Strengthening what works for a healthier Pakistan

Prof Dr Atta ur Rehman

World Breastfeeding Week 2026

FROM 1-7 August, the world observes World Breastfeeding Week, a global campaign led by the World Alliance for Breastfeeding Action (WABA), with support from WHO and UNICEF. Its 2026 emphasis on strengthening proven approaches is relevant to Pakistan. Rather than searching for new solutions, Pakistan must strengthen practices already known to save lives, reduce malnutrition and support healthy development. Breastfeeding is not simply a maternal choice; it is a public health and national development priority. Pakistan continues to face challenges related to child malnutrition, stunting and preventable infections. Strengthening breastfeeding can improve child survival, nutrition and development. The first hour after birth is especially important. Early skin-to-skin contact and breastfeeding provide newborns with colostrum, the nutrient- and antibody-rich first milk that offers protection against infection. WHO recommends exclusive breastfeeding for the first six months, followed by continued breastfeeding with appropriate complementary foods until two years of age or beyond.

Breastfed children have lower risks of diarrhoea, pneumonia and childhood illnesses. Breastfeeding also supports healthy development and reduces the risk of some chronic diseases. Mothers benefit through reduced postpartum bleeding, improved recovery and lower long-term risks of breast and ovarian cancers. Few health interventions provide such broad benefits at low cost. Yet Pakistan continues to face barriers. Although many mothers initiate breastfeeding, exclusive breastfeeding for six months remains below recommended levels. Early introduction of water, honey, animal milk or formula, misconceptions about insufficient milk, family pressure and commercial promotion of breastmilk substitutes can undermine mothers’ confidence.

Every antenatal visit, delivery, postnatal consultation, immunization session and nutrition contact should become an opportunity for breastfeeding counselling. Health workers should address common breastfeeding problems. Hospitals should promote immediate skin-to-skin contact and breastfeeding within the first hour and follow Baby-Friendly Hospital Initiative practices. Support must extend into homes and communities. Fathers, grandparents and other relatives influence feeding decisions and should be included in education. Fathers can help by sharing household responsibilities and supporting mothers. Workplaces also need attention. Many working mothers discontinue breastfeeding because of inadequate maternity leave, unavailable breastfeeding breaks or lack of private lactation facilities. Employers should provide maternity leave, breastfeeding breaks, flexible arrangements and hygienic spaces. Policymakers must enforce regulations on the marketing of breastmilk substitutes so families receive accurate information free from inappropriate commercial influence. Breastfeeding also supports environmental sustainability because it requires no manufacturing, packaging, transportation or waste disposal.

World Breastfeeding Week should inspire action beyond awareness campaigns. Pakistan should strengthen breastfeeding counselling, train health workers, improve maternity care, support working mothers, engage families and protect breastfeeding through effective policies. Pakistan already knows what works. The priority now is consistent, equitable implementation. Investing in breastfeeding means investing in healthier children, stronger families, lower healthcare costs and a healthier, more productive Pakistan.

—The writer is public health consultant, based in Islamabad.

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