Breastfeeding Support and Protection During Natural Disaster and Climate-Related Emergencies in Indonesia: Policy Audit.
Andini Pramono, Alvia Hikmawati, Setiya Hartiningtiyaswati and 1 others
PMID 40109205WHAT IT FOUND
Only four of 513 Indonesian disaster regulations addressed infant feeding in emergencies.
None required staff training, coordination, or WHO Code monitoring. Emergency breastfeeding protection was not specified.
Key findings
01Only four of 513 regulations found by online searches specifically addressed infant and young child feeding in emergencies.
02None of the four included regulations explained the need for staff training or described coordination work on protecting and supporting infant and young child feeding.
03The audited regulations mostly did not cover compliance with the WHO Code or prevention and management of breastmilk substitute donations.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Not all regulations, especially city/regency ones, were available online, so local rules may have been missed. Only four regulations were included, so the audit rests on a small document set. The findings are specific to Indonesia and may not apply to other low- and middle-income countries. The study analysed regulations, not patient care or outcomes, so it cannot show how breastfeeding support actually happened in disasters.
The easy way to misread this
Do not conclude that Indonesia has adequate emergency breastfeeding policies. The audit found only four relevant regulations and no required staff training, coordination, or assessment.