Clinical ( a lot of education)
Feeding bottles, teats, and pacifiers shall not be allowed in all health facilities
All pregnant women, their relations, and other relevant persons shall during antenatal clinics,
admissions of mothers or babies, postpartum clinics, child welfare clinics, home visits, and at
other opportuned periods receive education on the advantages of breastfeeding, the dangers of
bottle feeding, and the need for adequate nutrition during pregnancy and lactation
All mothers shall be taught to express and preserve breast milk for feeding during periods of
“mortality – why kids are dying? Symptoms? Preventions? Say that it's not a disease or virus
that we can counter
Political / Economic
Exclusive breastfeeding helps the economy: resources/funds that would have gone to buying
formula can be used for other things
THE NATIONAL POLICY ON BREASTFEEDING
Nigeria as a nation appreciates these problems as well as the advantages of exclusive
breastfeeding. Hence, at the WHO/UNICEF Policymakers Meeting on Breastfeeding in the
1990s, where the Innocenti Declaration on the Protection, Promotion, and Support of
breastfeeding was born, Nigeria was fully represented and signed the necessary resolutions.
Nigeria was one of the 12 countries chosen to pioneer the BFHI upon ratification of the
Innocenti Declaration by the World Health Assembly (WHA) in 1991. She also embarked
on measures to promote and encourage exclusive breastfeeding.
On 30 December 1990, the then Federal Military Government of Nigeria in response to the
global initiative promulgated Marketing (Breast Milk Substitutes) Decree No. 41 of 1990.
The decree, among other things, prohibits the importation, display for sale, promotion of the
sale, distribution or offer as sample or gift to any person or the general public any breast-
milk substitute or infant formula unless the said breast-milk substitute or infant formula is
first registered with the appropriate authorities (Sections 1 and 2). It requires that every
container of any breastmilk substitute or infant formula must carry a label emphasising that
"Breast-milk is the best food for the child as it prevents diarrhoea, chest pain and other
diseases" (Section 3).
The decree also prohibits against the giving of any label to any breast-milk substitute or
infant formula suggestive of the superiority of breast-milk substitute or infant formula over
breast-milk (Section 4). It further prohibits any publication or advertisement that makes any
claim or suggestion that bottle feeding is equivalent to breastfeeding (Section 5).
Contravention of the provisions of this decree attracts a penalty of N1000 ($6 U.S.) or