Table 1 Violations from Articles 5–7 of the International Code (IC) Associated with Survey Questions*

Have you, your partner, or your infant ever been contacted directly or indirectly by a company regarding infant formula or another breast milk substitute?**

(e.g., Nestle, Enfamil, Abbot (Similac)) such as an email, text message, mail, phone call, etc.?

5.1 There should be no advertising or other form of promotion to the general public of products within the scope of this Code.

5.5 Marketing personnel, in their business capacity, should not seek direct or indirect contact of any kind with pregnant women or with mothers of infants and young children.

Have you, your partner, or your infant ever received a coupon or discount code for infant formula or another breast milk substitute via mail, email, social media, text messaging, telephone or any other form of contact? (5.3)

5.3 In conformity with paragraphs 1 and 2 of this Article, there should be no point-of-sale advertising, giving of samples, or any other promotion device to induce sales directly to the consumer at the retail level, such as special displays, discount coupons, premiums, special sales, loss-leaders and tie-in sales, for products within the scope of this Code. This provision should not restrict the establishment of pricing policies and practices intended to provide products at lower prices on a long-term basis.

Have you, your partner, or your infant ever received free samples of infant formula or any breast milk substitute? (5.3 & 7.4)

5.3 In conformity with paragraphs 1 and 2 of this Article, there should be no point- of-sale advertising, giving of samples, or any other promotion device to induce sales directly to the consumer at the retail level, such as special displays, discount coupons, premiums, special sales, loss-leaders and tie-in sales, for products within the scope of this Code. This provision should not restrict the establishment of pricing policies and practices intended to provide products at lower prices on a long-term basis.

7.4 Samples of infant formula or other products within the scope of this Code, or of equipment or utensils for their preparation or use, should not be provided to health workers except when necessary for the purpose of professional evaluation or research at the institutional level. Health workers should not give samples of infant formula to pregnant women, mothers of infants and young children, or members of their families.

If so, which organizations or professionals have you received these samples from?

Check all that apply:

Infant formula or other breast milk substitute company,

Supermarket,

Drug store,

Doctor, Nurse,

Registered Dietitian,

Pharmacist, Social Worker,

Other health professional,

Other

Never received free samples

Have you, your partner, or your infant ever received a gift from an infant formula or other breast milk substitute company or organization such as a baby bib, spoon or bottle with visible branding or logos? (5.4)

5.4 Manufacturers and distributors should not distribute to pregnant women or mothers or infants and young children any gifts of articles or utensils which may promote the use of breast-milk substitutes or bottle-feeding.

Have you or your partner ever seen any materials such as calendars, magnets, notepads, handouts, or posters bearing the brand of an infant formula or breast milk substitute company or product in a health care facility in Newfoundland and Labrador? (6.3)

If so, in which type of facility have you seen these materials? Check all that apply:

Doctor’s office

Hospital

Public health clinic

Pharmacy

Drug store

Supermarket

Other

6.3 Facilities of health care systems should not be used for the display of products within the scope of this Code, for placards or posters concerning such products, or for the distribution of material provided by a manufacturer or distributor other than that specific in Article 4.3.