World Health
Organisation Code on the Marketing of Breast milk Substitutes:
New Zealand operates
with a self-regulation Code by the Formula Manaufacturers rather than
the original WHO's Code.
Full details can be found in the MoH publication, Infant feeding - Guidelines
for New Zealand Health Workers. http://www.moh.govt.nz/moh.nsf/ea6005dc347e7bd44c2566a40079ae6f/9313e0a0ecc2d8644c256671000e563b?OpenDocument
For violations
of the code, complaints can be made in writing and sent to he Food and
Nutrition Section, Public Health Group, Ministry of Health, PO Box 5013,
Wellington. If you would like help to make a complaint or are unsure
if it is a Code violation you may contact Louise@womens-health.org.nz
NZIFMA Code
of Practice for the Marketing of Infant Formula
Based on
(1) The World Health
Organization's International Code of Marketing of Breast-milk Substitiutes
(WHO Code)
(2)the Interpretation
of the WHO Code in New Zealand - refer to Ministry of Health Publication,
Infant Feeding - Guidelines for New Zealand Health Workers, dated
June 1997 (IBSN 0-478-09487-6)
Introduction
It is recognised that breastfeeding is the optimum method of infant
feeding from birth and should be encouraged wherever possible. It is
also recognised that women have the fundamental right to choose how
they wish to feed their infants and every effort should be made to ensure
that all the facts are made available to them.
The NZ Infant Formula MarketersÕ Association (NZIFMA) accepts that some
mothers, for a variety of reasons, will choose to provide formula feeding.
We recommend that proprietary infant formula should be the alternative
to breast-milk for feeding infants up to at least the age of six months,
and that the use of proprietary formulas throughout the first year of
life is preferable if the infant is not breastfed.
It is agreed also that proper and suitable educational facilities be
given to those mothers who do not breastfeed their infants. These educational
facilities must be provided by the health care system with the cooperation,
where appropriate, of the marketers of infant formula. It is essential
that adequate instruction on the use of infant formula is given to mothers,
both within the health care system, and in the educational literature
and labeling provided by marketers. It is agreed that instructions provided
should be simple and easy to comprehend.
This is a self-regulatory Industry Code of Practice which applies to
all the companies represented on the Association.
Article 1 Ð
Aim of Industry Code
The aim of the Industry Code is to contribute to the provision of safe
and adequate nutrition for infants, by the protection and promotion
of breastfeeding, and by ensuring the proper use of infant formula,
when this is necessary, on the basis of adequate information and through
appropriate marketing.
Article 2 Ð
Scope of Industry Code
This Industry Code applies to the marketing in New Zealand of infant
formula as suitable to provide the sole source of nourishment for an
infant, or to replace part of a breastfeed. It also applies to quality
and availability and to information concerning its use.
The WHO Code applies to the marketing of infant formula products. The
International Code does not cover infant (complementary) weaning foods
as they are not considered to be substitutes for breast-milk. Follow-on
formula which is designed for infants over six months of age is not
covered by the WHO Code interpretation in New Zealand. Refer to Ministry
of Health publication Infant Feeding: Guidelines for New Zealand Health
Workers (ISBN 0-478-09487-6).
Article 3 Ð
Definitions
For the purposes of the Industry Code the following definitions apply:
Formula Feeding
Providing infants with proprietary infant formula, either exclusively
or as a supplement to breastfeeding.
Complementary
Foods
Any food, whether manufactured or locally prepared, suitable as a complement
to breast-milk or to infant formula when either becomes insufficient
to satisfy the nutritional requirements of the infant. Such food is
also commonly called Òweaning foodÓ or Òbreast-milk supplementÓ.
General
The communication to the general public of a advertising promotional
message through mass media, including television, national or local
newspapers, magazines and radio or at point of purchase. Price information
at point of sale is excluded for this definition.
Health Care
System
Governmental, non governmental, or private institutions or organisations
engaged, directly or indirectly, in health care for mothers, infants
and pregnant women, and nurseries or child-care institutions. It also
includes health workers in private practice. For the purpose of this
Code of Practice, the health care system does not include pharmacists
or other established sales outlets.
Health Worker
A person working in a component of such a health care system, whether
professional or non-professional, including voluntary unpaid workers.
Infant Formula
A food in liquid or powdered form intended for use as a substitute for
human milk as the sole source of nutrition for an infant (the Food Regulations
1984).
Labelling
Words, particulars, trade marks, brand names, pictorial matter or symbols
relating to, and appearing on the packaging of, products that are offered
for retail sale, as defined in the Food Regulations 1984.
Marketer
A person, corporation or any other entity engaged in the business of
distributing and marketing infant formula to wholesale or retail level,
whether directly or through an agent.
Marketing Personnel
Any persons whose functions involve the marketing of a product or products
coming within the scope of this Code.
Sample
A single package or small quantity of infant formula provided without
cost to the recipient.
Supplies
Quantities of a product provided for use over an extended period, free
or at a low price, for social purposes, including those provided to
families in need.
Article 4 Ð
Information and Education
4.1 Any information or educational equipment or material provided by
marketers should be in conformity with the overall policies promoted
by the health care system.
4.2 Informational and educational materials provided by the marketers
of infant formula, whether written, audio or visual, dealing with the
feeding of infants with infant formula, should include clear information
on all of the following points.
4.3 When information
and educational materials contain information about the use of infant
formula, they should include the social and financial implications of
its use, the health hazards of inappropriate foods or feeding methods
and, in particular, the health hazards of unnecessary or improper use
of infant formula. Such materials should not use any pictures or text
which may idealise the use of infant formula.
4.4 Explicit instructions must be given to guide mothers on the appropriate
and correct use of infant formula. Members of the health professions,
and those members of the public who request it, must be provided with
accurate and relevant information about infant formula, which should
accurately reflect current knowledge and responsible opinion.
Article 5 Ð
Marketing to the general public
5.1 The general advertising of infant formula by NZIFMA companies through
mass media, including television, national or local newspapers, magazines
and radio or at point of purchase should be avoided.
5.2 NZIFMA will inform retailers of the provisions of the Industry Code
and encourage their adherence to it.
5.3 Marketers should not distribute samples of infant formula to pregnant
women, mothers of infants or their families.
5.4 Gifts of utensils or other articles that may discourage a mother
from breastfeeding her infant should not be distributed to pregnant
women or mothers of infants.
5.5 Marketing personnel, in their business capacity, should not seek
direct or indirect contact with pregnant women or with parents of infants
and young children. This does not prevent appropriately qualified personnel
from responding to complaints or unsolicited requests for information.
For these requests parents should be referred to a health care professional
whenever health advice is required.
Article 6 Ð
Contact with the health care system
6.1 Marketers of infant formula should not use any facility of the health
care system for the purpose of promoting infant formula. This does not,
however, preclude the dissemination of information to health care professionals
as provided in Clause 6.2.
6.2 Scientific, factual and relevant information regarding infant formula
may be supplied to the health care system, provided that only appropriately
trained personnel are used for this purpose.
6.3 The distribution or display of infant formula information and educational
materials which meet the requirements of Article 4 of the Industry Code
may be allowed in the facilities of the health care system, but this
will be at the discretion of the health care system authorities concerned,
whose agreement must be obtained.
6.4 The demonstration of the correct preparation and use of instant
formula to all mothers who need this should be the responsibility of
the health care system. Any assistance for this purpose may be given
by marketing personnel, if requested by and used under the supervision
of the health care system authorities.
6.5 Quantities of infant formula can be purchased by health care organisations
at wholesale prices. However, the distribution of bulk quantities of
free product to the health care system should be avoided, other than
in circumstances of emergency relief or poverty. The donated supplies
may be given but only under the following conditions:
The donation to
the health care system of equipment and materials, should be made only
in accordance with the normal policies of the health care system. Such
equipment or materials may only bear the donating companyÕs name or
logo, but should not refer to a proprietary product that is within the
scope of this Code, and should be distributed only through the health
care system.
The use by the health care system of Ôprofessional service representativesÕ,
Ômothercraft nursersÕ or similar personnel, provided or paid for by
manufacturers or distributors, shall not be permitted.
Article 7 Ð
Contact with health workers
7.1 Information provided by marketers to health workers regarding infant
formula should be restricted to scientific and factual matters and such
information should not imply or create a belief that formula feeding
is equivalent or superior to breastfeeding. Such information should
include that specified in Articles 4.2 and 4.3 of this Code.
7.2 No financial or material inducement to promote infant formula should
be offered to health workers or members of their families. However,
articles of general utility may be distributed to members of the health
care system, provide they are inexpensive and relevant to the practice
of medicine and general health care.
7.3 Samples of infant formula, or of equipment or utensils for the preparation
or use of infant formula, should be provided only for the purposes of
professional evaluation and research, or for the education of mothers.
Article 8 Ð
Persons engaged in marketing
8.1 Marketers should inform all marketing personnel of the provisions
of the Industry Code and of their responsibilities under it.
8.2 Marketing personnel should not perform educational functions about
infant formula to pregnant women or mothers of infants, unless requested
to do so by and under the supervision of the health worker.
Article 9 Ð
Labelling
9.1 Labelling of infant formula should comply with the requirements
of the Food Regulations 1984 or the Australian Food Standards Code.
9.2 Labelling of infant formula should be designed to provide the necessary
information about the appropriate use of the product and to conform
to the provisions of Article 4.4 of the Industry Code.
9.3 Each container of infant formula offered for retail sale should
comply with the appropriate food regulations and carry a clear and conspicuous
message:
9.4 The provision
of a contact point and telephone number on the product label is permissible.
9.5 Specialised infant formula for metabolic disorders are exempt from
the provisions under Article 9.2 of the Industry Code.
Article 10 Ð
Compositional quality
10.1 Infant formula must comply with the general provisions of the Food
Regulations 1984 or the Australia Food Standards Code.
Article 11 Ð
Implementation
11.1 The NZIFMA shall be responsible for monitoring the provisions of
the Code.
11.2 All persons concerned in any way with the marketing of infant formula
should cooperate with the NZIFMA in order to ensure that the provisions
of the Industry Code are applied as effectively as possible.
Article 12 Ð
Complaints procedure
12.1 Any complaints about possible contraventionÕs of the Industry Code
should be made in writing and sent to the Food and Nutrition Section,
Public Health Group, Ministry of Health, P O Box 5013, Wellington. The
complaint will be forwarded to the executive director of the NZIFMA
if it relates to a possible breach of the Industry Code by an infant
formula marketer.
12.2 NZIFMA companies will be called upon to respond within twenty days
to any complaint received. If the issue is not resolved to the complainantÕs
satisfaction, it will be submitted to the compliance panel comprising: