<div dir="ltr"><div class="gmail_default" style="font-size:large"><br></div>From: <b class="gmail_sendername" dir="auto">Pei Ching Chuah</b> <span dir="ltr"><<a href="mailto:peiching.chuah@waba.org.my">peiching.chuah@waba.org.my</a>></span><br><div class="gmail_quote"><br><div dir="ltr"><div dir="ltr"><div style="font-family:verdana,sans-serif">---------------------------------------------------------------------------------------</div><div style="font-family:verdana,sans-serif"><p class="MsoNormal" style="text-align:center;margin:0in 0in 0.0001pt;font-size:12pt;font-family:Calibri,sans-serif" align="center"><a name="m_-4819819029953101094__gjdgxs"></a><b><span style="font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">Joint statement for World Health Day 2019 - Universal
Health Coverage</span></b></p>

<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:Calibri,sans-serif"><span style="font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US"> </span></p>

<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:Calibri,sans-serif"><span lang="EN-US"><a href="https://www.llli.org/" style="color:blue" target="_blank">La Leche
League International (LLLI)</a> and the <a href="http://waba.org.my/" style="color:blue" target="_blank">World
Alliance for Breastfeeding Action (WABA)</a> celebrate <a href="https://www.who.int/westernpacific/news/events/detail/2019/04/07/western-pacific-events/world-health-day-2019" style="color:blue" target="_blank">World
Health Day 2019</a> by focusing on universal health coverage (UHC) in the
context of breastfeeding. UHC is fundamental to “ensuring all people and
communities have access to quality health services where and when they need
them” (1) including services that support breastfeeding. Linking actors within
primary healthcare systems and the community creates a <a href="http://waba.org.my/warm-chain/" style="color:blue" target="_blank">warm chain of support for
breastfeeding</a> and lays the foundation for universal health coverage for
all. <a href="http://worldbreastfeedingweek.org/" style="color:blue" target="_blank">Breastfeeding is a team
effort</a>, and we need to <a href="http://waba.org.my/epc/" style="color:blue" target="_blank">empower mothers,
fathers, partners, families, workplaces and communities</a> to enable
breastfeeding.<br>
 <br>
National and local healthcare systems providing strong primary healthcare can<a href="https://www.who.int/campaigns/world-health-day/world-health-day-2019" style="color:blue" target="_blank"></a> help families attain their breastfeeding goals. It is
critical that everyone involved in the healthcare system has sufficient
knowledge and communication skills to be able to assist families in meeting
their goals.<br>
 <br>
<a href="http://worldbreastfeedingweek.org/2018/actionfolder/" style="color:blue" target="_blank">Breastfeeding
is the foundation of life</a>. Human milk provides the basic building blocks
for optimal growth and development of the child. It contains the right amount
of nutrients for growth, is easily digested, and is readily available.
Colostrum or first milk is concentrated nutrition for the newborn that contains
vital antibodies to defend the baby’s immature immune system against many
harmful agents. Mature human milk replaces colostrum to continue meeting the
growing needs of the child, providing the needed fats, proteins, carbohydrates,
and calories to support optimal growth. (2)<br>
 <br>
Breastfeeding is also associated with a reduced risk of overweight/obesity and
may reduce the risk of type 2 diabetes. Not only do babies thrive on human
milk, but it also has lifelong benefits. Infant formula does not provide
antibodies or immune system protection. Not breastfeeding increases the risk of
many illnesses, such as diarrheoa, pneumonia, and other infections. (5, 6) The
healthcare system plays an important part in helping families meet their
breastfeeding goals, and regardless of the length of the breastfeeding
journey, breastfeeding has benefits for the baby. A strong primary healthcare
system that supports breastfeeding from birth provides the optimal health start
with lifelong health benefits for the infant. (2, 3, 4, 7)<br>
 <br>
There are also maternal health benefits of breastfeeding, such as lowering the
risk of breast and ovarian cancers, reducing the risk of type 2 diabetes,
cardiovascular diseases and protecting against autoimmune diseases. (4, 8, 9,
10, 11) Breastfeeding may also help to increase the spacing of pregnancies if
done in accordance with the WHO and UNICEF recommendations. (9)<br>
 <br>
WHO and UNICEF recommend exclusive breastfeeding for six months of the
child’s life with the addition of complementary solid foods at six months and
continued breastfeeding for two years or longer to promote the best lifelong
health outcomes for the child. (12) Yet, many families lack equitable access to
healthcare due to policies or systems, and adequate support for
breastfeeding. (13) Hence, ensuring this access to all families is critical.
 <br>
 <br>
WABA’s <a href="http://waba.org.my/warm-chain/" style="color:blue" target="_blank">Warm Chain of
Support</a> for Breastfeeding campaign places the breastfeeding dyad at
the core of a continuum of care during the first 1000 days of the baby’s life.
(14) With consistent messages and proper referral systems throughout the warm
chain, the mother-baby dyad will benefit from ongoing support and skilled
assistance. All mothers are then <a href="http://waba.org.my/epc/" style="color:blue" target="_blank">empowered</a> with a more satisfying and effective breastfeeding
experience.<br>
 <br>
Through supportive breastfeeding policies and consistent messages,
Baby-friendly hospitals can positively impact the antenatal period and
early minutes, hours and days after birth. (15) Additionally, Step 10 of the <a href="https://www.who.int/nutrition/bfhi/ten-steps/en/" style="color:blue" target="_blank">Ten
Steps to Successful Breastfeeding</a> reinforces the importance of
follow-up for the breastfeeding dyad following their discharge from the
maternity care facility. In a system that supports breastfeeding as a
foundation for lifelong health, this follow-up may be a breastfeeding support
group, a community clinic, or a health provider’s practice. It is necessary for
the maternity care facility to ensure that when the breastfeeding dyad leaves
the hospital they have a knowledgeable source of support. <a href="https://www.llli.org" style="color:blue" target="_blank">LLLI</a> and other peer
breastfeeding support organisations offer this support for families and the
community. (16)</span><span style="font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US"></span></p>

<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:Calibri,sans-serif"><span style="font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US"> </span></p>

<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:Calibri,sans-serif"><span lang="EN-US">Breastfeeding benefits babies, mothers and nations. WHO
highlights the need for primary healthcare throughout the life cycle.
Breastfeeding, with its lifelong positive health effects, requires a warm chain
of support that spans primary healthcare and beyond. To empower parents and
enable breastfeeding, universal health coverage must be available and
accessible for all.</span><span style="font-family:-webkit-standard;color:rgb(0,32,96)" lang="EN-US"></span></p>

<p class="MsoNormal" style="margin:0in 0in 0.0001pt;font-size:12pt;font-family:Calibri,sans-serif"><span style="font-family:-webkit-standard;color:rgb(0,32,96)" lang="EN-US"> </span></p>

<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;border:none;font-size:12pt;font-family:Calibri,sans-serif"><span style="font-size:11pt;font-family:Verdana,sans-serif;color:rgb(0,32,96)" lang="EN-US">(1)<span style="font-variant-numeric:normal;font-variant-east-asian:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman""> </span></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US"> World Health Organization.
(2019). </span><span lang="EN-US"><a href="https://www.who.int/westernpacific/news/events/detail/2019/04/07/western-pacific-events/world-health-day-2019" style="color:blue" target="_blank"><span style="font-size:11pt;font-family:"Times New Roman",serif;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial">World Health Day 2019</span></a></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">. </span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96)" lang="EN-US"></span></p>

<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;border:none;font-size:12pt;font-family:Calibri,sans-serif"><span style="font-size:11pt;font-family:Verdana,sans-serif;color:rgb(0,32,96)" lang="EN-US">(2)<span style="font-variant-numeric:normal;font-variant-east-asian:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman""> </span></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">Mosca, F., & Giannì, M. L. (2017). Human milk: composition and
health benefits. La Pediatria Medica E Chirurgica, 39(2). </span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96)" lang="EN-US">doi: </span><span lang="EN-US"><a href="https://doi.org/10.4081/pmc.2017.155" style="color:blue" target="_blank"><span style="font-size:11pt;font-family:"Times New Roman",serif;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial">10.4081/pmc.2017.155</span></a></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96)" lang="EN-US"></span></p>

<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;border:none;font-size:12pt;font-family:Calibri,sans-serif"><span style="font-size:11pt;font-family:Verdana,sans-serif;color:rgb(0,32,96)" lang="EN-US">(3)<span style="font-variant-numeric:normal;font-variant-east-asian:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman""> </span></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">Horta BL, et al. Long-term consequences of breastfeeding on cholesterol,
obesity, systolic blood pressure and type 2 diabetes: a systematic review and
meta-analysis. Acta Paediatr. 104:30-7,2015.</span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96)" lang="EN-US"> doi: </span><span lang="EN-US"><a href="https://doi.org/10.1111/apa.13133" style="color:blue" target="_blank"><span style="font-size:11pt;font-family:"Times New Roman",serif">10.1111/apa.13133</span></a></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96)" lang="EN-US"></span></p>

<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;border:none;font-size:12pt;font-family:Calibri,sans-serif"><span style="font-size:11pt;font-family:Verdana,sans-serif;color:rgb(0,32,96)" lang="EN-US">(4)<span style="font-variant-numeric:normal;font-variant-east-asian:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman""> </span></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">Victora, C.G., Bahl R., Barros, A. J. D., Franc</span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">̧</span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">a, G.V.A., Horton, S., Krasevec, J., Murch, S., Sankar, M. J., Walker,
N., Rollins, N. C. for The Lancet Breastfeeding Series Group. (2016).<b> </b>Breastfeeding in the 21st century:
epidemiology, mechanisms, and lifelong effect. Lancet. 387:475-90<b><i>.</i></b>
doi:</span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96)" lang="EN-US"> </span><span lang="EN-US"><a href="https://doi.org/10.1016/S0140-6736(15)01024-7" style="color:blue" target="_blank"><span style="font-size:11pt;font-family:"Times New Roman",serif;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial">10.1016/S0140-6736(15)01024-7</span></a></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96)" lang="EN-US"></span></p>

<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;border:none;font-size:12pt;font-family:Calibri,sans-serif"><span style="font-size:11pt;font-family:Verdana,sans-serif;color:rgb(0,32,96)" lang="EN-US">(5)<span style="font-variant-numeric:normal;font-variant-east-asian:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman""> </span></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">Hengstermann, S., Mantaring, J.B., 3rd, Sobel, H.L., Borja, V.E.,
Basilio, J., Iellamo, A.D., Nyunt-U, S. (2010). Formula feeding is associated
with increased hospital admissions due to infections among infants younger than
6 months in Manila, Philippines. Journal of Human Lactation,26(1), 19-25. doi: </span><span lang="EN-US"><a href="https://www.ncbi.nlm.nih.gov/pubmed/19759351" style="color:blue" target="_blank"><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial">10.1177/0890334409344078</span></a></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">.</span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96)" lang="EN-US"></span></p>

<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;border:none;font-size:12pt;font-family:Calibri,sans-serif"><span style="font-size:11pt;font-family:Verdana,sans-serif;color:rgb(0,32,96)" lang="EN-US">(6)<span style="font-variant-numeric:normal;font-variant-east-asian:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman""> </span></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">Stuebe, A. (2009). The risks of not breastfeeding for mothers and
infants. </span><span lang="EN-US"><a href="https://www.ncbi.nlm.nih.gov/pubmed/20111658/" style="color:blue" target="_blank"><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial">Rev Obstet Gynecol</span></a></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">, 2(4), 222-31.</span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96)" lang="EN-US"></span></p>

<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;border:none;font-size:12pt;font-family:Calibri,sans-serif"><span style="font-size:11pt;font-family:Verdana,sans-serif;color:rgb(0,32,96)" lang="EN-US">(7)<span style="font-variant-numeric:normal;font-variant-east-asian:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman""> </span></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">Victora, C.G., Horta, B.L., de Mola, C.L., Quevedo, L., Pinheiro, R.T.,
Gigante, D.P., Goncalves, H., & Barros, F.C. (2015). Association between
breastfeeding and intelligence, educational attainment, and income at 30 years
of age: A prospective birth cohort study from Brazil. Lancet Glob. Health,
3:e199-205. </span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96)" lang="EN-US">doi: </span><span lang="EN-US"><a href="https://doi.org/10.1016/S2214-109X(15)70002-1" style="color:blue" target="_blank"><span style="font-size:11pt;font-family:"Times New Roman",serif">10.1016/S2214-109X(15)70002-1</span></a></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96)" lang="EN-US"></span></p>

<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;border:none;font-size:12pt;font-family:Calibri,sans-serif"><span style="font-size:11pt;font-family:Verdana,sans-serif;color:rgb(0,32,96)" lang="EN-US">(8)<span style="font-variant-numeric:normal;font-variant-east-asian:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman""> </span></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">Blincoe, A.J. (2005). The health benefits of breastfeeding for mothers.
British Journal of Midwifery, 13 (6), 398-401. doi: </span><span lang="EN-US"><a href="https://dx.doi.org/10.1016%2Fj.pcl.2012.09.010" style="color:blue" target="_blank"><span style="font-size:11pt;font-family:"Times New Roman",serif;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial">10.12968/bjom.2005.13.6.18361</span></a></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96)" lang="EN-US"></span></p>

<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;border:none;font-size:12pt;font-family:Calibri,sans-serif"><span style="font-size:11pt;font-family:Verdana,sans-serif;color:rgb(0,32,96)" lang="EN-US">(9)<span style="font-variant-numeric:normal;font-variant-east-asian:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman""> </span></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">World Health Organization. (2019). </span><span lang="EN-US"><a href="https://www.who.int/maternal_child_adolescent/topics/child/nutrition/breastfeeding/en/" style="color:blue" target="_blank"><span style="font-size:11pt;font-family:"Times New Roman",serif;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial">Breastfeeding</span></a></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">. </span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96)" lang="EN-US"></span></p>

<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;border:none;font-size:12pt;font-family:Calibri,sans-serif"><span style="font-size:11pt;font-family:Verdana,sans-serif;color:rgb(0,32,96)" lang="EN-US">(10)<span style="font-variant-numeric:normal;font-variant-east-asian:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman"">     </span></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">Langer-Gould, A. , Smith, J. B. , Hellwig, K. , Gonzales, E. , Haraszti,
S. , Koebnick, C. & Xiang, A. (2017). Breastfeeding, ovulatory years, and
risk of multiple sclerosis. Neurology, 89(6), 563–569. doi: </span><span lang="EN-US"><a href="https://doi.org/10.1212/WNL.0000000000004207" style="color:blue" target="_blank"><span style="font-size:11pt;font-family:"Times New Roman",serif;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial">10.1212/WNL.0000000000004207.</span></a></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96)" lang="EN-US"></span></p>

<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;border:none;font-size:12pt;font-family:Calibri,sans-serif"><span style="font-size:11pt;font-family:Verdana,sans-serif;color:rgb(0,32,96)" lang="EN-US">(11)<span style="font-variant-numeric:normal;font-variant-east-asian:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman"">     </span></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">Stuebe AM, Michels KB, Willett WC, Manson JE, Rexrode K, Rich-Edwards
JW. Duration of lactation and incidence of myocardial infarction in middle to
late adulthood. Am J Obstet Gynecol 2009;200:e131–e138. doi: </span><span lang="EN-US"><a href="https://doi.org/10.1016/j.ajog.2008.10.001" style="color:blue" target="_blank"><span style="font-size:11pt;font-family:"Times New Roman",serif;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial">10.1016/j.ajog.2008.10.001</span></a></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96)" lang="EN-US"></span></p>

<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;border:none;font-size:12pt;font-family:Calibri,sans-serif"><span style="font-size:11pt;font-family:Verdana,sans-serif;color:rgb(0,32,96)" lang="EN-US">(12)<span style="font-variant-numeric:normal;font-variant-east-asian:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman"">     </span></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">World Health Organization. (2019). </span><span lang="EN-US"><a href="https://www.who.int/nutrition/topics/infantfeeding_recommendation/en/" style="color:blue" target="_blank"><span style="font-size:11pt;font-family:"Times New Roman",serif;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial">The World Health Organization's
infant feeding recommendation</span></a></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">. </span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96)" lang="EN-US"></span></p>

<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;border:none;font-size:12pt;font-family:Calibri,sans-serif"><span style="font-size:11pt;font-family:Verdana,sans-serif;color:rgb(0,32,96)" lang="EN-US">(13)<span style="font-variant-numeric:normal;font-variant-east-asian:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman"">     </span></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">Reis-Reilly, H., Fuller-Sankofa, N., & Tibbs, C. (2018).
Breastfeeding in the Community: Addressing disparities through policy, systems,
and environmental changes systems. Journal of Human Lactation, 34(2), 262-271.
doi: </span><span lang="EN-US"><a href="https://doi.org/10.1177%2F0890334418759055" style="color:blue" target="_blank"><span style="font-size:11pt;font-family:"Times New Roman",serif;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial">10.1177/0890334418759055</span></a></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96)" lang="EN-US"></span></p>

<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;border:none;font-size:12pt;font-family:Calibri,sans-serif"><span style="font-size:11pt;font-family:Verdana,sans-serif;color:rgb(0,32,96)" lang="EN-US">(14)<span style="font-variant-numeric:normal;font-variant-east-asian:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman"">     </span></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">World Alliance for Breastfeeding Action (WABA) (2019). </span><span lang="EN-US"><a href="http://waba.org.my/warm-chain/" style="color:blue" target="_blank"><span style="font-size:11pt;font-family:"Times New Roman",serif;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial">Warm Chain of Support for Breastfeeding</span></a></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">. </span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96)" lang="EN-US"></span></p>

<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;border:none;font-size:12pt;font-family:Calibri,sans-serif"><span style="font-size:11pt;font-family:Verdana,sans-serif;color:rgb(0,32,96)" lang="EN-US">(15)<span style="font-variant-numeric:normal;font-variant-east-asian:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman"">     </span></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">World Health Organization (WHO). (2019). Nutrition. Infographics: </span><span lang="EN-US"><a href="https://www.who.int/nutrition/bfhi/infographics/en/" style="color:blue" target="_blank"><span style="font-size:11pt;font-family:"Times New Roman",serif;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial">The TEN STEPS to successful
breastfeeding</span></a></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">. </span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96)" lang="EN-US"></span></p>

<p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;border:none;font-size:12pt;font-family:Calibri,sans-serif"><span style="font-size:11pt;font-family:Verdana,sans-serif;color:rgb(0,32,96)" lang="EN-US">(16)<span style="font-variant-numeric:normal;font-variant-east-asian:normal;font-stretch:normal;font-size:7pt;line-height:normal;font-family:"Times New Roman"">     </span></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">La Leche League International (LLLI). (2019). </span><span lang="EN-US"><a href="https://www.llli.org/get-help/" style="color:blue" target="_blank"><span style="font-size:11pt;font-family:"Times New Roman",serif;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial">Get Help</span></a></span><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96);background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial" lang="EN-US">.</span></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;border:none;font-size:12pt;font-family:Calibri,sans-serif"><span style="color:rgb(0,32,96);font-family:"Times New Roman",serif;font-size:11pt"><br></span></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;border:none;font-size:12pt;font-family:Calibri,sans-serif"><span style="color:rgb(0,32,96);font-family:"Times New Roman",serif;font-size:11pt"> --------------------------------------------------------------------------------------------------</span></p><p class="MsoNormal" style="margin:0in 0in 0.0001pt 0.25in;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;border:none;font-size:12pt;font-family:Calibri,sans-serif"><span style="font-size:11pt;font-family:"Times New Roman",serif;color:rgb(0,32,96)" lang="EN-US"></span></p></div><br><div dir="ltr" class="m_-4819819029953101094gmail_signature"><div dir="ltr"><div><div dir="ltr"><div dir="ltr"><div dir="ltr"><div dir="ltr"><div><font size="1" face="verdana, sans-serif" color="#0000ff"><b>World Alliance for Breastfeeding Action</b></font></div><div><font size="1" face="verdana, sans-serif">P.O. Box 1200, 10850 Penang, Malaysia</font></div><div><font size="1" face="verdana, sans-serif">Tel: 604 6584816 Fax: 604 6572655</font></div><div><font size="1" face="verdana, sans-serif">Email: <a href="mailto:waba@waba.org.my" target="_blank">waba@waba.org.my</a></font></div><div><font size="1" face="verdana, sans-serif">Websites: <a href="http://www.waba.org.my" target="_blank">www.waba.org.my</a></font></div><div><font size="1" face="verdana, sans-serif">             <a href="http://www.worldbreastfeedingweek.org" target="_blank">www.worldbreastfeedingweek.org</a></font></div></div></div></div></div></div></div></div><img id="m_-4819819029953101094gmail-pw_tpl" style="border:none;display:none;width:0px;height:0px" src="https://app.prosperworks.com/tp/t/Mzg2NzkyfHx8fHwyMDU4ODl8fHx8fDE1NTQ0NTUyNjQ3NzI=/space.gif?creator=peiching.chuah@waba.org.my"></div><img id="m_-4819819029953101094pw_tpl" style="border:none;display:none;width:0px;height:0px" src="https://app.prosperworks.com/tp/t/Mzg2NzkyfHx8fHwyMDU4ODl8fHx8fDE1NTQ0NTUyNjQ3NzI=/space.gif?creator=peiching.chuah@waba.org.my"><img id="m_-4819819029953101094pw_tpl" style="border:none;display:none;width:0px;height:0px" src="https://app.prosperworks.com/tp/t/Mzg2NzkyfHx8fHwyMDU4ODl8fHx8fDE1NTQ0NTUyNjQ3NzI=/space.gif?creator=peiching.chuah@waba.org.my"></div>
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