Abstract

PIP: The rapid economic change experienced in the Arab Gulf countries in the past two decades has resulted in a dramatic decline in the number of infants breast fed and the duration of breast feeding. This survey describes the current status of breast feeding in the Arabian Gulf countries in terms of the duration of exclusive breast feeding; initiation, frequency, and duration of breast feeding; bottle feeding practices; breast feeding and fertility; reasons for cessation of breast feeding; and the relationship between breast feeding and gastroenteritis. After a brief discussion of weaning practices, the paper considers factors influencing the decision to breast feed, including mothers age, education, urban-rural residence, and employment status; the influence of house maids and health workers; and the sex of the child. The marketing of baby foods in the area is described, as are various programs to support breast feeding, such as maternity protection, educational activities, marketing activities, support of appropriate weaning practices, workshops and seminars, and research activities. It is concluded that these programs have had very little effect on the promotion of breast feeding in the region for the following reasons: 1) lack of coordination; 2) lack of health regulations covering formulas and baby foods; 3) the encouragement of bottle feeding in private hospitals; 4) insufficient knowledge of managing breast feeding among health personnel; 5) a shortage of studies relating to breast feeding; and 6) insufficient training of health personnel. The institution of a global promotional policy is recommended. Such a policy would include the development of strict regulations covering marketing of substitutes, training of health workers, mass media campaigns, school and university curricula changes, and convincing policy-makers that breast feeding is beneficial.