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brochure infant feeding

brochure infant feeding

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Published by: anon-119176 on Jun 23, 2008
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02/20/2013

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Infant Feeding in the Developing World
© 2001 Nestlé S.A.
 
1
Infant Feeding in the Developing World
Introduction
Peter Brabeck
Contributors
Breastfeeding is best for babies. ChemistHenri Nestlé stated this in his Treatise onNutrition soon after founding our company in1867, and it is still true today.The Nestlé Company began when HenriNestlé invented a milk and cereal food thatsaved the life of a neighbour’s baby whocould not be breastfed. Today, infant formulamakes up about 2% of Nestlé’s sales but,for about the first 40 years of the company’slife, it was our principal product. It is still aproduct that saves the lives of untoldnumbers of babies around the world everyday.It became apparent in the 1970s that infantformula (often referred to as ‘babymilk’) is aproduct that deserves special treatment interms of marketing in situations wheresanitary conditions could result in its misuse.The concern arose at the time that advertisingor promotion of infant formula to the publiccould lead to unsafe use by women who didnot have access to clean water and who over-diluted the formula in an effort to save money.As access to communications became morewidespread among populations in developingcountries, itbecame clear that the promotionof infant formula to the public was reachingsuch mothers, and that such promotionshould be stopped.As a result, Nestlé stopped advertising andpromotion to the public in these countries inthe late 1970s, and the International Code ofMarketing of Breast-milk Substitutes, draftedby the World Health Organisation, was passedas a complete set of recommendations togovernments in 1981. Itlists theresponsibilities of health care systems, healthcare professionals and companies in regardto the promotion of breast-milk substitutesand the provision of information concerningits proper use.Having learned the lessons of the 1970s,Nestlé was the first company to voluntarilyimplement the Code throughout thedeveloping world in 1982, and we developedspecific instructions to our staff on how to dothis. These instructions were reviewed andrefined in 1984 in consultation with the WHOand other UN agencies.Our policy and practice in developingcountries since that time has meant no publicpromotion, including no advertising, no in-store promotions, no advertising leaflets, no‘milk nurses’, no samples to mothers, and avery restrictive policy on free formula forevaluation by health professionals. We leavecommunication to mothers about infantformula in developing countries completely upto health professionals. In developedcountries, we follow national regulationsimplementing the International Code,including the EU Commission Directive ofMay 1991, which implemented the Codewithin the EU.We also carry out annual audits on WHOCode compliance with a sample of Nestlécompanies, and we investigate anysubstantiated claims made by those whobelieve we have broken the Code.Many of these we find to be inaccurate but,in a company of over 225,000 individuals,
Pindelwa Mda,
Nestlé South Africa
Pindelwa Mda is from Umtata inthe Eastern Cape in South Africa.She studied in Johannesburg andhas worked for Nestlé since 1994,in South Africa,Ghana andSwitzerland.She is the mother of a10 year-old son and is currentlyinfant food marketing manager forthe Southern Africa region.
Beverley Mirando
Nestlé Sri Lanka and Nestlé UK
Beverley Mirando has worked inNestlé Lanka since 1990,as LegalOfficer and Company Secretary.Since 1999,she has been onsecondment to Nestlé UK,working in corporate affairs.Sheis the mother of two teenagedaughters.
Marisa Armada
Nestlé Mexico
Marisa Armada is marketingmanager for the infantnutrition unit of NestléMexico.She has worked forNestlé for over four years,having graduated inBiochemistry and FoodProcessing Engineering.
Three Nestlé managers fromAfrica,Asia and Latin Americahave contributed their ownthoughts and comments to this document.
mistakes can be made. If we find that theCode has been deliberately violated, we takedisciplinary action.As CEO, I personally review any reports ofCode violation discovered either in our auditsin the developing world or through reportsfrom other organisations, and I make sure theappropriate action is taken.I hope this booklet provides a deeperunderstanding of the realities of infantfeeding in the developing world and ofNestlé’s marketing activities.We are committed to ensuring that the bestinterests of mothers and babies are servedby our employees around the world, threeofwhom have contributed to the writing ofthis booklet.
Peter Brabeck
Chief Executive Officer, Nestlé
2
 
Infant feeding in South Africa
Pindelwa Mda
Most rural South Africans live far from clinics and hospitals – I used to live in a communitywhere the nearest clinic was 8km away and the nearest hospital 34km away. Most womenpreferred to get advice from community elders who had been through childbirth and infantfeeding. Even though some rural mothers are illiterate, they are intelligent enough to know thatbreastfeeding is the best way to feed a baby and that it costs nothing. If for any reason amother cannot breastfeed, alternatives are found. For mothers with very limited income, infantformula is not even a consideration. Mothers use fresh cow’s milk, rooibos (herbal tea), maize-meal porridge and samp water. These are used out of necessity rather than choice.Urban life has different complications. The legacy of apartheid is that most black South Africanslive in townships far away from the cities. Many women work as domestic servants in whitehomes or as factory labourers. They are sometimes the sole breadwinners in the family. Forthem to be on duty by 7am, they must leave their homes around 4 am. Many of these womendo not get any maternity leave. Babies are often left in the care of their grandmothers, otherfamily members, neighbours or childminders. Few companies have nurseries in work places.For many mothers, therefore, a breast-milk substitute is a necessary option, and infant formulais the best possible substitute to feed their babies.
Nothing is more important for a mother than assuring the beststart in life for her baby. Nutrition is perhaps the most vitalaspect of this. Most women choose to breastfeed their children,as breast-milk is the best and most natural food for babies.However, some mothers, for a variety of reasons, do notbreastfeed. For those women, infant formula is the onlyproduct recognised by the United Nations Codex AlimentariusCommission (the body which sets international standards forfoods) as a suitable breast-milk substitute.Infant formula is often referred to as ‘babymilk’ or ‘bottlemilk’,but this can lead to some confusion as many babies are givenother milk, such as cow’s or goat’s milk, from an early age.Infant formula is the only substitute that can by itself provideall the nutrition necessary for a baby during the first 4-6months of life.
Breastfeeding and infant formula
3
Infant Feeding in the Developing World
4
But, although it can be used as asubstitute for breast-milk, infant formulais no equal to the most natural andnutritious food for babies – mother’s milk– and given the health benefits for bothmother and baby, all women should beencouraged to breastfeed for as long as possible or practical.
All women should be encouraged tobreastfeed for as long as possible or practical 
What is infant formula?
Sometimes called ‘babymilk’, infant formula isthe only product recognised by the WHO/FAOCodex Alimentarius as a nutritionallycomplete substitute for breast-milk.

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