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ProtectingInfantsinEmergencyBestpracticeandguidanceintopolicy:
RecommendationsfromWHOandWBTi UK
ClareMeynell
WhatistheWBTi?
http://www.who.int/nutrition/publications/infantfeeding/9241562218/en/
• Collaboration• Monitoring• Action
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Disclosures
FundingLactationConsultantsGB
InternationalBabyFeedingNetworkFirstStepsNutritionUniversityofSussexandsmalldonations
WBTiGlobalreport2016
Figure 1: The state of policy and programmes on infant and young child feeding in 84 countries on a scale of 100
Sri Lanka
Cuba
Bangladesh
Gambia
Turkey
Afghanistan
Niger
Kuwait
Kenya
Malawi
Nicaragua
Bahrain
Ukraine
Vietnam
Mongolia
South Africa
Elsalvador
Costa Rica
Venezuela
Brazil
Zambia
Maldives
Ghana
China
Cambodia
Philippines
Mali
Zimbabwe
Republic Of Korea
Nigeria
Cameroon
Croatia
Panama
Pakistan
Mozambique
Georgia
United Republic Of Tanzania
Lesotho
Dominican Republic
Burkina Faso
Thailand
Portugal
Bosnia And Herzegovina
Uganda
Swaziland
Malaysia
Guatemala
Seychelles
Armenia
Gabon
Brunei Darussalam
Fiji
Ethiopia
Bhutan
Nepal
Bolivia
Kiribati
Sierra Leone
Lebanon
Peru
Indonesia
Argentina
United Kingdom
Colombia
Belgium
Ecuador
Sao Tome And Principe
Uruguay
Mexico
Botswana
India
Honduras
Morocco
Timorleste
Taiwan
Singapore
United States
Palau
Paraguay
Cape Verde
Libya
Jordan
Saudi Arabia
Egypt
88
55.5
55
55
55
55
0 10 20 30 40 50 60 70 80 90 100
87.5
86
83
80
80
77
77
77
75.5
75
74.5
74
73
72.5
71
71
70.5
70
69.5
69.5
69.5
69.5
69
68
68
67.5
67.5
67.5
66.5
65.5
65
64.5
64
64
63.5
61.5
61
61
61
60.5
60.5
60
59
59
58.5
58
57.5
57
56.5
56
54
53.5
53
52.5
51.5
51.5
51
50
48
47
46.5
46.5
45.5
44.5
44
43.5
42.5
41
40.5
40
37
35.5
34.5
22.5
19
0-30.9
31-60.9
60.9-90.9
91-100
71.5
50.5
56
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WBTiUKCoreGroup
ClareMeynell andHelenGray2017Photo:LizHassels forWBTiUK
Stepping stones for the mother’s breastfeeding journey
ClareMeynell andHelenGray2017©Copyright(CCBY-SA2.0)MartynBandlicensedforreuseunderthisCreativeCommonsLicence
http://www.geograph.org.uk/photo/5528
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Tenkeypoliciesandprograms1. NationalPolicyand
Coordination2. BabyFriendly
Initiative3. InternationalCode4. MaternityProtection5. HealthProfessional
Training
6. CommunityBasedSupport
7. InformationSupport8. InfantFeeding:HIV9. InfantFeeding:
Emergencies10.Monitoring
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https://www.gov.uk/government/publications/infant-feeding-commissioning-servicesCredit:PublicHealthEngland©Crown Copyright2016
https://www.gov.uk/government/publications/infant-feeding-commissioning-servicesCredit:PublicHealthEngland©Crown Copyright2016
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• Supportingwomen’schoices• Physicalandmentalhealth• Humanrightsandinequality• Economicimpact• Environmentalsustainability• Protectingallinfantsinemergencies• Protectingfamiliesfrominappropriatecommercialpressure
Whydoesbreastfeedingmatter?Driversandprioritiesforgovernmentaction
ClareMeynell andHelenGray2017 Text:CamilleSellegur IBFAN-GifaImage:SophieBurrowsforWBTiUK
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Economicimpact
• CosttotheNHSatleast£40millionayear
Renfrew,M.,etalPreventingdiseaseandsavingresources:thepotentialcontributionofincreasingbreastfeedingratesintheUK.UNICEFUK,2012
• Losses[fromnotbreastfeeding]forhighincomecountriesare0.53%ofGrossNationalIncome
Rollinsetal,“Whyinvest,andwhatwillittaketoimprovebreastfeedingpractices?”(2016)TheLancet387:491-504
UKWBTiReport2016
https://ukbreastfeeding.org/wbtiuk2016/ World Breastfeeding Trends Initiative
UK Report 2016
