World Breastfeeding Trends Initiative (WBTi)Indicators

Group 1:

Group Members ----

Gaps:1. Less than half of hospitals/maternity units are designated as baby friendly.2. There is no monitoring system in place.3. There is no assessment system that includes interviews with health personnel.4. There is no reassessment system included in the national plan.5. HIV is not integrated in the BFHI program.6. National criteria for BFHI do not fully reflect Global BFHI criteria.

Recommendations7. All hospitals/maternity units should be designated as baby friendly.8. Develop a standard monitoring system for BFHI.9. Include interviews with health personnel as part of the monitoring/assessment system.10. Develop a system for periodic reassessment of hospitals as part of the national plan.11. Integrate HIV into the BFHI program.12. Insure that national criteria fully reflect global BFHI criteria.

Indicator 2:Baby Friendly Hospital

Gaps:1. Not all of the articles of the code are reflected in the law.2. Relevant (4) World Health Assembly resolutions are not reflected in the law.3. Compliance is not routinely monitored and violations reported.4. Violators are not subject to sanctioned.

Recommendations5. Revise/strengthen law to ensure that all articles of the code and the four WHA resolutions

are reflected in the law.6. Put into place a compliance monitoring system that includes sanctions for violators.

Indicator 3:International Code on Marketing

Gaps:1. Women are not guaranteed the ILO minimum standard of 14 weeks of paid maternity leave.2. Women are not guaranteed paid breastfeeding breaks after returning to work.3. Maternity leave legislation does not extend to the private sector and informal/agricultural sectors.4. There are no legislative provisions for creche in the workplace.5. Information about maternity laws, regulations, policies is not routinely made available to workers.6. There is no system for monitoring compliance and reporting of violations.7. Fathers in the private sector are not guaranteed the ILO minimum 3 days paternity leave.8. Legislation does not protect pregnant and breastfeeding women from workplace hazards by

informing them of potential hazards and providing alternative work at the same wage until they are no longer pregnant or breastfeeding.

9. There is no legislation preventing employment discrimination for pregnant and breastfeeding women.

Recommendations10. Enact comprehensive maternity protection legislation that covers public, private, and

informal/agriculture sector employees that complies with at least the minimum ILO standards.

Indicator 4:Maternity Protection