2017, Number 3
Performance based regulation: a strategy to increase breastfeeding rates
Language: Spanish
References: 15
Page: 314-320
PDF size: 242.08 Kb.
ABSTRACT
The decreasing breastfeeding rate in México is of public health concern. In this paper we discus an innovative regulatory approach -Performance Based Regulation- and its application to improve breastfeeding rates. This approach, forces industry to take responsibility for the lack of breastfeeding and its consequences. Failure to comply with this targets results in financial penalties. Applying performance based regulation as a strategy to improve breastfeeding is feasible because: the breastmilk substitutes market is an oligopoly, hence it is easy to identify the contribution of each market participant; the regulation’s target population is clearly defined; it has a clear regulatory standard which can be easily evaluated, and sanctions to infringement can be defined under objective parameters. Recommendations: modify public policy, celebrate concertation agreements with the industry, create persuasive sanctions, strengthen enforcement activities and coordinate every action with the International Code of Marketing of Breast-milk Substitutes.REFERENCES
González-de Cossío T, Escobar-Zaragoza L, González Castell LD. Evidencia para la política pública en salud. Deterioro de la lactancia materna: dejar las fórmulas y apegarse a lo básico. Instituto Nacional de Salud Pública, 2013. Disponible en: http://ensanut.insp.mx/doctos/analiticos/DeterioroPracLactancia. pdf
Joo Kean Y. Breaking the rules, stretching the rules 2004. Evidence of Violations of the International Code of Marketing of Breastmilk Substitutes and subsequent Resolutions. [Internet]. Penang, Malaysia, International Baby Food Action Network, 2014 [consultado en agosto de 2016]. Disponible en: http://ibfan.org/art/302-2.pdf
Instituto Nacional de Salud Pública, UNICEF. ENIM. Encuesta Nacional de Niños, Niñas y Mujeres en México 2015 – Encuesta de Indicadores Múltiples por Conglomerados 2015, Resultados Principales. [Internet] Ciudad de México, México: Instituto Nacional de Salud Pública, UNICEF [consultado en agosto de 2016]. Disponible en: https://www.insp.mx/ enim2015/informe-resultados-2015.html