Legislation should support optimal breastfeeding practices and access to low-cost, high-quality complementary foods: Indonesia provides a case study

• Published in: Maternal and child nutrition Vol. 7; no. s3; pp. 112 - 122
• Main Authors: Soekarjo, Damayanti, Zehner, Elizabeth
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Publishing Ltd 01.10.2011
• Subjects: baby-friendly hospitals; Breast Feeding - economics; breastfeeding; Child, Preschool; Code of Marketing; complementary food supplements; Developing Countries; Energy Intake; Food, Fortified - analysis; Food, Fortified - economics; Guidelines as Topic; Health Promotion - economics; Health Promotion - legislation & jurisprudence; Humans; Indonesia; Infant; infant and young child nutrition; Infant Food - analysis; Infant Food - economics; lipid nutrient supplements; Marketing - economics; micronutrient powders; Nutritional Status; Original; Indonesia
• ISSN: 1740-8695; 1740-8709; 1740-8709
• DOI: 10.1111/j.1740-8709.2011.00354.x

It is important to support women to exclusively breastfeed for 6 months and continue breastfeeding for 24 months and beyond. It is also necessary to provide the poor with access to affordable ways to improve the quality of complementary foods. Currently, many countries do not have the legal and policy environment necessary to support exclusive and continued breastfeeding. Legislative and policy changes are also necessary for introducing complementary food supplements, allowing them to be marketed to those who need them, and ensuring that marketing remains appropriate and in full compliance with the International Code of Marketing of Breastmilk Substitutes. This paper aims to illustrate the above with examples from Indonesia and to identify legislative requirements for supporting breastfeeding and enabling appropriate access to high‐quality complementary food supplements for children 6–24 months of age. Requirements include improved information, training, monitoring and enforcement systems for the International Code of Marketing of Breastmilk Substitutes; implementation and monitoring of the Baby‐Friendly Hospital Initiative; establishment of a registration category for complementary food supplements to enhance availability of high‐quality, low‐cost fortified products to help improve young child feeding; clear identification and marketing of these products as complementary food supplements for 6–24‐month‐olds so as to promote proper use and not interfere with breastfeeding.