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HUMAN RIGHTS. Report from workshops. Principles on Infant Feeding and Nutrition Rights. Key Issues Human Rights instrument relevant HR important concept for UN, govts, ngos Reframing Code violators as human rights violators Mothers rights vs infant’s right to be breastfed
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HUMAN RIGHTS Report from workshops
Principles on Infant Feeding and Nutrition Rights • Key Issues • Human Rights instrument relevant • HR important concept for UN, govts, ngos • Reframing Code violators as human rights violators • Mothers rights vs infant’s right to be breastfed • Potential coercion of women if WABA accepts infant’s right to breastfeed
key issues (contd) • Concern that the minority (in industrialised countries where informed choice in infant feeding the norm) imposing their views on the rest of the world • Implications for WABA if affirm the right of infants to be breastfed • concept of claim holders and duty bearers in HR • need to frame duties wider than those of the mother so as to avoid judgementalism and patriarchal stance
HR & IF in context of HIV • Key Issues • If infants have the right to be breastfed, what are the implications in the context of HIV • Dilemmas: some infants already HIV+ at birth (20%), others become infected thru b’feeding (15%), and others will not become infected ( 65%). Don’t know which is which! • When does a child have a right not to breastfeed and a right to replacement feeding? • Is there sufficient evidence of health outcomes?
Key outcomes • UN Guidelines based on human rights instruments • Dealing with the infant’s right to the highest attainable standard of health, but is there sufficient evidence as to how to realise this right for the infants of HIV+ mothers. • Difficult to deal with the human rights aspects without clear consensus on the technical side. • In the meantime, UN Guidelines provide best guidance on the basis of available evidence
Main Recommendation • Need for better research into health outcomes and survival according to infant feeding method, and not limited to HIV transmission