59TH CRC Committee

Governments to Improve Exclusive Breastfeeding and Enforce the International Code
By Ina Verzivolli, GIFA Geneva, Switzerland
Email: ina.verzivolli@gifa.org
The 59th session of the Committee on the Rights of the Child (CRC Committee) took place from 16 January to 3 February 2012 in Geneva. The Committee reviewed the progress of the implementation of the Convention on the Rights of the Child in 6 countries: Azerbaijan, Cook Islands, Madagascar, Myanmar, Thailand and Togo.
IBFAN presented alternative reports on the situation of infant and young child feeding, for 5 of the countries under review. The report of Madagascar was prepared in coordination with the regional group of IBFAN Africa. The report of Madagascar and Thailand was prepared in coordination with the regional and local IBFAN groups. The reports on Azerbaijan, Cook Islands and Myanmar were written by the Geneva Infant Feeding Association (IBFAN-GIFA). There was no alternative report in the case of Togo.
In its concluding observations, the CRC Committee made observations/recommendations on infant and child feeding in all cases and specifically to breastfeeding to 4 out of the 6 countries.
The rates of exclusive breastfeeding in the group of countries under review are particularly low, e.g. 5% in Thailand, 12 % in Azerbaijan and 15% in Myanmar. Therefore, the CRC Committee stressed, in particular, the necessity for the governments to take all possible efforts to improve exclusive breastfeeding in their countries. Governments were recommended to raise awareness among the public and educate the communities and mothers in particular about the importance of breastfeeding and the risks of artificial feeding. The Committee raised concerns over the very low rates of initiation to breastfeeding in some countries like Azerbaijan and Thailand, and urged these to take the necessary efforts to change this situation.
Almost all governments went home with a recommendation to adopt or strengthen their regulation of the marketing of breastmilk substitutes. Azerbaijan was urged to establish “monitoring and reporting mechanisms” with regards to their law which implements the International Code, and was advised to disseminate information widely about these measures. The government of Madagascar was given a recommendation to effectively enforce its National Code of Marketing of Breastmilk Substitutes and establish monitoring systems to detect cases of violations. Thailand was urged to adopt legal regulation for the marketing activities of breastmilk substitutes in accordance with the International Code and to ensure effective monitoring and compliance.
The Committee paid attention also to the issue of obesity and the marketing of junk, sugary and fatty foods to children. In the case of the Cook Islands, the Committee expressed concern for the increasing obesity rates and recommended the government to adopt regulation to restrict and monitor the marketing of these types of foods.
The Committee considers important the role of the health systems in protecting, promoting and supporting breastfeeding. It urged countries to make their hospitals baby-friendly, to support the Baby-Friendly Hospital Initiative (BFHI) and to sensitize and train of health workers that are involved in maternity work.
On issues related to child nutrition more generally, the Committee expressed its concern with regards to child malnutrition in all countries under review. It focused on the need to improve equal access to health care services and decrease inequalities, increase budget allocations to the health sector, strengthen the primary health care system, improve maternal health care services, etc. These recommendations are an obligation for the governments and a powerful tool for civil society to hold them to account.

European Volunteers Support Cameroon Link

European Volunteers Support Cameroon Link Code Monitoring Campaign During WBW 2009 In Douala
Tobias Zick of the German Neon Magazine in Munchen and Per-Anders Pettersson, Swedish Freelance Photographer based in South Africa joined the Cameroon Link team in Douala to assist in the execution of the world breastfeeding week action plan 2009.
The volunteers visited the Bamenda, North West highlands to witness how illegal milk market competition by companies was affecting breeders in Cameroon, who are facing problems with the distribution of their fresh cow milk collected in the region.
Both Tobias and Per-Anders accompanied Cameroon Link in its journey from health area to health area in Bonendale, Bonamikano, Ngwele and Grand Hangar in the Douala city neighbour, before swiftly witnessing the company violations at the Bonassama District Hospital in Bonaberi and CEBEC Protestant Hospital in Sodiko-Douala.
As Cameroon Link and partner network associations like COGESID Mambanda, COGESID Bonamikano and ASSF Ngwele echoed messages relevant to the theme of the world breastfeeding week 2009 during educative talks within their communities and calling on the population to join in campaign for protection, promotion and support of breastfeeding during emergencies, Tobias Zick from Germany and Per-Anders Pettersson of Swedish origin conducted interviews on the strategies put in place by the company violators of the international and national Code.
In Bamenda, they had collected information on the consequences of European milk powder dumping. Tobias was interested particularly about the extent to which imported milk powders distort market chances for farmers in Cameroon, while documenting recent examples of baby food marketing malpractices, especially breastmilk substitute distribution in hospitals and other health facilities.
On the August 6, the date of the arrival of the European volunteers. The president of the Federation of Cameroon Breastfeeding Promotion Associations, FECABPA, James Achanyi-Fontem, had called on the government to strengthen Cameroon’s national code on the marketing of breastmilk substitutes by including sanctions as part of the already well formulated articles during the launching mass event in Obala.
Achanyi-Fontem told the story of the birth of federation on the 14th September 2007 and its vision which is to protect, promote and support breastfeeding action with health facilities and communities of Cameroon. He added that FECABPA was out to advocate for human rights, maternal and child care with the aim of promoting the well being of the mothers and children.
The President of FECABPA thanked the minister of public health for sponsoring the training of 30 breastfeeding counsellors in November 2008 and that the NGOs were already well armed for the acceleration of partnership with the government in the area of infant and young child feeding.
The FECABPA president said, though much had been achieved, there is still much to be done for Cameroon to qualify for certification of at least one Baby Friendly Hospital or a Baby Friendly Community. More educative materials are needed for the expansion of community social mobilisation for the protection, promotion and support of breastfeeding.
He used the opportunity of the WBW 2009 launching in Obala to publicly present the Gold Medal won by Cameroon following the 2008 WABA WBW marathon events competition, while inviting the ministry of public health and UNICEF to support the participation of the Cameroon delegation at the forth coming WABA Global Forum 3 scheduled in Quebec, Canada from the 14th -17th June 2010. The theme of the WABA Global Forum 3 is “Innocenti & Beyond: Breastfeeding in a Family-Friendly World”.
FECABPA also recommended that the government should urgently put in place a National Code Monitoring Committee, that would suggest punitive measures including business closure, suspension of license or financial penalty for damages caused due to illegal market competition by any company violators of the existing national code. With this, FECABPA suggests that sanctions be included as part of the existing Cameroon National Code on the marketing of breastmilk substitutes to strengthen its well formulated articles and encourage effective monitoring strategies that would enforce its application at all levels in the country.
For more information on the world breastfeeding week, click on the following link or copy and paste – www.worldbreastfeedingweek.org