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Empowering Global Health Systems to Protect, Promote and Support Optimal Breastfeeding

Bibliographic Data

ID15536409
AuthorsDavid T Zhu (0000-0002-0173-495X, Virginia Commonwealth University, corresponding author), Tanu Gupta (0000-0002-6969-5504, Yale University), Tarini Gupta (Department of Social and Behavioral Sciences Yale School of Public Health New Haven Connecticut USA), Rafael Pérez-Escamilla (0000-0001-9416-8039, Yale University)
Year2024
Volume21
Issue1
Pagese13753-e13753
Publication date2024-10-31
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMaternal and Child Nutrition (JOURNAL)
Journal identifiersISSN: 1740-8695 • E-ISSN: 1740-8709
PublisherWiley (PUBLISHER • GB)
DOI10.1111/mcn.13753
PMID39482833
OpenAlexW4403963825
LanguageEN
Citations received1
References cited12

Breastfeeding is a critical public health strategy for optimal child development and maternal health across the life course. The 2021 Global Burden of Diseases, Injuries and Risk Factors Study reveals that, despite reductions in mortality and disability-adjusted life years (DALYs) attributed to suboptimal breastfeeding practices-namely, non-exclusive breastfeeding during the first 6 months or early discontinuation within the first 2 years-low- and middle-income countries (LMICs) continue to bear a staggering 50-fold higher burden compared to high-income nations. This inequity signals a pressing global health priority. Hence, we propose to address these challenges by first, expanding the Baby-Friendly Hospital Initiative (BFHI) reach through community-driven efforts such as the Baby-Friendly Community Initiative (BFCI) to enhance breastfeeding support in both clinical and community settings; second, embedding breastfeeding counselling within national health and social protection programmes to fill in gaps in culturally competent care, drawing on large scale breastfeeding peer counselling programme experiences like the one being implemented by the US Supplemental Nutrition Program for Women, Infants and Children (WIC); third, improving maternity leave policies and workplace accommodations for breastfeeding women and fourth, stringent regulation of exploitative commercial milk formula (CMF) marketing to combat misinformation and reduce health inequities. Governments must implement strong, evidence-driven policies-such as strict monitoring and regulation of product labelling and digital media marketing-to establish safeguards against the powerful influence of the CMF industry. Collectively, these strategies will enhance breastfeeding outcomes, reduce health disparities and drive progress across countries towards meeting the UN Sustainable Development Goals

Breastfeeding · Economic growth · Environmental health · Global health · Health care · Misinformation · Political science · Public health · Breastfeeding Practices and Influences · Child Nutrition and Feeding Issues · Child Nutrition and Water Access · Medicine · Nursing · Pediatrics

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    Open Access•Sarah Steele, Noah C A Cooke et al.•Social Science & Medicine•2026

  • Global burden and strength of evidence for 88 risk factors in 204 countries and 811 subnational locations, 1990–2021

    Open Access•Michael Brauer, Gregory A Roth et al.•The Lancet•2024

  • Breastfeeding and maternal health outcomes

    Open Access•Ranadip Chowdhury, Bireshwar Sinha et al.•Acta Paediatrica•2015

  • Impact of the Baby‐friendly Hospital Initiative on breastfeeding and child health outcomes

    Open Access•Rafael Perez‐escamilla, Josefa L Martinez et al.•Maternal and Child Nutrition•2016

  • Breastfeeding

    Open Access•Rafael Pérez-Escamilla, Cecilia Tomori et al.•The Lancet•2023

  • Baby‐Friendly Community Initiative—From national guidelines to implementation

    Open Access•Justine A Kavle, Brenda Ahoya et al.•Maternal and Child Nutrition•2019

  • Violations of Vietnamese laws related to the online marketing of breastmilk substitutes

    Open Access•Kathryn Backholer, Linh Nguyen et al.•Maternal and Child Nutrition•2024

  • Violations of the International Code of Marketing of Breast-milk Substitutes

    Open Access•Chessa K Lutter, Sonia Hernández‐Cordero et al.•BMC Public Health•2022

  • What Will It Take to Improve Breastfeeding Outcomes in the United States Without Leaving Anyone Behind

    Rafael Pérez-Escamilla•American Journal of Public Health•2022

Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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