Evidence map›Paper›PMID 33804481›Full record

ArticleInternational journal of environmental research and public health2021

Old Tricks, New Opportunities: How Companies Violate the International Code of Marketing of Breast-Milk Substitutes and Undermine Maternal and Child Health during the COVID-19 Pandemic.

Constance Ching, Paul Zambrano, Tuan T Nguyen, Manisha Tharaney, Maurice Gerald Zafimanjaka, Roger Mathisen

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  16. A proposal to recognize investment in breastfeeding as a carbon offset.Bulletin of the World Health Organization · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Constance ChingAlive & Thrive Southeast Asia/FHI 360, Washington, DC 20009, USA.ORCID 0000-0002-7006-9498
Paul ZambranoAlive & Thrive Southeast Asia/FHI 360, Manila 1101, Philippines.
Tuan T NguyenAlive & Thrive Southeast Asia/FHI 360, Hanoi 10000, Vietnam.ORCID 0000-0002-0737-430X
Manisha TharaneyAlive & Thrive West Africa/FHI 360, Abidjan, Côte d'lvoire.
Maurice Gerald ZafimanjakaAlive & Thrive West Africa/FHI 360, Ouagadougou, Burkina Faso.
Roger MathisenAlive & Thrive Southeast Asia/FHI 360, Hanoi 10000, Vietnam.ORCID 0000-0002-4475-8716

Funding

Bill and Melinda Gates Foundation OPP50838
6 · The paper itself

Abstract

Breastfeeding is critical to maternal and child health and survival, and the benefits persist until later in life. Inappropriate marketing of breastmilk substitutes (BMS), feeding bottles, and teats threatens the enabling environment of breastfeeding, and exacerbates child mortality, morbidity, and malnutrition, especially in the context of COVID-19. These tactics also violate the International Code of Marketing of Breast-Milk Substitutes. This study identified marketing tactics of BMS companies since the start of the COVID-19 pandemic by reviewing promotional materials and activities from 9 companies in 14 countries, and the official Code reporting data from the Philippines. Eight qualitative themes emerged that indicate companies are capitalizing on fear related to COVID-19 by using health claims and misinformation about breastfeeding. Other promotional tactics such as donations and services were used to harness the public sentiment of hope and solidarity. Past studies show that these tactics are not new, but the pandemic has provided a new entry point, helped along by the unprecedented boom in digital marketing. There was a sharp increase of reported violations in the Philippines since the pandemic: 291 during the first months of the outbreak compared with 70 in all of 2019, corroborating the thematic findings. A lack of public awareness about the harm of donations and inadequate Code implementation and enforcement have exacerbated these problems. Proposed immediate action includes using monitoring findings to inform World Health Assembly (WHA) actions, targeted enforcement, and addressing misinformation about breastfeeding in the context of COVID-19. Longer-term action includes holding social media platforms accountable, raising public awareness on the Code, and mobilizing community monitoring.

Indexed as

Breast NeoplasmsCOVID-19Milk SubstitutesAnimalsBreast FeedingChildChild HealthFemaleHumansInfantMarketingPandemicsPhilippinesSARS-CoV-2aggressive marketingbaby formulabreastfeedingbreastmilk substitutes (BMS)COVID-19emergenciesinfant and young child feedingInternational Codemalnutritionmaternal child health

Identifiers

PMID33804481
PMCPMC7967752

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.