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SEMANA MUNDIAL DE LACTANCIA MATERNA

Semana Mundial de la Lactancia Materna 1995

Breastfeeding - Empowering Women 1995
 

In September 1995, the 4th United Nations World Conference on Women takes place in Beijing, China. Governments, non-governmental organisations and individuals will take this opportunity to advance the status of women worldwide. This major world conference inspired the World Alliance for 
Breastfeeding Action (WABA) to choose Breastfeeding: Empowering Women as the theme for World Breastfeeding Week (WBW) 1995. WBW is celebrated every year from 1 to 7 August throughout 
the world.

Breastfeeding is also a woman's right. Women who choose to breastfeed their babies but face obstacles such as lack of maternity leave, inadequate support from family, health workers and employers, and misinformation from the infant food industry are denied their rights. Obstacles that block a woman's ability to breastfeed must be removed.

Once a woman establishes breastfeeding, the practice can be empowering and contribute to gender equality. Conditions necessary for succesful nurturing, including breastfeeding, are also conditions which reduce the subordination of women by challenging negative images of women and by emphasising the value of women's reproductive work.

To breastfeed is to be in control of your own body. It is also a challenge to the medicalisation of infant feeding and to the interests of the baby food industry that promotes artificial milk and bottle-feeding.

WBW is an opportunity to formally recognise breastfeeding as a woman's issue. During this WBW, let us work to remove obstacles women face and show how breastfeeding can be an act of strength, power, and pleasure for women.

Let women see in breastfeeding a path towards confirming their own special power. 

Breastfeeding is best for women, babies, families, nations, and for the world. It is natural, economical and ecological. Breastfeeding is a woman's right. To be breastfed is a baby's right. 
 

WOMEN 4th World Conference, Beijing, China, Sept 1995

The United Nations has held three major world conferences on women in different continents, starting in 1975 in Mexico, followed by Copenhagen in 1980 and Nairobi in 1985. 

The Fourth World Conference on Women will be held in Beijing, China in September 1995. 

The goal of the Conference is to establish a programme of strategic action to eliminate inequalities between men and women. The theme of the Conference is Action for Equality, Development and Peace. 

It aims at setting guidelines for member states of the United Nations to adopt policies and actions to remove gender inequalities. 

The practical outcome of the Conference will be the adoption, by Member States, of a series of United Nations recommendations for the coming decade. Many organisations will follow up on the activities undertaken in Member States to implement such recommendations. 

During the World Conference in Beijing, there will be a Parallel NGO Forum on Women at which women from all walks of life will bring forward their specific issues of concern, such as reproductive rights, violence against women, women's work, and women's health. 
 

WABA in Beijing

WABA and its member organisations will participate in the Conference and the NGO Forum and will speak about the importance of breastfeeding as a means of empowering women. A mime threatre, workshop and booths on breastfeeding and women's issues will be organised. At the final Preparatory Committee meeting in New York, March 1995, WABA member organisations worked hard to ensure that the final document for the Conference integrated language to protect, promote and support breastfeeding. This has been a challenge which will continue up to Beijing. 
 

You too can act...

* Contact your national women's organisations and  your local Ministry of Women's  Affairs or Office on the Status of Women to convince  them of the importance of recognising breastfeeding  as a women's issue and incorporate it within their programme of action.

* Lobby your governments so that breastfeeding is recognised  as a woman's right at Beijing and beyond. 

* Monitor government actions to ensure past and future  recommendations adopted are fully implemented to support and protect breastfeeding. 
 

Breastfeeding and reproductive rights

Breastfeeding has been given global recognition for its contribution to child survival at international conferences and in international documents. 

Less attention, however, is given to its significant role in empowering women. Breastfeeding empowers a woman by allowing her to control her own fertility and enhance her health as well as that of her children. The knowlege that a breastfeeding mother is less likely to become pregnant is part of the traditional wisdom of many cultures. 

Breastfeeding is a woman's reproductive right which should be protected, supported and promoted. 

Current research confirms that as long as a woman is fullyor nearly fully breastfeeding, and has not resumed menstruation, she has a less than 2% risk of becoming pregnant. Family planners know this method as Lactational Amenorrhea Method (LAM). In areas of world where artificial contraception is unaffordable, unavailable or unacceptable, breastfeeding provides a woman with an effective means of family planning. A decline in breastfeeding rates contributes to the increase in birthrate where artificial means of family planning are not used. 

Breastfeeding allows a woman to space births effectively, according to her own fertility, independently of any possible forces within her society which would hinder her right to control her own fertility. 
 

Breastfeeding and Empowerment

Empowerment means:

* the ability of people to gain understanding  and control over personal, social, economic  and political forces to take action to improve their lives.

* the range of activities from individual self-assertion to collection resistance, protest and mobilisation that challenge power relations. 

* a process to change direction of forces which marginalise women. 
 

Recognise the obstacles breastfeeding women face. 
HELP REMOVE THEM!

WABA joins other women's groups in using empowerment to address critical concerns of women: human rights, reproductive health, violence against women, poverty. 

The Women's Conference is an opportunity to reach outto those involved with issues on women and development and discrimination again women. Denying women the right to make an informed choice about how to feed their infants is indeed a form of coercion. It may take many subtle forms of disuasion, such as literature from baby food companies casting doubt on the quality and quantity of a mother's milk, advertisement falsely portraying manmade baby milks as superior to women's breastmilk, and free samples of baby milk given to mother "in case she does not have enough milk", directly undermining her confidence
and ability. 

Empowering women will help protect or restore breastfeeding cultures around with world. 
 

HOW Breastfeeding Empowers Women

1 Breastfeeding confirms women's power to control their bodies, and challenges the bio-medical model and business interests that promote bottle-feeding. 

2 Breastfeeding reduces women's dependence on medical professionals and validates the tried and trusted knowledge that mothers and midwives have about infant care and feeding. 

3 Breastfeeding encourages women's self-reliance by increasing their confidence in their ability to meet the needs of their infants. 

4 Breastfeeding helps child spacing, reduces the risks of anaemia and provides protection against ovarian and breast cancer, osteoporosis and multiple sclerosis. 

5 Breastfeeding requires a new definition of  women's work - one that more realistically  integrates women's productive and reproductive activities, and which values both equally. 

6 Breastfeeding requires structural changes in society to improve the position and condition
 of women. 

7 Breastfeeding challenges the view of the breast as primarily a sex object. 

8 Breastfeeding encourages solidarity and cooperation among women at the household, community, national and international level. 
 

Enabling & supporting women to breastfeed

Women need self-confidence, support, and an understanding of how breastfeeding works. They need supportive health care facilities and work environments. This means, having access to accurate information, communicating their needs to theirfamilies, communities, health care providers and employers. Merely telling women to breastfeed, or acknowledging their right to do so, while not removing the obstacles and and ensuring the necessary support to breastfeed, is not empowering. 
 

Actions to empower women to breastfeed
(select and adapt from the list below, suggestions you find applicable to your situation)
 

Women

* Recognise and value the contribution you make  in terms of household work, breastfeeding and 
 raising your children.

* Be proud of your breastfeeding. Talk about it  and let others see you doing it in the course of 
 your daily life. Feed in public if you feel  comfortable doing so.

* Form support groups to share practical information  on breastfeeding. Establish cooperative child-care 
 arrangements.

* If you felt there were practices in the hospital  where you gave birth which jeopardised your 
 breastfeed or reduced other women's chances to do so successfully, write to the hospital and news-
 papers and state your case.  

Men

* Find out as much as you can about breastfeeding  before your baby is born by reading or attending 
 classes with your partner;

* Speak to your partner about how you can best  support her. Helping with household chores to 
 reduce her workload is very important. 
 

Empowering each other 

Breastfeeding is a learned art, one often passed down from mother to daughter in the on-going routine activities of daily life. But sadly, the decline in the number of breastfeeding women, in both developed and developing countries, has resulted in large numbers of women who have never seen a baby nurtured and nourished at its mother's breast. 

This explains both the popularity and the importance of mother-to-mother support groups such as those available through La Leche League International, the Nursing Mothers Association of Australia and, Amigas do Peito in Brazil. 
Nursing mothers who attend these meetings create for themselves a community that can meet the wide spectrum of needs of breastfeeding women. Many discover that the interaction that takes place between members is as empowering as the practical and up-to-date information received.
As their confidence grows, many gain additional satisfaction from sharing what they have learned with a new mother who needs just what they have to offer. 
 

Parents and teachers

* Encourage your children to learn about and feel comfortable  with their bodies. This will help build self-confidence to  breastfeed in young girls, and a positive attitude towards  breastfeeding in young boys.

* Incorporate breastfeeding education in schools,  particularly, for adolescents. Early exposure to breastfeeding is a key factor  influencing breastfeeding rates among young mothers. 

* Work to provide child-care at schools.

* Make sure that baby girls are breastfed and given complementary foods as often as baby boys. 

... foster appropriate complementary feeding from the age of about 6 months, emphasising continued breastfeeding and frequent feeding with safe and adequate amounts of local foods. World Health Organization, WHA Resolution 47.5 
 

Health professionals

* Help mothers to establish breastfeeding immediately  after birth. Follow the 10 Steps to Successful 
 Breastfeeding recommended by WHO/UNICEF.

* Instil confidence in women that they will be able  to breastfeed and that they can overcome any 
 problems with sufficient knowledge and support.

* Provide support to mothers, including those who  return to paid work. Involve family members in 
 supporting the breastfeeding mother.

* Actively promote breastfeeding as the optimum  form of infant feeding both before and after birth;

* Sign the UNICEF Physicians' Pledge.

* Work to expose and end the subtle influence infant food manufacturers exert through subsidised supplies  to hospitals, promotions and free gifts, sponsorship  of videos and information pamphlets and funding of research and medical seminars.

* Actively seek out accurate and up-to-date breastfeeding information. Ask for WABA 
 activity sheets on training health workers. 
 

Employers

* Establish progressive policies that support  employees in balancing their family and work  responsibilities. These include: maternity  and paternity leave; child-care facilities;  flexible work hours; and a private place  where women can express and store milk.

* Contact WABA or its affiliates on how to create  mother-friendly workplaces. 
 

You

* In your own home, combat the subtle promotion  of bottle-feeding in children's books and toys.

* Write to TV stations and newspaper/magazine editors to thank and congratulate them for positive 
 breastfeeding content.

* Write to baby food companies about their  misleading marketing practices. 
 

Women's groups

* Lobby national commissions on women and status of women  groups to include breasfeeding in their plans; 

* Welcome breastfeeding mothers at women's meetings and seminars, and provide child-care facilities; 

* Boycott products whose advertising on TV and  in magazines use women's breasts as promotion; 

* Lobby your local authorities such as councillors,  mayors and governors to recognise that 
 breastfeeding is a public health issue. 

* Raise the issue of breastfeeding at meetings  of your neighbourhood association, women's 
 group, trade union, etc. 

* Ask key women in public offices to endorse World  Breastfeeding Week and to include breastfeeding
 messages in their speeches; 

* Participate actively in World Breastfeeding Week  events. Sign the statement: Breastfeeding is a 
 Women's Issue. 
 

CEFEMINA

CEFEMINA is a women's organisation in Costa Rica which integrates breastfeeding support and protection into its daily activities. Through community health clinics and support groups established by 
leaders in CEFEMINA, women learn breastfeeding skills and are supported until they are able to breastfeed successfully. 

CEFEMINA also monitores the marketing practices of baby food companies, and in the 1980s, ran a campaign against Gerber. It has managed to bring about national laws on four months-maternity leave and on marketing. Women who are part of CEFEMINA sense the power in being able to fully nourish their infants and to sustain a viable practice free from the influence of advertising poor hospital
practices. 
 

WOMEN 4th World Conference, Beijing, China, Sept 1995

Beijing and beyond

We call on national governments, the UN system and NGOs contributing to the Conference on Women to advocate for breastfeeding. 

Internationally, women's health and consumer organisations have been fighting to protect, promote and support breastfeeding. They have protested against commercial interests that put profit over the 
well-being of mothers and infants. As a result, there are already a number of international instruments that can be useful lobbying tools. 

* International Labour Organisation (ILO) Conventions, No 3 (1919) and No 103 (1952) 

* WHO/UNICEF International Code of Marketing of  Breastmilk Substitutes, 1981 

* Innocenti Declaration on the Protection, Promotion and Support of Breastfeeding, 1990 

* World Declaration of Nutrition, Plan of Action for Nutrition, 1992 

* Programme of Action of the International Conference on Population and Development (ICPD), 1994 
 

HAS YOUR GOVERNMENT supported these initiatives? 
Have they been implemented in your country? 

WABA and the 180 days campaign

The 180 Days Campaign beginning from the World Summit on Social Development, Copenhagen, 8 March 1995, seeks to use the 180 days leading to the September 1995 conference on women to make governments, the UN system and the world more responsive to the critical needs and agenda of the
female half of our planet. 
 

1st Aug 1995

WABA calls on women and breastfeeding groups to jointly lobby governments to improve the status of working pregnant and breastfeeding women by providing: 

* four months paid maternity leave;
* child-care and breastfeeding facilities at the workplace, including at schools and
   hospitals;
* breastfeeding breaks of at least an hour a day; and
* a supportive, clean and safe working environment. 
 

Acknowledgements

This action folder was produced by WABA Brazil/Origem in collaboration with WABA's Women and Work Task Force, La Leche League International, Kathy Shelton and, Institute for Reproductive Health (IRH). Many thanks to all who reviewed this folder, and specially to UNICEF for its support to WABA.
 

Resources

Van Esterik, Penny: Breastfeeding: A Feminist Issue, WABA Activity Sheet 4

Batliwala, Srilatha: Empowerment of Women in South Asia, 1993.

WABA: Breastfeeding: A Woman's Right,1995.

E Dawson, R Gauld and J Ridler: Empowering Mothers, 1993.

IBFAN/WABA: Breastfeeding: Empowerment of Women, 1994.

Shelton, Kathy: Empowering Women to Breastfeed Successfully, Breastfeeding Review 2(10), 455-458, 1994.

Wellstart: Breastfeeding is a feminist issue: Women have a right to choose breastfeeding, 1995.

Institute Rreproductive Health:Breastfeeding as a women's issue: A dialogue on health, family planning,
work and feminism, International Journal of Gynecology & Obstetrics, Vol 47, December 1994.

IRH/WABA/Wellstart/APHA statement: Breastfeeding is a woman's issue, 1995.

La Leche League International: Breastfeeding and Empowerment, 1995.

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