FOX News : Health

23 August, 2011

Review Workshop of the Implementation and Enforcement of Sub-decree No. 133

By Chea Sophal
23 August 2011

Phnom Penh, Ministry of Health (MoH) in collaboration World Health Organization organized one day workshop to review the implementation and enforcement of the sub-decree No. 133 on Marketing of Product for Infant and Young  Child Feeding  on 23 August 2011 at Phnom Penh Hotel.  The workshop aims at:
   -  reviewing the implementation and enforcement of the Sub-Decree and Joint Prakas of all four line ministries-MoH, Ministry of Industry Mines and Energy (MIME), Ministry of Information (MoI), and Ministry of Commerce (MoC);
  -  identifying achievements, strengths and weaknesses and ways to improve the implementation and enforcement of the Sub-Decree and the Joint Prakas; and
 -  agreeing on recommendations and way forward for the improvement of the implementation and enforcement by the four line ministries and development partners,

Dr. Prak Sophonneary, Deputy Director of National Maternal and Child Health Centre (NMCHN), MoH, presented about the Nutrition Situation of Children in Cambodia focusing on undernourished children 0-59 months, key  success factors for reducing child mortality from 2000 to 2010 due to immunization, vitamin A supplementation, breastfeeding, and improved socio-economic conditions.

Dr. Prak pointed out the successes in implementation of sub-decree via infant and young child feeding (IYCF) including the facility-based interventions on the establishments of Baby Friendly Hospital (BFH) Initiative (13 public hospitals out of 78 certified as BFH and Infant and Young Child Feeding integrated with HIV counseling) and Baby Friendly Community Initiative (more than 4,421 villages joined this initiative as of December 2010, out of more than 13,000 villages in Cambodia).

The challenges in the implementation and enforcement of the Sub-Decree include limited monitoring and enforcement of the violation of the Sub-Decree in all places; limited of the violation of the Sub-Decree in private and public health facilities;  no widely received information related to violation of Sub-Decree from implementers and other development partners; and violation of Sub-Decree lead to misleading information that prevent good practice of IYCF. 

Mr. Pich Chan, Deputy Director of Technical Affairs and Public Relation Department, Directorate-General of Camcontrol, MoC, expressed their roles and responsibilities,  legislative support for law enforcement of Camcontrol, the import permit from MoH, Procedures of import goods, market surveillance on food safety and implementation of sub-decree No. 133, obstacles of implementation and enforcement of sub-decree no. 133, and proposed action plan to implement sub-decree no. 133.  

The legal instruments for law enforcement of Camcontrol consist of Law on Management of Quality and Safety of Products and Services dated 21 June 2000, Law on Standard of Cambodia dated 24 June 2007, Sub-decree No. 21 Facilitating Trade Through Risk Management System dated 1 March 2006, Sub-decree No. 209 December 2007 promulgated the list of prohibited and restricted goods that are subject to border control, Sub-decree No. 47 on Food Hygiene for Human, Sub-decree No.133 on Marketing of Products for Infant and Young Child Feeding, Inter-Ministerial Prakas No. 61 on Implementation of Sub-decree No.133, and Inter-Ministerial Prakas No. 868 on Implementing and Coordination of Food Safety System from Farm to Table dated 22 October 2010.

Dr. Ou Kevanna, Manager of National Nutrition Programme, NMCHC, showed about the existing violations of the sub-decree no. 133 which include fake promotional messages, images, billboards, announcements, brand names for instance, "Frisolac-unique and complete balance of nutrients" , "Dumex- Bringing up brighter champions", "Raising an intelligent child is no longer a dream- Use Nan", "Lactogen.... good for brain, bones, and body", and "Meiji - Almost a Brest Milk...".   The positive marketing practices following the Sub-decree 133 include promotion of breastfeeding is the best from birth to 2 years in local language, producing labels in Khmer, withdraw pictures of baby or attractive logos, and promotion of cup feeding instead of bottle feedings. 
Nutrition Understanding Nutrition Private Solutions for Infrastructure in Cambodia (Public-Private Infrastructure Advisory Facility Series)
Cambodian Women: Childbirth and Maternity in Rural Southeast Asia (ASAA Women in Asia Series) (English and English Edition)

Where is the Poverty-Environment Nexus? Evidence from Cambodia, Lao PDR, and Vietnam [An article from: World Development]

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