia Mills, Martin Dutton,

More information

Populations With Lower Rates of Breastfeeding. Background Information

Populations With Lower Rates of Breastfeeding. Background Information Populations With Lower Rates of Breastfeeding Background Information Revised July 2014 Benefits of Breastfeeding Breastfeeding is the natural way to feed a baby, providing a wide range of benefits to the

More information

2011 Oregon. Contact: Jill Brown, Community Director (503) 222-9434, jbrown@marchofdimes.com

2011 Oregon. Contact: Jill Brown, Community Director (503) 222-9434, jbrown@marchofdimes.com 2011 Oregon Contact: Jill Brown, Community Director (503) 222-9434, jbrown@marchofdimes.com Nurse of the Year Awards Breakfast October 14, 2011 Nominations begin May 2011 Due July 2011 Seeking Committee

More information

January 24, 2008. The Honorable Deborah Platt Majoras Chairman Federal Trade Commission 600 Pennsylvania Ave, N.W. Washington, D.C.

January 24, 2008. The Honorable Deborah Platt Majoras Chairman Federal Trade Commission 600 Pennsylvania Ave, N.W. Washington, D.C. January 24, 2008 The Honorable Deborah Platt Majoras Chairman Federal Trade Commission 600 Pennsylvania Ave, N.W. Washington, D.C. 20580 Dear Chair Majoras, The Cornucopia Institute and the National Alliance

More information

The importance of breastfeeding to a woman s health

The importance of breastfeeding to a woman s health The importance of breastfeeding to a woman s health Michal A. Young, M.D.,FAAP Associate Professor Director, NICU and Newborn Nurseries Medical Director, B.L.E.S.S. Breastfeeding Coordinator, D.C. Chapter

More information

UNITED NATIONS OFFICE OF THE UNITED NATIONS HIGH COMMISSIONER FOR HUMAN RIGHTS NATIONS UNIES HAUT COMMISSARIAT DES NATIONS UNIES AUX DROITS DE L HOMME

UNITED NATIONS OFFICE OF THE UNITED NATIONS HIGH COMMISSIONER FOR HUMAN RIGHTS NATIONS UNIES HAUT COMMISSARIAT DES NATIONS UNIES AUX DROITS DE L HOMME NATIONS UNIES HAUT COMMISSARIAT DES NATIONS UNIES AUX DROITS DE L HOMME PROCEDURES SPECIALES DU CONSEIL DES DROITS DE L HOMME UNITED NATIONS OFFICE OF THE UNITED NATIONS HIGH COMMISSIONER FOR HUMAN RIGHTS

More information

Support for Breastfeeding in the Workplace

Support for Breastfeeding in the Workplace Support for Breastfeeding in the Workplace Definition Support for breastfeeding in the workplace includes several types of employee benefits and services, 20,21 including writing corporate policies to

More information

Free healthcare services for pregnant and lactating women and young children in Sierra Leone

Free healthcare services for pregnant and lactating women and young children in Sierra Leone Free healthcare services for pregnant and lactating women and young children in Sierra Leone November 2009 Government of Sierra Leone Contents Foreword 3 Country situation 4 Vision 5 Approach 6 Focus 6

More information

Breastfeeding Friendly Physician Offices

Breastfeeding Friendly Physician Offices Breastfeeding Friendly Physician Offices Jennifer Stewart, R.D., M.B.A., CLS Loving Support Breastfeeding Program, Riverside County Department of Public Health Susanna Sibilsky, Regional Breastfeeding

More information

BASIC PROVISIONS OF GREEK LABOUR LAW

BASIC PROVISIONS OF GREEK LABOUR LAW BASIC PROVISIONS OF GREEK LABOUR LAW The purpose of this text is to provide the reader with direct and brief awareness on the basic provisions of the Law. As a result it is mentioned that this text can

More information

NATIONAL PROGRAMME FOR THE REVNKL OF BREASTFEEDING IN TURKMENISTAN (1 993-1 997)

NATIONAL PROGRAMME FOR THE REVNKL OF BREASTFEEDING IN TURKMENISTAN (1 993-1 997) NATIONAL PROGRAMME FOR THE REVNKL OF BREASTFEEDING IN TURKMENISTAN (1 993-1 997) Sofia AIieva Gozel' Hodzhae'a Viktor Radzinskij Submitted 1 October 1993 Developed in cooperation with WELLSTART as part

More information

Health and Longevity. Global Trends. Which factors account for most of the health improvements in the 20th century?

Health and Longevity. Global Trends. Which factors account for most of the health improvements in the 20th century? 8 Health and Longevity The health of a country s population is often monitored using two statistical indicators: life expectancy at birth and the under-5 mortality rate. These indicators are also often

More information

IMPORTANCE OF THE ENFORCEMENT OF THE LAW AND EU DIRECTIVES CONCERNING TRANSLATION OF PHARMACEUTICALS LEAFLETS

IMPORTANCE OF THE ENFORCEMENT OF THE LAW AND EU DIRECTIVES CONCERNING TRANSLATION OF PHARMACEUTICALS LEAFLETS IMPORTANCE OF THE ENFORCEMENT OF THE LAW AND EU DIRECTIVES CONCERNING TRANSLATION OF PHARMACEUTICALS LEAFLETS Qendro Gentiana Planetary University, Faculty of Medical Sciences, Department of Pharmacy,

More information

INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS (IMCI) Planning, Implementing and Evaluating Pre-Service Training

INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS (IMCI) Planning, Implementing and Evaluating Pre-Service Training INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS (IMCI) Planning, Implementing and Evaluating Pre-Service Training WORKING DRAFT: AUGUST 2001 Department of Child and Adolescent Health and Development (CAH) Family

More information

Postpartum women are very vulnerable to pregnancy. For the health of the mother and the infant

Postpartum women are very vulnerable to pregnancy. For the health of the mother and the infant Fertility awareness-based guidelines for postpartum women Postpartum women are very vulnerable to pregnancy. For the health of the mother and the infant it is important that she not become pregnant again

More information

Brief description, overall objective and project objectives with indicators

Brief description, overall objective and project objectives with indicators H Indonesia: Improving Health in Nusa Tenggara Timur Ex post evaluation report OECD sector 12230 / Basic health infrastructure BMZ project ID 1998 65 049, 1998 70 122, 2001 253 Project executing agency

More information

CURICULUM VITAE. Arwa Fahed Zu'mot, M.S.N., R.N

CURICULUM VITAE. Arwa Fahed Zu'mot, M.S.N., R.N CURICULUM VITAE Name: Arwa Fahed Zu'mot, M.S.N., R.N Birth Place: Amman Citizenship : Jordanian Work Address: University Of Jordan Faculty Of Nursing Amman - Jordan Tel: 5355000 /2491 Home Address: P.O.

More information

BABY-FRIENDLY HOSPITAL INITIATIVE Revised Updated and Expanded for Integrated Care SECTION 4 HOSPITAL SELF-APPRAISAL AND MONITORING

BABY-FRIENDLY HOSPITAL INITIATIVE Revised Updated and Expanded for Integrated Care SECTION 4 HOSPITAL SELF-APPRAISAL AND MONITORING BABY-FRIENDLY HOSPITAL INITIATIVE Revised Updated and Expanded for Integrated Care SECTION 4 HOSPITAL SELF-APPRAISAL AND MONITORING 2009 Original BFHI Course developed 1992 WHO Library Cataloguing-in-Publication

More information

Appendix C. Logistic regression analysis

Appendix C. Logistic regression analysis Appendix C. Logistic regression analysis Summary Logistic regression analysis was undertaken in order to explore the factors associated with breastfeeding initiation and prevalence at two and six weeks.

More information

Maternity Leave Guidelines

Maternity Leave Guidelines Version 3 of 3 Date: 1 April 2007 Maternity Leave Guidelines Purpose and Scope of the Procedure The purpose of this policy is to outline the employment rights of expectant mothers including maternity leave,

More information

DRUG SAFETY AND HUMAN RESOURCES SUBSECTORS ANALYSIS

DRUG SAFETY AND HUMAN RESOURCES SUBSECTORS ANALYSIS Additional Financing of Fourth Health Sector Development Project (RRP MON 41243) DRUG SAFETY AND HUMAN RESOURCES SUBSECTORS ANALYSIS I. Drug Safety Subsector A. Drug Safety Issues 1. Lack of coordination.

More information

International Code of Marketing of Breastmilk Substitutes and Promoting and Supporting Exclusive Breastfeeding

International Code of Marketing of Breastmilk Substitutes and Promoting and Supporting Exclusive Breastfeeding International Code of Marketing of Breastmilk Substitutes and Promoting and Supporting Exclusive Breastfeeding New York SUNY Albany School of Public Health Breastfeeding Grand Rounds August 7, 2014 Vermont

More information

Breastfeeding Welcome Here. Helping to bridge the Gap between you, and one of your biggest potential customer bases nursing mothers

Breastfeeding Welcome Here. Helping to bridge the Gap between you, and one of your biggest potential customer bases nursing mothers Helping to bridge the Gap between you, and one of your biggest potential customer bases nursing mothers Breastfeeding Welcome Here The Breastfeeding Welcome Here Project is focused on helping nursing mothers

More information

Established in 1974 Non-Profit Federal Block Grant recipient Accept Medicaid, Private Insurance, and Self-Pay.

Established in 1974 Non-Profit Federal Block Grant recipient Accept Medicaid, Private Insurance, and Self-Pay. Established in 1974 Non-Profit Federal Block Grant recipient Accept Medicaid, Private Insurance, and Self-Pay. Patients are not denied treatment if they do not have the ability to pay for services Schedule

More information

Through Healthy People 2010, non-governmental and

Through Healthy People 2010, non-governmental and BREASTFEEDING MEDICINE Volume 6, Number 3, 2011 ª Mary Ann Liebert, Inc. DOI: 10.1089/bfm.2010.0022 Unintended Consequences of the WIC Formula Rebate Program on Infant Feeding Outcomes: Will the New Food

More information

Breastfeeding Friendly Physician Offices

Breastfeeding Friendly Physician Offices Breastfeeding Friendly Physician Offices Jennifer Stewart, R.D., M.B.A., CLS Loving Support Breastfeeding Program, Riverside County Department of Public Health Susanna Sibilsky, Regional Breastfeeding

More information

Research Report MumBubConnect:

Research Report MumBubConnect: Research Report MumBubConnect: A digital approach to supporting breastfeeding Supported by: the Australian Breastfeeding Association Funded by: The Gambling Community Benefit Fund Dr Danielle Gallegos

More information

About the Lactation Consultant Education Program

About the Lactation Consultant Education Program About the Lactation Consultant Education Program Oklahoma State University-Oklahoma City (OSU-OKC) offers continuing education courses that encourage participants to customize their self-directed study

More information

Child and Maternal Nutrition in Bangladesh

Child and Maternal Nutrition in Bangladesh Child and Maternal Nutrition in Bangladesh KEY STATISTICS Nutrition % of the population Malnutrition, in children (birth to 59 months) Wasting (weight-for-height) 17.4 2 Stunting (height-for-age) 43.2

More information

Mycophenolate mofetil (CellCept ): risks of miscarriage and birth defects. Patient guide. Key points to remember

Mycophenolate mofetil (CellCept ): risks of miscarriage and birth defects. Patient guide. Key points to remember Mycophenolate (CellCept ): risks of miscarriage and birth defects Patient guide Key points to remember Mycophenolate (CellCept ) causes birth defects and miscarriages Follow the contraceptive advice given

More information

Early Care & Education Family Toddler Lab Infant/Toddler Needs and Service Plan. Semester/Year: Summer/ Fall/ Spring/

Early Care & Education Family Toddler Lab Infant/Toddler Needs and Service Plan. Semester/Year: Summer/ Fall/ Spring/ Early Care & Education Family Toddler Lab Infant/Toddler Needs and Service Plan Semester/Year: Summer/ Fall/ Spring/ CHILD S INFORMATION Child s Name: of Birth: Parent s Name: Reviewed: Feeding Plan: Liquids

More information

HIV/AIDS: General Information & Testing in the Emergency Department

HIV/AIDS: General Information & Testing in the Emergency Department What Is HIV? HIV/AIDS: General Information & Testing in the Emergency Department HIV is the common name for the Human Immunodeficiency Virus. HIV is a retrovirus. This means it can enter the body s own

More information

Make Breastfeeding Your Business: An Action Support Kit

Make Breastfeeding Your Business: An Action Support Kit Make Breastfeeding Your Business: An Action Support Kit Acknowledgement This toolkit was created by Sarah Frittenburg, 4 th year Dalhousie Nursing student, in collaboration with the Lunenburg & Queens

More information

Request for Applications NEW JERSEY DEPARTMENT OF HEALTH. Funds for Breastfeeding Promotion and Obesity and Chronic Disease Prevention and Control

Request for Applications NEW JERSEY DEPARTMENT OF HEALTH. Funds for Breastfeeding Promotion and Obesity and Chronic Disease Prevention and Control Request for Applications NEW JERSEY DEPARTMENT OF HEALTH Funds for Breastfeeding Promotion and Obesity and Chronic Disease Prevention and Control Background July 1, 2014 June 30, 2015 Numerous studies

More information

Campaign Tools for a Successful Maternity Protection Campaign

Campaign Tools for a Successful Maternity Protection Campaign MATERNITY PROTECTION CAMPAIGN KIT 9 SECTION 6b Campaign Tools for a Successful Maternity Protection Campaign Campaign Tool 1: Rapid Assessment of Status of Maternity Protection in Zimbabwe, 2001 NO. QUESTIONS

More information

Is there a baby in your future? Plan for it.

Is there a baby in your future? Plan for it. Is there a baby in your future? Plan for it. You plan for school, work, holidays and even your retirement. What about your baby? Parenting begins long before your baby is conceived. Babies begin to develop

More information

Continuing Medical Education in Eritrea : Need for a System

Continuing Medical Education in Eritrea : Need for a System Original Articles Continuing Medical Education in Eritrea : Need for a System Abdullahi M. Ahmed 1, Besrat Hagos 2 1. International Centre for Health Management, Istituto Superiore di Sanita, ` Rome, Italy

More information

Costs of Maternal Health Care Serv ices in Masaka District, Uganda. Executive Summary. Special Initiatives Report 16

Costs of Maternal Health Care Serv ices in Masaka District, Uganda. Executive Summary. Special Initiatives Report 16 Costs of Maternal Health Care Serv ices in Masaka District, Uganda Special Initiatives Report 16 Cambridge, MA Lexington, MA Hadley, MA Bethesda, MD Washington, DC Chicago, IL Cairo, Egypt Johannesburg,

More information

Module 7 Expanded Programme of Immunization (EPI)

Module 7 Expanded Programme of Immunization (EPI) Module 7 Expanded Programme of Immunization (EPI) (including Vitamin A, Tetanus Toxoid and Growth Monitoring) CONTENTS 7.1 What are the tools used for data collection?....................................2

More information

Breastfeeding. What moms had to say:

Breastfeeding. What moms had to say: What moms had to say: I feel breastfeeding is crucial in the development of a mother and her baby. Not only is it healthy for the baby, it is beneficial to the mother as well; including weight loss & bonding

More information

THE UNIVERSITY OF HONG KONG

THE UNIVERSITY OF HONG KONG THE UNIVERSITY OF HONG KONG School of N ursing 4/F William M W Mong Block 21 Sassoon Road, Pokfulam, Hong Kong Head of School: Professor Agnes Tiwari TEL : (852) 2819 2600 DN (London); MSc (Surrey); PhD

More information

Healthy Children Iniative

Healthy Children Iniative Healthy Children Iniative Introduction The Departments of Education, Culture and Employment and Health and Social Services are working together to achieve a vision where: Healthy children of healthy parents

More information

Supporting Breastfeeding and Lactation: The Primary Care Pediatrician s Guide to Getting Paid

Supporting Breastfeeding and Lactation: The Primary Care Pediatrician s Guide to Getting Paid Supporting Breastfeeding and Lactation: The Primary Care Pediatrician s Guide to Getting Paid Breastfeeding support can often be quite time-intensive initially but pays off in a healthier patient population.

More information

A guide to infant formula for parents who are bottle feeding

A guide to infant formula for parents who are bottle feeding A guide to infant formula for parents who are bottle feeding Introduction This document is designed to help parents who are not breastfeeding decide which infant formula to use to feed their baby. There

More information

STAFF BENEFITS WESTERN NSW LOCAL HEALTH DISTRICT

STAFF BENEFITS WESTERN NSW LOCAL HEALTH DISTRICT STAFF BENEFITS WESTERN NSW LOCAL HEALTH DISTRICT The benefits of working for the Western NSW Local Health District The Western NSW Local Health District provides you with a healthy career choice with many

More information

Kind en Gezin. Our services

Kind en Gezin. Our services Kind en Gezin Our services 1. About Kind en Gezin 1.1 History 1.2 Mission 1.3 Values 1.4 Organisation 1.5 Policy areas 1.6 Kind en Gezin-Lijn (Contact Centre) 1.7 Complaints Department 1.8. Communication

More information

A guide for health workers to working within the International Code of Marketing of Breastmilk Substitutes

A guide for health workers to working within the International Code of Marketing of Breastmilk Substitutes A guide for health workers to working within the International Code of Marketing of Breastmilk Substitutes Why is this guide needed? "The simplest definition of advertising, and one that will probably

More information

cambodia Maternal, Newborn AND Child Health and Nutrition

cambodia Maternal, Newborn AND Child Health and Nutrition cambodia Maternal, Newborn AND Child Health and Nutrition situation Between 2000 and 2010, Cambodia has made significant progress in improving the health of its children. The infant mortality rate has

More information

Model Adoption Protocol For Hospitals

Model Adoption Protocol For Hospitals Model Adoption Protocol For Hospitals Developed by the Health Care Provider and Social Work Committees of Adoption STAR Adoption STAR, Inc. INTRODUCTION: Model Adoption Protocol The field of adoption is

More information

Who Is Involved in Your Care?

Who Is Involved in Your Care? Patient Education Page 3 Pregnancy and Giving Birth Who Is Involved in Your Care? Our goal is to surround you and your family with a safe environment for the birth of your baby. We look forward to providing

More information

HEALTH INSURANCE FOR VISITING INTERNATIONAL SCHOLARS - A COMPLEX BUT IMPORTANT ISSUE -

HEALTH INSURANCE FOR VISITING INTERNATIONAL SCHOLARS - A COMPLEX BUT IMPORTANT ISSUE - HEALTH INSURANCE FOR VISITING INTERNATIONAL SCHOLARS - A COMPLEX BUT IMPORTANT ISSUE - The US State Department requires all J-1 visa holders and their dependents to carry health insurance with specific

More information

Essential pre-course information

Essential pre-course information RTO 21659 Interested in completing the Diploma of Breastfeeding Management? Essential pre-course information for the 22168VIC Diploma of Breastfeeding Management ALL RELEVANT ABA POLICIES CAN BE ACCESSED

More information

World Health Day Diabetes and RMNCAH in Africa: R for Reproductive Health

World Health Day Diabetes and RMNCAH in Africa: R for Reproductive Health World Health Day Diabetes and RMNCAH in Africa: R for Reproductive Health Managing diabetes and reproductive health in developing contexts. The 2016 World Health Day theme to scale up prevention, strengthen

More information

Dr.Archana Patel 1,2 1. Lata Medical Research Foundation, Nagpur, India 2. Indira Gandhi Government Medical College, Nagpur, India

Dr.Archana Patel 1,2 1. Lata Medical Research Foundation, Nagpur, India 2. Indira Gandhi Government Medical College, Nagpur, India Lata Medical Research Foundation Cell Phone Counseling to Improve Implementation of Appropriate Nutrition Practices a pilot of cross-sectoral intervention between a research NGO, public hospitals and cell

More information

The Breastfeeding Café

The Breastfeeding Café Changing Culture: Showcasing Breastfeeding as the Norm at The Breastfeeding Café UTAH BREASTFEEDING COALITION PRESENTED BY PATRICE ISABELLA, MS, RD ELIZABETH SMITH, MPH, ICCE, HBCE Utah Breastfeeding Coalition

More information

30% Opening Prayer. Introduction. About 85% of women give birth at home with untrained attendants; the number is much higher in rural areas.

30% Opening Prayer. Introduction. About 85% of women give birth at home with untrained attendants; the number is much higher in rural areas. This is the second of four studies on maternal health M AT E R N A L a n d C H I L D H E A LT H : A f g h a n i s t a n b y K a r e n B o k m a About 85% of women give birth at home with untrained attendants;

More information

Procedure: Guidelines for a Breastfeeding Peer Counselor Program

Procedure: Guidelines for a Breastfeeding Peer Counselor Program Procedure: Volume: Nutrition Services/Breastfeeding Section: Breastfeeding Approval Date: 11.2012 Citation: Loving Support Model for Peer Counseling Revised Date: Purpose Definition of a Breastfeeding

More information

HEALTH EDUCATION DIVISION MINISTRY OF HEALTH MALAYSIA

HEALTH EDUCATION DIVISION MINISTRY OF HEALTH MALAYSIA HEALTH EDUCATION DIVISION MINISTRY OF HEALTH MALAYSIA INTRODUCTION Health Education Division is one of the 5 Divisions under the Public Health Department Ministry Of Health Malaysia. First started as the

More information

WAKEMED DONOR MILK PROGRAM AGREEMENT

WAKEMED DONOR MILK PROGRAM AGREEMENT WAKEMED DONOR MILK PROGRAM AGREEMENT Dear Sir/Madam, To begin your participation in the program please read the following Donor Milk Program Fact Sheet (page 2). Keep this for your records. A prescription

More information

Vitamin D. Why Vitamin D is important and how to get enough

Vitamin D. Why Vitamin D is important and how to get enough Vitamin D Why Vitamin D is important and how to get enough Why is vitamin D vital for health? Vitamin D is needed by the body for both physical and mental health, but is best known for making sure bones

More information

Summary. Accessibility and utilisation of health services in Ghana 245

Summary. Accessibility and utilisation of health services in Ghana 245 Summary The thesis examines the factors that impact on access and utilisation of health services in Ghana. The utilisation behaviour of residents of a typical urban and a typical rural district are used

More information

Online Maternity Claiming 2007. User Guide

Online Maternity Claiming 2007. User Guide Online Maternity Claiming 2007 User Guide Contents Contents About this Document... iv Document Conventions...iv Acronyms, Abbreviations, and Definitions...iv Document History...vi 1 Introduction... 1 1.1

More information

Education and Support for Pregnant Students and School Age Parents

Education and Support for Pregnant Students and School Age Parents Education and Support for Pregnant Students and School Age Parents Contents Page Introduction.... 3 The Responsibility of Schools. 3 The Equalities Act 2010... 4 Accessing Support. 5 Pregnancy... 8 Ante-natal

More information

FY 2011 Total County. FY 2011 Health County Dollars - $29,869,193. Medical Examiner 1%

FY 2011 Total County. FY 2011 Health County Dollars - $29,869,193. Medical Examiner 1% Health Service Area FY 2011 Total County Health 8% FY 2011 Health County Dollars - $29,869,193 Medical Examiner 1% CenterPoint Human Svcs. 21% Public Health 78% OPERATING POLICIES AND GOALS: Create a community

More information

pissn: 0976 3325 eissn: 2229 6816

pissn: 0976 3325 eissn: 2229 6816 ORIGINAL ARTICLE KNOWLEDGE, ATTITUDE AND PRACTICE OF POSTNATAL MOTHERS FOR EARLY INITIATION OF BREAST FEEDING IN THE OBSTETRIC WARDS OF A TERTIARY CARE HOSPITAL OF VADODARA CITY Bhatt Shwetal 1, Parikh

More information

Maternal and Neonatal Health in Bangladesh

Maternal and Neonatal Health in Bangladesh Maternal and Neonatal Health in Bangladesh KEY STATISTICS Basic data Maternal mortality ratio (deaths per 100,000 births) 320* Neonatal mortality rate (deaths per 1,000 births) 37 Births for women aged

More information

Breastfed Babies in Child Care. Breastfeeding Works! How to Meet the Needs of

Breastfed Babies in Child Care. Breastfeeding Works! How to Meet the Needs of Breastfeeding Works! How to Meet the Needs of Breastfed Babies in Child Care Massachusetts Department of Public Health Bureau of Family and Community Health Nutrition and Physical Activity Unit WIC Nutrition

More information

Feeding infants with congenital heart disease with breast milk: Findings from the Norwegian Mother and Child Cohort Study

Feeding infants with congenital heart disease with breast milk: Findings from the Norwegian Mother and Child Cohort Study Feeding infants with congenital heart disease with breast milk: Findings from the Norwegian Mother and Child Cohort Study Bente Silnes Tandberg (1), Margarete Vollrath (2,3), Eivind Ystrom (2), Henrik

More information

The Importance of Health Professionals in Promoting Breastfeeding

The Importance of Health Professionals in Promoting Breastfeeding Allattamento & Politiche per l Infanzia: Dieci Anni dopo la Dichiarazione degli Innocenti p. 1 The Importance of Health Professionals in Promoting Breastfeeding Mike Woolridge, Mother & Infant Research

More information

Breastfeeding and Work. A Guide for Working Mothers

Breastfeeding and Work. A Guide for Working Mothers Breastfeeding and Work A Guide for Working Mothers Inside This Booklet... Facts About Breastfeeding.p.3 Planning During Pregnancy p.5 Talking to Your Employer...p.7 During Your Maternity Leave...p.9 Choosing

More information

Chapter 12: Substance Abusing Pregnant Women, Substance Exposed Children and Their Families

Chapter 12: Substance Abusing Pregnant Women, Substance Exposed Children and Their Families Chapter 12: Substance Abusing Pregnant Women, Substance Exposed Children and Their Families Introduction Substance abuse includes the abuse of alcohol, tobacco and other drugs. Prenatal substance abuse

More information

2011 POPULATION AND HOUSING CENSUS OF TURKEY

2011 POPULATION AND HOUSING CENSUS OF TURKEY 2011 POPULATION AND HOUSING CENSUS OF TURKEY 1. BACKGROUND In Turkey, the first population census was carried out in 1927. The following population censuses were carried out between 1935 and 1990 regularly,

More information

Breast milk is the best food for babies.

Breast milk is the best food for babies. Breast milk is the best food for babies. The first years of life are a period of rapid development, and good nutrition is essential. The American Academy of Pediatrics (AAP) and the American Dietetic Association

More information