Mothers' and health workers' exposure to breastmilk substitutes promotions in Abidjan, Côte d'Ivoire

Datos Bibliográficos

ID15536331
AutoresJillian Emerson (0000-0002-4448-062X, Family Health International 360), Firmin Kouassi (Université Félix Houphouët-Boigny), Réné Oka Kouamé (Institut National d’Hygiène Publique), Florence Neto Damey (Institut National d’Hygiène Publique), Aïta Sarr Cissé (Family Health International 360), Manisha Tharaney (0000-0002-7144-0519, Family Health International 360, autor de correspondencia)
Año2021
Volumen17
Número4
Páginase13230-e13230
Fecha de publicación2021-06-16
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaMaternal and Child Nutrition (JOURNAL)
Identificadores de la revistaISSN: 1740-8695 • E-ISSN: 1740-8709
EditorialWiley (PUBLISHER • GB)
DOI10.1111/mcn.13230
PMID34132496
OpenAlexW3172499611
IdiomaEN
Citas recibidas5
Referencias citadas12

Marketing of breastmilk substitutes (BMS) continues to undermine breastfeeding globally, and low income countries experiencing rapid economic growth are especially vulnerable as expanding BMS markets. The objective of the study was to understand the prevalence of exposure to BMS promotions among mothers of children 0-23 months, the frequency and type of contacts between BMS companies and health workers and the presence of educational/informational materials and branded equipment associated with such companies in health facilities in Abidjan using the World Health Organization's NetCode protocol. The methods included structured interviews with health workers and mothers and observations of equipment/materials in a sample of 42 facilities, 330 mothers and 129 health workers. Descriptive statistics were produced, and chi-squared tests were used to assess differences by child age and facility type. Forty-three per cent of mothers were advised to feed BMS products in the past 6 months, with a significantly higher percentage of mothers of older children (6-23 months) advised compared to infants 0-5 months. Two thirds (66%) of mothers had seen promotions outside of facilities. Among health workers, 63% were contacted by BMS companies, and only 8% were familiar with the International Code of Marketing of BMS. Differences were found between public/private facilities in the types of requests BMS companies made to health workers. Strong actions are needed in Côte d'Ivoire to prevent BMS promotion in the health system, including increasing health workers' knowledge of the International Code and national regulations, monitoring violations and reaching mothers and families to promote optimal breastfeeding practices

Breastfeeding · Cote d ivoire · Descriptive statistics · Developing country · Economic growth · Environmental health · Family medicine · Health promotion · Health services · Health worker · Population · Promotion (chess · Public health · Breastfeeding Practices and Influences · Child Nutrition and Water Access · Infant Nutrition and Health · Medicine · Nursing · Pediatrics