Why Breastfeeding is important to be protected?

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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

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Life begins here .
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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?

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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.

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• 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)

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1960s

• Derick Jelliffe coined a tern commerciogenic
  malnutrition

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Nestle faced a Trial 1974 War on Want
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Oxytocin Reflex
For milk ejection
3/3
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Helping and Hindering the Oxytocin Reflex
For milk ejection
3/4
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Prolactin Reflex
Secretion continues AFTER feed to produce NEXT
feed
To increase milk productions
3/2
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1970s

• A US baby food company offered free architecture
  support to hospitals and separated babies from
  mothers, Nurseries came up as a fashion

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Decline of breastfeeding

• 1975-1985 Prof BNS Walia documented decline from
  75 to 25 in Chandigarh population

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A local story of 1983

• 17 hospitals of Jalandhar were found to be under
  the influence of free supplies.

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Mind set of an artist
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A Pakistani mother feeding twins, 1980s
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Use of Milk Nurses
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poop-cee from India in 1984
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1980s.. Campaign..
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On Formula in 1983
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1984
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1984..Amulspray
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1987, 89
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1989 Emphasis grew on complementary foods
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Internal demonstration in Manila 1989
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2000 ..work
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2000 work
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2000
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Amendment Act 2003

• Included all baby foods for children up to 2
  years
• Strengthened the health workers section

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Formula disasters, Lets speak about it !

• More diarrhea
• More infant deaths
• More diabetes
• More obesity

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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

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2009 Advertisement in Indian Express
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Do we want this ..?
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Life begins here .
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Counselling session
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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 !

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Thanks !http//www.onemillioncampaign.org