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CC BY 4.0 · Journal of Child Science 2023; 13(01): e127-e133
DOI: 10.1055/s-0043-1776402
Original Article

Thailand's Position on the International Code of Marketing of Breast-Milk Substitutes: An Overview

Jukkrit Wungrath 
1   Department of Public Health, Faculty of Public Health, Chiang Mai University, Chiang Mai, Thailand
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Abstract

The International Code of Marketing of Breast-Milk Substitutes aims to regulate marketing practices of breast milk substitutes to protect breastfeeding. The Code was introduced due to the negative impact of aggressive marketing and promotion of breast milk substitutes on breastfeeding rates, which provide essential nutrients and health benefits for both infants and mothers. Key provisions of the Code, such as banning advertising and promotion to the general public and ensuring accurate information from manufacturers, help reduce the influence of marketing on infant feeding choices. Many countries have adopted and implemented the Code's guidelines, resulting in increased awareness and reduced promotion of breast milk substitutes. However, challenges remain in effective implementation and enforcement, and breastfeeding rates still vary globally. Thailand supports the Code and has implemented its guidelines into national legislation. The country has established laws to restrict promotion and advertising of breast milk substitutes and initiatives to promote and support breastfeeding, such as the Baby-Friendly Hospital Initiative. However, challenges in enforcing the guidelines and varying breastfeeding rates remain. Thailand is working towards improving implementation and enforcement of the guidelines and promoting breastfeeding practices in the country.

Keywords

the international code - marketing - breast milk substitutes


Publication History

Received: 26 May 2023

Accepted: 25 September 2023

Article published online:
21 November 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 World Health Organization. International Code of Marketing of Breast-Milk Substitutes. Geneva, Switzerland: World Health Organization; 1981
    Google Scholar
  • 2 Kent G. Global infant formula: monitoring and regulating the impacts to protect human health. Int Breastfeed J 2015; 10 (01) 6
    CrossrefPubMedGoogle Scholar
  • 3 World Health Organization, UNICEF. Implementation Guidance: Protecting, Promoting and Supporting Breastfeeding in Facilities Providing Maternity and Newborn Services: The Revised Baby-Friendly Hospital Initiative. Geneva: World Health Organization;; 2018
    Google Scholar
  • 4 World Health Organization. Guidance on Ending the Inappropriate Promotion of Foods for Infants and Young Children: Implementation Manual. Geneva, Switzerland: World Health Organization; 2017
    Google Scholar
  • 5 Barennes H, Slesak G, Goyet S, Aaron P, Srour LM. Enforcing the international code of marketing of breast-milk substitutes for better promotion of exclusive breastfeeding: can lessons be learned. J Hum Lact 2016; 32 (01) 20-27
    CrossrefPubMedGoogle Scholar
  • 6 Cetthakrikul N, Banwell C, Kelly M, Baker P, Smith J. Regulating the marketing of foods for infants and young children: lessons from assessment of gaps in monitoring and enforcement in Thailand. Matern Child Nutr 2023; 19 (03) e13507
    CrossrefPubMedGoogle Scholar
  • 7 International Baby Food Action Network. Infant Feeding in Emergencies. 2018 ,at: https://www.ibfan.org/infant-feeding-in-emergencies/
    PubMedGoogle Scholar
  • 8 Topothai C, Tangcharoensathien V. Achieving global targets on breastfeeding in Thailand: gap analysis and solutions. Int Breastfeed J 2021; 16 (01) 38
    CrossrefPubMedGoogle Scholar
  • 9 World Health Organization. Marketing of breast milk substitutes: national implementation of the international code,. status report 2020. Accessed May 5, 2023, at: https://www.who.int/publications/i/item/9789240006010
    PubMedGoogle Scholar
  • 10 Thai Food and Drug Administration. Control of Marketing Promotion of Infant and Young Child Food Act, B.E. 2527 (1984). 2017 , Accessed May 5, 2023, at: https://laws.anamai.moph.go.th/th/baby-food
    PubMedGoogle Scholar
  • 11 Rittitak J. Legal measures concerning marketing of breast-milk substitutes in Thailand. Thai Business Law J 2017; 1: 1-19
    PubMedGoogle Scholar
  • 12 Cetthakrikul N, Kelly M, Banwell C, Baker P, Smith J. Regulation of baby food marketing in Thailand: a NetCode analysis. Public Health Nutr 2022; 25 (10) 1-13
    CrossrefPubMedGoogle Scholar
  • 13 Michaud-Létourneau I, Gayard M, Pelletier DL. Translating the International Code of Marketing of Breast-milk Substitutes into national measures in nine countries. Matern Child Nutr 2019; 15 (Suppl 2, Suppl 2): e12730
    CrossrefPubMedGoogle Scholar
  • 14 Ahmed AH. The International Code of Marketing of Breast-milk Substitutes: update on the global implementation. J Hum Lact 2020; 36 (04) 803-807
    CrossrefPubMedGoogle Scholar
  • 15 Lutter CK, Hernández-Cordero S, Grummer-Strawn L, Lara-Mejía V, Lozada-Tequeanes AL. Violations of the International Code of Marketing of Breast-milk Substitutes: a multi-country analysis. BMC Public Health 2022; 22 (01) 2336
    CrossrefPubMedGoogle Scholar
  • 16 Piwoz EG, Huffman SL. The impact of marketing of breast-milk substitutes on WHO-recommended breastfeeding practices. Food Nutr Bull 2015; 36 (04) 373-386
    CrossrefPubMedGoogle Scholar
  • 17 Rollins NC, Bhandari N, Hajeebhoy N. et al; Lancet Breastfeeding Series Group. Why invest, and what it will take to improve breastfeeding practices?. Lancet 2016; 387 (10017): 491-504
    CrossrefPubMedGoogle Scholar
  • 18 Amin T, Hablas H, Al Qader AA. Determinants of initiation and exclusivity of breastfeeding in Al Hassa, Saudi Arabia. Breastfeed Med 2011; 6 (02) 59-68
    CrossrefPubMedGoogle Scholar
  • 19 Thepha T, Marais D, Bell J, Muangpin S. Perceptions of northeast Thai breastfeeding mothers regarding facilitators and barriers to six-month exclusive breastfeeding: focus group discussions. Int Breastfeed J 2018; 13: 14
    CrossrefPubMedGoogle Scholar
  • 20 Samaniego JAR, Maramag CC, Castro MC. et al. Implementation and effectiveness of policies adopted to enable breastfeeding in the Philippines are limited by structural and individual barriers. Int J Environ Res Public Health 2022; 19 (17) 10938
    CrossrefPubMedGoogle Scholar
  • 21 Sobel HL, Iellamo A, Raya RR, Padilla AA, Olivé J-M, Nyunt-U S. Is unimpeded marketing for breast milk substitutes responsible for the decline in breastfeeding in the Philippines? An exploratory survey and focus group analysis. Soc Sci Med 2011; 73 (10) 1445-1448
    CrossrefPubMedGoogle Scholar
  • 22 Barennes H, Empis G, Quang TD. et al. Breast-milk substitutes: a new old-threat for breastfeeding policy in developing countries. A case study in a traditionally high breastfeeding country. PLoS One 2012; 7 (02) e30634
    CrossrefPubMedGoogle Scholar
  • 23 Barennes H, Andriatahina T, Latthaphasavang V, Anderson M, Srour LM. Misperceptions and misuse of Bear Brand coffee creamer as infant food: national cross sectional survey of consumers and paediatricians in Laos. BMJ 2008; 337: a1379
    CrossrefPubMedGoogle Scholar
  • 24 Black RE, Victora CG, Walker SP. et al; Maternal and Child Nutrition Study Group. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet 2013; 382 (9890) 427-451
    CrossrefPubMedGoogle Scholar
  • 25 Stiegler R. The latest step in a series of extraordinary labelling measures. BMJ. Accessed 2009 , at: http://www.bmj.com/cgi/eletters/337/sep09_2/a1379
    PubMedGoogle Scholar
  • 26 Pries AM, Huffman SL, Mengkheang K. et al. Pervasive promotion of breastmilk substitutes in Phnom Penh, Cambodia, and high usage by mothers for infant and young child feeding. Matern Child Nutr 2016; 12 (Suppl 2, Suppl 2): 38-51
    CrossrefPubMedGoogle Scholar
  • 27 Victora CG, Bahl R, Barros AJ. et al; Lancet Breastfeeding Series Group. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet 2016; 387 (10017): 475-490
    CrossrefPubMedGoogle Scholar
  • 28 Silva KBD, Oliveira MIC, Boccolini CS, Sally EOF. Illegal commercial promotion of products competing with breastfeeding. Rev Saude Publica 2020; 54: 10
    CrossrefPubMedGoogle Scholar
  • 29 Jacob A. Opposition to breast-feeding resolution stuns world health officials. 2018 . Access May 10, 2023 at: https://www.nytimes.com/2018/07/08/health/world-health-breastfeeding-ecuador-trump.html
    PubMedGoogle Scholar
  • 30 Rabin RC. Trump Stance on Breast-Feeding and Formula Criticized by Medical Experts. 2018 , Accessed May 7, 2023, at: https://www.nytimes.com/2018/07/09/well/breastfeeding-trump-resolution.html
    PubMedGoogle Scholar
  • 31 World Health Organization. India: first to adapt the Global Monitoring Framework on noncommunicable diseases (NCDs). 2014 , Accessed May 7,2023, at: https://www.who.int/docs/default-source/searo/india/health-topic-pdf/noncommunicable-diseases/niramaya-eversion-feb14.pdf?sfvrsn=2107f986_2
    PubMedGoogle Scholar