Barriers to breastfeeding in Lebanon: A policy analysis

被引:23
作者
Akik, Chaza [1 ,2 ]
Ghattas, Hala [2 ]
Filteau, Suzanne [1 ]
Knai, Cecile [3 ]
机构
[1] London Sch Hyg & Trop Med, Dept Populat Hlth, Keppel St, London WC1E 7HT, England
[2] Amer Univ Beirut, Fac Hlth Sci, Van Dyck Bldg,POB 11-0236, Beirut, Lebanon
[3] London Sch Hyg & Trop Med, Dept Hlth Serv Res & Policy, 15-17 Tavistock Pl, London WC1H 9SH, England
关键词
policy analysis; breastfeeding; Lebanon; International Code of Marketing of Breastmilk Substitutes; MIDDLE-INCOME COUNTRIES; PROMOTION; PROTECTION; PROGRAMS; SUPPORT;
D O I
10.1057/s41271-017-0077-9
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Although the issue of breastfeeding in Lebanon has risen on the political agenda, the country does not meet international recommendations for early breastfeeding practices. This study analysed barriers to dissemination, implementation, and enforcement of key policies to improve early breastfeeding practices. We conducted interviews with stakeholders in breastfeeding policy in Lebanon and used a framework approach for analysing data. We found a disconnect between policy endorsement and translation on the ground, weak engagement of professional associations and governmental institutions, undue influence by the breast milk substitute industry, and competing priorities-most notably the current refugee crisis. This study highlights the potential policy opportunities to counter these barriers and points to the role of international organisations and grassroots advocacy in pushing, monitoring, and implementing policies that protect breastfeeding, where government capacity is limited, and the private sector is strong.
引用
收藏
页码:314 / 326
页数:13
相关论文
共 29 条
  • [1] [Anonymous], 2003, GLOB STRAT INF YOUNG
  • [2] [Anonymous], 1994, ANAL QUALITATIVE DAT
  • [3] [Anonymous], 2014, LANCET
  • [4] [Anonymous], INT J BUS EC RES
  • [5] Breast-feeding and feeding practices of infants in a developing country: a national survey in Lebanon
    Batal, M
    Boulghourjian, C
    Abdallah, A
    Afifi, R
    [J]. PUBLIC HEALTH NUTRITION, 2006, 9 (03) : 313 - 319
  • [6] Batal Malek, 2005, J Pediatr Nurs, V20, P53, DOI 10.1016/j.pedn.2004.09.004
  • [7] Bhandari N., 2008, MATERNAL CHILD NUTR, V4, P5
  • [8] Maternal and child undernutrition and overweight in low-income and middle-income countries
    Black, Robert E.
    Victora, Cesar G.
    Walker, Susan P.
    Bhutta, Zulfiqar A.
    Christian, Parul
    de Onis, Mercedes
    Ezzati, Majid
    Grantham-McGregor, Sally
    Katz, Joanne
    Martorell, Reynaldo
    Uauy, Ricardo
    [J]. LANCET, 2013, 382 (9890) : 427 - 451
  • [9] CAS UNICEF, 2010, MULT UND CLUST SURV
  • [10] Cattaneo A., 2005, PUBLIC HEALTH NUTR, V11, P1411