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Level or area

Effect of BPNI work in India
Grassroots
1. Exclusive breastfeeding and complementary feeding indicators available at 3 and 6 months. Changes over a period are also available: (NFHS: 1 and NFHS:2) 
Infant formula Industry

1. BPNI and ACASH gazetted under the IMS Act to initiate legal action.

2.   Restrictions on the promotion of infant formula, infant foods and feeding bottles through IMS Act.

3. Consumer groups, NGOs, trained to monitor the IMS Act. Baby milk industry being monitored by the NGOs like BPNI and ACASH.

4. Complaint against one major company pending in a court, many others have apologized, withdrawn their promotion or products, several others served legal notices.

Health and nutrition workers
1. Increased awareness, syllabus of ANMs, AWWs and health workers being changed to stress the importance of and technique of breastfeeding.

2. Training of health professionals going on.

Professional bodies
1. Indian Academy of Pediatrics (IAP) not accepting any funds from formula industry, IAP passed a resolution at the AGM, 1997.

2. Indian Medical Association (IMA) declares that they do not accept any funding from formula industry in 1995 and circulated the decision to all branches. JIMA agrees to take out a special issue on breastfeeding.

3. FOGSI set up a committee and took out special issue on breastfeeding after declaring 1999 as year for Breastfeeding.

4. TNAI takes active part in national programmes including BFHI.

Government
1. Ministry of Women and Child Development brings the IMS Act, enacted in 1992, comes into force in 1993.

2. Data about breastfeeding statistics included in demographic surveys, NFHS 1 and 2(1992 and 1999)

3. Baby Friendly Hospital Initiative (BFHI) about 1400 hospitals declared baby friendly 

4. Training of health professionals in breastfeeding counselling to support BFHI. 

5. Research into breastfeeding behaviors

6. Awareness campaigns

NGO groups
1. Collaboration with other NGOs who are working and willing to work on Breastfeeding and Complementary feeding.

2. Working with public service groups like Rotary Clubs on World Breastfeeding Week celebration

Consumer groups
1. Trained consumer groups on IMS Act, vigilant groups available throughout India. 

2. Collaboration and liaison with consumer groups on the issue.

Politicians and policy makers
1. Sensitized key MPs and MLAs and key policy makers and members of Human Right Commission.

Table 2.: Arena of work and what is helpful 


Level

Arena

What is helpful

International
§ IBFAN and WABA,

§ Other International groups,

§ World Health Organization,

§ UNICEF

§ Governments

§ The existence of International code and WHA resolutions

§ Active international campaign

§ Other national legislation

§ Independent monitoring

National/States
§ National and State Govts.

§ People's opinion

§ National NGOs

§ Legislation

§ Aware public

§ Aware NGOs

§ Independent monitoring

Grassroots/community
§ Communities

§ Families

§ Individuals

§ Grassroots NGOs

§ Active civil societies

§ Aware people

§ Active individuals

§ Public opinion

1  2  3  4  5

Area of Work
 

1. National Policy, Programme and
     Coordination


2. BFHI

3. International Code

4. Maternity Protection

5. Health and Nutrition Care

6. Community Outreach

7. Information Support

8. Infant Feeding and HIV

9. Infant Feeding in Emergencies

10. Monitoring and Evaluation



   
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