Alive & Thrive Burkina Faso NetCode Monitoring: Mothers survey

In 1981, WHO adopted the International Code of Marketing of Breastmilk Substitutes, known as the "Code”. In 1993, Burkina Faso adopted a decree that regulate the marketing of breastmilk substitutes (BMS). Updates were made to the Code at the World Health Assembly (WHA) in 2016. As a result, Burkina Faso revised its 1993 decree, and adopted a new revised decree during the Council of Ministers on March 17, 2021. Conducting investigations of violations is part of the monitoring mechanism for the implementation of the Code. The general objective of this study was to establish the status of the Code violations among mothers and in health facilities in Burkina Faso. The specific objectives were to assess (1) the prevalence of exposure of mothers with infants aged 0-23 months to the marketing of relevant products through the primary channels that are health facilities, media, and direct contact with companies; (2) the prevalence of interactions between health professionals and representatives of companies selling products covered by the Code; and (3) the quantity and content of promotional materials found in public and private health facilities. // The NetCode protocol for periodic assessments to monitor the marketing of breastmilk substitutes was used to assess the Code violations in health facilities. This was a descriptive cross-sectional study that was conducted in Ouagadougou in public and private health facilities: 32 health facilities (one was sampled twice) that offer healthy infant health monitoring services (vaccination, nutrition counseling, weight measurement, etc.) and the 10 largest maternity facilities. The Probability proportional to size (PPS) sampling was used for the 33 health facilities selection. The number of deliveries per year was used as the selection criterion for the 10 maternity facilities. // Two types of study populations were included: mothers of children aged 0-23 months and health care professionals. Within each facility offering healthy infant services, 5 mothers of children aged 0-5 months, 5 mothers of children aged 6-23 months, and 3 health professionals were included. For maternity facilities that offer only obstetrical services, 3 health professionals were included. Observations were done at these same facilities, and any materials bearing logos or names of manufacturers or brands of relevant products were recorded. Each item was photographed, or where possible, a specimen was requested and taken for further analysis. // This dataset pertains to the survey of mothers of children aged 0-23 months.

1981年，世界卫生组织（WHO）通过了《母乳代用品销售国际守则》（以下简称“本守则”）。1993年，布基纳法索颁布了监管母乳代用品（BMS）销售的法令。2016年，世界卫生大会（WHA）对本守则进行了修订。据此，布基纳法索对其1993年颁布的法令进行了修订，并于2021年3月17日在内阁会议上通过了新的修订版法令。对违规行为开展调查是本守则实施监测机制的组成部分。本研究的总体目标是厘清布基纳法索境内母亲群体及医疗卫生机构内母乳代用品销售违规行为的现状。具体目标包括：（1）评估0-23月龄婴儿的母亲通过医疗卫生机构、媒体、与企业直接接触这三类主要渠道接触相关母乳代用品营销活动的暴露比例；（2）评估医疗卫生专业人员与本守则覆盖产品销售企业代表之间互动的普遍程度；（3）统计公立与私立医疗卫生机构内发现的宣传材料的数量与内容。
本研究采用母乳代用品销售定期监测的NetCode协议，对医疗卫生机构内的守则违规情况进行评估。本研究为描述性横断面研究，在布基纳法索首都瓦加杜古（Ouagadougou）的公立及私立医疗卫生机构中开展：包含32家提供健康婴儿监护服务（疫苗接种、营养咨询、体重测量等）的医疗卫生机构（其中1家被重复抽样），以及10家规模最大的产科专科医院。本次33家医疗卫生机构的抽样采用按规模比例抽样（PPS）方法，而10家产科专科医院的遴选标准为年分娩量。
本研究纳入两类研究人群：0-23月龄儿童的母亲，以及医疗卫生专业人员。在提供健康婴儿监护服务的机构中，每家机构分别纳入5名0-5月龄儿童的母亲、5名6-23月龄儿童的母亲，以及3名医疗卫生专业人员；对于仅提供产科服务的产科专科医院，每家机构纳入3名医疗卫生专业人员。研究人员在上述机构中开展现场观察，记录所有带有相关产品制造商标识、品牌名称或厂商名称的宣传材料。对每一件宣传材料均进行拍照，若条件允许则采集实物样本以开展进一步分析。
本数据集对应0-23月龄儿童母亲的调查内容。