The best start for new-borns

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The best start for new-borns

Thursday, 08 August 2019 | Poonam Khetrapal Singh

Breastfeeding is the most powerful formula to advance new-natal health and promote sustainable development. Parents must actively support it

Breastfeeding is on the rise across the World Health Organisation’s (WHO) South-east Asia region and its new-borns will be better for it. Last year, approximately 54 per cent of all infants were exclusively breastfed up to the age of six months. That’s up from 47 per cent in 2015 and 50 per cent in 2017, and compares to 38 per cent of new-borns across the world and just 18 per cent in industrialised countries. The region’s average is the highest of any WHO region and is already above the 2025 global target of ensuring at least 50 per cent of new-borns are breastfed for the first six months of life.

We can be proud of the region’s leadership, which reflects several of its flagship priorities, including ending preventable new-born and child deaths and preventing non-communicable diseases. We should also look at how the region’s leadership can be sustained and accelerated, and at the innovative policies that can make that happen. The benefits of breastfeeding are, after all, substantial, with WHO recommending each new-born be breastfed within the first hour of life, that they be exclusively breastfed for the first six months, and that they be breastfed while taking appropriate complementary food for at least 18 months thereafter.

For new-borns, breastfeeding strengthens the immune system and protects against chronic and infectious diseases. It also enhances sensory and cognitive development and helps prevent malnutrition — including obesity — throughout the life-course. For mothers, breastfeeding helps space children and increases health and well-being by reducing the risk of ovarian and breast cancer, among other benefits. For communities and countries, breastfeeding is a sustainable way to increase family and national resources. Inadequate breastfeeding is estimated to cost the global economy around $302 billion annually. As natural as breastfeeding is, however, and as strong as the evidence may be for its increased uptake, it is a learned behaviour. As such, it requires active support to establish and sustain. Crucially, that support should apply to both parents, with an inclusive approach needed to ensure all families are empowered and enabled to give their new-borns the best start possible. The WHO is committed to supporting member states do precisely that, including by focusing on three key areas of action.

First, member states must augment the commendable work already done to protect and support breastfeeding. That means increasing awareness and knowledge beyond mothers and making fathers, families and communities aware on the importance of breastfeeding and the need to actively support it. It also means enhancing the efficiency of breastfeeding counselling in pre-conception and antenatal programmes and strengthening baby-friendly practices in maternity care facilities, using WHO and the UNICEF’s new joint guidance and programme tools. As part of this, increasing the number, skills and capacity of health workers is vital.

Second, member states should accelerate the implementation of the International Code of Marketing Breast-milk Substitutes, as well as several World Health Assembly resolutions and decisions aimed at protecting breastfeeding from commercial interests. Though the region already has some of the strongest legislations in the world to protect and support breastfeeding, there is room for further gains, particularly on the promotion of breast-milk substitutes and related products to health workers and in health care settings, as well as via digital marketing. Doing so is crucial to push back the commercial determinants of new-born and child health, and to protecting and supporting breastfeeding and the many benefits it brings.

And third, health authorities region-wide should work across sectors to promote breastfeeding and support the development of innovative policies that help families practise it. Given that workplace pressures are a leading motive for early weaning, for example, the implementation of paid maternity leave for at least six months would be a game-changer, as would be paid paternity leave. This is especially so in the informal sector, where employer insurance and social protection schemes hold immense potential to deliver such policies. These and other mechanisms should be explored and, where appropriate, pursued. Equally important is the uptake of parent-friendly workplaces and gender-equitable social protection, both of which enable breastfeeding and promote its social value.

We must continue to strive for those outcomes. Though the Southeast Asia region is already the world’s leader in the promotion and uptake of breastfeeding, there is always progress to be made and new ways to make it. To that end, WHO will continue to provide actionable support to member states via technical and operational assistance, and will continue to advocate for all families to be empowered and enabled to give their new-borns the best start possible. Breastfeeding is humanity’s oldest and most powerful formula to advance new-born health and promote sustainable development. It is a formula we must harness to maximum effect.

(The writer is regional director, World Health Organisation — Southeast Asia)

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