International Code Monitoring Form

 

What is the International Code?

Understanding the International Code

Code Resolutions

Provisions

Innocenti Declaration

 

Breastfeeding logoCODE Monitoring Form

 

Let INFACT Canada know who’s playing by the rules and who's not.

Give us as much detailed information as you can - dates, places, company or brand names. If possible, send photos or actual examples of anything you think may be a Code violation (labels, pamphlets, ads, posters, note pads).

ARE MAGAZINES STILL ADVERTISING BREASTMILK SUBSTITUTES, BOTTLES OR NIPPLES?

YesNo

Example:

 

ARE MOTHERS RECEIVING PROMOTIONAL PAMPHLETS OR BOOKLETS FROM HOSPITALS, STORES OR BY DIRECT MAIL?

YesNo

Brand:

Received from:

 

DO PRODUCT LABELS SHOW PICTURES OF BABIES?

YesNo

Brand/Company:

Where seen:

 

DOES LABEL HAVE HAZARD WARNINGS AND CLEAR INSTRUCTIONS?

YesNo

 

ARE MOTHERS STILL GETTING FREE FORMULA SAMPLES?

YesNo

Brand/Company:

Where given:

How given:

 

DO HOSPITAL PRACTICES DISCOURAGE BREASTFEEDING?

  • Strict schedules

  • Unnecessary separation of mother and baby

  • Routine use of water or formula supplements

  • Staff use of brand-name gifts such as pads, calendars, pens, posters

     

    • Anything else?

    Name/address of hospital/clinic:

    IS BREASTFEEDING ACTIVELY SUPPORTED IN YOUR REGION?

  • Posters

  • Booklets

  • Films

  • Public and workplace facilities for breastfeeding mothers

    • Anything else?

     

    We need your Name and Email address: Keep confidential?YesNo

     

    Your Name:

    Your Email:

    Voice Numbers:
     

    Other comments:
     

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