Public Health Midwives in Sri Lanka
A longitudinal study in Sri Lanka on the effect of training public health midwives on exclusive breastfeeding reported a highly significant increase in the percentage of mothers breastfeeding their infants for 6 months, as well as the median duration of exclusive breastfeeding–all for a relatively low cost. Today, Sri Lanka has one of the top breastfeeding outcomes in the world with 99% of children ever-breastfed and 82% breastfed exclusively in the first six months in 2016.
Viet Nam Fortifies Legislation
In 2006, Viet Nam adopted Decree 21, based on the International Code of Marketing of Breast Milk Substitutes and strengthened the legislation in 2014 to limit advertisements of milk products for children over one year of age and for feeding bottles, teats, and dummies.
India's Infant Milk Substitutes Act, Monitoring, and Enforcement
Suboptimal breastfeeding practices contribute to approximately 12% of deaths among children under five years of age; in India, this contribution is significant as exclusive breastfeeding rates are as low as 35.8% in some Indian states. In 2003, India strengthened their Infant Milk Substitutes (IMS) legislation to ban sponsorship to health care professionals and health organizations by infant formula companies. Violation of the IMS act is a criminal offense and may result in fines and imprisonment.