promoting breast feeding as a right of the child
DESCRIPTION
In this presentation we will see how breast feeding,, a natural phenomenon and protector of human species has to be protected by Universal laws and legislation. Yet we have to fight for this right through awareness raising and advocacy to the government as well as lay public.TRANSCRIPT
Promoting Breast Feeding as a Right of a Child
Dr. Naeem ZafarMBBS, DCH, MD, DCHN, FCPS
President, PAHCHAAN
Protection and Help of Children Against Abuse and Neglect
Convener Child Rights Committee, Pakistan Pediatric Association
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Mother Feeding as a Saviour of Species All Mammals have mammary glands for their
offsprings to continue their growth after birth as opposed to other species born through eggs
One of the major reasons why Mammals survived and thrived on planet earth is Mother feeding
Humans probably mother feed for maximum time. They are afterall the most complex species
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Breast Feeding Since birth of Humans Mothers have been
feeding their babies since time immemorial
All religions and Faiths have promoted breast feeding
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Breast Feeding unanimous decision in Islam "The mothers shall suckle their offspring for two
whole years"(ALBAQARAH:233) Th Holy Prophet suckled from a foster mother,
Dai Haleema. He was not fed Cow or Goat Milk Consensus on All Sects and all Fiqahs on
breast feeding
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CRC and Breast Feeding
Article 24(e) To ensure that all segments of society, in particular parents and children, are informed, have access to education and are supported in the use of basic knowledge of child health and nutrition, the advantages of breastfeeding, hygiene and environmental sanitation and the prevention of accidents;
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CRC and Breast Feeding
Article 27.3. States Parties, in accordance with national conditions and within their means, shall take appropriate measures to assist parents and others responsible for the child to implement this right and shall in case of need provide material assistance and support programmes, particularly with regard to nutrition, clothing and housing.
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Other International Committments World Summit for children 1990
Exclusive Breast feeding for 4-6 months 4th World Conference on women
Promotion of Public Information 2000 WABA Consensus Statement International Code of Marketing of Breast
milk Substitutes 1990
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Why mphasize on Breast Feeding More than 1/3 child deaths due to effects
of malnutrition Sub-optimal breastfeeding practices
increase newborn infections by six times, diarrhoea by three times and pneumonia by 2.5 times, the three major killers of infants before they reach their first birthday
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Impacts of Breast Feeding
• Protection from diarrhea, respiratory diseases, middle ear and urinary tract infections;
• Immunological protection (colostrum -first milk) and enhanced immune functions;
• Promotion of correct development of jaw and teeth;
• Improved cognitive development, visual and hearing function;
• (Protection And Help of CHildren Against Abuse and Neglect)
Impacts of Breast Feeding
Decreased risk, compared to artificially fed infants: chronic diseases (obesityvi, cancer, adult cardiovascular diseases, allergic conditions and diabetes). The prevention of obesity is all the more
Important as also many developing countries are facing a double burden of malnutrition: breastfeeding represents a response to both undernutriton for infant and young children and the prevention of obesity.
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Benefits to Maternal Health
Less postpartum bleeding, decreased incidence of osteoporosis, risk reduction of ovarian-, breast- and other reproductive cancers later in life, delay of the return of fertility;
Enhanced self-esteem, lower rates of depression after giving birth, better return to pre-pregnancy weight, stress reduction and mother-baby bonding.
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Challenges to Optimal feeding
Correct and unbiased information Breastfeeding and the Baby Food
Industry Maternity protection Supportive health care system Medicalisation of foods vs breastfeeding:
Ready to Use Foods (RUFs)
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What should Government Do
A comprehensive Infant and Young Child Feeding Policy formation and implementation of
”protect, promote and support framework”
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Protect
Fully implement the International and Country Code of Marketing of Breastmilk Substitutes
Maternity protection measures Maternity leave rules, Provision of space for working women, Allowance of time to feed
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Promote
Reliable and impartial information which positions breastfeeding as a norm for feeding infants and clearly explains the risks of artificial feeding.
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Support
Skilled breastfeeding counseling as well as peer, workplace and community support.
Baby Friendly Hospital Initiative (BFHI)
Ten steps for successful breastfeeding,
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Ten Steps to Successful BreastfeedingEvery facility providing maternity services and care for newborn
infants should:
1. Have a written breastfeeding policy that is routinely communicated to all health care staff.
2. Train all health care staff in skills necessary to implement this policy.
3. Inform all pregnant women about the benefits and management of breastfeeding.
4. Help mothers initiate breastfeeding within half an hour of birth.
5. Show mothers how to breastfeed, and how to maintain lactation even if they should be separated from their infants.
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Ten Steps to Successful Breastfeeding6.Give newborn infants no food or drink other than breast milk,
unless medically indicated.
7. Practise rooming-in - that is, allow mothers and infants to remain together - 24 hours a day.
8. Encourage breastfeeding on demand.
9. Give no artificial teats or pacifiers (also called dummies or soothers) to breastfeeding infants.
10.Foster the establishment of breastfeeding support groups and refer mothers to them on discharge from the hospital or clinic.
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Responsibility of non-state actors
Role of the infant food manufacturers and distributors:
Role of health workers:
Role of civil society:
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