• Login
    View Item 
    •   UNZA Repository Home
    • Theses and Dissertations
    • Medicine
    • View Item
    •   UNZA Repository Home
    • Theses and Dissertations
    • Medicine
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Factors associated with non-compliance with the code of marketing breast milk substitutes and/or statutory instrument number 48 of 2006 of the laws of Zambia in Kalinjalinga and Chelstone

    Thumbnail
    View/Open
    Masters Thesis (1.889Mb)
    Date
    2016
    Author
    Funduluka, Priscilla
    Type
    Thesis
    Language
    en
    Metadata
    Show full item record

    Abstract
    Non-compliance with the International Code of Marketing Breast Milk Substitutes (ICMBMS) and/or Statutory Instrument (SI) number 48 of 2006 of the Laws of Zambia by manufacturers and distributors is prevalent posing a challenge to successful breast feeding. The World Health Organization (WHO)'s Code of marketing of breast milk substitutes is an important component of the global effort to protect breast feeding. It was developed in 1981, as an international public health framework to promote breastfeeding and ensure safe use of breast milk substitutes when required. Over 84 countries have since enacted this legislation implementing all or part of the provisions. In Zambia it was enacted as Statutory Instrument No.48 on Marketing of Breast Milk Substitutes, Regulations of 2006. Factors associated with non-compliance with the code are unknown in Zambia. To determine factors associated with non-compliance with the Code, a study was conducted in Kalingalinga and Chelstone communities of Lusaka. A Concurrent Triangulation method was applied whereby structured questionnaires were used to collect quantitative data and Focus Group Discussions to generate qualitative data. Interviews were conducted with shop owners (80), health workers (8) and mothers (214). Observations provided data on labels of breast milk substitute and adverts (62). Data were analyzed using Stata and NVIVO softwares respectively. Results revealed that feeding bottle picture on the labels [AOR: 22 (95%CI: 4-131)] and infant formula labels resembling follow up formula [AOR: 18(95%CI: 2-172)] were more likely to cause non-compliance among manufacturers. Manufacturers were also reported to promote BMS with enticing labels and posters. Unsuitable products displayed close to breast milk substitutes [AOR: 22(95%:2-212)] and point of sale advertizing [AOR: 80(95%CI: 6-1019) were more likely to cause non-compliance among distributors. Crying child, working or schooling mother, illness and mother’s lack of milk were some of the reasons for mothers opting for BMS. Others were caesarian section, traditional beliefs and challenges associated with expressed milk storage. Furthermore, friends, relatives and health workers were reported to have an influence on infant feeding. Non-compliance with the Code and/or SI no.48 of 2006 of the Laws of Zambia was prevalent in Kalingalinga and Chelstone after 10 years of enacting the Law on marketing of breast milk substitutes. This study highlighted problems of non-compliance with the code and/or SI no 48 of 2006 of the Laws of Zambia. It provided the evidence to prompt routine law enforcement to control the unethical marketing of breast milk substitutes. Information from the study also demonstrated the need to refocus infant and young child feeding messages in Kalingalinga and Chelstone.
    URI
    http://dspace.unza.zm/handle/123456789/5705
    Publisher
    The University of Zambia
    Subject
    Breast milk substituites--Zambia
    Infant formula--Zambia
    Description
    Thesis
    Collections
    • Medical Theses and Dissertations [525]
    • Medicine [891]

    DSpace software copyright © 2002-2016  DuraSpace
    UNZA homepage | UNZA Library | Contact Us | Send Feedback
    Theme by 
    Atmire NV
     

     

    Browse

    All of UNZA RepositoryCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    Statistics

    View Usage Statistics

    DSpace software copyright © 2002-2016  DuraSpace
    UNZA homepage | UNZA Library | Contact Us | Send Feedback
    Theme by 
    Atmire NV