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Manufacturers of breast milk substitutes are violating the
International Code of Marketing of Breastmilk Substitutes, which affirms the importance of breastfeeding for child health and
development. Aguayo and colleagues (p 127) conducted a multisite cross
sectional study in Togo and Burkina Faso, west Africa. They surveyed
health facilities, sales outlets, distribution points, health
providers, and mothers and found many had received donations of breast
milk substitutes or promotional gifts from manufacturers. Forty
commercial breast milk substitutes violated the labelling standards of
the code. As discussed in an editorial by Waterson (p 113), the
findings highlight the obligation of governments to ensure that
national legislation and policies are accompanied by adequate training, information, education, and monitoring systems.

(Credit: CAROLINE PENN/PANOS)