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Breastfeeding: A Smart Investment for Reaching the Sustainable Development Goals

Leslie Elder's picture
Photo © Dominic Chavez/World Bank



This year’s World Breastfeeding Week calls attention to the powerful link between investing in breastfeeding and the achievement of the Sustainable Development Goals.

The most obvious benefit of breastfeeding is that it provides optimal nutrition for newborns and infants, regardless of whether they live in high- or low-income countries. It acts as a baby’s first vaccine and when done exclusively for the first six months of an infant’s life, as recommended by the World Health Organization, it can significantly improve the health, development and survival of children. Increasing breastfeeding worldwide would prevent over 820,000 child deaths each year.

Breastfeeding also protects the health of women by reducing the risk of breast and ovarian cancer, diabetes, and heart disease. Increased breastfeeding rates could prevent 20,000 maternal deaths each year from breast cancer alone.
 
Fighting hunger while improving nutrition, health and wellbeing through breastfeeding brings us closer to achieving Sustainable Development Goals 2 and 3. But what about the others?
 
Breastfeeding also contributes to gains in education and economic development, reductions in poverty, and sustainable development (Sustainable Development Goals 1, 4, 8, and 10). Optimal breastfeeding is a crucial component of the World Bank Group’s recent push to invest in the early years of every child’s life to support the development of “gray matter infrastructure” and contribute to the cognitive and socioemotional skills that are crucial to prepare children for the jobs of tomorrow.  There is as much as a 3 to 4 point IQ increase among children and adolescents who are breastfed, which leads to better performance in school and greater productivity in the workplace.

Despite the benefits, less than 40 percent of infants under six months of age are exclusively breastfed across the globe. Breastfeeding is a 24/7 job, and women encounter significant obstacles to success--from insufficient lactation counseling to a lack of time and privacy. Families, workplaces and society routinely fail to provide needed support, such as assistance with household chores or child care, providing paid maternity leave or creating lactation rooms in workplaces. Protection is needed through tighter legislation on marketing of breastmilk substitutions and pro-breastfeeding policies like maternity leave and creating lactation rooms; promotion is important through local champions and health providers; support is needed at all levels from households, workplace, and society at-large.

Support for breastfeeding is one of the smartest investments a country can make. The Global Financing Facility (GFF), a multi-stakeholder partnership to improve the health of women, children, and adolescents, is systematically moving countries toward the achievement of the 2025 World Health global target of raising the rate of exclusive breastfeeding in the first six months to at least 50 percent.  The GFF is an essential financing vehicle to accelerate and align support for country-led plans to scale up crucial health, nutrition and population services for all infants, women, and children.
 
For example, in Cameroon, where malnutrition rates have remained high—with very little change—for over 20 years, the GFF’s Investment Case promotes optimal infant and young child feeding practices, including exclusive breastfeeding for the first six months of life. A development impact bond supports the scale-up of Kangaroo Mother Care, which promotes continuous, skin-to-skin contact between caregivers and low birth weight infants and breastfeeding, to reduce neonatal mortality and improve infant growth and development.
 
Other GFF countries have recognized the critical importance of breastfeeding to national development and set targets for increasing rates. Tanzania’s Investment Case (One Plan II) calls for a significant hike in the initiation of breastfeeding within one hour after a mother gives birth: from 49 percent to 80 percent.  A seemingly small intervention, but one that can prevent a significant number of neonatal deaths in developing countries.

Breastfeeding rates can be dramatically improved within a short time frame, but not without collective action. By taking action now, we can not only improve the health and survival of women and infants: we can come closer to realizing the aims of the Sustainable Development Goals.
 

Comments

Submitted by Nancy Pendarvis Harris on

One small comment on this otherwise wonderful post. Optimal breast feeding does include early initiation and exclusive breastfeeding for the first six months, but it also should include continuation of breast feeding thereafter combined with initiation of appropriate weaning foods at six month. This point could have been clearer.

Many thanks for your comment Nancy. Your point is well taken and I fully agree. Continued breastfeeding plus appropriate complementary feeding from 6 months is critical to the healthy growth and development of children and families need to be enabled to do this.  

Submitted by Carmel on

Thanks for this informative post. While reading, this sentence "Protection is needed through tighter legislation on marketing of breastmilk substitutions" a question popped up - are there enough food substitutes for the mother to consume while she is breastfeeding? The producers of breastmilk substitutes can be directed to produce such readily consumable products that the mother can take. This is especially important for mothers who don't have a good support system to take care of the mother's diet. This will benefit the mother and through her the child.

Submitted by Penelope K Casasola on

Very informative and helpful in promoting, protecting and supporting exclusive breastfeeding.

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