Campaign to breast-feed aims to save a million lives
Abdoulaye Massalatchi
NIAMEY: Hadiza Moussa never breast-fed her daughter and has not
forgiven herself for the death of her new-born baby from pneumonia two
years ago.
Like many mothers in Niger, an impoverished nation on the southern
edge of the Sahara with the world’s highest birth rate, she thought at
the time it was for the best.
“I thought it would be better to get her used to artificial milk
given that I would have to start work again after three months,” Moussa
said on Tuesday at the end of World Breast-feeding Week, a global
campaign to educate mothers.
“Even today the image of this child still haunts me. In truth, she
died because the illness attacked an organism that was already very
weak. Despite intensive care, she didn’t make it, and I still blame
myself,” said Moussa, a civil servant.
Breast-feeding babies in the first hour of life allows the mother’s
bacteria to colonise the infant’s gut and skin, providing antibodies and
other protective proteins which serve as its first immunisation and
protect against infections.
Experts recommend women stick exclusively to breast-feeding for six
months after birth and continue to breast-feed alongside solid foods for
two years or more.
“If babies breast-fed within the first hour, 1 million lives might be
saved,” the campaign, backed by the World Health Organization (WHO) and
U.N. Children’s Fund UNICEF, said on its Web site
www.worldbreastfeedingweek.org.
A recent study in 37 countries showed 41 percent of mothers fed their
infants exclusively on breast milk in the first six months of their
lives, according to UNICEF. In the United States, that has risen to its
highest level on record, officials said last week.
But UNICEF said some studies showed the lives of an additional 1.3
million children globally would be saved if the rate were increased to
90 percent, and found that neonatal mortality fell by a fifth when
babies were breast-fed within an hour of birth.
Cultural Revolution
Breast-feeding increases infants’ chances of fighting off common
conditions such as ear and respiratory tract infections or diarrhoea,
illnesses easily treated in much of the Western world but which can
prove fatal in a country like Niger.
Outside the capital Niamey, many live in mud hut villages in some of
the most inhospitable terrain on earth, plagued by drought-like
conditions for much of the year and flash-flooding during the rainy
season which brings diseases like cholera.
Only 16 per cent of births are attended by skilled health workers and
with just three physicians for every 100,000 people — compared to 256 in
the United States and 106 in China — average life expectancy is just 45
years.
Eight in 10 adults are illiterate. With only half of children
attending school, traditional beliefs passed on from village elders as
well as aggressive marketing campaigns by Western milk formula producers
often go unchallenged.
In some regions, members of the largest Hausa ethnic group refuse to
breast-feed the first-born child because they believe the mother’s milk
would poison the infant. In other areas, babies are given herbal tea and
cows’ milk despite the increased risk of potentially fatal diarrhoea.
Even in some parts of the West, women are reluctant to breast-feed
because they fear it will spoil their figure.
In 2004 the rate of exclusive breast-feeding by U.S. mothers through
the first three months after birth was 31 percent, well shy of the
government’s target of 60 percent, according to the Centers for Disease
Control and Prevention.
China launched a campaign to persuade more women to breast-feed last
week, worried that its babies’ development was lagging wealthier
countries because parents did not know when to start introducing solid
foods or balance nutritional needs.
Moussa shyly acknowledged that unlike many women in Niger, she had
been given information about how to feed her new-born baby. But it was
another cultural phenomenon — the practice of men taking several wives —
that put her off.
“I did it because I wanted to keep my breasts firm for my husband,
who as a travelling businessman is exposed to the temptation of
polygamy,” she said. “I admit the tragedy I went through was not because
I sinned out of ignorance but because of a lack of prudence.”
Reuters
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