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Breastfeeding A Key to Sustainable Development. Name. World Breastfeeding Week (1-7 August 2016). WBW Theme. This year's World Breastfeeding Week focuses on the 17 Sustainable Development Goals (SDGs) that governments around the world have agreed to achieve by 2030.
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BreastfeedingA Key to Sustainable Development Name World Breastfeeding Week (1-7 August 2016)
WBW Theme • This year's World Breastfeeding Week focuses on the 17 Sustainable Development Goals (SDGs) that governments around the world have agreed to achieve by 2030. • The SDGs build on the Millennium Development Goals (MDGs) and cover a range of issues on ecology, economy and equity.
Goal 1. End poverty in all its forms everywhere Cognitive losses associated with not breastfeeding impact earning potential, and amount to global loss of $302 billion annually India looses approx. 4300 Crores annually Source: Lancet Series on Breastfeeding 2016
Infant fromula is costly! • An infant with 3.0 kg weight will require app. 500 ml of prepared formula milk per day. • 500 ml of prepared formula milk costs app. INR 70.00 per day, app. INR 2000 per month. • The cost doesn’t include expenses on bottles, water, fuel etc. • Average wages of a worker in NREGA are INR 167- 259 per day.
Goal 2: End hunger, achieve food security and improved nutrition and promote sustainable agriculture Optimal breastfeeding provides food security for infants and young children Optimal breastfeeding prevents morbidity and prevent undernutrition Breastfeeding can reduce 1/4th of overweight/obesity in children between 5-17 years in India Source: Lancet Series on Breastfeeding 2016
Breastmilk provides optimum nutrition Nutrients in breatmilk – 2nd year of life WHO (2009). Infant and young child feeding: Model Chapter
Goal 3. Ensure healthy lives and promote well-being for all at all ages
Risk of neonatal mortality according to time of initiation of breastfeeding Six times more risk of death 22% Newborn deaths can be reduced Source: Edmonds EK et al, 2007 - Pediatrics 2006;117:380-386
In India Annually,Breastfeeding can prevent… Under-5 child deaths* 156,000 Prevents 1 in 3 new case of type -2 diabetes Source: Lancet Series on Breastfeeding 2016 * UN IGME Report 2015 ** RSOC 2014
Goal 4. Ensure inclusive and equitable quality education and promote lifelong opportunities for all
Breastfeeding leads to high IQ, Educational attainment and monthly Income Victora CG et al. Lancet Glob Health. 2015
Goal 8: Promote sustained, inclusive and sustainable economic growth, full and productive employment and decent work for all
Maternity leave and breastfeeding • Every additional month of paid maternity leave decreases IMR by 13%. (Nandi A. et al. PLOS, 2016) • Provision of maternity leave results in increased duration of breastfeeding and lesser maternal separation anxiety and optimal maternal infant attachment. (Cooklin AR et al. Aust N Z J Public Health. 2012 ) • India provides 12 weeks of maternity leave (MBA 1961) • GOI is contemplating to enhance maternity leave to 26 weeks.
Initiation of breastfeeding within one hour of birth in states of India( RSOC/ NFHS-4/ DLHS-3)
Exclusively breastfeeding for first six months in states of India ( RSOC/ NFHS-4/ DLHS-3)
Complementary feeding (6-8 months) in states of India( RSOC/ NFHS-4/ DLHS-3*) * 6-9 months
In an emergency, breastmilk is a safe and secure source ofnutrition, instantly available, providing active protectionagainst illness and keeping an infant close to his/her mother. Goal 13: Take urgent action to combat climate change and its impacts
GHG emissions due to Milk Formula in India Tonnes CO2 eq.(2012) Total sale of MF 27,783 Tonnes
Emergency and breastfeeding During emergency, breastmilk is: • Asafe and secure source of nutrition • Provides active protection against illness • Instantly available
What a country needs to do to enhance breastfeeding rates? • Breastfeeding • Protection • Promotion • Support
Status of IYCF policies and programmes in India World Breastfeeding Trends Initiative-Arrested Development. India’s 4th Assessment of Policies and Programmes on Infant and young child Feeding 2015. http://bpni.org/report/WBTi-India-Report-2015.pdf
What Should India Invest in Urgently? • Having lactation counselors in health facilities and peer counselors in community • ImplementingBFHI • Providing adequate maternity protection • Enforcing the IMS Act • Sharing correct information • Having regular monitoring
Conclusions • Improvements in breastfeeding would help achieve the SDG targets for - • Health • Food security • Education • Reducing inequalities • Development • Climate change • What is needed is political commitment, financial investment and effective coordinated action Source: Lancet Series on Breastfeeding 2016