Regulation and the food industry

Hubert, Bernard; Aaron, Percy; Goyet, Sophie; Srour, Leila

doi:10.1016/s0140-6736(13)61156-3

Cited by 4 publications

(8 citation statements)

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“…[7][8][9][10] The formula industry claims to respect the Code and that their advertising targets people who can "afford" or who "need" their products, while they mislead them by insinuating that formula might be the better choice. 9,10,12,14,22 Examples from Southeast Asia and Other Countries: Successful…”

Section: Characteristics Of Code Violations In Low-and Middle-income mentioning

confidence: 99%

“…12,14,18,19 As with the tobacco and alcohol industries, formula companies indulge in practices abroad that may be banned or severely restricted in their home countries. 6,[8][9][10][11][12][13][14][15][16][17][18][19][20][21] Code violations include promotion of formula products to the public, even in health care facilities. Attractive labels and unsubstantiated claims mislead parents into believing that these products improve intelligence and protect children from illness.…”

Section: Characteristics Of Code Violations In Low-and Middle-income mentioning

confidence: 99%

“…Exclusive breastfeeding is a natural resource, universally available but especially endangered in LMIC by the practices and promotions of the formula industry. 2,[9][10][11][12] In these countries in particular, the millions of dollars spent on formula promotion are in sharp contrast to the limited public health support for breastfeeding. In South Asia alone, formula profits are expected to grow 31% by 2015 from the 2011 figure of US$25 billion, associated with significant decreases in breastfeeding rates.…”

mentioning

confidence: 99%

“…The paradox of this claim and the formula industry's financial interest presents a significant conflict of interest. 9,13 The threat that formula promotion poses to breastfeeding is frequently overlooked in political and scientific discussions. For example, a recent Lancet series presented the results of 110 randomized controlled trials on breastfeeding promotion but did not address the specific public health and legal actions that were urgently needed to support and protect mothers, their babies, and EBF from formula promotion.…”

mentioning

confidence: 99%

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Enforcing the International Code of Marketing of Breast-milk Substitutes for Better Promotion of Exclusive Breastfeeding

Hubert

Slesak²,

Goyet

et al. 2015

J Hum Lact

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Exclusive breastfeeding, one of the best natural resources, needs protection and promotion. The International Code of Marketing of Breast-milk Substitutes (the Code), which aims to prevent the undermining of breastfeeding by formula advertising, faces implementation challenges. We reviewed frequently overlooked challenges and obstacles that the Code is facing worldwide, but particularly in Southeast Asia. Drawing lessons from various countries where we work, and following the example of successful public health interventions, we discussed legislation, enforcement, and experiences that are needed to successfully implement the Code. Successful holistic approaches that have strengthened the Code need to be scaled up. Community-based actions and peer-to-peer promotions have proved successful. Legislation without stringent enforcement and sufficient penalties is ineffective. The public needs education about the benefits and ways and means to support breastfeeding. It is crucial to combine strong political commitment and leadership with strict national regulations, definitions, and enforcement. National breastfeeding committees, with the authority to improve regulations, investigate violations, and enforce the laws, must be established. Systematic monitoring and reporting are needed to identify companies, individuals, intermediaries, and practices that infringe on the Code. Penalizing violators is crucial. Managers of multinational companies must be held accountable for international violations, and international legislative enforcement needs to be established. Further measures should include improved regulations to protect the breastfeeding mother: large-scale education campaigns; strong penalties for Code violators; exclusion of the formula industry from nutrition, education, and policy roles; supportive legal networks; and independent research of interventions supporting breastfeeding.

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Section: Characteristics Of Code Violations In Low-and Middle-income mentioning

confidence: 99%

Section: Characteristics Of Code Violations In Low-and Middle-income mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Enforcing the International Code of Marketing of Breast-milk Substitutes for Better Promotion of Exclusive Breastfeeding

Hubert

Slesak²,

Goyet

et al. 2015

J Hum Lact

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“…Food and beverage industry is now targeting low and middle income countries and have been able to penetrate the local food systems extensively [ 51 ]. Weak regulatory and implementation frameworks render communities particularly those with weaker purchasing powers and information networks vulnerable to additional nutritional risks [ 52 ]. Men’s alcoholism is an emerging yet under represented cause of chronic under -nutrition among women and children.…”

Section: Discussionmentioning

confidence: 99%

Time-constrained mother and expanding market: emerging model of under-nutrition in India

et al. 2016

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BackgroundPersistent high levels of under-nutrition in India despite economic growth continue to challenge political leadership and policy makers at the highest level. The present inductive enquiry was conducted to map the perceptions of mothers and other key stakeholders, to identify emerging drivers of childhood under-nutrition.MethodsWe conducted a multi-centric qualitative investigation in six empowered action group states of India. The study sample included 509 in-depth interviews with mothers of undernourished and normal nourished children, policy makers, district level managers, implementer and facilitators. Sixty six focus group discussions and 72 non-formal interactions were conducted in two rounds with primary caretakers of undernourished children, Anganwadi Workers and Auxiliary Nurse Midwives.ResultsBased on the perceptions of the mothers and other key stakeholders, a model evolved inductively showing core themes as drivers of under-nutrition. The most forceful emerging themes were: multitasking, time constrained mother with dwindling family support; fragile food security or seasonal food paucity; child targeted market with wide availability and consumption of ready-to-eat market food items; rising non-food expenditure, in the context of rising food prices; inadequate and inappropriate feeding; delayed recognition of under-nutrition and delayed care seeking; and inadequate responsiveness of health care system and Integrated Child Development Services (ICDS). The study emphasized that the persistence of child malnutrition in India is also tied closely to the high workload and consequent time constraint of mothers who are increasingly pursuing income generating activities and enrolled in paid labour force, without robust institutional support for childcare.ConclusionThe emerging framework needs to be further tested through mixed and multiple method research approaches to quantify the contribution of time limitation of the mother on the current burden of child under-nutrition.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-016-3189-4) contains supplementary material, which is available to authorized users.

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A realist review of voluntary actions by the food and beverage industry and implications for public health and policy in low- and middle-income countries

et al. 2022

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Regulation and the food industry

Cited by 4 publications

References 4 publications

Enforcing the International Code of Marketing of Breast-milk Substitutes for Better Promotion of Exclusive Breastfeeding

Enforcing the International Code of Marketing of Breast-milk Substitutes for Better Promotion of Exclusive Breastfeeding

Time-constrained mother and expanding market: emerging model of under-nutrition in India

A realist review of voluntary actions by the food and beverage industry and implications for public health and policy in low- and middle-income countries

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