Infants' right to food Assessing where countries stand

Dr Yupayong HangchaovanichThailand

Inappropriate promotion of baby foods

New promotion tacticGive incentive to mothers who sending the

names of pregnant women & mothers (babies < 1 yr.) who don’t use Enfa product to the company

The benefits : every 1 point will have the chance to get the plan toy(170$) only 20 sets

4 points : coupon 3 $ buying goods in the supermarkets

Advertisement to the public To get ready for Disney land – Magic land, the show is brought to you by Powdered Milk S-26 added with Lutein

Powdered milk brand S-26 added with LuteinTrigger of this shot:

-To let target audiences think about the S-26 brand composing of S-26 Gold (starter formula), S-26 Promil Gold (Follow up formula), S26 Progress Gold, S-26 Promise and intend to create a linkage to starter formula.

Possible argumentation by manufacturer: -This TVC ad has been intended to promote S-26 Progress Gold for child age 1-3 years, not for infant formula (0 – 1 year)

CODE MONITORINGCENTER

WBTi assessment

WBTi assessment has not been fully utilised because DOH has the new method to analyse the situation of MCH status by using the strategic map which covered IYCF, child development and maternal health issues.

For WBTi : Focus on Implementation of the International Code ,working with DOH, FDA, consumer protection and mother support gr.

WBTi assessment

Promote public awareness of the harms of bottle feeding (seminars, media). Engage in a Code education program for the healthcare system. So healthcare workers should be made aware of their responsibilities under the Code. Integrating the Baby-Friendly Hospital assessment procedures with Code monitoring. Extend monitoring of marketing (involve more people, do training, translate materials.

Conflict of Interest• COI in Research : A research titled “Effect of a

whey-predominant starter formula containing LCPUFAs and oligosaccharides (FOS/GOS) on gastrointestinal comfort in infants” funded by Nestle

• COI in Governance : Pediatric Nutrition Manufacturer Association sent the letter to Deputy Secretary General of MOH concerning the complementary food which will be forced in the scope of the Code that it is not relevant to WHA 54.2.

Conflict of Interest Besides the breastfed babies 6-23 mo received

complementary food had some nutrient deficit compared to formula fed babies with complementary food. So caregiver should have knowledge about the formula milk and the product of complementary food.

• COI in Public resource : many places /persons are used for marketing such as HC, municipalities, social security offices health volunteers

Conflict of Interest

Examples of pressures put by international organisations, funding organisations, business interest NGOs and industry lobbies - Funding conferences organized by MCH and nutrition professional organization

Examples of national legislation to prevent or manage COI. Lack of this

Conflict of InterestHow to prevent and manage conflict of interest

1. Legislation of Code of Marketing2. Monitoring COI 3. Action taken when have the

evidences of conflict of interest

Maternity Benefits• Maternity leave Private sector : 90 days : paid by employer 45 days and

social welfare fund 50% of salary- 45 days Government sector: 90 days full paid addition extend leave

to 150 days without paid and with permission of organization

Paternity leave : 15-days for civil servants, political officials, policemen and officials of the Bangkok Metropolitan Administration (BMA).: no action

(Officials will be able to take paternity leave after their wives, who have a legally recognised status, give birth.)

Creches : Cooperation among 5 Ministries to integrate their work forming the child care center in the private sector and community : BMA provide child care center age 1-9 months in the communities in BKK

Breastfeeding-friendly workplace (Breastfeeding corner project): There’s no legal action; it’s involuntary

Department of Labour Protection and Welfare encourage the employers to provide a place(breastfeeding corner) and breaks for mothers to express and store milk as well as some facilities such as refrigerators, milk bags

There are 700 BF-friendly workplaces distributed across the country (74/77 provinces)

Thanks for your

attention