The high cost of half-hearted breastfeeding promotion in Germany

International Breastfeeding Journal

Veronika Scherbaum³  Elizabeth Hormann¹  Elien Rouw² 

[1] European Institute for Breastfeeding and Lactation (ret.), Neusser Str. 866, Cologne, 50737, Germany;Im Wasserbett 7, Bühl, 77815, Germany;Institute for Social Science in Agriculture, Gender and Nutrition, University of Hohenheim, 430b, Schloß, Museumsflügel, Stuttgart, 70593, Germany

关键词: Economic value;    Breast milk;    Education;    Support;    Prevention;    Breastfeeding;   

Others  :  1177414
DOI  :  10.1186/s13006-014-0022-5

 received in 2014-04-30, accepted in 2014-11-17,  发布年份 2015

【 摘 要 】

The economic value of breastfeeding to the society at large is under researched and its importance as a preventive public health strategy is underestimated. What little research there is indicates that considerable savings would accrue from following the WHO/UNICEF advice to breastfeed exclusively for six months and continue breastfeeding along with complementary foods for two years or more. Despite relatively high breastfeeding initiation in Germany, neither exclusive breastfeeding nor breastfeeding duration come close to international recommendations. Breastfeeding is mostly regarded as a woman’s personal choice and the government has been slow to engage in breastfeeding promotion, support and research. Some structures in Germany do offer support for breastfeeding women – including the growing number of Baby Friendly Hospital Initiative (BFHI) certified hospitals and a comprehensive maternity leave policy. However, the costs of breastfeeding are mostly borne by the mothers and those for breastfeeding training mostly by the individual health care workers or hospital, while the health insurance companies and society-at-large are profiting from the financial savings from exclusive and long-term breastfeeding. Factors which might improve breastfeeding rates and duration in this country include broad expansion of and financial support for both BFHI hospitals as well as training for the health care personnel who support the mother-infant dyad during the breastfeeding period.

【 授权许可】

   
2015 Rouw et al.; licensee BioMed Central.

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