Exclusive Breastfeeding for Optimal Growth, Development and Health of Infants

Breastfeeding has many health benefits for both the mother and infant, also been associated with higher intelligence quotient (IQ) in children. Exclusive breastfeeding means that the infant receives only breast milk. Infants should be exclusively breastfed for the first six months of life to achieve optimal growth, development and health.


To enable mothers to establish and sustain exclusive breastfeeding for 6 months, WHO and UNICEF recommend:
1.      Initiation of breastfeeding within the first hour of life.
2.      Exclusive breastfeeding–that is the infant only receives breast milk without any additional food or drink, not even water.

The foundation for the BFHI (Baby-friendly Hospital Initiative) are the Ten Steps to Successful Breastfeeding described in Protecting, Promoting and Supporting Breastfeeding: a Joint WHO/UNICEF Statement. While improved maternity services help to increase the initiation of exclusive breastfeeding, support throughout the health system is required to help mothers sustain exclusive breastfeeding.


WHO and UNICEF developed the 40-hour Breastfeeding Counselling: A training course to train a cadre of health workers that can provide skilled support to breastfeeding mothers and help them overcome problems, both institutions have also developed a 5-day course on Infant and Young Child Feeding Counselling, to train health workers so they become competent and able to promote appropriate breastfeeding, complementary feeding and feeding of infants in the context of HIV.

Evaluation of breastfeeding counselling delivered by trained health professionals as well as community workers has shown that this is an effective intervention to improve exclusive breastfeeding rates. The Global Strategy for Infant and Young Child Feeding describes the essential interventions to promote, protect and support exclusive breastfeeding.
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