Digital environments are fast becoming the predominant source of exposure to promotion of breast-milk substitutes globally. Digital marketing amplifies the reach and power of advertising and other forms of promotion in digital environments, and exposure to digital marketing increases the purchase and use of breast-milk substitutes. In light of this evidence, the Seventy-fifth World Health Assembly requested that WHO develop guidance for Member States on regulatory measures aimed at restricting the digital marketing of breast-milk substitutes. This guidance applies to marketing of products within the scope of the Code as well as foods for infants and young children that are not breast-milk substitutes.

This report provides updated information on the status of implementation of the International Code of Marketing of Breast-milk Substitutes (BMS) and subsequent relevant World Health Assembly (WHA) resolutions (collectively referred to as “the Code”) in countries. It presents the legal status of the Code, including the extent to which the provisions of the Code have been incorporated in national legal measures. The report examines further the processes countries use to monitor and enforce compliance with Code laws. The report also provides case-studies from a few countries on their legislative processes, highlighting examples of interference from manufacturers and distributors of breast-milk substitutes in efforts to weaken and delay Code implementation.

WHO and UNICEF jointly developed this global strategy to focus world attention on the impact that feeding practices have on the nutritional status, growth and development, health, and thus the very survival of infants and young children. The strategy is the result of a comprehensive two-year participatory process. It is based on the evidence of nutrition's significance in the early months and years of life, and of the crucial role that appropriate feeding practices play in achieving optimal health outcomes. The strategy is intended as a guide for action; it identifies interventions with a proven positive impact; it emphasizes providing mothers and families the support they need to carry out their crucial roles, and it explicitly defines the obligations and responsibilities in this regards of governments, international organizations, and other concerned parties.

This publication is a training resource that deals with the period prior to successful weaning when a child continues to receive breast milk but also needs increasing amounts of addtional complementary foods to ensure healthy development. It is intended as a practical learning tool for all those responsible for the health and nutrition of young children, particularly health and nutrition workers, and their trainers.