Title
Nat'l Code on Breastmilk Substitutes Marketing
Law
Executive Order No. 51
Decision Date
Oct 20, 1986
The National Code of Marketing of Breastmilk Substitutes aims to protect and promote breastfeeding by regulating the marketing and distribution of breastmilk substitutes and providing accurate information and support for breastfeeding.

Law Summary

Aim of the Code

  • To ensure safe and adequate nutrition for infants.
  • To protect and promote breastfeeding.
  • To ensure proper use of breastmilk substitutes and supplements when necessary.
  • To provide adequate, consistent, and objective information.
  • To regulate marketing and distribution appropriately.

Scope of the Code

  • Applies to marketing and related practices of:
    • Breastmilk substitutes, including infant formula.
    • Other milk products, foods, beverages marketed as partial or total breastmilk replacement.
    • Feeding bottles and teats.
  • Covers product quality, availability, and informational use.

Key Definitions

  • "Breastmilk Substitute": Any marketed food as partial or total breastmilk replacement.
  • "Complementary Food": Food complementing breastmilk or formula when insufficient.
  • "Container": Packaging of a product for retail sale.
  • "Distributor": Entities marketing products wholesale or retail.
  • "Infant": Person 0-12 months old.
  • "Health Care System": Institutions/organizations involved in maternal and infant health.
  • "Health Worker": Personnel (professional or not) working in health care system.
  • "Infant Formula": Industrially formulated breastmilk substitute per Codex Alimentarius.
  • "Label": Any descriptive matter on product container.
  • "Manufacturer": Entity engaged in producing relevant products.
  • "Marketing": Promotion, selling, advertising, distribution, and information services.
  • "Marketing Personnel": Persons involved in marketing these products.
  • "Sample": Small quantities provided free.
  • "Supplies": Products provided free or low cost for social purposes.

Information and Education Responsibilities

  • Government must ensure objective, consistent infant feeding information.
  • Educational materials must include:
    • Benefits and superiority of breastfeeding.
    • Nutritional material, breastfeeding preparation and maintenance.
    • Negative effects of partial bottle feeding on breastfeeding.
    • Difficulty reversing decision not to breastfeed.
    • Proper use of infant formula if necessary, including social and financial implications.
  • Materials must avoid idealizing breastmilk substitute use.

Regulations on Marketing to the General Public and Mothers

  • Advertising and promotional materials must have inter-agency committee approval.
  • No direct or indirect giving of samples, supplies, or gifts to the public or health personnel unless specified.
  • No point-of-sale advertising or promotions that induce consumer sales.
  • Pricing policies that provide lower prices over long term not restricted.
  • No distribution of promotional gifts or utensils to pregnant women or mothers.
  • Marketing personnel prohibited from advertising directly or indirectly to pregnant women or mothers, except as provided.
  • Donations allowed only upon Ministry of Health request or approval.

Health Care System Obligations

  • Ministry of Health to promote breastfeeding and provide information and training.
  • Health facilities not to be used for promotion or display of covered products.
  • No manufacturer-paid representatives allowed in health care facilities.
  • Health education to emphasize hazards of improper use of substitutes.
  • Infant formula feeding demonstrations only for those unable to breastfeed properly.

Obligations and Restrictions on Health Workers

  • Must promote breastfeeding and be familiar with nutrition and Code responsibilities.
  • Manufacturer-provided information to professionals must be scientific and factual.
  • No inducements to health workers or families by manufacturers or distributors.
  • Samples to health workers only for research or evaluation under Ministry rules.
  • Health workers shall not give infant formula samples to mothers or families.
  • Manufacturers may assist with research and education under Ministry regulation.

Restrictions for Marketing Personnel

  • Not allowed to perform educational functions directed to pregnant women or mothers as part of job.

Container and Labeling Requirements

  • Containers must provide necessary usage information without discouraging breastfeeding.
  • Clear, conspicuous messages required including:
    • "Important Notice"
    • Statement of breastfeeding superiority
    • Use only on health worker advice
    • Preparation instructions and health hazard warnings
  • No pictures or text idealizing formula use.
  • No terms like "humanized" or "materialized" allowed.
  • Warning on labels for modified food products regarding sole infant nourishment.
  • Labels must comply with Bureau of Food and Drugs regulations.

Quality Standards

  • High recognized standard quality required to protect infant health.
  • Products must comply with Codex Alimentarius and hygienic practice codes.
  • Retail outlets prohibited from opening containers to sell by smaller units to prevent contamination.

Implementation and Monitoring

  • Creation of inter-agency committee with Health, Trade, Justice, and Social Services ministers.
  • Committee powers: review, approve/disapprove, regulate marketing materials.
  • Ministry of Health responsible for overall implementation and enforcement.
  • Ministry empowered to promulgate implementing rules, call assistance, prosecute violations, and exercise necessary functions.

Sanctions and Penalties

  • Violations punishable by 2 months to 1-year imprisonment or fines from PHP 1,000 to 30,000 or both.
  • Responsible officers in corporations or entities also liable.
  • Licenses, permits or authorities of violators may be suspended or revoked on repeated violations upon Ministry recommendation.

Repealing and Separability Clauses

  • Conflicting laws and issuances repealed or modified accordingly.
  • Invalidity of any provision does not affect the remainder of the Code.

Effectivity

  • The Code takes effect 30 days after publication in the Official Gazette.

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