Evidence map›Paper›PMID 40340785›Full record

ArticleInternational breastfeeding journal2025

Economic and environmental impacts of commercial milk formula in Indonesia: estimates and comparisons using the Cost of Not Breastfeeding, Green Feeding, and Mothers' Milk Tools.

Nabila Nur Septiani, Andini Pramono, Tuan Thanh Nguyen, Roger Mathisen, Julie Smith

Abstract readComparative Study
In one paragraph

Article in International breastfeeding journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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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

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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

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Nabila Nur SeptianiIPB, IPB University, Bogor, Indonesia.
Andini PramonoNational Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia.
Tuan Thanh NguyenAlive & Thrive, FHI 360 Global Nutrition, Hanoi, Vietnam. tnguyen@fhi360.org.
Roger MathisenAlive & Thrive, FHI 360 Global Nutrition, Hanoi, Vietnam.
Julie SmithCrawford School of Public Policy, The Australian National University, Canberra, Australia. julie.smith@anu.edu.au.

Funding

Bill and Melinda Gates Foundation INV-042392
6 · The paper itself

Abstract

backgroundSales of commercial milk formula products (CMF) are rising rapidly. This study analysed key economic and environmental impacts CMF feeding in Indonesia, which are often overlooked in policy discussions despite their relevance.

methodsWe assessed the economic and environmental impacts of CMF in Indonesia in 2020 using the Mothers' Milk Tool (MMT), the Green Feeding Tool (GFT) and the Cost of Not Breastfeeding Tool (CONBF). We compared the estimated values from these tools with calculations based on Euromonitor data on CMF retail sales in Indonesia.

resultsIn 2020, according to the MMT, women in Indonesia produced around 455 million litres of breastmilk for infants aged < 6 months, which had an estimated monetary value of US$45.5 billion. The MMT and GFT shows substantial economic losses from displacement of breastfeeding in Indonesia; 62-96 million litres of breastmilk were lost in 2020 compared to the biologically feasible potential. The GFT tool calculates a carbon footprint of 215-274 million kg of CO

conclusionsBreastfeeding's economic importance to Indonesia far exceeds the retail value of CMF sales. Displacing breastfeeding carries high but largely undocumented economic and environmental costs. Losses are greater when measured as a food resource than as health costs, lost lives, or cognitive decline. Environmental impacts based on sales data are higher than those from survey data. Our findings and the discrepancies between tools reveal a critical gap in national statistics and highlight the need to recognise breast milk as an economically valuable, healthy, and sustainable national resource in Indonesia.

Indexed as

Breast FeedingInfant FormulaAdultCarbon FootprintEnvironmentFemaleHumansIndonesiaInfantInfant, NewbornMilk, HumanMothersBreastfeedingCommercial milk formula (CMF)Cost of not breastfeedingEconomic costGreen feedingGreenhouse gases

Identifiers

PMID40340785
PMCPMC12063310

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LicenceCC BY
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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.