Evidence map›Paper›PMID 40606079›Full record

ArticleFrontiers in public health2025

Monitoring and enforcement of Code-based legal measures to protect breastfeeding in South Asia: opportunities and bottlenecks.

Constance Ching, Vani Sethi, David Lawson Clark, Joo Kean Yeong, Katherine Shats, Zivai Murira, Ahmadwali Aminee, Dhammica Rowel, Golam Mohiuddin Khan, Khadheeja Ahmed and 5 more

Abstract read
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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

15 authors.

Constance ChingGiovine-Clark Consultancy LLC, Coxsackie, NY, United States.
Vani SethiUNICEF Regional Office for South Asia, Kathmandu, Nepal.
David Lawson ClarkGiovine-Clark Consultancy LLC, Coxsackie, NY, United States.
Joo Kean YeongGiovine-Clark Consultancy LLC, Coxsackie, NY, United States.
Katherine ShatsUNICEF Headquarters, New York, NY, United States.
Zivai MuriraUNICEF Regional Office for South Asia, Kathmandu, Nepal.
Ahmadwali AmineeUNICEF Afghanistan Country Office, Kabul, Afghanistan.
Dhammica RowelUNICEF Sri Lanka Country Office, Colombo, Sri Lanka.
Golam Mohiuddin KhanUNICEF Bangladesh Country Office, Dhaka, Bangladesh.
Khadheeja AhmedUNICEF Maldives Country Office, Malé, Maldives.
Kinley DorjiUNICEF Bhutan Country Office, Thimphu, Bhutan.
Mazhar IqbalUNICEF Pakistan Country Office, Islamabad, Pakistan.
Muhammad FaisalUNICEF Afghanistan Country Office, Kabul, Afghanistan.
Phulgendra Prasad SinghUNICEF Nepal Country Office, Kathmandu, Nepal.
Saba ShujaUNICEF Pakistan Country Office, Islamabad, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To examine the bottlenecks and opportunities associated with Code monitoring and enforcement at the national level in the eight countries of South Asia region (Afghanistan, Bhutan, Bangladesh, India, Maldives, Nepal, Pakistan, and Sri Lanka). Design: Data was collected following a workshop-as-research methodology. Deductive content analysis was used to review, categorize, and analyze data. A semi-structured categorization matrix containing three main categories (background, opportunities, and bottlenecks) was developed as a guide for categorizing data on areas relevant to monitoring and enforcement. Findings: Overarching themes in bottlenecks include: (1) There is insufficient monitoring across countries, (2) Monitoring is not well-integrated into relevant enforcement mechanisms, as there is a lack of established system to efficiently 'feed' monitoring findings to the designated enforcement agencies, (3) Uncertainty regarding enforcement in the context of digital marketing, (4) Lack of coordination and collaboration regarding enforcement, (5) Inadequate sanctions and penalties, sometimes due to a lack of identified legal structure and adjudication system and functional administrative or enforcement mechanisms. Overarching themes in opportunities include: (1) Product registration or licensing as entry points for monitoring and enforcement, (2) authority provided in legal measures for designated agencies to carry out monitoring and enforcement actions, (3) civil society as government partners in monitoring including developing monitoring tools and strengthening systems to integrate monitoring with enforcement. Inadequately imposed.

Indexed as

Breast FeedingLaw EnforcementAsiaAsia, SouthernFemaleHumansbreastfeedingbreastmilk substitutesenforcementinternational codemarketingmonitoringSouth Asia

Identifiers

PMID40606079
PMCPMC12213792

What OpenQuestion holds

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LicenceCC BY
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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.