While abundant evidence supports the benefits of early, exclusive and extended breastfeeding, these practices have not become the global social norm. Optimal breastfeeding is more prevalent in low-income than in high-income societies; however, levels in impoverished settings still represent a significant missed opportunity in public health. Meanwhile, policymakers in low-income countries increasingly face trade-related pressures that seek to give the advantage to commercial providers of nutrition, including infant formula.
In this month's Editorial, PLOS Medicine Special Consulting Editor Lars Åke Persson of the London School of Hygiene and Tropical Medicine describes the mismatch between the availability of efficacious breastfeeding promotion interventions, and national priorities that focus elsewhere. He provides public health, fiscal and sustainability rationale for moving quickly into implementation research and scale-up.
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Essay
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