Abstract
The protection, promotion and support of breastfeeding are a public health priority throughout Europe. Low rates and early cessation of breastfeeding have important adverse health and social implications for women, children, the community and the environment; they result in greater expenditure on national health care provision and increase inequalities in health. Extensive experience clearly shows that breastfeeding can be protected, promoted and supported only through concerted and coordinated action. The Blueprint for Action, written by breastfeeding experts representing all European Union and associated countries and the relevant stakeholder groups, including mothers, is a model plan that outlines the actions that a national or regional plan should contain and implement. It incorporates specific interventions and sets of interventions for which there is an evidence base of effectiveness. Under six headings—policy and planning; information, education and communication; training; protection, promotion and support; monitoring; research—the Blueprint recommends objectives for all these actions, identifies responsibilities, and indicates possible output and outcome measures. It is hoped that the application of the Blueprint will achieve a Europe-wide improvement in breastfeeding practices and rates (initiation, exclusivity and duration); more parents who are confident, empowered and satisfied with their breastfeeding experience; and health workers with improved skills and greater job satisfaction.
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Notes
The International Code of Marketing of Breast-milk Substitutes and the subsequent relevant WHA Resolutions are jointly referred to in this article as the International Code.
http://europa.eu.int/comm/health/ph_information/indicators/docs/ev_20040219_rd04_en.pdf
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Acknowledgements
The Blueprint for Action was written by the Project Coordinator, Adriano Cattaneo, and his team at the Unit for Health Services Research and International Health, IRCCS Burlo Garofolo, Trieste, Italy: Anna Macaluso, Simona Di Mario, Luca Ronfani, Paola Materassi, Sofia Quintero Romero, Mariarosa Milinco and Alexandra Knowles. They wrote on behalf of the members of the project Steering Committee: Christine Carson (United Kingdom), Flore Diers-Ollivier and Nathalie Roques (France), Berthold Koletzko and Hildegard Przyrembel (Germany), Luis Ruiz Guzman (Spain), Michael Sjöström and Agneta Yngve (Sweden); and of all project participants: Ilse Bichler and Anne-Marie Kern (Austria), Françoise Moyersoen (Belgium), Tine Jerris and Ingrid Nilsson (Denmark), Kaija Hasunen (Finland), Vicky Benetou and Themis Zachou (Greece), Geir Gunnlaugsson, Ingibjörg Baldursdóttir and Jona Margret Jonsdottir (Iceland), Genevieve Becker and Maureen Fallon (Ireland), Maryse Lehners-Arendt (Luxembourg), Adrienne de Reede (The Netherlands), Anne Baerug (Norway), Isabel Loureiro (Portugal), Jenny Warren, Susan Sky and Janet Calvert (United Kingdom), Kim Fleischer Michaelsen (International Society for Research in Human Milk and Lactation), Andrew Radford (UNICEF UK Baby Friendly Initiative), Aileen Robertson (WHO Regional Office for Europe), Lida Lhotska (IBFAN/GIFA). The Promotion of Breastfeeding in Europe project was funded by the European Commission, Directorate Public Health and Risk Assessment (EU Project Contract no. SPC 2002359).
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Cattaneo, A. Breastfeeding in Europe: a blueprint for action. J Public Health 13, 89–96 (2005). https://doi.org/10.1007/s10389-004-0089-3
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DOI: https://doi.org/10.1007/s10389-004-0089-3