Why Breastfeeding is important to be protected?

Haryana State Orientation Workshop on IMS Act

20 March 2009

Dr. Arun Gupta MD FIAP

National Coordinator BPNI

Life begins here ….

Overview Bit of history .. 1950s to 1970s… Relevant science… How health system was corrupted Some examples of current practice What can be done by the State?

Decline of breastfeeding 1975-1985 BNS Walia documented a

huge decline in chandigarh 3 NFHS studies have not shown any

increase in exclusive breastfeeding rather gone down.

“Misguided propaganda on infant feeding should be punished as the most criminal form of sedition, as that those deaths should be regarded as murder”

Dr. Cicely Williams

“Milk and murder”(1939)

1960s Derick Jelliffe coined a tern

“commerciogenic malnutrition”

Nestle faced a Trial 1974 War on Want

Oxytocin ReflexOxytocin Reflex

For milk ejection3/3

Helping and Hindering the Oxytocin ReflexHelping and Hindering the Oxytocin Reflex

For milk ejection3/4

Prolactin ReflexProlactin ReflexSecretion continues AFTER feed to produce NEXT feed

To increase milk productions3/2

1970s A US baby food company offered free

architecture support to hospitals and separated babies from mothers, Nurseries came up as a fashion

Decline of breastfeeding 1975-1985 Prof BNS Walia documented

decline from 75 to 25% in Chandigarh population

A local story of 1983 17 hospitals of Jalandhar were found to

be under the influence of free supplies.

Mind set of an artist

A Pakistani mother feeding twins, 1980s

Use of Milk Nurses

“poop-cee” from India in 1984

1980s.. Campaign..

On Formula in 1983

1984

1984..Amulspray

1987, 89…

1989 Emphasis grew on complementary foods

Internal demonstration in Manila 1989

2000 ..work

2000 work …

2000…

Amendment Act 2003 Included all baby foods for children up

to 2 years Strengthened the health workers

section

Formula disasters, Lets speak about it ! More diarrhea More infant deaths More diabetes More obesity

Benefits Update on Evidence 11.6% reduction in infant mortality with

99% “breastfeeding promotion” 19.6% reduction in stunting with 99%

“complementary feeding promotion” Better brain development Less obesity, hypertension, diabetes

type 2, and cardiac disease

2009 Advertisement in Indian Express

Do we want this ..?

Life begins here ….

Counselling session

Actions : What can we do Establish breastfeeding support systems Ban sponsorships Enquiry into health facility for use of formula Check chemist shops for promotion and

incentives Regular check, and ban all advertisements and

promotion of feeding bottles and baby foods District information system Empower People to monitor the Act !

Thanks !http://www.onemillioncampaign.org