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Report Card on Carbon Footprints due to Breastmilk Substitutes (BMS)
• Total GHG emissions due to BMS in 2016 was 30,57,570
tonnes of CO eq. out of which 14,88,330 tonnes was
due to growing up milks, 829,000 tonnes was due to
follow up formula and 731,140 tonnes was due to infant
formula.
2
• Projected total GHG emissions in 2021 due to BMS is
39,30,510 tonnes of CO eq., With the maximum
contribution coming from the growing up milks.
2
CHINA
This report card has used the method developed by IBFAN Asia to estimate the GHG emission [kg CO eq. emissions, that is,
the GHG amount that would have the sameglobal warming potential as a kilogram of carbon dioxide gas (CO )] per kg of BMS
sold. It took into account the GHG emissions due to constituents of BMS like milk powder, vegetable oils and sugars, as found
from a literature review. Proportions of ingredients in various BMS products were calculated using Codex Alimentarius guidance
on macronutrient composition. Published industry data from Euromonitor International for milk formula sales provided data on
volumes of milk formula sold in the country.
Estimated GHG emissions per kg of BMS ranged from 3.95 kg CO eq. for standard infant formula and special baby milk
formula and 4.04 kg CO eq. for follow-up formula and growing up milks.
2
2
2
2
1
Estimating GHG emissions due to BMS
• In 2016, total sale of BMS in China was 761,000 tonnes,
out of which 368,400 tonnes was growing up milks,
205,200 tonnes was follow-up formula and 185,100 tonnes
was infant formula. special baby milk formula was only
2300 tonnes.
• Total projected sale of BMS in China in 2021 is 978,200
tonnes out of which 501,500 tonnes is growing up
milk, 238,800 tonnes is follow-up formula, 232,900 tonnes
is infant formula and 5000 tonnes is special baby milk
formula.
• Projections show that there will be about a 28% increase
in the overall sales of BMS, with an increase in the sales
of all categories of BMS substantially by 2021.
T O A C H I E V E G L O B A L N U T R I T I O N T A R G E T S 2 0 2 5
GreenFeeding
InfantFormula
Follow-onMilk Formula
Special BabyMilk Formula
Total
185.1232.9
205.2238.8
2.3
501.5
761
978.2
‘00
0to
nn
es
1200
1000
800
600
400
200
0
2016 2021
Growing-upMilk Formula
368.4
5
‘00
0to
nn
es
StandardFormula
Follow-onMilk Formula
Special BabyMilk Formula
Total
713.14919.95 829
964.75
9.08
2026.06
3057.57
3930.514200
3500
2800
2100
1400
700
0
2016 2021
Growing-upMilk Formula
1488.33
19.75
Breastfeeding is a sustainable and natural source of food and nutrition. On the other hand, industrially manufactured
Breastmilk Substitutes are made from dairy and other agricultural products, which generate greenhouse gases (GHG)
including methane and nitrous oxide during production, transport and use. Their use also generates a sizable volume
of waste, which needs disposal. is a call to make feeding decisions that have dual benefits i.e. practicing
breastfeeding which is a natural and sustainable source of food and nutrition for infants and young children (and
contributes to achieving global nutrition targets), as well as avoiding BMS and helping conserve the natural environment.
However, the use of milk formula is increasingly driven by sub-optimal implementation of policies and programmes,
particularly regulation of marketing of commercial baby foods to enhance optimal breastfeeding practices.
This report-card provides estimates of GHG emissions arising from BMS sale in China. This is set alongside
assessment of the implementation of policies and programmes on infant and young child feeding in the country
and some suggested actions to improve the situation.
GreenFeeding
Sales of BMS in 2016 andprojected sales in 2021 (‘000 Tonnes)
2GHG Emissions due to BMS in 2016 and
projected emissions in 2021 (‘000 Tonnes CO eq.)2
1,2
Breastfedwithin one hour
of birth
Exclusivebreastfeeding in
babies <6 monthsof age
Bottle feeding
100%
80%
60%
40%
20%
0%
WBT Report 201i 3
Policies and Programmes on IYCF3
To enhance breastfeeding rates and to restrict use of BMS, strengthening of policies and programmes on IYCF is required.
WBTi assessment 2013 has revealed many gaps in policies and programmes on IYCF.
Report Card on Carbon Footprints due to Breastmilk Substitutes (BMS) CHINA
National Policy, Programme
and Coordination
Baby Friendly Hospital Initiative
Implementation of the International Code
Maternity Protection
Health and Nutrition Care System
Mother Support and Community Outreach
Information Support
Infant Feeding and HIV
Infant Feeding during Emergencies
Monitoring and Evaluation
10
6.5
4
8.5
6
7
8
4.5
9
6
8 9 10
WBT Report 201i 3
—
1. Dadhich JP, Smith J, Iellamo A, Suleiman A. Report on carbon footprints due to milk formula: a study from selected countries of the
Asia-Pacific Region. Delhi: BPNI/IBFAN Asia; 2016.
2. Euromonitor International (2016). Passport-Baby Food in China
3. WBT report of China 2013. http://www.worldbreastfeedingtrends.org/GenerateReports/countrysubmit.php?country=CN
4. WHO, UNICEF, IBFAN. Marketing of breast-milk substitutes: national implementation of the international code: status report 2016
i
IYCF Practices3
GreenFeeding
0 1 2 3 4 6 75
A high bottle feeding rate of 67.2%, a low
rate of early initiation and exclusive
breastfeeding < 6 months and
a median duration of breastfeeding
10 months need immediate attention.
It shows that BMS are introduced early
and they replace breastfeeding during
the infancy and in the second year of life.
coupled
with
of41%
27.6%
• Effective policies and programmes are required to improve breastfeeding practices in hospitals and communities, safe
infant feeding practices in HIV and safe infant feeding practices during emergencies.
• More importantly there is a need for effective implementation of the International Code of Marketing of Breastmilk
Substitutes by:
- Strengthening the Code legislation by including all provisions of the Code and subsequent WHA resolutions in the
national law.
- Establishing Code monitoring mechanisms which are independent and transparent, free from commercial influence
and empowered to impose legal sanctions.
4
67.2%
Median Duration ofBreastfeeding - 10 Months
International Baby Food Action Network (IBFAN), Asia Breastfeeding Promotion Network of India (BPNI) BP-33,Pitampura, Delhi-110034Tel: +91-11-27312705, 42683059Email: [email protected]: www.bpni.org
WHO Collaborating Centre for Child Health
Institution: Capital Institute of Paediatrics
No. 2 Ya Bao Road, Chaoyang District, Beijing 100020,
P. R. China
Tel: +86 10 8563 6169
Fax: +86 10 8562 2025
Written by: Reviewed by:
Designed by:
Dr. J.P. Dadhich Shuyi Zhang, Dr. Arun Gupta
Plan B Communication Partners, Amit Dahiya
Contribution of Dr. Julie Smith, Naomi Hull, Dr. Neelima Thakur and Nupur Bidla in developing
this report card is thankfully acknowledged.
This report card has been produced by the International Baby Food Action
Network (IBFAN)-Asia/ Breastfeeding Promotion Network of India (BPNI)
with the Support of the Swedish International Development Cooperation
Agency (Sida).
Report Card on Carbon Footprints due to Breastmilk Substitutes (BMS)
• Total GHG emissions due to BMS in 2016 was 107,490
tonnes of CO eq. out of which 10,900 tonnes was due to
growing up milks, 47,000 tonnes was due to standard
formula, 47,620 tonnes was due to follow up formula, and
1,970 tonnes was due to special baby milk formula.
2
• Projected total GHG emissions in 2021 due to BMS is
122,810 tonnes of CO eq., maximum contribution to it will
come from the follow-up formula.
2
INDIA
Estimating GHG emissions due to BMS
• In 2016, total sale of BMS in India was 26,900 tonnes, out of
which 2,700 tonnes was growing up milks, 11,800 tonnes
was follow-up formula, 11,900 tonnes was standard infant
formula and 500 tonnes was special baby milk formula.
• Total projected sale of BMS in India in 2021 is 30,700
tonnes out of which 3,200 tonnes is growing up milk,
13,500 tonnes is follow-up formula, 13,300 tonnes is
standard infant formula and 700 tonnes is special baby milk
formula.
• Projections show that there will be about 14% increase in
the sale of BMS between 2016 and 2021.
T O A C H I E V E G L O B A L N U T R I T I O N T A R G E T S 2 0 2 5
GreenFeedingBreastfeeding is a sustainable and natural source of food and nutrition. On the other hand, industrially manufactured
Breastmilk Substitutes are made from dairy and other agricultural products, which generate greenhouse gases (GHG)
including methane and nitrous oxide during production, transport and use. Their use also generates a sizable volume
of waste, which needs disposal. is a call to make feeding decisions that have dual benefits i.e. practicing
breastfeeding which is a natural and sustainable source of food and nutrition for infants and young children (and
contributes to achieving global nutrition targets), as well as avoiding BMS and helping conserve the natural environment.
However, the use of milk formula is increasingly driven by sub-optimal implementation of policies and programmes,
particularly regulation of marketing of commercial baby foods to enhance optimal breastfeeding practices.
This report-card provides estimates of GHG emissions arising from BMS sale in India. This is set alongside
assessment of the implementation of policies and programmes on infant and young child feeding in the country
and some suggested actions to improve the situation.
GreenFeeding
InfantFormula
Follow-onMilk Formula
Special BabyMilk Formula
Total
11.913.3
11.813.5
0.5
3.2
26.9
30.7
‘00
0to
nn
es
36
30
24
18
12
6
0
2016 2021
Growing-upMilk Formula
2.7
0.7
‘00
0to
nn
es
StandardFormula
Follow-onMilk Formula
Special BabyMilk Formula
Total
4752.53
47.6254.54
1.97
12.98
107.49
122.81
150
125
100
75
50
25
0
2016 2021
Growing-upMilk Formula
10.9
2.76
Sales of BMS in 2016 andprojected sales in 2021 (‘000 Tonnes)
2GHG Emissions due to BMS in 2016 and
projected emissions in 2021 (‘000 Tonnes CO eq.)2
1,2
This report card has used the method developed by IBFAN Asia to estimate the GHG emission [kg CO eq. emissions, that is,
the GHG amount that would have the same global warming potential as a kilogram of carbon dioxide gas ( )] per kg of BMS
sold. It took into account the GHG emissions due to constituents of BMS like milk powder, vegetable oils and sugars, as found
from a literature review. Proportions of ingredients in various BMS products were calculated using Codex Alimentarius guidance
on macronutrient composition. Published industry data from Euromonitor International for milk formula sales provided data on
volumes of milk formula sold in the country.
Estimated GHG emissions per kg of BMS ranged from 3.95 kg CO eq. for standard infant formula and special baby milk
formula and 4.04 kg Co eq. for follow-up formula and growing up milks.
2
2
CO2
2
1
Breastfedwithin one hour
of birth
Exclusivebreastfeeding in
babies <6 monthsof age
Bottle feeding
100%
80%
60%
40%
20%
0%
WBT Report 201i 8
Policies and Programmes on IYCF3
To enhance breastfeeding rates and to restrict use of BMS, strengthening of policies and programmes on IYCF is required.
WBT assessment 2018 has revealed many gaps in policies and programmes on IYCF.i
Report Card on Carbon Footprints due to Breastmilk Substitutes (BMS) INDIA
National Policy, Programme
and Coordination
Baby Friendly Hospital Initiative
Implementation of the International Code
Maternity Protection
Health and Nutrition Care System
Mother Support and Community Outreach
Information Support
Infant Feeding and HIV
Infant Feeding during Emergencies
Monitoring and Evaluation
1.5
0
8.5
6
5
6
5
6
7
0
8 9 10
WBT Report 2018i
• There is a need to have a robust national IYCF policy, effective programme to improve breastfeeding practices in
hospitals, enhanced maternity protection, effective policy and programmes on IYCF during emergencies and
effective policies and programmes on HIV and infant feeding.
• More importantly there is a need for effective implementation of the International Code of Marketing of Breastmilk
Substitutes (national legislation the IMS Act) by establishing monitoring mechanisms which are independent and
transparent and free from commercial influence.
4
—
1. Dadhich JP, Smith J, Iellamo A, Suleiman A. Report on carbon footprints due to milk formula: a study from selected countries of the
Asia-Pacific Region. Delhi: BPNI/IBFAN Asia; 2016.
2. Euromonitor International (2016). Passport-Baby Food in India
3. WBT report of India 2018. http://worldbreastfeedingtrends.org/GenerateReports/countrysubmit.php?country=IN
4. http://www.searo.who.int/thailand/news/control-marketing-of-infant-and-young-child-food-act(2017).pdf
i
IYCF Practices
GreenFeeding
0 1 2 3 4 6 75
A high bottle feeding rate of 17.3%, a low
early initiation of breastfeeding and
exclusive breastfeeding rate (< 6
months) of 54.9% need immediate
attention. It shows that BMS are
introduced early and they replace
breastfeeding during the infancy and in
the second year of life.
41.5%
54.9%
17.3%
Median Duration ofBreastfeeding - 29.6 Months
International Baby Food Action Network (IBFAN), Asia Breastfeeding Promotion Network of India (BPNI) BP-33,Pitampura, Delhi-110034Tel: +91-11-27312705, 42683059Email: [email protected]: www.bpni.org
Written by: Reviewed by:
Designed by:
Dr. J.P. Dadhich Dr. Arun Gupta
Plan B Communication Partners, Amit Dahiya
Contribution of Dr. Julie Smith, Naomi Hull, Dr. Neelima Thakur and Nupur Bidla in developing this
report card is thankfully acknowledged.
This report card has been produced by the International Baby Food Action
Network (IBFAN)-Asia/ Breastfeeding Promotion Network of India (BPNI)
with the Support of the Swedish International Development Cooperation
Agency (Sida).
Report Card on Carbon Footprints due to Breastmilk Substitutes (BMS)
• Total GHG emissions due to BMS in 2016 was 1,156,910
tonnes of CO eq. out of which 873,450 tonnes was due to
growing up milks,126,010 tonnes was due to standard
formula, 152,310 tonnes was due to follow up formula,
and 5140 tonnes was due to special baby milk formula.
2
• Projected total GHG emissions in 2021 due to BMS is
1,370,470 tonnes, maximum contribution to it will come
from the growing up milks.
INDONESIA
This report card has used the method developed by IBFAN Asia to estimate the GHG emission [kg CO eq. emissions, that is,
the GHG amount that would have the same global warming potential as a kilogram of carbon dioxide gas ( )] per kg of BMS
sold. It took into account the GHG emissions due to constituents of BMS like milk powder, vegetable oils and sugars, as found
from a literature review. Proportions of ingredients in various BMS products were calculated using Codex Alimentarius guidance
on macronutrient composition. Published industry data from Euromonitor International for milk formula sales provided data on
volumes of milk formula sold in the country.
Estimated GHG emissions per kg of BMS ranged from 3.95 kg eq. for standard infant formula and special baby milk
formula and 4.04 kg eq. for follow-up formula and growing up milks.
2
CO
CO
CO
2
2
2
1
Estimating GHG emissions due to BMS
• In 2016, total sale of BMS in Indonesia was 287,100
tonnes, out of which 216,200 tonnes was growing up
milks, 37,700 tonnes was follow-up formula, 31,900
tonnes was standard infant formula and 1300 tonnes was
special baby milk formula.
• Total projected sale of BMS in Indonesia in 2021 is
340,100 tonnes out of which 256,300 tonnes is growing up
milk, 44,600 tonnes is follow-up formula, 37,400 tonnes is
standard infant formula and 1800 tonnes is special baby
milk formula.
• Projections show that sale of all categories of BMS will
increase substantially by 2021.
T O A C H I E V E G L O B A L N U T R I T I O N T A R G E T S 2 0 2 5
GreenFeeding
InfantFormula
Follow-onMilk Formula
Special BabyMilk Formula
Total
31.9 37.4 37.7 44.6
1.3
256.3
287.2
340.1
‘00
0to
nn
es
360
300
240
180
120
60
0
2016 2021
Growing-upMilk Formula
216.2
1.8
‘00
0to
nn
es
StandardFormula
Follow-onMilk Formula
Special BabyMilk Formula
Total
126.01147.73
152.31180.18
5.14
1035.45
1156.91
1370.471500
1250
1000
750
500
250
0
2016 2021
Growing-upMilk Formula
873.45
7.11
Breastfeeding is a sustainable and natural source of food and nutrition. On the other hand, industrially manufactured
Breastmilk Substitutes are made from dairy and other agricultural products, which generate greenhouse gases (GHG)
including methane and Nitrous Oxide during production, transport and use. Their use also generates a sizable volume
of waste, which needs disposal. is a call to make feeding decisions that have dual benefits i.e. practicing
breastfeeding which is a natural and sustainable source of food and nutrition for infants and young children (and
contributes to achieving global nutrition targets), as well as avoiding BMS and helping conserve the natural environment.
However, the use of milk formula is increasingly driven by sub-optimal implementation of policies and programmes,
particularly regulation of marketing of commercial baby foods to enhance optimal breastfeeding practices.
This report-card provides estimates of GHG emissions arising from BMS sale in Indonesia. This is set alongside
assessment of the implementation of policies and programmes on Infant and young child feeding in the country
and some suggested actions to improve the situation.
GreenFeeding
Sales of BMS in 2016 andprojected sales in 2021 (‘000 Tonnes)
2GHG Emissions due to BMS in 2016 and
projected emissions in 2021 (‘000 Tonnes CO eq.)2
1,2
Breastfedwithin one hour
of birth
Exclusivebreastfeeding in
babies <6 monthsof age
Bottle feeding
100%
80%
60%
40%
20%
0%
WBT Report 2015i
Policies and Programmes on IYCF3
To enhance breastfeeding rates and to restrict use of BMS, strengthening of policies and programmes on IYCF is required.
WBT assessment 2015 has revealed many gaps in policies and programmes on IYCF.i
Report Card on Carbon Footprints due to Breastmilk Substitutes (BMS) INDONESIA
National Policy, Programme
and Coordination
Baby Friendly Hospital Initiative
Implementation of the International Code
Maternity Protection
Health and Nutrition Care System
Mother Support and Community Outreach
Information Support
Infant Feeding and HIV
Infant Feeding during Emergencies
Monitoring and Evaluation
6
2.5
6
4.5
5
5
3
3
7
9.5
8 9 10
WBT Report 2015i
—
1. Dadhich JP, Smith J, Iellamo A, Suleiman A. Report on carbon footprints due to milk formula: a study from selected countries of the
Asia-Pacific Region. Delhi: BPNI/IBFAN Asia; 2016.
2. Euromonitor International (2016). Passport-Baby Food in Indonesia
3. WBT report of Indonesia 2015. http://www.worldbreastfeedingtrends.org/GenerateReports/countrysubmit.php?country=ID
4. WHO, UNICEF, IBFAN. Marketing of breast-milk substitutes: national implementation of the international code: status report 2016
i .
IYCF Practices
GreenFeeding
0 1 2 3 4 6 75
A high bottle feeding rate of 32%,
coupled with a low early initiation of
breastfeeding and exclusive
breastfeeding < 6 months along need
immediate attention. It shows that
BMS are introduced early and they
replace breastfeeding during the infancy
and in the second year of life.
34.3%30.2%
• There is a need to have a robust national IYCF policy, effective programme to improve breastfeeding practices in
hospitals, appropriate IEC policy, enhanced maternity protection, effective policies and programmes on HIV and infant
feeding, better maternity protection and access to IYCF counselling in the community.
• More importantly there is a need for effective implementation of the International Code of Marketing of Breastmilk
Substitutes by:
- Strengthening the national legislation by incorporating all the provisions of the Code in it.
- Establishing International Code monitoring mechanisms which are independent and transparent and free from
Commercial influence.
4
32%
Median Duration ofBreastfeeding - 21.4 Months
International Baby Food Action Network (IBFAN), Asia Breastfeeding Promotion Network of India (BPNI) BP-33,Pitampura, Delhi-110034
Tel: +91-11-27312705, 42683059
Email: [email protected]
Websites: www.bpni.org
Written by: Reviewed by:
Designed by:
Dr. J.P. Dadhich Nia Umar, Dr. Arun Gupta
Plan B Communication Partners, Amit Dahiya
Contribution of Dr. Julie Smith, Naomi Hull, Dr. Neelima Thakur and Nupur Bidla in developing
this report card is thankfully acknowledged.
This report card has been produced by the International Baby Food Action
Network (IBFAN)-Asia/ Breastfeeding Promotion Network of India (BPNI)
with the Support of the Swedish International Development Cooperation
Agency (Sida).
Asosiasi Ibu Menyusui Indonesia
(Indonesian Breastfeeding Mothers' Association)
Teras Sebelas, Jalan Jeruk Purut Nomor 11,
Cilandak, Jakarta 12560
Tel: (+62-021) 7884 7714, 7883 6417
Email: [email protected]
Website: http://www.aimi-asi.org
Report Card on Carbon Footprints due to Breastmilk Substitutes (BMS)
• Total GHG emissions due to BMS in 2016 was 217,280
tonnes of CO eq. out of which 174,500 tonnes was due to
growing up milks,18,170 tonnes was due to standard
formula, 23,430 tonnes was due to follow up formula, and
1,180 tonnes was due to special baby milk formula.
• Projected total GHG emissions in 2021 due to BMS is
272,620 tonnes , maximum contribution to it will
come from the growing up milks.
2
of CO eq.2
MALAYSIA
Estimating GHG emissions due to BMS
• In 2016, total sale of BMS in Malaysia was 53,900 tonnes,
out of which 43,200 tonnes was growing up milks, 5,800
tonnes was follow-up formula, 4,600 tonnes was standard
infant formula and 300 tonnes was special baby milk
formula.
• Total projected sale of BMS in Malaysia in 2021 is 67,600
tonnes out of which 56,300 tonnes is growing up milk,
6,100 tonnes is follow-up formula, 4,900 tonnes is
standard infant formula and 300 tonnes is special baby
milk formula.
• Projections show that sale of all categories of BMS except
the special baby milk formula will increase substantially
by 2021.
T O A C H I E V E G L O B A L N U T R I T I O N T A R G E T S 2 0 2 5
GreenFeedingBreastfeeding is a sustainable and natural source of food and nutrition. On the other hand, industrially manufactured
Breastmilk Substitutes are made from dairy and other agricultural products, which generate greenhouse gases (GHG)
including methane and nitrous oxide during production, transport and use. Their use also generates a sizable volume
of waste, which needs disposal. is a call to make feeding decisions that have dual benefits i.e. practicing
breastfeeding which is a natural and sustainable source of food and nutrition for infants and young children (and
contributes to achieving global nutrition targets), as well as avoiding BMS and helping conserve the natural environment.
However, the use of milk formula is increasingly driven by sub-optimal implementation of policies and programmes,
particularly regulation of marketing of commercial baby foods to enhance optimal breastfeeding practices.
This report-card provides estimates of GHG emissions arising from BMS sale in Malaysia. This is set
alongside assessment of the implementation of policies and programmes on infant and young child feeding in
the country and some suggested actions to improve the situation.
GreenFeeding
InfantFormula
Follow-onMilk Formula
Special BabyMilk Formula
Total
4.6 4.9 5.86.1
0.3
56.353.9
67.6
‘00
0to
nn
es
72
60
48
36
24
12
0
2016 2021
Growing-upMilk Formula
43.2
0.3
‘00
0to
nn
es
StandardFormula
Follow-onMilk Formula
Special BabyMilk Formula
Total
18.1719.35 23.4324.64
1.18
227.45217.28
272.62300
250
200
150
100
50
0
2016 2021
Growing-upMilk Formula
174.5
1.18
Sales of BMS in 2016 andprojected sales in 2021 (‘000 Tonnes)
2GHG Emissions due to BMS in 2016 and
projected emissions in 2021 (‘000 Tonnes CO eq.)2
1,2
This report card has used the method developed by IBFAN Asia to estimate the GHG emission [kg CO eq. emissions, that is,
the GHG amount that would have the same global warming potential as a kilogram of carbon dioxide gas ( )] per kg of BMS
sold. It took into account the GHG emissions due to constituents of BMS like milk powder, vegetable oils and sugars, as found
from a literature review. Proportions of ingredients in various BMS products were calculated using Codex Alimentarius guidance
on macronutrient composition. Published industry data from Euromonitor International for milk formula sales provided data on
volumes of milk formula sold in the country.
Estimated GHG emissions per kg of BMS ranged from 3.95 kg CO eq. for standard infant formula and special baby milk
formula and 4.04 kg Co eq. for follow-up formula and growing up milks.
2
2
CO2
2
1
Breastfedwithin one hour
of birth
Exclusivebreastfeeding in
babies <6 monthsof age
Bottle feeding
100%
80%
60%
40%
20%
0%
WBT Malaysia 2015i
Policies and Programmes on IYCF3
To enhance breastfeeding rates and to restrict use of BMS, strengthening of policies and programmes on IYCF is required.
WBT assessment 2015 has revealed many gaps in policies and programmes on IYCF.i
Report Card on Carbon Footprints due to Breastmilk Substitutes (BMS) MALAYSIA
National Policy, Programme
and Coordination
Baby Friendly Hospital Initiative
Implementation of the International Code
Maternity Protection
Health and Nutrition Care System
Mother Support and Community Outreach
Information Support
Infant Feeding and HIV
Infant Feeding during Emergencies
Monitoring and Evaluation
10
6.5
4
6
7
5
5.5
7.5
4
3
8 9 10
WBT Report 2015i
• There is a need to have an effective programme to improve breastfeeding practices in hospitals, enhanced
maternity protection, appropriate IEC policy, effective policy and programme on infant feeding during emergencies
and adequate counselling support in community.
• More importantly there is a need for effective implementation of the International Code of Marketing of Breastmilk
Substitutes by enacting a national legislation which includes all the provisions of the Code and establishing Code
monitoring mechanisms which are independent, transparent and free from commercial influence.
4
—
1. Dadhich JP, Smith J, Iellamo A, Suleiman A. Report on carbon footprints due to milk formula: a study from selected countries of the
Asia-Pacific Region. Delhi: BPNI/IBFAN Asia; 2016.
2. Euromonitor International (2016). Passport-Baby Food in Malaysia
3. WBT report of Malaysia 2015. http://www.worldbreastfeedingtrends.org/GenerateReports/countrysubmit.php?country=MY
4. WHO, UNICEF, IBFAN. Marketing of breast-milk substitutes: national implementation of the international code: status report 2016
i
IYCF Practices
GreenFeeding
0 1 2 3 4 6 75
A high bottle feeding rate of 56%
coupled with a low exclusive
breastfeeding < 6 months along with a
median duration of breastfeeding at 12
months need immediate attention.
It shows that BMS are introduced early
and they replace breastfeeding during
the infancy and in the second year
Of life.
63.7%
44%
56%
Median Duration ofBreastfeeding - 12 Months
International Baby Food Action Network (IBFAN), Asia Breastfeeding Promotion Network of India (BPNI) BP-33,Pitampura, Delhi-110034Tel: +91-11-27312705, 42683059Email: [email protected]: www.bpni.org
Written by: Reviewed by:
Designed by:
Dr. J.P. Dadhich Siti Norjinah Abdul Moin, Dr. Arun Gupta
Plan B Communication Partners, Amit Dahiya
Contribution of Dr. Julie Smith, Naomi Hull, Dr. Neelima Thakur and Nupur Bidla in developing this
report card is thankfully acknowledged.
This report card has been produced by the International Baby Food Action
Network (IBFAN)-Asia/ Breastfeeding Promotion Network of India (BPNI)
with the Support of the Swedish International Development Cooperation
Agency (Sida).
Report Card on Carbon Footprints due to Breastmilk Substitutes (BMS)
• Total GHG emissions due to BMS in 2016 was 219,560
tonnes of CO eq. out of which 106,650 tonnes was due to
growing up milks,56,880 tonnes was due to infant formula,
50,500 tonnes was due to follow up formula, and 5,530
tonnes was due to special baby milk formula.
2
• Projected total GHG emissions in 2021 due to BMS is
248,820 tonnes of CO eq., maximum contribution to it will
come from the growing up milks.
2
PHILIPPINES
This report card has used the method developed by IBFAN Asia to estimate the GHG emission [kg CO eq. emissions, that is,
the GHG amount that would have the same global warming potential as a kilogram of carbon dioxide gas ( )] per kg of BMS
sold. It took into account the GHG emissions due to constituents of BMS like milk powder, vegetable oils and sugars, as found
from a literature review. Proportions of ingredients in various BMS products were calculated using Codex Alimentarius guidance
on macronutrient composition. Published industry data from Euromonitor International for milk formula sales provided data on
volumes of milk formula sold in the country.
Estimated GHG emissions per kg of BMS ranged from 3.95 kg eq. for standard infant formula and special baby milk
formula and 4.04 kg eq. for follow-up formula and growing up milks.
2
CO
CO
CO
2
2
2
1
Estimating GHG emissions due to BMS
• In 2016, total sale of BMS in Philippines was 54,700
tonnes, out of which 26,400 tonnes was growing up milks,
12,500 tonnes was follow-up formula, 14,400 tonnes was
infant formula and 1400 tonnes was special baby milk
formula.
• Total projected sale of BMS in Philippines in 2021 is
62,000 tonnes out of which 29,000 tonnes is growing up
milk, 14,600 tonnes is follow-up formula, 16800 tonnes is
infant formula and 1600 tonnes is special baby milk
formula.
• Projections show that sale of all categories of BMS will
increase substantially by 2021
T O A C H I E V E G L O B A L N U T R I T I O N T A R G E T S 2 0 2 5
GreenFeeding
InfantFormula
Follow-onMilk Formula
Special BabyMilk Formula
Total
14.416.8
12.514.6
1.4
29
54.7
62
‘00
0to
nn
es
72
60
48
36
24
12
0
2016 2021
Growing-upMilk Formula
26.4
1.6
‘00
0to
nn
es
StandardFormula
Follow-onMilk Formula
Special BabyMilk Formula
Total
56.8866.36
50.558.98
5.53
117.16
219.56
248.82
300
250
200
150
100
50
0
2016 2021
Growing-upMilk Formula
106.65
6.32
Breastfeeding is a sustainable and natural source of food and nutrition. On the other hand, industrially manufactured
Breastmilk Substitutes are made from dairy and other agricultural products, which generate greenhouse gases (GHG)
including methane and nitrous oxide during production, transport and use. Their use also generates a sizable volume
of waste, which needs disposal. is a call to make feeding decisions that have dual benefits i.e. Practicing
breastfeeding which is a natural and sustainable source of food and nutrition for infants and young children (and
contributes to achieving global nutrition targets), as well as avoiding BMS and helping conserve the natural environment.
However, the use of milk formula is increasingly driven by sub-optimal implementation of policies and programmes,
particularly regulation of marketing of commercial baby foods to enhance optimal breastfeeding practices.
This report-card provides estimates of GHG emissions arising from BMS sale in Philippines. This is set
alongside assessment of the implementation of policies and programmes on infant and young child feeding in
the country and some suggested actions to improve the situation.
GreenFeeding
Sales of BMS in 2016 andprojected sales in 2021 (‘000 Tonnes)
2GHG Emissions due to BMS in 2016 and
projected emissions in 2021 (‘000 Tonnes CO eq.)2
1,2
Breastfedwithin one hour
of birth
Exclusivebreastfeeding in
babies <6 monthsof age
Bottle feeding
100%
80%
60%
40%
20%
0%
WBT Report 2015i
Policies and Programmes on IYCF3
To enhance breastfeeding rates and to restrict use of BMS, strengthening of policies and programmes on IYCF is required.
WBTi assessment 2015 has revealed many gaps in policies and programmes on IYCF.
Report Card on Carbon Footprints due to Breastmilk Substitutes (BMS) PHILIPPINES
National Policy, Programme
and Coordination
Baby Friendly Hospital Initiative
Implementation of the International Code
Maternity Protection
Health and Nutrition Care System
Mother Support and Community Outreach
Information Support
Infant Feeding and HIV
Infant Feeding during Emergencies
Monitoring and Evaluation
6
5
8.5
4.5
8.5
7
6
4.5
8
10
8 9 10
WBT Report 2015i
—
1. Dadhich JP, Smith J, Iellamo A, Suleiman A. Report on carbon footprints due to milk formula: a study from selected countries of the
Asia-Pacific Region. Delhi: BPNI/IBFAN Asia; 2016.
2. Euromonitor International (2016). Passport-Baby Food in Philippines
3. WBT report of Philippines 2015. http://worldbreastfeedingtrends.org/GenerateReports/countrysubmit.php?country=PH
4. WHO, UNICEF, IBFAN. Marketing of breast-milk substitutes: national implementation of the international code: status report 2016
i .
IYCF Practices
GreenFeeding
0 1 2 3 4 6 75
A high bottle feeding rate of 48.8%
coupled with a low exclusive
breastfeeding < 6 months along with a
median duration of breastfeeding of 8.2
months need immediate attention. It
shows that BMS are introduced early and
they replace breastfeeding during the
infancy and in the second year of life.
77.1%
28.3%
• There is a need to have a robust national IYCF policy, effective programme to improve breastfeeding practices in
hospitals, enhanced maternity protection and effective policies and programmes on HIV and infant feeding.
• More importantly there is a need for effective implementation of the International Code of Marketing of Breastmilk
Substitutes by:
- Strengthening the Code legislation to bridge the gaps being exploited by the manufacturers to promote baby foods
by prohibiting advertisements and contacts with mothers and banning nutrition and health claims.
- Establishing International Code/national legislation monitoring mechanisms which are independent and transparent
and free from commercial influence.
4
48.8%
Median Duration ofBreastfeeding - 8.2 Months
International Baby Food Action Network (IBFAN), Asia Breastfeeding Promotion Network of India (BPNI) BP-33,Pitampura, Delhi-110034
Tel: +91-11-27312705, 42683059
Email: [email protected]
Websites: www.bpni.org
Written by: Reviewed by:
Designed by:
Dr. J.P. Dadhich Innes Fernandez, Dr. Arun Gupta
Plan B Communication Partners, Amit Dahiya
Contribution of Dr. Julie Smith, Naomi Hull, Dr. Neelima Thakur and Nupur Bidla in developing
this report card is thankfully acknowledged.
This report card has been produced by the International Baby Food Action
Network (IBFAN)-Asia/ Breastfeeding Promotion Network of India (BPNI)
with the Support of the Swedish International Development Cooperation
Agency (Sida).
ARUGAAN
2 Starlight Street corner Vista Street, SSS Village,
Concepcion Dos, Marikina City, Metro Manila,
Philippines
Email: [email protected]
Tel: +63-908-8888153, +63-919-2330200
Report Card on Carbon Footprints due to Breastmilk Substitutes (BMS)
• Total GHG emissions due to BMS in 2016 was 73,191.77
tonnes of CO eq. out of which 20,116.37 tonnes was due
to growing up milks,26677.90 tonnes was due to standard
formula, 25,818.42 tonnes was due to follow up formula,
and 579.07 tonnes was due to special baby milk formula.
2
• Projected total GHG emissions in 2021 due to BMS is
74733.29 tonnes of Co eq., maximum contribution to it will
come from the follow on up milks.
2
This report card has used the method developed by IBFAN Asia to estimate the GHG emission [kg CO eq. emissions, that is, the
GHG amount that would have the same global warming potential as a kilogram of carbon dioxide gas (Co )] per kg of BMS sold.
It took into account the GHG emissions due to constituents of BMS like milk powder, vegetable oils and sugars, as found from a
literature review. Proportions of ingredients in various BMS products were calculated using Codex Alimentarius guidance on
macronutrient composition. Published industry data from Euromonitor International for milk formula sales provided data on
volumes of milk formula sold in the country.
Estimated GHG emissions per kg of BMS ranged from 3.95 kg CO eq. for standard infant formula and special baby milk
formula and 4.04 kg C eq. for follow-up formula and growing up milks.
2
2
2
2O1
Estimating GHG emissions due to BMS
• In 2016, total sale of BMS in South Korea was 18270.5
tonnes, out of which 4979.3 tonnes was growing up milks,
6390.7 tonnes was follow-up formula, 6753.9 tonnes was
infant formula and 146.6 tonnes was special baby milk
formula.
• Total projected sale of BMS in South Korea in 2021 is
18641.9 tonnes out of which 5395.1 tonnes will be growing
up milk, 6802.6 tonnes follow-up formula, 6290.2 tonnes
infant formula and 154 tonnes will be the special baby milk
formula.
• Projections show that sale of all categories of BMS except
infant formula will increase by 2021.
T O A C H I E V E G L O B A L N U T R I T I O N T A R G E T S 2 0 2 5
GreenFeeding
InfantFormula
Follow-onMilk Formula
Special BabyMilk Formula
Total
6753.96290.2 6390.76802.6
146.6
5395.1
18270.518641.9
ton
nes
19200
16000
12800
9600
6400
3100
0
2016 2021
Growing-upMilk Formula
4979.3
154
ton
nes
StandardFormula
Follow-onMilk Formula
Special BabyMilk Formula
Total
26677.9124846.29
25818.4327482.5
579.07
21796.2
73191.7874733.378000
65000
52000
39000
26000
13000
0
2016 2021
Growing-upMilk Formula
20116.37
608.03
Breastfeeding is a sustainable and natural source of food and nutrition. On the other hand, industrially manufactured
Breastmilk Substitutes are made from dairy and other agricultural products, which generate greenhouse gases (GHG)
including methane and nitrous oxide during production, transport and use. Their use also generates a sizable volume
of waste, which needs disposal. is a call to make feeding decisions that have dual benefits i.e. practicing
breastfeeding which is a natural and sustainable source of food and nutrition for infants and young children (and
contributes to achieving global nutrition targets), as well as avoiding BMS and helping conserve the natural environment.
However, the use of milk formula is increasingly driven by sub-optimal implementation of policies and programmes,
particularly regulation of marketing of commercial baby foods to enhance optimal breastfeeding practices.
This report-card provides estimates of GHG emissions arising from BMS sale in Republic of Korea. This is
set alongside assessment of the implementation of policies and programmes on infant and young child feeding
in the country and some suggested actions to improve the situation.
GreenFeeding
Sales of BMS in 2016 andprojected sales in 2021 (Tonnes)
2GHG Emissions due to BMS in 2016 and
projected emissions in 2021 (Tonnes Co eq.)2
1,2
REPUPLIC OF KOREA
Breastfedwithin one hour
of birth
Exclusivebreastfeeding in
babies <6 monthsof age
Bottle feeding
100%
80%
60%
40%
20%
0%
WBT Report 201i 7
Policies and Programmes on IYCF3
To enhance breastfeeding rates and to restrict use of BMS, strengthening of policies and programmes on IYCF is required.
WBTi assessment 2017 has revealed many gaps in policies and programmes on IYCF.
Report Card on Carbon Footprints due to Breastmilk Substitutes (BMS) REPUBLIC OF KOREA
National Policy, Programme
and Coordination
Baby Friendly Hospital Initiative
Implementation of the International Code
Maternity Protection
Health and Nutrition Care System
Mother Support and Community Outreach
Information Support
Infant Feeding and HIV
Infant Feeding during Emergencies
Monitoring and Evaluation
6
3.5
7.5
6.5
7.5
10
5
5
5
0.5
8 9 10
WBT Report 201i 7
—
1. Dadhich JP, Smith J, Iellamo A, Suleiman A. Report on carbon footprints due to milk formula: a study from selected countries of the
Asia-Pacific Region. Delhi: BPNI/IBFAN Asia; 2016.
2. Euromonitor International (2016). Passport-Baby Food in South Korea
3. WBTi report of Republic of Korea, 2017. http://www.worldbreastfeedingtrends.org/GenerateReports/countrysubmit.php?country=KR
4. WHO, UNICEF, IBFAN. Marketing of breast-milk substitutes: national implementation of the international code: status report 2016
IYCF Practices
GreenFeeding
0 1 2 3 4 6 75
A high bottle feeding rate of 49.2%
coupled with a low rate of initiation of
breastfeeding within one months and
exclusive breastfeeding < 6 months along
with a median duration of breastfeeding at
10 months need immediate attention. It
shows that BMS are introduced early and
they replace breastfeeding during the
infancy and in the second year of life.
18.1%
35.9%
• There is a need for a robust national IYCF policy, effective programme to improve breastfeeding practices in hospitals,
enhanced maternity protection, and effective policies and programmes on HIV and infant feeding and during emergencies.
• More importantly there is a need for effective implementation of the International Code of Marketing of Breastmilk
Substitutes by:
- Strengthening the national legislation by including all the provisions of the Code.
- Establishing International Code monitoring mechanisms which are independent and transparent, free from commercial
influence and empwered to investigate the Code violations.
4
49.2%
Median Duration ofBreastfeeding - 10 Months
International Baby Food Action Network (IBFAN), Asia
Breastfeeding Promotion Network of India (BPNI)BP-33,Pitampura, Delhi-110034
Tel: +91-11-27312705, 27312706, 42683059
Email: [email protected], [email protected]
Websites: www.ibfanasia.org, www.bpni.org
Korea Breastfeeding Network (KBN)
402 Banpoplaza, 8,Shinbanpo-ro,
Seocho-gu,
Seoul, Korea
Written by: Reviewed by:
Designed by:
Dr. J.P. Dadhich Kim Jaiok, Dr. Arun Gupta
Plan B Communication Partners, Amit Dahiya
Contribution of Dr. Julie Smith, Naomi Hull, Dr. Neelima Thakur and Nupur Bidla in developing
this report card is thankfully acknowledged.
This report card has been produced by the International Baby Food Action
Network (IBFAN)-Asia/ Breastfeeding Promotion Network of India (BPNI)
with the Support of the Swedish International Development Cooperation
Agency (Sida).
Report Card on Carbon Footprints due to Breastmilk Substitutes (BMS)
• Total GHG emissions due to BMS in 2016 was 18,914.7
tonnes of CO2 eq. out of which 13688.7 tonnes was due to
growing up milks, 1,453.2 tonnes was due to standard
formula, 1,658 tonnes was due to follow up formula, and
2,114.8 tonnes was due to special baby milk formula.
• Projected total GHG emissions in 2021 due to BMS is
17,338.7 tonnes of CO eq., maximum contribution to it will
come from the growing up milks.
2
SINGAPORE
Estimating GHG emissions due to BMS
• In 2016, total sale of BMS in Singapore was 4,702 tonnes,
out of which 3,388.3 tonnes was growing up milks, 410.4
tonnes was follow-up formula, 367.9 tonnes was standard
infant formula and 535.4 tonnes was special baby milk
formula.
• Total projected sale of BMS in Singapore in 2021 is 4,314.6
tonnes out of which 2,925.9 tonnes is growing up milk,
365.3 tonnes is follow-up formula, 306.8 tonnes is standard
infant formula and 716.6 tonnes is special baby milk
formula.
• Projections show that by 2021 sale of all categories of BMS
will decrease by 10%, except special baby milk formula
which will increase substantially.
T O A C H I E V E G L O B A L N U T R I T I O N T A R G E T S 2 0 2 5
GreenFeedingBreastfeeding is a sustainable and natural source of food and nutrition. On the other hand, industrially manufactured
Breastmilk Substitutes are made from dairy and other agricultural products, which generate greenhouse gases (GHG)
including methane and nitrous oxide during production, transport and use. Their use also generates a sizable volume
of waste, which needs disposal. is a call to make feeding decisions that have dual benefits i.e. practicing
breastfeeding which is a natural and sustainable source of food and nutrition for infants and young children (and
contributes to achieving global nutrition targets), as well as avoiding BMS and helping conserve the natural environment.
However, the use of milk formula is increasingly driven by sub-optimal implementation of policies and programmes,
particularly regulation of marketing of commercial baby foods to enhance optimal breastfeeding practices.
This report-card provides estimates of GHG emissions arising from BMS sale in Singapore. This is set
alongside assessment of the implementation of policies and programmes on infant and young child feeding in
the country and some suggested actions to improve the situation.
GreenFeeding
InfantFormula
Follow-onMilk Formula
Special BabyMilk Formula
Total
367.9 306.8410.4 365.3
535.4
2925.9
4702
4314.6
Ton
nes
4800
4000
3200
2400
1600
800
0
2016 2021
Growing-upMilk Formula
3388.3
716.6
Ton
nes
StandardFormula
Follow-onMilk Formula
Special BabyMilk Formula
Total
1453.21211.8 1658 1475.8 2114.8
18914.7
17338.7
19200
16000
12800
9600
6400
3200
0
2016 2021
Growing-upMilk Formula
13688.70
2830.5
Sales of BMS in 2016 andprojected sales in 2021 (Tonnes)
2GHG Emissions due to BMS in 2016 and
projected emissions in 2021 (Tonnes CO eq.)2
1,2
This report card has used the method developed by IBFAN Asia to estimate the GHG emission [kg CO eq. emissions, that is,
the GHG amount that would have the same global warming potential as a kilogram of carbon dioxide gas (CO )] per kg of BMS
sold. It took into account the GHG emissions due to constituents of BMS like milk powder, vegetable oils and sugars, as found
from a literature review. Proportions of ingredients in various BMS products were calculated using Codex Alimentarius guidance
on macronutrient composition. Published industry data from Euromonitor International for milk formula sales provided data on
volumes of milk formula sold in the country.
Estimated GHG emissions per kg of BMS ranged from 3.95 kg CO eq. for standard infant formula and special baby milk
formula and 4.04 kg CO eq. for follow-up formula and growing up milks.
2
2
2
2
1
11820.60
Policies and Programmes on IYCF4
To enhance breastfeeding rates and to restrict use of BMS, strengthening of policies and programmes on IYCF is required.
WBT assessment 2015 has revealed many gaps in policies and programmes on IYCF.i
Report Card on Carbon Footprints due to Breastmilk Substitutes (BMS) SINGAPORE
National Policy, Programme
and Coordination
Baby Friendly Hospital Initiative
Implementation of the International Code
Maternity Protection
Health and Nutrition Care System
Mother Support and Community Outreach
Information Support
Infant Feeding and HIV
Infant Feeding during Emergencies
Monitoring and Evaluation
6
7
2.5
3.5
4
4
3
6
4
0
8 9 10
WBT Report 2015i
• There is a need to have a robust national IYCF policy, enhanced maternity protection, appropriate IEC policy,
effective policies and programmes on infant feeding during emergencies and inclusion of breastfeeding indicators in
the national health and nutrition surveys.
• More importantly there is a need for effective implementation of the International Code of Marketing of Breastmilk
Substitutes by enacting a national legislation which includes all the provisions of the Code and establishing Code
monitoring mechanisms which are independent, transparent and free from commercial influence.
5
—
1. Dadhich JP, Smith J, Iellamo A, Suleiman A. Report on carbon footprints due to milk formula: a study from selected countries of the
Asia-Pacific Region. Delhi: BPNI/IBFAN Asia; 2016.
2. Euromonitor International (2016). Passport-Baby Food in Singapore
3. National Breastfeeding Survey 2011, Available at: https://data.gov.sg/dataset/national-breastfeeding-survey
5. WHO, UNICEF, IBFAN. Marketing of breast-milk substitutes: national implementation of the international code: status report 2016
4. WBT report of Singapore 2015. Http://www.worldbreastfeedingtrends.org/GenerateReports/countrysubmit.php?country=SGi
IYCF Practices3
GreenFeeding
0 1 2 3 4 6 75
Adequate data for breastfeeding practices are not available in Singapore. The national
breastfeeding survey 2011 reported that 95% mothers initiated breastfeeding in hospital but exact
timings were not reported; 50.3% mothers breastfed exclusively at hospital discharge which
droped to 0.8% at 6 months post-delivery. Any breastfeeding rate was 41.6% at 6 months, while
median duration of breastfeeding was 1.8 months
International Baby Food Action Network (IBFAN), Asia Breastfeeding Promotion Network of India (BPNI) BP-33,Pitampura, Delhi-110034Tel: +91-11-27312705, 42683059Email: [email protected]: www.bpni.org
Written by: Reviewed by:
Designed by:
Dr. J.P. Dadhich Cynthia Pang, Chua Mei Chien, Dr. Arun Gupta
Plan B Communication Partners, Amit Dahiya
Contribution of Dr. Julie Smith, Naomi Hull, Dr. Neelima Thakur and Nupur Bidla in developing this
report card is thankfully acknowledged.
This report card has been produced by the International Baby Food Action
Network (IBFAN)-Asia/ Breastfeeding Promotion Network of India (BPNI)
with the Support of the Swedish International Development Cooperation
Agency (Sida).
Association for Breastfeeding
Advocacy (ABAS)
Singapore
Report Card on Carbon Footprints due to Breastmilk Substitutes (BMS)
• Total GHG emissions due to BMS in 2016 was 59,890
tonnes of CO2 eq. out of which 37,170 tonnes was due to
growing up milks,9,290 tonnes was due to follow up
formula, 9,480 tonnes was due to infant formula and 3,950
tonnes was due to special baby milk formula.
• Projected total GHG emissions in 2021 due to BMS will
increase slightly to 61,930 tonnes of CO eq., maximum
contribution to it will come from the growing up milks.
2
TAIWAN, ROC
Estimating GHG emissions due to BMS
• In 2016, total sale of BMS in Taiwan, ROC was 14,900
tonnes, out of which 9,200 tonnes was growing up milks,
2,300 tonnes was follow-up formula and 2,400 tonnes was
infant formula.
• Total projected sale of BMS in Taiwan in 2021 is 15,400
tonnes out of which 9,900 tonnes is growing up milk,
2,200 tonnes is follow-up formula and 2,200 tonnes is
infant formula.
• Projections show sale of infant formula and follow-up
formula will go down slightly while there will be about 8%
increase in the sale of growing up milk by 2021.
T O A C H I E V E G L O B A L N U T R I T I O N T A R G E T S 2 0 2 5
GreenFeeding
InfantFormula
Follow-onMilk Formula
Special BabyMilk Formula
Total
2400 2200 2300 2200
1000
9900
1490015400
Ton
nes
16200
13500
10800
8100
5400
2700
0
2016 2021
Growing-upMilk Formula
9200
1100
Ton
nes
StandardFormula
Follow-onMilk Formula
Special BabyMilk Formula
Total
948086909290
8890
3950
40000
598906193066000
55000
44000
33000
22000
11000
0
2016 2021
Growing-upMilk Formula
31170
4350
Breastfeeding is a sustainable and natural source of food and nutrition. On the other hand, industrially manufactured
Breastmilk Substitutes are made from dairy and other agricultural products, which generate greenhouse gases (GHG)
including methane and nitrous oxide during production, transport and use. Their use also generates a sizable volume
of waste, which needs disposal. is a call to make feeding decisions that have dual benefits i.e. practicing
breastfeeding which is a natural and sustainable source of food and nutrition for infants and young children (and
contributes to achieving global nutrition targets), as well as avoiding BMS and helping conserve the natural environment.
However, the use of milk formula is increasingly driven by sub-optimal implementation of policies and programmes,
particularly regulation of marketing of commercial baby foods to enhance optimal breastfeeding practices.
This report-card provides estimates of GHG emissions arising from BMS sale in Taiwan, ROC. This is set
alongside assessment of the implementation of policies and programmes on infant and young child feeding in
the country and some suggested actions to improve the situation.
GreenFeeding
Sales of BMS in 2016 andprojected sales in 2021 (Tonnes)
2GHG Emissions due to BMS in 2016 and
projected emissions in 2021 (Tonnes CO eq.)2
1,2
This report card has used the method developed by IBFAN Asia to estimate the GHG emission [kg CO eq. emissions, that is,
the GHG amount that would have the sameglobal warming potential as a kilogram of carbon dioxide gas ( ] per kg of BMS
sold. It took into account the GHG emissions due to constituents of BMS like milk powder, vegetable oils and sugars, as found
from a literature review. Proportions of ingredients in various BMS products were calculated using Codex Alimentarius guidance
on macronutrient composition. Published industry data from Euromonitor International for milk formula sales provided data on
volumes of milk formula sold in the country.
Estimated GHG emissions per kg of BMS ranged from 3.95 kg CO eq. for standard infant formula and special baby milk
formula and 4.04 kg Co eq. for follow-up formula and growing up milks.
2
CO )2
2
2
1
Breastfedwithin one hour
of birth
Exclusivebreastfeeding in
babies <6 monthsof age
Bottle feeding
100%
80%
60%
40%
20%
0%
WBT Report 201i 5
Policies and Programmes on IYCF3
To enhance breastfeeding rates and to restrict use of BMS, strengthening of policies and programmes on IYCF is required.
WBT assessment 2016 has revealed many gaps in policies and programmes on IYCF.i
Report Card on Carbon Footprints due to Breastmilk Substitutes (BMS) TAIWAN, ROC
National Policy, Programme
and Coordination
Baby Friendly Hospital Initiative
Implementation of the International Code
Maternity Protection
Health and Nutrition Care System
Mother Support and Community Outreach
Information Support
Infant Feeding and HIV
Infant Feeding during Emergencies
Monitoring and Evaluation
1
4.5
5
7
6
5
3.5
3.5
4
1
8 9 10
WBT Report 2015i
—
1. Dadhich JP, Smith J, Iellamo A, Suleiman A. Report on carbon footprints due to milk formula: a study from selected countries of the
Asia-Pacific Region. Delhi: BPNI/IBFAN Asia; 2016.
2. Euromonitor International (2016). Passport-Baby Food in Taiwan
3. WBT report of Taiwan 2015. http://worldbreastfeedingtrends.org/GenerateReports/countrysubmit.php?country=TW
4. https://www.global-regulation.com/law/taiwan/9330910/act-governing-food-safety-and-sanitation.html
i
International Baby Food Action Network (IBFAN), Asia Breastfeeding Promotion Network of India (BPNI) BP-33,Pitampura, Delhi-110034Tel: +91-11-27312705, 42683059Email: [email protected]: www.bpni.org
The Chinese Women Consumers Association
No. 151, 4F-9, Ming Sheng E Road,
Sec 5, Taipei,
Taiwan
IYCF Practices
GreenFeeding
0 1 2 3 4 6 75
A high bottle feeding rate of 79.0%
coupled with low rates of early initiation
and exclusive breastfeeding < 6 months
and a median duration of breastfeeding
of 5 months need immediate attention.
It shows that BMS are introduced early
and they replace breastfeeding during
the infancy and in the second year of life.
21.1%
45.8%
• There is a need to have a robust national IYCF policy, appropriate information support, improved policy and
programmes on HIV and infant feeding and strengthening of programmes on infant feeding during emergencies.
• More importantly there is a need for effective implementation of the International Code of Marketing of Breastmilk
Substitutes by enacting a national law which includes all the provision of the Code and have a robust mechanism for its
implementation. Although, advertisements of the breastmilk substitutes are now not allowed due to the newly revised
Food Safety and Sanitation Law.4
79%
Median Duration ofBreastfeeding - 5 Months
Written by: Reviewed by:
Designed by:
Dr. J.P. Dadhich Chwang Leh-Chii, Dr. Arun Gupta
Plan B Communication Partners, Amit Dahiya
Contribution of Dr. Julie Smith, Naomi Hull, Dr. Neelima Thakur and Nupur Bidla in developing
this report card is thankfully acknowledged.
This report card has been produced by the International Baby Food Action
Network (IBFAN)-Asia/ Breastfeeding Promotion Network of India (BPNI)
with the Support of the Swedish International Development Cooperation
Agency (Sida).
Report Card on Carbon Footprints due to Breastmilk Substitutes (BMS)
• Total GHG emissions due to BMS in 2016 was 546,610
tonnes of CO eq. out of which 492,880 tonnes was due to
growing up milks, 32,390 tonnes was due to infant
formula, 18,180 tonnes was due to follow up formula, and
3,160 tonnes was due to special baby milk formula.
• Projected total GHG emissions in 2021 due to BMS is
625,720 tonnes of CO eq., maximum contribution to it will
come from the growing up milks.
2
THAILAND
Estimating GHG emissions due to BMS
• In 2016, total sale of BMS in Thailand was 135,500 tonnes,
out of which 122,000 tonnes was growing up milks, 4,500
tonnes was follow-up formula and 8,200 tonnes was infant
formula.
• Total projected sale of BMS in 2021 is 155,100 tonnes out
of which 140,800 tonnes will be growing up milk, 4,700
tonnes follow-up formula and 8,500 tonnes infant formula.
• Projections shows that there will be about 20% increase in
the sales of BMS by 2021, most of which will be
contributed by the growing-up milks.
T O A C H I E V E G L O B A L N U T R I T I O N T A R G E T S 2 0 2 5
GreenFeedingBreastfeeding is a sustainable and natural source of food and nutrition. On the other hand, industrially manufactured
Breastmilk Substitutes are made from dairy and other agricultural products, which generate greenhouse gases (GHG)
including methane and nitrous oxide during production, transport and use. Their use also generates a sizable volume
of waste, which needs disposal. is a call to make feeding decisions that have dual benefits i.e. Practicing
breastfeeding which is a natural and sustainable source of food and nutrition for infants and young children (and
contributes to achieving global nutrition targets), as well as avoiding BMS and helping conserve the natural environment.
However, the use of milk formula is increasingly driven by sub-optimal implementation of policies and programmes,
particularly regulation of marketing of commercial baby foods to enhance optimal breastfeeding practices.
This report-card provides estimates of GHG emissions arising from BMS sale in Thailand. This is set alongside
assessment of the implementation of policies and programmes on infant and young child feeding in the country
and some suggested actions to improve the situation.
GreenFeeding
InfantFormula
Follow-onMilk Formula
Special BabyMilk Formula
Total
8.2 8.54.5 4.7
0.8
140.8135.5
155.1
‘00
0to
nn
es
180
150
120
90
60
30
0
2016 2021
Growing-upMilk Formula
122
1.1
‘00
0to
nn
es
StandardFormula
Follow-onMilk Formula
Special BabyMilk Formula
Total
32.3933.5718.1818.98
3.16
568.83546.61
625.72
720
600
480
360
240
120
0
2016 2021
Growing-upMilk Formula
492.88
4.34
Sales of BMS in 2016 andprojected sales in 2021 (‘000 Tonnes)
2GHG Emissions due to BMS in 2016 and
projected emissions in 2021 (‘000 Tonnes CO eq.)2
1,2
This report card has used the method developed by IBFAN Asia to estimate the GHG emission [kg CO eq. emissions, that is,
the GHG amount that would have the same global warming potential as a kilogram of carbon dioxide gas ( )] per kg of BMS
sold. It took into account the GHG emissions due to constituents of BMS like milk powder, vegetable oils and sugars, as found
from a literature review. Proportions of ingredients in various BMS products were calculated using Codex Alimentarius guidance
on macronutrient composition. Published industry data from Euromonitor International for milk formula sales provided data on
volumes of milk formula sold in the country.
Estimated GHG emissions per kg of BMS ranged from 3.95 kg eq. for standard infant formula and special baby milk
formula and 4.04 kg eq. for follow-up formula and growing up milks.
2
CO
CO
CO
2
2
2
1
Breastfedwithin one hour
of birth
Exclusivebreastfeeding in
babies <6 monthsof age
Bottle feeding
100%
80%
60%
40%
20%
0%
MICS Thailand 2016
Policies and Programmes on IYCF3
To enhance breastfeeding rates and to restrict use of BMS, strengthening of policies and programmes on IYCF is required.
WBT assessment 2015 has revealed many gaps in policies and programmes on IYCF.i
Report Card on Carbon Footprints due to Breastmilk Substitutes (BMS) THAILAND
National Policy, Programme
and Coordination
Baby Friendly Hospital Initiative
Implementation of the International Code
Maternity Protection
Health and Nutrition Care System
Mother Support and Community Outreach
Information Support
Infant Feeding and HIV
Infant Feeding during Emergencies
Monitoring and Evaluation
4
7
4
4.5
4
5
9
10
10
3
8 9 10
WBT Report 2015i
• There is a need to have a robust national IYCF policy, effective programme to improve breastfeeding practices in
hospitals, enhanced maternity protection and effective policies and programmes on infant feeding during
emergencies.
• More importantly there is a need for effective implementation of the International Code of Marketing of Breastmilk
Substitutes by strengthening the Code legislation to bridge the gaps being exploited by the manufacturers to
promote their products such as prohibiting advertisement of follow-on formula and growing-up milks.
4
—
1. Dadhich JP, Smith J, Iellamo A, Suleiman A. Report on carbon footprints due to milk formula: a study from selected countries of the
Asia-Pacific Region. Delhi: BPNI/IBFAN Asia; 2016.
2. Euromonitor International (2016). Passport-Baby Food in Thailand
3. WBT report of Thailand 2015. http://worldbreastfeedingtrends.org/GenerateReports/countrysubmit.php?country=TH
4. Http://www.searo.who.int/thailand/news/control-marketing-of-infant-and-young-child-food-act(2017).pdf
i
IYCF Practices
GreenFeeding
0 1 2 3 4 6 75
A high bottle feeding rate of 79.3%
coupled with a low exclusive
breastfeeding < 6 months along with a
median duration of breastfeeding at 7.9
months need immediate attention.
It shows that BMS are introduced early
and they replace breastfeeding during
the infancy and in the second year
of life.
39.9%
23.1%
79.3%
Median Duration ofBreastfeeding - 7.9 Months
International Baby Food Action Network (IBFAN), Asia Breastfeeding Promotion Network of India (BPNI) BP-33,Pitampura, Delhi-110034Tel: +91-11-27312705, 42683059Email: [email protected]: www.bpni.org
Thai Breastfeeding Centre Foundation
Queen Sirikit National Institute of Child Health
Building, Fl.11,
Rajhavithi road,
Bangkok 10400,
Thailand
Written by: Reviewed by:
Designed by:
Dr. J.P. Dadhich Dr. Yupayong Hangchaovanich, Dr. Arun Gupta
Plan B Communication Partners, Amit Dahiya
Contribution of Dr. Julie Smith, Naomi Hull, Dr. Neelima Thakur and Nupur Bidla in developing this
report card is thankfully acknowledged.
This report card has been produced by the International Baby Food Action
Network (IBFAN)-Asia/ Breastfeeding Promotion Network of India (BPNI)
with the Support of the Swedish International Development Cooperation
Agency (Sida).
Report Card on Carbon Footprints due to Breastmilk Substitutes (BMS)
• Total GHG emissions due to BMS in 2016 was 359,770
tonnes of CO eq. out of which 285,630 tonnes was due to
growing up milks and 47,670 tonnes was due to follow up
formula.
• Projected total GHG emissions in 2021 due to BMS is
426,020 tonnes of , with the maximum contribution to
come from the growing up milks.
2
CO2
VIETNAM
This report card has used the method developed by IBFAN Asia to estimate the GHG emission [kg CO eq. emissions, that is, the
GHG amount that would have the same global warming potential as a kilogram of carbon dioxide gas (CO )] per kg of BMS sold.
It took into account the GHG emissions due to constituents of BMS like milk powder, vegetable oils and sugars, as found from a
literature review. Proportions of ingredients in various BMS products were calculated using Codex Alimentarius guidance on
macronutrient composition. Published industry data from Euromonitor International for milk formula sales provided data on
volumes of milk formula sold in the country.
Estimated GHG emissions per kg of BMS ranged from 3.95 kg CO eq. for standard infant formula and special baby milk
formula and 4.04 kg Co eq. for follow-up formula and growing up milks.
2
2
2
2
1
Estimating GHG emissions due to BMS
• In 2016, total sale of BMS in Vietnam was 89,200 tonnes,
out of which 70,700 tonnes was growing up milks, 11,800
tonnes was follow-up formula and 6,700 tonnes was
standard infant formula.
• Total projected sale of BMS in Vietnam in 2021 is 105,600
tonnes out of which 87,900 tonnes is growing up milk,
11,100 tonnes is follow-up formula and 6,600 tonnes is
standard infant formula.
• Projections show sale of standard infant formula and
follow-up formula will go down while there will be about
25% increase in the sale of growing up milk by 2021.
T O A C H I E V E G L O B A L N U T R I T I O N T A R G E T S 2 0 2 5
GreenFeedingBreastfeeding is a sustainable and natural source of food and nutrition. On the other hand, industrially manufactured
Breastmilk Substitutes are made from dairy and other agricultural products, which generate greenhouse gases (GHG)
including methane and nitrous oxide during production, transport and use. Their use also generates a sizable volume
of waste, which needs disposal. is a call to make feeding decisions that have dual benefits i.e. practicing
breastfeeding which is a natural and sustainable source of food and nutrition for infants and young children (and
contributes to achieving global nutrition targets), as well as avoiding BMS and helping conserve the natural environment.
However, the use of milk formula is increasingly driven by sub-optimal implementation of policies and programmes,
particularly regulation of marketing of commercial baby foods to enhance optimal breastfeeding practices.
This report-card provides estimates of GHG emissions arising from BMS sale in Vietnam. This is set alongside
assessment of the implementation of policies and programmes on infant and young child feeding in the country
and some suggested actions to improve the situation.
GreenFeeding
InfantFormula
Follow-onMilk Formula
Growing-upMilk Formula
Total
6.7 6.611.8 11.1
70.7
87.9 89.2
105.6
‘00
0to
nn
es
120
100
80
60
40
20
0
Sales of BMS in 2016 andprojected sales in 2021 (‘000 Tonnes)
2
2016 2021 2016 2021
StandardFormula
Follow-onMilk Formula
Growing-upMilk Formula
Total
480
400
320
240
160
80
0
‘00
0to
nn
es
GHG Emissions due to BMS in 2016 andprojected emissions in 2021 (‘000 Tonnes CO eq.)2
1,2
426.02
359.77355.11
285.63
47.67 44.8426.47 26.07
International Baby Food Action Network (IBFAN), Asia Breastfeeding Promotion Network of India (BPNI) BP-33,Pitampura, Delhi-110034Tel: +91-11-27312705, 42683059Email: [email protected]: www.bpni.org
Written by: Reviewed by:
Designed by:
Dr. J.P. Dadhich Dr. Quan Le Nga, Dr. Arun Gupta
Plan B Communication Partners, Amit Dahiya
Contribution of Dr. Julie Smith, Naomi Hull, Dr. Neelima Thakur and Nupur Bidla in developing
this report card is thankfully acknowledged.
This report card has been produced by the International Baby Food Action
Network (IBFAN)-Asia/ Breastfeeding Promotion Network of India (BPNI)
with the Support of the Swedish International Development Cooperation
Agency (Sida).
Breastfedwithin one hour
of birth
Exclusivebreastfeeding in
babies <6 monthsof age
Bottle feeding
100%
80%
60%
40%
20%
0%
WBT Report 2015i
75%
19.6%
80.4%
Policies and Programmes on IYCF3
To enhance breastfeeding rates and to restrict use of BMS, strengthening of policies and programmes on IYCF is required.
WBTi assessment 2015 has revealed many gaps in policies and programmes on IYCF.
Report Card on Carbon Footprints due to Breastmilk Substitutes (BMS) VIETNAM
National Policy, Programme
and Coordination
Baby Friendly Hospital Initiative
Implementation of the International Code
Maternity Protection
Health and Nutrition Care System
Mother Support and Community Outreach
Information Support
Infant Feeding and HIV
Infant Feeding during Emergencies
Monitoring and Evaluation
5
4
9
7
8.5
9
8.5
7.5
9
5.5
8 9 10
WBT Report 2015i
• There is a need to have a robust national IYCF policy, effective programme to improve breastfeeding practices in
hospitals, safe infant feeding practices during emergencies, better maternity protection provisions and effective
implementation of programmes on HIV and infant feeding.
• More importantly there is a need for effective implementation of the International Code of Marketing of Breastmilk
Substitutes bystrengthening the Code legislation to bridge the gaps being exploited by the manufacturers to promote
their baby food and milk formula products; and establishing International Code monitoring mechanisms which are
independent and transparent, free from commercial influence and empowered to impose legal sanctions.
4
—
1. Dadhich JP, Smith J, Iellamo A, Suleiman A. Report on carbon footprints due to milk formula: a study from selected countries of the
Asia-Pacific Region. Delhi: BPNI/IBFAN Asia; 2016.
2. Euromonitor International (2016). Passport-Baby Food in Vietnam
3. WBT report of Vietnam 2015. http://www.worldbreastfeedingtrends.org/GenerateReports/countrysubmit.php?country=VN
4. WHO, UNICEF, IBFAN. Marketing of breast-milk substitutes: national implementation of the international code: status report 2016
i
LIGHT
1 Bldg no.38, Dich Vong Hau Str.,
Cau Giay Dist., Ha Noi, Vietnam
Email: [email protected]
Phone: (+84) 236 3 88 95 95
Hotline: (+84) 98 115 5959
IYCF Practices
GreenFeeding
0 1 2 3 4 6 75
A high bottle feeding rate of 80.4%, a low
rate of exclusive breastfeeding < 6
months and a median
duration of breastfeeding of 13 months
need immediate attention.
It shows that BMS are introduced early
and they replace breastfeeding during
the infancy and in the second year of life.
coupled with
Median Duration ofBreastfeeding - 13 Months