Protect breastfeeding for healthier children

Exclusive breastfeeding provides the best nutrition for babies in the first six months of their lives. Today, on the first day of World Breastfeeding Week, WHO and UNICEF are partnering to promote breastfeeding practices in families and communities, and to urge stakeholders to respect the International Code of Marketing of Breastmilk Substitutes (also known as “The Code”).

“Upon childbirth, mothers produce milk that contains all the proteins, fats, carbohydrates, vitamins and minerals that the baby needs. It is this miracle of life and survival that we celebrate every year on World Breastfeeding Week. Mothers and families need to be supported for their children to be optimally, and confidently breastfed,” said Robert Gass, UNICEF Representative in Malaysia.

This year on World Breastfeeding Week, WHO and UNICEF seek to encourage stronger protection for breastfeeding mothers, who are vulnerable to harmful influences from the food industry producing breast-milk substitutes (BMS).

“Babies should be breastfed. Breast-milk substitutes should be available when needed, but not be promoted” said Dr Rabindra Abeyasinghe, WHO Representative to Malaysia, Brunei Darussalam and Singapore. “The Code, an international public health agreement, aims to protect mothers from aggressive marketing practices by the baby food industry. We commend the commitment of the Malaysian government to strengthen the implementation of The Code, and urge all stakeholders to respect its provisions, thereby creating the best environment for newborns to grow healthy.”

While all infants should be exclusively breastfed for the first 6 months of their lives, unfortunately that is often not the case. Latest available data from the National Health and Morbidity Survey (NHMS) 2016 estimates that only 47% of infants are exclusively breastfed during the first 6 months. This is significantly lower than the national target of 58%, set by the Ministry of Health.

The benefits of breastfeeding are well documented. Breastfeeding offers babies protection from infection. Children and adolescents who were breastfed as babies are less likely to be overweight or obese. They perform better on intelligence tests and have higher school attendance. Breastfeeding is associated with higher income later in life.

Low breastfeeding rates can be attributed to several factors. These include workplace and time constraints faced by working mothers; lack of knowledge and misconceptions about breastfeeding; lack of support from the families and communities. In some cases, certain medical conditions may also make it challenging for some mothers.

Mothers are also prone to being influenced by the aggressive marketing of breastmilk substitutes, often targeting them even before their children are born. Marketing of formula milk and other breastmilk substitutes can influence mothers' choices and lead to a decline in breastfeeding rates, which is why The Code has been put in place to protect breastfeeding mothers.

Restricting the marketing of breastmilk substitutes is essential to safeguard the interests of breastfeeding mothers and protect the health and future of their children.

Breastfeeding is widely recognized as the best way to nourish infants and provides numerous benefits for both the child and the mother. WHO and UNICEF recommend that babies are exclusively breastfed for the first 6 months of their lives. We also recommended that babies should continue to be breastfed up to 2 years of age or beyond.

This World Breastfeeding Week, we urge the government to strengthen the existing policies and introduce new measures that fully align with The Code. We also urge all healthcare workers to support the full implementation of The Code. Additionally, we call on the breastmilk substitute companies to publicly commit to adhere to The Code.