Babies and mothers worldwide failed by lack of investment in breastfeeding


Babies and mothers worldwide failed by lack of investment in breastfeeding

On 3 April, (right) Zainab Kamara, supported by her mother, breastfeeds one of her twin sons, 3-month-old Alhassan Cargo, in Karineh Village in Magbema Chiefdom, Kambia District. The community health worker in the village is among the estimated 15,000 in the country helping to bringing life-saving health services to their communities.

In March/April 2017 in Sierra Leone, progress in key children rights, including in child survival and primary education, continues in the country. The Government also continues to make strides towards providing affordable, quality health care and improving maternal and child health services. However, despite these achievements, many children still lack access to essential services and safe water and sanitation, and maternal and child mortality remain key concerns. The country has one of the highest maternal and under-5 mortality rates in the world (at 1,360 deaths per 100,000 live births and 120 deaths per 1,000 live births). To help address the issue, UNICEF is working with the Government and other partners to facilitate the delivery of quality health care, especially maternal, newborn and child health services. As part of this effort, UNICEF, with funding from the EU, is supporting the construction and rehabilitation of health facilities, training for health workers, and the provision of equipment and medical supplies training for and the provision of equipment and medical supplies and, is supporting construction EU support also focuses on the country Free Health Care Initiative, which includes the provision of free medical supplies to ensure that pregnant women deliver safely, and free medicine for pregnant women, lactating mothers and children under the age of 5. An estimated 15,000 community health workers (CHWs) in the country, through the Government-led CHW programme, are also helping to bringing life-saving health services to their communities.

© UNICEF/UN065254/

On 3 April, (right) Zainab Kamara, supported by her mother, breastfeeds one of her twin sons, 3-month-old Alhassan Cargo, in Karineh Village in Magbema Chiefdom, Kambia District.

New analysis shows an investment of HK$36.7 (US$4.7) per newborn could generate HK$2,340 billion (US$300 billion) in economic gains by 2025.

GENEVA/NEW YORK/HONG KONG, 1 August 2017 – No country in the world fully meets recommended standards for breastfeeding, according to a new report by UNICEF and the World Health Organization (WHO) in collaboration with the Global Breastfeeding Collective, a new initiative to increase global breastfeeding rates.

The Global Breastfeeding Scorecard, which evaluated 194 nations, found that only 40 per cent of children younger than six months are breastfed exclusively (given nothing but breast milk) and only 23 countries have exclusive breastfeeding rates above 60 per cent.

Evidence shows that breastfeeding has cognitive and health benefits for both infants and their mothers. It is especially critical during the first six months of life, helping prevent diarrhoea and pneumonia, two major causes of death in infants. Mothers who breastfeed have a reduced risk of ovarian and breast cancer, two leading causes of death among women.

“Breastfeeding gives babies the best possible start in life,” said Dr. Tedros Adhanom Ghebreyesus, Director-General of WHO. “Breastmilk works like a baby’s first vaccine, protecting infants from potentially deadly diseases and giving them all the nourishment they need to survive and thrive.”

The scorecard was released at the start of World Breastfeeding Week alongside a new analysis demonstrating that an annual investment of only HK$36.7 (US$4.7) per newborn is required to increase the global rate of exclusive breastfeeding among children under six months to 50 per cent by 2025.

Nurturing the Health and Wealth of Nations: The Investment Case for Breastfeeding, suggests that meeting this target could save the lives of 520,000 children under the age of five and potentially generate HK$2,340 billion (US$300 billion) billion in economic gains over 10 years, as a result of reduced illness and health care costs and increased productivity.

“Breastfeeding is one of the most effective – and cost effective – investments nations can make in the health of their youngest members and the future health of their economies and societies,” said UNICEF Executive Director Anthony Lake. “By failing to invest in breastfeeding, we are failing mothers and their babies – and paying a double price: in lost lives and in lost opportunity.”

The investment case shows that in five of the world’s largest emerging economies—China, India, Indonesia, Mexico and Nigeria—the lack of investment in breastfeeding results in an estimated 236,000 child deaths per year and HK$928.2 billion (US$119 billion) in economic losses.

Globally, investment in breastfeeding is far too low. Each year, governments in lower- and middle-income countries spend approximately HK$1.95 billion (US$250 million) on breastfeeding programs; and donors provide only an additional HK$663 million (US$85 million).

The Global Breastfeeding Collective is calling on countries to:

• Increase funding to raise breastfeeding rates from birth through two years.
• Fully implement the International Code of Marketing of Breast-milk Substitutes and relevant World Health Assembly resolutions through strong legal measures that are enforced and independently monitored by organizations free from conflicts of interest.
• Enact paid family leave and workplace breastfeeding policies, building on the International Labour Organization’s maternity protection guidelines as a minimum requirement, including provisions for the informal sector.
• Implement the Ten Steps to Successful Breastfeeding in maternity facilities, including providing breastmilk for sick and vulnerable newborns.
Improve access to skilled breastfeeding counselling as part of comprehensive breastfeeding policies and programmes in health facilities.
• Strengthen links between health facilities and communities, and encourage community networks that protect, promote, and support breastfeeding.
• Strengthen monitoring systems that track the progress of policies, programmes, and funding towards achieving both national and global breastfeeding targets.

Breastfeeding is critical for the achievement of many of the Sustainable Development Goals. It improves nutrition (SDG2), prevents child mortality and decreases the risk of non-communicable diseases (SDG3), and supports cognitive development and education (SDG4). Breastfeeding is also an enabler to ending poverty, promoting economic growth and reducing inequalities.