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Hospitals & Clinics

The International Code,
HIV and breastfeeding

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Hospitals & Clinics

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WINNING FRIENDS

A doctor or nurse can influence the infant feeding decisions of thousands of mothers over the course of her/his practice. It is efficient for companies to win the friendship of health workers and use them as allies in promotion. By re-distributing leaflets, booklets, gifts and product samples to mothers, health workers endorse a company's products and help it to get long-term consumers.

Nestlé - with you every day.

 

Abbott-Ross prescription pad.

 

Wyeth bedsheets donated to a hospital in Taiwan.

 

 

 

 

 

While companies may not explicitly ask health workers to promote their products, the sense of goodwill generated by gifts and tokens provided by the companies can often persuade health workers to subconsciously favour one company's products over those of another. Many of the gifts offered to health workers are displayed on desks, etc and thus become direct promotion to mothers visiting the hospital or clinic.

Financial and other forms of material support are often given to individuals and professional associations. Although sponsorship is allowed under the Code, the line between genuine assistance and inducement is not easily discernible and conflicts of interest do occur. A 1996 WHA Resolution warns about such conflicts, which may interfere with professional support for breastfeeding.

According to the findings of the 2000 monitoring, financial support now goes more frequently to meetings and professional associations rather than to individuals. Wyeth provided fellowships and awards to nurses for attending a congress in Mexico, it sponsored a perinatal society meeting in the UAE and funded lunch boxes for a meeting in Taiwan. Abbott-Ross provided file covers for a symposium. Gerber sponsored educational sessions while Mead Johnson supported the message centre and district breakfast meetings at the 2000 annual conference of the American Academy of Pediatrics. Mead Johnson also provided two awards of US$ 10,000 each for research in paediatrics plus expenses to the conference. Heinz Plasmon sponsored meetings, conferences and training sessions in Italy. Nestlé sponsored several seminars in Cambodia.

Doctors in private clinics get lots of samples; they get passed on to mothers.

Sometimes there's an invoice but no payment required.

Company reps are in and out of doctors' offices several times a week. During their short visits they share scientific findings but as a punch line, they always recommend a particular brand and leave booklets, gifts or product samples which get passed on to mothers. Mead Johnson, Nutricia, Hipp, Milupa, Abbott-Ross, Wyeth, Danone, Morinaga, Meiji and Dumex are all guilty of this practice.

 

 

 

Hospitals & Clinics
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The International Code, HIV and brestfeeding
Page 1