Real‐time evaluation can inform global and regional efforts to improve breastfeeding policies and programmes

December 9, 2019

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This article identifies three main drivers that large initiatives should adopt to enhance their effectiveness in advocacy for policy change in breastfeeding. (a) the use of an explicit advocacy approach, such as calling on governments to enact specific policies, and developing tools like Global Breastfeeding Scorecards; (b) the creation of a strategic group of actors, such as the Global Breastfeeding Collective; and (c) the realization of 15 critical tasks related to implementation of the International Code of Marketing of Breast‐milk Substitutes (the Code). This is a real-time assessment, which describes a state‐of‐the art method to evaluate drivers of policy change and measure the extent to which policy objectives are achieved. These drivers have been identified to initiate policy on the country level, but are also relevant on a larger scale globally and to encourage donor investment in breastfeeding programs.