Nestle challenged over health claims

By James Achanyi-Fontem,
Coordinator, IBFAN Cameroon Group
Nestle has been challenged over health claims which tell mothers that its baby milk will 'protect' their babies. Nestle Annual Shareholder Meeting took place on 15th April 2010 at the Palais de Beaulieu, Lausanne, Switzerland.
According to Patti Rundall of Baby Milk Action UK, who attended the meeting, it was probably one of the most dramatic Shareholder meetings that she could remember - though the time that the Tom Butler, the Bishop of Leicester in 1993 challenged them comes a close second.
The brilliant Greenpeace stunt certainly lifted their spirits and caused a major headache to Nestle. It started with a horrendous drilling sound that almost blocked out Peter Brabeck's speech during the session. Pat Venditti of Greenpeace was sitting in front of Patti Rundall who tapped him and asked: "Is this Greenpeace?" and Pat answered, "Maybe". Then sawdust started to trickle down from the ceiling, thousands of leaflets followed by two absailers with huge banner. Fantastic!
As Greenpeace activists cut through the ceiling and absailed into Shareholder Meeting with huge banners and leaflets, Nestlé was held to account for its exploitation of rainforests, for its spying activities and for its failure to abide by baby food marketing standards adopted by the World Health Assembly.
Patti Rundall OBE, Policy Director at Baby Milk Action, picked up on the Chairman, Peter Brabeck's remarks that Nestle considers regulations to be much less important than principles and core values and appealed for shareholders to help in holding management to account for the harm it continues to cause to breastfeeding and infant health, contributing as it does to the needless death and suffering of babies around the world.
She highlighted the deception of the strategy that had been on display at the shareholder meeting the previous year: logos on formula labels claiming the product will 'protect' babies. It is undisputed that babies fed on formula are more likely to become sick than breastfed babies and, in conditions of poverty, more likely to die.
She also challenged Nestle's policy on sponsorship which targets mothers, health workers and children - for example, TV shows in Egypt, baby clubs in the Philippines, school education schemes in India, Health Conference Street banners in Cameroon, websites, medical seminars etc - schemes which are in many instances in violation of World Health Assembly Resolutions and national legislation.
Nestlé Chair, Mr. Peter Brabeck-Letmathé, said that because Ms. Rundall did not trust him, Paul Bulcke, CEO and Richard Laube, Head of Nestle Nutrition should respond in detail. Richard Laube defended the 'protect' logo and admitted the practice was being used in 120 countries on cereals and formula, showing it to be a global strategy. He indicated the marketing practice had been going on for some years and will continue, dismissing the suggestion that it was harmful or a violation of the International Code of Marketing of Breastmilk Substitutes. For more information, click on the following links - www.babymilkaction.org www.ibfan.org www.babyfeedinglawgroup.org.uk

Expanded Global Breastfeeding Partners’ Meeting (GBPM)

From 17 – 19 October 2010 at Bayview Beach Resort in Penang, Malaysia
A wider network allowing for greater networking among WABA participants
and the Core Partner organisations – ABM, IBFAN, ILCA, LLLI and Wellstart International will be revisiting and celebrating Innocenti 20 years, under the theme “Enabling Mothering: Keeping mothers and babies together” from the 16th – 19th October,2010.
The announcement was released by WABA Co-Directors, Susan Siew and Sarah Amin. The Global Breastfeeding Partners Meeting (GBPM 2010)will include a partners’ technical forum to be organised with the support of the Swedish International Development Cooperation(SIDA).
It is the first time WABA is organising an expanded GBPM open to participation of the wider network allowing for greater networking among participants and the Core Partner Organisations – ABM, IBFAN, ILCA, LLLI and Wellstart International.
In line with the 20th anniversary of the Innocenti Declaration, the event will open with a celebration of 20 years of action and achievements around the Innocenti as well as reviewing the gaps and areas still needing attention and a strategic response.
The two-day technical meeting/forum on the topic “Enabling Mothering: Keeping Mothers and Babies together,” focusing on the expanded BFHI and Maternity Protection and support for working women will be followed by a business meeting of the Core Partners on the 20th October 2010. This last day event will be by invitation only.
The objectives of the WABA 2010 event are:
♥ To foster greater collaboration with WABA’s Core Partners and other participants to plan and advance the common vision and strategic direction of the breastfeeding movement
♥ To share new technical knowledge and programmatic updates in the areas of the expanded BFHI and Maternity Protection
♥ To celebrate the Innocenti 20 years through creative and other means
♥ To work towards World Breastfeeding Week (WBW) 2011
The three day event draws on elements of the WABA Global Forum III event originally planned for Quebec City in June 2010, the World Breastfeeding Week (WBW) campaigns past and present, the World Breastfeeding Trends initiative (WBTi) and others.
Participants will have plenary and workshop sessions as well as exhibition and other open spaces for the creative arts and celebration!
All WABA friends will take advantage of the space to share their work, resources and creativity. WABA`Co-Directors, Susan and Sarah, are looking at the event as a mother-father/family friendly event!

CRC Confirms Importance of Breastfeeding as Human Right

By James Achanyi-Fontem,
Coordinator, WABA Men’s Initiative
IBFAN’s Human Rights Intern of Child Rights Committee, Ina Verzivolli, described the last CRC session in January 2010 as a great success due to the big impact that IBFAN reports had on the issues that were discussed in Geneva, Switzerland.
Ina Verzivolli added that the session was a great success in terms of promoting breastfeeding as a human right in a summarized results sheet of the CRC session published last February 12. She lauded the work of IBFAN and praised the commitment of members. It is now left for the recommendations to be transformed in action for the continued struggle to protect and promote breastfeeding world wide. The summary report was delivered as follows:

The Committee on the Rights of the Child (CRC) confirms the importance of Breastfeeding as a Human Right.

January 2010
The Committee on the Rights of the Child has recommended to almost all the countries reviewed during its last session (Session 53, January 2010), to protect and promote breastfeeding as a fundamental right of the child. These recommendations were the consequence of reports submitted to the Committee by National IBFAN Groups on the situation of breastfeeding in their countries. IBFAN considers this a great achievement in relation to its mission of upholding breastfeeding rights for children and mothers all around the world.
The 53rd session of the Committee of on the Rights of the Child, took place in Geneva in January 2010. Eight countries were reviewed on their efforts to implement the Convention of the Rights of the Child: Burkina Faso, Cameroon, Ecuador, El Salvador, Mongolia, Norway, Paraguay and Tajikistan. In almost all reviews, breastfeeding was on the top list of health-related issues.
IBFAN groups from six of the countries under review had submitted reports about the situation of breastfeeding in their countries. These reports highlight the main problems in relation to infant and young child nutrition, the Baby Friendly Hospital Initiative, the implementation of the International Code of Marketing of Breast-milk Substitutes, maternity protection at work and the situation of maternal health.
The Committee published its recommendations to the national governments at the end of the review process. In six out of eight countries it referred to breastfeeding issues, recommending the governments to take specific measures in this regard. Almost every recommendation in the area of breastfeeding relied on the information provided to the Committee by IBFAN groups. In the case of Cameroun, the Committee adopted the entire list of recommendations made by the IBFAN Group of this country.
The «concluding observations» of the Committee, which take the form of «recommendations» for future action to the national governments, included the following (for a detailed list by country see the table below):
1.Concern about low rates of exclusive breastfeeding for infants up to 6 months;
2.The importance of the protection of breastfeeding in national laws and the effective implementation of these laws;
3.Adoption and implementation of the International Code of Marketing of Breast-milk Substitutes;
4.Promotion of breastfeeding and the advantages of exclusive breastfeeding;
5.allocation of resources for breastfeeding policies and programmes;
6.Promotion of education on child health and nutrition;
7.Improvement of the data collection systems;
8.Need for governments to engage civil society in drawing national breastfeeding policies and action plans.
Since 1997, IBFAN’s efforts in the field of human/child rights have been to call upon governments to fulfil their obligations under the Convention on the Rights of the Child (CRC), in particular regarding article 24 on the child’s right to the highest attainable standard of health, optimal nutrition, as well as correct and unbiased information on nutrition. Thanks to our constant reporting (more than 150 reports from IBFAN groups worldwide), IBFAN has succeeded in raising the awareness and attention of CRC Committee members.
This is a great success!
However, much work needs to be done to translate these recommendations into reality. The next step for IBFAN Groups, as well as for every actor in civil society that works in the area of infant and child nutrition, is to push their national government while working hand in hand with it to solve problems and find solutions.

FECABPA Holds 5th Ordinary General Assembly in Yaounde

By Martine Yolande Tsenou,
AFEIMEK Yaoundé
The 5th Ordinary General Meeting of the Federation of Cameroon Breastfeeding Promotion Associations, FECABPA, held in Yaoundé on the 23rd January 2010. Attended by some 20 representatives of member organisations of the federation, activities in 2009 were reviewed and discussions centred on the plan of action for 2010.
In the annual orientation speech, the National President of FECABPA, James Achanyi-Fontem, started by wishing all a “Happy and Prosperous New Year 2010”, adding that since the creation of the Cameroon national nutrition networking exchange coalition for the promotion of infant and young child feeding on the 14th September 2007, the vision of the organisation has remained the same.
He recalled to members of FECABPA that the vision is to protect, promote and support mothers to breastfeed their babies and feed infants adequately as a right to food, affection and tenderness as the guarantee for good health and well being.
He invited FECABPA members to continue to use the different techniques and strategies taught them during the training at Obala in 2008 for social mobilisation within the context of the expansion of recommendations of the World Health Assembly, World Health Organisation and UNICEF. He announced that WHO published new HIV recommendations to improve health, reduce infections and save lives during the last World AIDS Day 2009. He is the role of health associations to inform communities of the new recommendations published on a good number of health web sites already.
The National President of FECABPA, James Achanyi-Fontem, talked about how to design local action plans within the context of pertinent declarations of the United Nations Organisation and the objectives of the Millennium Development Goals. He invited all organisations to work in close collaboration with health districts in the regions starting from their health areas of locations.
He revealed that the theme for the World Breastfeeding Week 2010 is centred on the ten conditions for successful breastfeeding and that this is visible through the 15 key indicators of the World Breastfeeding Trends Initiative, WBTi that is considered to facilitate the closure of gaps where little is done in any given country.
Zimbabwe and Cameroon benefitted from the WBTi training in 2009, and the role of those who received the training is to transfer the monitoring and evaluation techniques to other organisations and their colleagues in their countries, who were not opportune.
All trainers in Cameroon agreed that regular monitoring and evaluation could help to identify gaps and close them during planned activities. Speaking on international network planned activities, the National President of FECABPA who doubles as the Coordinator of WABA Men’s Working Group and Focal Point for IBFAN Cameroon informed members that the 8th Conference of IBFAN Africa has been scheduled in the month of September 2010 in Mauritius Island and that members should start scouting funds for their travel, accommodation and meals. The theme of the conference has been announced as, “Breastfeeding, Child Survival and the Role of Infant and Young Child Feeding”.
The Coordinator of Men’s Initiative made it known that Sarah Amin and Susan Siew, who are WABA Co-Directors have also announced some key events following the WABA Steering Committee Meeting held in October 2009. These events have been slated towards the end of 2010, starting with WABA Global Breastfeeding Partners’ Meeting (GBPM) from 17th to 19th October 2010 and the theme for the meeting is "Enabling Mothering: Keeping Mothers and Babies together". The GBPM proper takes place on the 20th October 2010. This will be followed by WABA Steering Committee Meeting from 22nd to 24th October 2010.
On the other hand, the International Coordinator of the World Breastfeeding Week, Julianna Lim Abdullah reported from WABA Secretariat that WBW celebrants in 2009 were from over 170 countries and that more than 500 events took place globally involving more than 800,000 celebrants. The 2009 WBW was described as the greatest outreach event in its history.
With this, Julianna Lim said, WABA is pleased to announce the theme/slogan for WBW 2010 which was decided by the WABA Steering Committee at its October 2009 meeting. The Slogan for WBW 2010 is “Breastfeeding - Just 10 Steps! The Baby-Friendly Way.”
The Carolina Global Breastfeeding Institute, led by Miriam Labbok was appointed Key Writer for the WBW 2010 Calendar Announcement and Action Folder. Miriam Labbok and her team will work with the WABA Health Care Practices Task Force, Mother Support Task Force and BFHI Working Group.
In an earlier welcome address by the Secretary General of FECABPA, Suzanne Messe, she made a run down of achievements in a balance sheet that showed that the promotion, protection and support of lactating mothers in Cameroon was on a good foot and that exclusive breastfeeding rate for the first six months is on the increase, especially as member organisations now work regularly to protect rights of mothers and babies to adequate nutrition.
ASSF Bonaberi and NOLFOWOP Yaoundé hosted the two ordinary sessions of March 24 and July 9 respectively in 2009. The sessions focused attention on the best strategies to promote mothers’ and fathers’ support groups with the introduction of the Men’s Initiative as an integral part of infant and young child feeding in Cameroon.
Suzanne Messe lauded the technical and material support from WABA, IBFAN, UNICEF and the Ministry of Public health which led to the expansion of activities within communities. The infant and young child feeding groups benefited from international collaboration during the working visits of Dr. Neal Rosenburg and Professor Donna Taliaferro of Washington Nursing College, who researched on HIV stigmatisation amongst health workers in Cameroon. Tobias Zick of the German Neon Magazine visited Cameroon to support Cameroon Link’s action for prevention of violations of the international and national code on the marketing of breastmilk substitutes within health facilities.
In November 2009, Cameroon Link facilitated the organisation of the World Breastfeeding Trends Initiative training for Cameroon in Douala by the International Baby Food Action Network (IBFAN Africa) consultant, Pauline Kisanga. During the ordinary general meeting of FECABPA in Yaoundé, members took the following resolutions that:
1. Apart from the World Breastfeeding Week celebrated from the 1st – 7th August, the federation’s member organisations would get involve in other calendar events recognised and planned by the government through the ministry of public health, including International Day to fight against cancer on 4th February, International Women’s Day on 8th March, World Health Day on 7th April, African Day for the Reduction of Maternal and Neonatal mortality, Mother and Infant Health and Nutrition Action week in June, International Day of the African Child on 16th June, World Population Day on 11th July, World Food day on 16th October, International Day for the Elimination of Violence against Women on 25th November and the National and World AIDS Week from 1st – 7th December each year.
2. A theme will be selected for an expose and learning exchange each time the federation holds a quarterly planned ordinary session within the year.
3. Member organisations should be up to date in the payment of their annual dues by June 15 each year to qualify for participation in exchange meetings or benefit from any capacity building training or subventions from the federation. Only active up-to-date members will have access to information on the federation’s account.
4. Inactive members of the Administrative Board would be replaced once it is brought to the knowledge of participants during general meetings. Long term vacancies of some board members were blamed for the non execution of some planned activities of FECABPA.
5. It was agreed that members residing in Yaoundé and neighbouring cities or regions will open and manage a bank account of the Federation, while the group in Douala will run a similar bank account for acceleration of activities covering the Littoral, South West, West regions. It was observed that this decentralisation will help in outreach advocacy in favour of infants and mothers’ rights. The bank account number of FECABPA at Credit Communautaire d’Afrique in Douala is 27-2707367-001-1.
6. It was finally agreed that the Saturday, 24th April 2009 Ordinary General Meeting will be hosted by the Women’s Gender Council (COGESID) Bonamikano and that on Saturday, 17th July 2009, AFFE Mbalmayo will host all member organisations of FECABPA ahead of the joint national launching of the World Breastfeeding Week in Cameroon on the 1st August by the Minister of Public Health.
Participants at the 5th Ordinary General Assembly of the Federation of Cameroon Breastfeeding Promotion Associations, FECABPA, came from COGESID Bonamikano, Maleo Santé Plus, NOLFOWOP, Cameroon Link, Vine Yard Movement, Alternative Santé, AFFE Mbalmayo, Ahead Biyem Assi, AFEIMEK, Fine Forest Foundation Cameroon and ASSOCASFIASAR Yaoundé.
Fine Forest Foundation Cameroon and ASSOCASFIASAR (Midwives & Nurses Association) representatives attended the national meeting for their first time and decided to be affiliated to the federation by paying their dues.

UNFPA SUPPORTS CAMLINK CODE MONITORING

By James Achanyi-Fontem
Coordinator,IBFAN Cameroon
Authorities of the United Nation Fund for Population Activities, UNFPA, have drawn the attention of the Ministry of Public Health in Cameroon to the importance and place monitoring of the International Code on the marketing of breastmilk substitute in the regulation and promotion of child survival.
The information filtered from a working session organised by the Minister of Public Health, Andre Mama Fouda, on Thursday, 1oth December 2009 in Yaounde with the head of the communication service of the ministry and a senior journalist of Cameroon Tribune.
The UNFPA drew the attention of the minister to an article on activities organised by Cameroon Link (CAMLINK) following the training of trainers’ course by IBFAN Africa in Douala on the World Breastfeeding Trends Initiative. The minister was informed that code monitoring was an alert system that keeps formula producers from health facilities, thereby giving the opportunity to breastfeeding mothers to remain attached to World Health Assembly regulations and recommendations by the World Health Organisation. Cameroon Tribune has earlier published a news investigation on company violations of the Cameroon national code issued as law on the 1st December 2005.
A formula production company during that period sponsored a workshop of paediatricians in Limbe and used the trade mark of Bledina to advertise the workshop in violation of articles of the international and national code on the promotion and marketing of breastmilk substitutes in the country.
The same company consolidated its violation with an advertorial in the Eden Newspaper of Wednesday, 9th December 9 – Monday, 14th December 2009. Cameroon Link had during the WBTi training called on the government to create a regulatory committee with the appointment of a national coordinator to check such lapses throughout the country.
In reaction to the flagrant violations world wide through scientific meetings and workshops, a UNICEF Baby Friendly Initiative statement on formula company-funded study days was issued in the United Kingdom.
UNICEF Baby Friendly Initiative had recently received several enquires regarding study days sponsored by formula milk industries. These days range from holding study days nutrition company institutes serving as bridges to reach health staff caring for babies within public and private.
The Baby Friendly Initiative requires that all health-care facilities seeking Baby Friendly accreditation adhere to the International Code of Marketing of Breastmilk Substitutes. Information on formula milks provided to health professionals in order to allow them to support mothers who do not breastfeed, should be scientific, factual and free from promotion.
Health professionals are the ideal conduit for promoting formula milk. They engender public trust and respect and have easy access to virtually all new mothers and babies. The ‘halo effect’ of having mothers associate the company brand with a health professional is highly valued. However, for this to happen, the companies need access to those health professionals. As recently, and in the last 10 years before the publication of the code, company representatives had free access to many health-care premises and they induced health professionals to attend their talks with hospitality and free materials.
The Cameroon Code forbids any penetration of health facilities by company delegates to advertise their brand and donate materials or organise meetings. The companies have now opted the indirect version of sponsoring activities of health professionals in very attractive tourism facilities as an incentive.
With increased support for breastfeeding in the health services, health professionals have gradually become much more aware of the real purpose of this ‘generosity’ and its negative effect on breastfeeding and efforts to support informed choice. Subsequently, much of this easy access to health professionals still has to be stopped in countries like Cameroon.
Sponsored study days are a highly effective mechanism for circumventing workplace controls on access by company representatives and so gaining direct access to health professionals. The study days no longer directly focus on breast and bottle feeding, which would only arouse suspicion, but rather are specialist in nature, focusing on, for example, allergy or growth, thus reassuring prospective participants of their legitimacy. Participants are asked to register for the study day, so providing the company with contact details for future promotional opportunities. At the event itself there are opportunities for introductions, closing statements, odd lectures by company representatives and promotional materials that can be given to everyone who attends. The result of this is health professionals who are highly aware of the company’s brand and product, informed of the product’s key selling points, in possession of company materials and possibly well disposed to the company providing them with ‘free’ education. If any of this is then passed on to parents, the company’s outlay can be justified to shareholders as being designed to increase profits.
The Baby Friendly Initiative standards do not expressly prohibit health professionals’ attendance at formula company study days. However, attendance is strongly discouraged. Any health professional considering attending such a day should ask themselves whether attendance is really necessary for their education, whether it is compatible with their Code of Conduct and responsibilities to implement best practice and what effect their attendance could have on the families they serve. For more information visit the Code Monitoring page at http://cameroonlink.info

MWG Happy New Year 2010 Greetings

Happy New Year 2010 Greetings!
WABA Men’s Working Group would like to wish you and your families a Happy and Healthy New Year 2010.
There is no time like now to honour the men and boys in your life, especially those who support mothers. We thank you for your commitment and support in 2009 and hope that you will continue to join WABA Men’s Working Group in our efforts to ensure that men live longer, healthier and happier lives in 2010 and beyond, while supporting breastfeeding mothers around the world.
Wishing you a Beautiful Season and a New Year of Peace and Happiness.

WABA Men’s Working Group

Cameroon Gets WBTi Orientation Training

By Doualla Etongo Priscille
Cameroon Link Group
14 trainers have been oriented on the new WBTi in Cameroon. The orientation training preparation team received IBFAN Africa Consultant and Director of UniNutri Services, Pauline Kisanga, from Swaziland at the Douala International Airport on the 10th November at 19h30 from a timely South Africa Airlines Flight.
Pauline Kisanga, IBFAN Consultant designated as the principal facilitator and James Achanyi-Fontem, National Coordinator of IBFAN Cameroon Link Group acted as the country facilitator of the trainer of trainers WBTi workshop. Participants came from the government, public and private key nutrition NGO advocacy organisations. The selection of participants considered gender aspects with target groups involving men, women and youths in the learning process.
Training Package
The training package presentations on Power Point tackled all the relevant issues related to the starting of a WBTi in a country and the content included the following:
• The Global Strategy and objectives of the workshop
• Status of IYCF in Cameroon and the national perspective
• WBTI – A successful Initiative
• Tracking, Assessing and Monitoring of GSIYCF – South Asia/Africa ExperienceReading Exercise of the Green Book
• Interactive Discussions with Questions and Answers
• How to conduct a national assessment
• Understanding the indicators (1 – 15)
• Work in groups and presentation of work group reports
• Analysis of data, report writing and presentation (exploiting the samples of Asia country reports)
• How to develop recommendations for actions to bridge the gaps
• Work in groups on developing recommendations and presentation of work in groups
• Utilizing WBTi Information
• What is the web action in WBTi
• How to avoid conflict of interest at national level
• Action Plan for Cameroon and Way Forward
• Executive Budget Estimate

Welcome Address
The welcome address on the occasion of the opening of the 2-day orientation training workshop on the World Breastfeeding Trends Initiative in Cameroon on the 12th and 13th November 2009 was made by the National Coordinator of Cameroon Link, James Achanyi-Fontem, who doubles as the Focal Point for IBFAN Cameroon Group and the President of the Federation of Cameroon Breastfeeding Promotion Associations, FECABPA.
Mr. Achanyi-Fontem said, Cameroon was honoured to have the opportunity to welcome the orientation training workshop on the World Breastfeeding Trends Initiative (WBTi) in Douala. He thanked Mrs. Joyce Chanetsa, the Regional Coordinator of IBFAN Africa who included Cameroon on the list of countries to benefit from the orientation training on the World Breastfeeding Trends Initiatiive (WBTi) and Mrs. Pauline Kisanga, Director of UniNutri , IBFAN RC Emeritus for accepting to come to Cameroon to capacitate and share her experiences with the Infant and Young Child Feeding advocates.
Under the guidance of the Ministry of Public Health secondary data was reached for preparation of the workshop using WHO/ UNICEF data and information to analysis the 15 key indicators of Cameroon’s trends so far documented. IBFAN Cameroon Group coordinator acknowledged that the training will assist in the expansion of breastfeeding protection, promotion and support work throughout Cameroon.
Presenting Pauline Kisanga, the former Regional Coordinator of IBFAN Africa, Mr. Achanyi-Fontem described her as an advocate ambassador of breastfeeding of Africa region. She has published several works including, “The Process for Successful Implementation of ILO Maternity Protection Convention 183 of 2000 at National Level: Africa Regional Experience of Step by Step Action” and “The Protection, Support, and Promotion of Breastfeeding in HIV: Policy Guidelines by IBFAN Africa”.
Pauline is special to Cameroon Link, because in her capacity as the former Regional Coordinator of IBFAN Africa and with the support of Baby Milk Action UK, Cameroon was co-opted and affiliated into the Anglophone and Lusophone IBFAN Africa Group in 2000. With her coaching and constant support, Cameroon Link grew from strength to strength and was recipient of the IBFAN Africa distinction in 2007 in Maputo, Mozambique during the 7th Regional Conference for its commitment and engaging support for the protection and promotion of breastfeeding in the continent as a whole and Cameroon in particular.
Cameroon Link today pilots the Federation of Cameroon Breastfeeding Promotion Associations, FECABPA, and the Men’s Initiative of the World Alliance for Breastfeeding Action, WABA, while remaining the Focal Point for the International Baby Food Action Network (IBFAN Africa) in the country. At Cameroon Link, the slogan is, “Babies can’t wait”. Breastfeeding is a baby’s right and it should be on demand and exclusive for the first six months after delivery with complimentary feeding and continued breastfeeding up to 24 months and beyond. Cameroon Link remains more committed than before, especially as the 23rd November 2009 makes its 20th Anniversary.
This means that Cameroon Link celebrates its 20th anniversary with the new initiative, “The World Breastfeeding Trends Initiative (WBTi).” The data and information presented during the WBTi orientation training workshop were based on information collected from the Demographic Health Survey (DHS) in Cameroon, statistics from the ministry of public health, ministry of planning, programming and territorial development in Yaoundé, WHO, UNICEF and ILO sources.
It should be noted that comprehensive survey results are published in the DHS final reports approximately 8 – 12 months after the completion of fieldwork while standard reports are approximately 200 pages in length and include topics on household and respondent characteristics, fertility and family planning, maternal and child health, nutrition and HIV/AIDS.
The department for health promotion in the ministry of public health contributed through researched data as the policy and decision making channel within the frame work of its partnership with Cameroon Link Group that reports regularly on all its activities.
Cameroon’s key indicators collection is on-going for revision and publication in April 2010 after the survey on the rights of the child to food. As Cameroon joins the WBTi, it is observed by IBFAN Cameroon Link that there is net progress made already as it scores well in 12 of the 15 key indicator areas. The WBTi training brought to light the gaps and recommendations which will be published in the final report by December 15.

WBTI Training
During the WBTi orientation training workshop organized in Douala by the IBFAN Cameroon Focal Point with the support of IBFAN Africa regional office, it was observed that efforts have been made in the area of Infant and Young Child Feeding with the support of UNICEF. Though there is a net progress in the area of exclusive breastfeeding, statistics have to be collected regularly for up dates starting from the health facilities.

GLOBAL STRATEGY ON IYCF
After the presentation of secondary data in Cameroon during the training, IBFAN Africa consultant, Pauline Kisanga spoke about the evolution of the GSIYCF since 2000, emphasizing on the fact that all countries that endorsed the WHO/WHA recommendations were requested to implement the strategy as national policy.
The GSIYCF was put in place to promote good practices and create supportive environment for the promotion of exclusive breastfeeding for the first six months and continued breastfeeding with complimentary feeding thereafter up to 24 months and beyond.
The strategy is based on the Innocenti declaration adopted in 1990 during an international meeting in Italy. One of the recommendations is that countries should put in place a national breastfeeding committee with the appointment of a national coordinator by the ministry of health.
With the frame work of the strategy, the ten steps to successfully breastfeeding is implemented, the international code is implemented, mothers and children are protected. The global strategy added more targets to the innocent declaration.
The Director of UniNutri Services insisted on the fact that exclusive breastfeeding should be recommended to mothers with complimentary feeding after six months to prevent malnutrition. Countries throughout the world are adopting national legislation she emphasized, adding that when WHO and the world Health Assembly (WHA) improves on policies, countries are required to also up grade their national policy with the involvement of all stake holders. According to the IBFAN Africa consultant, nutrition promotion goes with breastfeeding, which occupies 60 per cent on the agenda. For this reason, the government should create a national breastfeeding committee and appoint a national coordinator as recommended by the WHA and WHO.

IYCF Problems
• Many governments believe that breastfeeding is natural and that mothers should automatically breastfeed their children. This is a wrong perception of the issue, because even when the act is natural, the mothers have to be supported. In most cases, it is the man who purchases formula for the baby and not the mother. Fathers should be educated as well on the advantages of breastmilk through the creation of support groups throughout the country.
• Breastfeeding and HIV are not understood. Policy makers need to be informed on the advantages of breastfeeding and WHO recommendation. Data needs to be collected, because it is through the analysis of the data that decisions are made during discussion at meetings.
• Since all countries have endorsed the WHA/WHO policies and resolutions, countries just simply need to implement them, especially as malnutrition of infants has been rated as a public health concern.

What is WBTi ?
The World Breastfeeding Trends Initiative (WBTi) started in Asia. Before the WBTi, countries were using the WHO IYCF monitoring and evaluation tool and the GLOPAR WABA tool. The new WBTi, is a combination of the WHO and GLOPAR tools to fill gaps which were identified in the previous tools. Many countries are already using the WBTi because it is a simple tool to track progress on the implementation of the Global Strategy. It helps for comparing progress in the different countries, considering the fact that all countries have been requested to monitor the progress of child survival regularly.
The trainer of trainers session organised in Cameroon by the regional coordination of the International Baby Food Action network (IBFAN Africa) is expected to help the government to discover gaps in health investment programme activities.
This will promote best practices; improve on child survival and maternal survival. The WHO tool was simplified by combining GLOPAR from WABA to build the WBTi tool. It works by collecting secondary data and analysing it to come out with the trends.
After the analysis of the data, trends are then used for making decisions to fill the gaps. This helps countries and governments to fill gaps in health investment, programmes and activities. WBTi brings people together to discuss results, since the trends demonstrate achievements and gaps to improve on Infant and Young child feeding.

Breastfeeding and HIV
WHO and WHA recommend AFASS. AFASS stands for the following:
A = Accessibility
F= Feasibilty
A= Affordibilty
S= Sustainability
S= Safety
The above is used for counselling mothers to make well informed choices as far as the nutrition of their children is concerned.
WORK IN GROUPS
The work in groups aimed at verifying the 15 IYCF key indicators used for evaluating countries with the WBTi tool. Within this frame work, the trainers were separated in three different groups and the indicators shared amongst for verification and scoring of Cameroon. Cameroon scored 81/150 by WHO rating analysis standards and this is equivalent to 54 per cent using WBTi tool.

Core Persons & Partners
The WBTi trainers identified core persons and partners who will pilot the initiative in Cameroon and by consensus vote, it was decided that IBFAN Cameroon should coordinate WBTi in Cameroon under the supervision of its national coordinator as team leader.
The WBTi Cameroon core persons identified are: James Achanyi-Fontem (Cameroon Link), Okala Georges (MOH), Tata Japhet (MOH), Mibe Samuel(MOH), Yvonne Bekeny (IBFAN Cam), Florine Nseumi (IBFAN Cam), Annette Efeti (IBFAN Cam)
The WBTI Partners are: WHO, UNICEF, WABA, IBFAN, Plan International, Helen Keller Foundation, Cameroon Link, ACTHU, CAMNAFAW, Fine Forest Foundation, Vine Yard Cameroon, COGESID and Maleo Sante Plus.
Before closing the training of trainers session in Douala, a WBTi action plan with tasks to be accomplished covering the period from November 2009 to March 2010 was put in place. The tasks included preparing a national work plan for collection of WBTi information and writing of a report that will highlight all the 15 indicators used for monitoring and evaluation.
The report needs to be presented to the government (Ministry of Public Health) and a wider audience for validation by November 30. The final WBTi Report on Cameroon will be communicated to IBFAN Africa Regional Coordination by December 15 and the regional coordination of IBFAN Africa will channel will share the report with others in Africa before channelling to IBFAN Asia by December 15 ahead of the Christmas and New Year holiday period.