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  "title": "Protection of Breast Feeding and Child Nutrition Ordinance, 2002",
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  "text": "Page 1 of 11 \r\n \r\n   \r\n \r\n \r\nPROTECTION OF BREAST-FEEDING AND CHILD NUTRITION \r\nORDINANCE, 2002 \r\n \r\n              \r\n \r\nCONTENTS \r\nCHAPTER I \r\n \r\nINTRODUCTORY \r\n \r\n1.  Short title, extent and commencement \r\n2.  Definitions \r\nCHAPTER II \r\n \r\nADMINISTRATION \r\n3.  National Infant Feeding Board and Provincial Infant Feeding Committees. \r\n4.  Powers and functions of the Board and Provincial Committees \r\n5.  Meeting of the Board and. Provincial Committees \r\n6.  Implementation and monitoring \r\nCHAPTER III \r\n \r\nPROHIBITIONS \r\n7.  Prohibited practices \r\n8.  Prohibitions and guidance relating to labels of designated products \r\nCHAPTER IV \r\n \r\nINFORMATIONAL AND EDUCATIONAL MATERIALS \r\n9.  Informational and  educational materials  \r\n10. Health workers and health care facilities \r\nCHAPTER – V \r\n \r\nREGISTRATION OF DESIGNATED PRODUCTS AND QUALITY ASSURANCE \r\n \r\n \r\n\r\n  \r\nPage 2 of 11 \r\n \r\n11.  Quality assurance \r\n12.  Investigation and inspection \r\n13.  Investigation and filing of case \r\n14.  Appeal \r\n15.  Public enforcement \r\nCHAPTER VI \r\n \r\nPENALTIES AND PROCEDURES \r\n16.  Revocation or suspension  of  license,  etc. \r\n17.  Penalties \r\n18.  Responsibility of an individual for the act of a company, corporation, partnership or an \r\n institution.  \r\n19.  Power to make rules \r\n20.  Power to delegate \r\n21.  Overriding effect \r\n \r\n \r\n \r\n \r\n  \r\n  \r\nPage 3 of 11 \r\n \r\nPROTECTION OF BREAST-FEEDING AND CHILD NUTRITION \r\nORDINANCE, 2002 \r\nORDINANCE XCIII OF 2002 \r\n           [26-10-2002] \r\nAn Ordinance to provide for protection of breast-feeding and nutrition for infants and young \r\nchildren \r\n WHEREAS it is expedient to ensure safe and adequate nutrition for infants and young children \r\nby promoting and protecting breast -feeding, and by regulating the marketing and, promotion of \r\ndesignated products including breast milk substitutes, and of feeding bottles, valves for feeding bottles, \r\nnipple shields, teats and pacifier and to provide for matters connected therewith or-ancillary thereto; \r\n AND  WHEREAS   the  President  is  satisfied  that  circumstances  exist  which  render  it \r\nnecessary to take immediate action; \r\n NOW, THEREFORE, in pursuance of the Proclamation of Emergency  Of the Fourteenth day \r\nof October, 1999, and the Provisional Constitution Orde r No. 1 of 1999 read with the Provisional \r\nConstitution (Amendment) Order  No.9 of 1999, and in exercise of all powers enabling him in that \r\nbehalf, the President of the Islamic Republic of Pakistan is pleased to make and promulgate the \r\nfollowing Ordinance:___ \r\n___________ \r\nCHAPTER I \r\n \r\nINTRODUCTORY \r\n \r\n 1. Short title, extent and commencement.___(1) This Ordinance may be called the Protection \r\nof Breast-feeding and Child Nutrition Ordinance, 2002. \r\n (2) It extends to the whole of Pakistan. \r\n (3) It shall come into force at once. \r\n 2. Definitions.___ In this Ordinance, unless there is anything rep ugnant in the subject or \r\ncontext,― \r\n(a) “infant” means a child up to the age of twelve months; \r\n(b) “young child” mans a child from the age of twelve months up to the age of two \r\nyears; \r\n(c) “advertise” or “advertising” means to make any representation by any mea ns \r\nwhatsoever for the purpose of promoting sale or use of .a designated product; \r\n(d) “Board” means the National Infant Feeding Board constituted under section 3; \r\n(e) “container”  means any form of packaging of adesignated product for sale as a \r\nretail unit; \r\n(f) “designated product” means— \r\n  \r\nPage 4 of 11 \r\n \r\n(i) any  milk  manufactured,  marketed  and  promoted  for  the  use  of  an  infant  \r\nor otherwise represented as a partial or total replacement for mother ”s milk  \r\nwhether or not it is suitable for such replacement;  \r\n(ii) any products  manufactured,  marketed,  promoted  or otherwise  represented as \r\na complement to mother ”s milk to meet the growing nutritional needs of an \r\ninfant; \r\n(iii) any feeding bottle, teat, valve for feeding bottle, pacifier or nipple shield; and \r\n(iv) such other product as the Federal Govern ment may, by notification in the \r\nofficial Gazette, declare to be a designated product for the purposes of this \r\nOrdinance; \r\n(g) “complementary food” means any ford suitable as an addition to breast milk or \r\nto a breast milk substitute  when either becomes  in sufficient  to satisfy the \r\nnutritional requirements of an infant, also commonly called “weaning food” or \r\n“breast milk and young child supplement”: \r\n(h) “infant-formula” means an animal or vegetable based milk product \r\nmanufactured in   accordance   with   the   standards   recommende d  by  the  \r\nCodex  Alimentarius Commission  and the Codex  Code  of Hygienic Practice  \r\nfor Foods  for Infants  and Children to approximate the  normal nutritional \r\nrequirements of an infant up to the age of six months; \r\n(i) “feeding bottle ” means any bottle or receptacle marketed for the purpose of \r\nfeeding an infant or a young child; \r\n(j) “nipple shield” means an appliance with a teat for a baby to suck from the breast; \r\n(k) “pacifier” means an artificial teat for babies to suck also called “dummy”; \r\n(l) “follow-up formula ” means an animal or vegetable based milk product  \r\nmarketed for infants older than six months or young child and formulated \r\nindustrially in accordance with the standards of the Codex Alimentarius \r\nCommission and the Codex Code of Hygienic Practice for Foods for Infants and \r\nChildren; \r\n(m) “distributor”  means any person engaged in the business of marketing, whether \r\nwholesale or retail, and includes a person providing product public relations and \r\ninformation services; \r\n(n) “health care facility” means a Government, non-Government, semi Government \r\nor private institution or organization, or private medical practitioner engaged,  \r\ndirectly or indirectly, in the provision of health care to infants, young children,. \r\npregnant women or  mothers,  and  includes  a  day -care  centre,  nursery  and \r\nany  other  child-care institution; \r\n(o) “health professional” means a medical practitioner, nurse, nutrition ist or such \r\nother persons  as  the  Federal  Government  may,  by  notification  in  the  \r\nofficial Gazette, specify; \r\n(p) “health worker” means any person providing services to infants, young children,       \r\npregnant  women  or  mothers  as  a  medical  practitioner, and  includes a health \r\n  \r\nPage 5 of 11 \r\n \r\nprofessional,   homeopath   practitioner,   hakim,   nurse.   midwife, traditiona l \r\nbirth attendant,, pharmacist, - dispensed chemist,  nutritionist, hospital  \r\nadministrator or employee,  whether  professional  or not  whether paid or not, \r\nand any other person providing such services as the Federal Government tray  \r\nby notification in the official Gazette, specify; \r\n(q) “Inspector” means any person designated as Inspector under section 12; \r\n(r) “label” means any tag, mark, pictorial  or other descriptive matter which is \r\nwritten, printed, stenciled, marked, embossed, attached or otherwise appearing \r\non a container; \r\n(s) “manufacturer” means a person, corporation or other entity engaged or involved \r\nin the business  of producing,  processing,  compounding,  formulating,  filling, \r\npacking, repacking,   altering,  ornamenting,   finishing  and  label ling a \r\ndesignated   product, whether directly, through an agent, or through  a person \r\ncontrolled  by or under an agreement; \r\n(t) “market” means any, method of introducing or selling a designated product, and \r\nincludes,  but  not  limited  to,  promotion,  distribution,  advertising,  distribution \r\nof samples, product public relations and product information services; \r\n(u) “person” means any individual, partnership, association, unincorporated    \r\norganization,  company,  cooperative,  corporation,  trustee,  agent  or  any group \r\nof persons; \r\n(v) “prescribed” means prescribed by rules \r\n(w) “promote” or “promotion” means any method of introducing a person to, or     \r\nfamiliarizing a person with, a designated product or inducing a person to buy or \r\nus designated product, and includes, but not limited to, advertising, offer of \r\nsamples or gifts, distribution of literature, public relations and information  \r\nservices related to a designated  product,  but  does  not  include  any  \r\nprescription  issued  by  a  medical practitioner based on health grounds; \r\n(x) “Provincial Committee ” means a Provincial Infant Feeding Committee \r\nconstituted udder section 3; \r\n(y) “rules” means rules made under this Ordinance; and \r\n(z) “sample” means any quantity of a designated product provided free of cost. \r\n_________ \r\nCHAPTER II \r\n \r\nADMINISTRATION \r\n \r\n 3. National Infant Feeding Board and Provincial Infant Feeding Committees.― (1) The \r\nFederal Government shall, by notification in the official Gazette, constitute a National Infant Feeding \r\nBoard. \r\n (2) The Board shall consist of a Chairperson , a Secretary and not more than such number of \r\nmembers as the Federal Government may prescribe: \r\n  \r\nPage 6 of 11 \r\n \r\n Provided that not less than half of the total number of members of the Board shall comprise of \r\nsuch persons who are professional qualified with respect to infant and young child nutrition and at \r\nleast one member of the Board shall be selected from the industry involved in the manufacturing   and \r\nmarketing of designated products. Secretary of the Provincial Health Department or his nominee shall \r\nbe ex-officio member of the Board- \r\n (3) A Provincial Government shall, by notification in the official Provincial Gazette, constitute \r\na Provincial Infant Feeding Committee for a Province. \r\n (4) Subject to subsection ( 5), a Provincial Infant Feeding Committee shall consist of a \r\nChairperson   and not more than, such number  of members as the Provincial  Government may \r\nprescribe: \r\n Provided  that  not  less  than  half  of  the  total  number  of  members  of  a Provincial \r\nCommittee shall comprise of such persons who are professional qualified with respect to infant and \r\nyoung child nutrition and at least o ne member shall be selected from industry involved in the \r\nmanufacturing and marketing of designated products. \r\n (5) The  Federal  Government  shall  nominate  the  members  of  the  Board  and  a Provincial \r\nGovernment shall nominate the members of a Committee, who shall hold office for a term as may be \r\nprescribed by the respective Governments. \r\n 4. Powers and functions of the Board and Provincial Committees.___The following shall be \r\nthe powers and functions of the Board in the case of the Federal Government a nd a Provincial \r\nCommittee in the case of a Provincial Government, namely:— \r\n(a) To receive, reports of violations of provisions of this Ordinance or the rules; \r\n(b) to recommend , investigation of cases against manufacturers, distributors or \r\nhealth workers found to be violating the provisions of this Ordinance or the \r\nrules; \r\n(c) to plan for and co-ordinate  the dissemination  of informational  and educational \r\nmaterials on the topic of infant feeding and recommend continuing education  \r\ncourses for health workers on topics related to this Ordinance; \r\n(d) to advise the Federal Government,  and the Provincial Governments on national \r\npolicies for the promotion and protection of breast-feeding, and matters relating \r\nto designated products especially infant and young child nutrition, particularly \r\nthrough national or prov incial education campaigns, and  to organize health \r\neducation on the same for health workers and general public; and \r\n(e)  to propose guidelines to the Federal Government or to a Provincial \r\nGovernment. as the case may be in respect of matter specified in clause (d). \r\n 5. Meeting of the Board and. Provincial Committees. ___The Secretary of the Board or, as \r\nthe case may be, a Provincial Committee, shall call meetings of the Board or a Provincial Committee, \r\nas the case may be, at the direction of the Chairperson, and maintain minutes of such meetings. \r\n 6. Implementation and monitoring.___ The Federal Government tray give such directions to \r\na Provincial Government as tray appear to it to be necessary for carrying into effect in a Province any \r\nof the provisions of this Ordinance or of the rules or any order or direction made thereunder or for \r\nachievement of uniformity in respect of any matter related thereto in different parts of Pakistan. \r\n  \r\nPage 7 of 11 \r\n \r\n____________ \r\nCHAPTER III \r\n \r\nPROHIBITIONS \r\n \r\n 7. Prohibited practices. ___(1) No person shay in any form whatsoever, promote any \r\ndesignated products except as provided for under this Ordinance. \r\n (2) No person shall in any manner assert that any designated product is a  substitute for \r\nmother”s milk, or that it is equivalent to or comparable with or superior to mother”s milk. \r\n (3) No manufacturer or distributor shall offer, or make gift or contributions of any kind, or \r\npay to any extent for any reason whatsoever, or give any kind of benefit, to a health worker or his \r\nfamily, or any personnel employed, directly or indirectly, in a health care facility, or any member \r\nof the Board or a Provincial Committee, as the case may be, or the employees thereof. \r\n (4) No manufacturer or distributor shall donate any designated product and equipment or \r\nservices related to a designated product free of charge or at low cost to a health care facility, or \r\noffer or give any benefit to a professional association  of medical practitioners for this purpose. \r\n (5) No person other than a health worker who is not engaged by a manufacturer or distributor \r\nshall instruct any user on the need and proper preparation and use of any designated product: \r\nProvided that a manufacturer  or distributor  may instruct any user on the need and proper  \r\npreparation  and  use  of  any  designated  product  in  accordance  with  the provisions of section 8. \r\n (6) No distributor or manufacturer shall in furtherance of or for the purposes of its business \r\nhave contact, directly or indirectly, with general public within a health care facility. \r\n (7) No manufacturer, distributor  or any person engaged by them shall produce or distribute \r\nany educational or informational material relating to infant and young child feeding: \r\n Provided  that  any  educational  or  informational  material  relating  to  a  designated product \r\nmay be provided  by a manufacturer  or distributor  to a health professional subject to the prescribed \r\nconditions, and that the same shall be restricted to scientific and  factual  matters,  and  shall  not  \r\nimply  or  create  a  belief  that  bottle-feeding  is equivalent or superior to breast-feeding. \r\n 8. Prohibitions and guidance relating to labels of designated products.____ (1)  No \r\ndesignated  product  shall  be  marketed  or  sold  in  Pakistan  unless  its  label  is  in accordance with \r\nthe provisions of this Ordinance and the rules, and approved in the manner as may be prescribed by \r\nthe Federal Government: \r\n Provided that for any designated product already being sold in Pakistan, a manufacturer or \r\ndistributor shall  provide for the label of such product within one hundred and eighty days of its \r\napproval in the manner as may be prescribed. \r\n (2) Label of a designated products shall be designed so as not to discourage breast- feeding \r\nand shall provide the necessary information in Urdu about the appropriate use of such product and \r\nthe age before which a designated product should not be used. \r\n (3) Every container shall have a clear, conspicuous and easily understood message printed \r\non it, or on a label that cannot become separated  from it, which shall be written in Urdu and if \r\nso desired by the manufacturers, in English as well. \r\n  \r\nPage 8 of 11 \r\n \r\n (4) The label shall― \r\n(a) not contain anything that may discourage breast-feeding \r\n(b) contain a conspicuous notice in bold characters in the prescribed height stating \r\nthe following, namely:___ ”MOTHER”S MILK IS BEST FOOD FOR \r\nYOUR BABY AND HELPS IN    PREVENTING DIARRHOEA AND \r\nOTHER ILLNESSES” \r\n(c) instead of or in addition to the notice specified in clause (b), contain any other \r\nmessage as may be prescribed with respect to any designated product; \r\n(d) neither uses expression such as “materialized” or “humanized” or equivalent \r\nnor contains any comparison with mother”s milk. , \r\n(e) not show photographs. drawings or graphics except that graphics may be used \r\nto illustrate the correct method of preparation; \r\n(f) contain the name and address of manufacturer  and of wholesale distributor \r\nif a designated product is an imported item; and \r\n(g) except  for  bottles,  teats,  pacifiers   and  nipple   shields, contain appropriate \r\ninstructions  in  Urdu  for  the  correct  preparation  in  words  and easily  \r\nunderstood graphics,  and  indicate  the  ingredients,  composition and analysis  \r\nof  a  designated product required storage conditions, batch number and expiry \r\ndate, and contain any warning as may be prescribed for the implementation of \r\nthis Ordinance in characters of the prescribed height in Urdu or regional \r\nlanguages. \r\n_____________ \r\nCHAPTER IV \r\n \r\nINFORMATIONAL AND EDUCATIONAL MATERIALS \r\n \r\n 9. Informational and  educational materials .___(1) any person who produces or distributes \r\nany informational and educational materials referred in this section shall submit copies thereof to the \r\nBoard as may be prescribed. \r\n (2) Informational and educational materials, whether written, audio or visual, which refer \r\nto infant feeding shall contain only correct information and shall not use any pictures graphics or text \r\nthat encourage bottle-feeding or discourage breast-feeding. \r\n (3) The Federal Government shall, in consultation with the Board, arrange for and approve \r\nthe dissemination of objective and consistent informational and educational materials on infant and \r\nyoung child feeding, excluding medical literature and may, by notification in the official Gazette, \r\npublish such instructions, guidelines or policies as it deems necessary  or appropriate, for  the \r\npurposes of producing and  distributing informational and educational materials. \r\n 10. Health workers and health care facilities.___(1) Health workers shall encourage, support \r\nand protect breast-feeding. They shall be expected to know the provisions of this Ordinance, in \r\nparticular, any instructions, guidelines or policies published under section 9, and to implement the \r\nsame whenever possible. \r\n  \r\nPage 9 of 11 \r\n \r\n (2) Health workers shall not accept, or give samples of any designated product to any, person,  \r\nparticularly  pregnant  women,  mothers  of  i nfants  and  young  children;  or members of their \r\nfamilies. \r\n (3) Health workers and their Association shall not promote in any way whatsoever, any \r\ndesignated product. \r\n (4) Health workers falling within the jurisdiction of the Federal Government shall  make in \r\nwriting a report to the Board, and in all other cases to a concerned Provincial Committee any offer of \r\na gift or other financial benefit made by a manufacturer or distributor or any other contravention of \r\nthe provisions of this Ordinance or the, rules, noticed by them. \r\n (5) There shall be kept posted in every health care facility in Urdu and English, and in such \r\nother language as may be deemed appropriate by the health care facility, such abstracts of this \r\nOrdinance as may be prescribed by the Federal Government,- or a Provincial Government, as the \r\ncase may be, for this purpose. \r\n__________ \r\nCHAPTER – V \r\n \r\nREGISTRATION OF DESIGNATED PRODUCTS AND QUALITY ASSURANCE \r\n \r\n 11. Quality assurance. __ (1) No designated product shall be manufactured, sold or otherwise  \r\ndistributed  in Pakistan  unless it is formulated  industrially  in accordance with  the  standards  \r\nrecommended  by the  Codex  Alimentarus  Commission  and  the Codex Code of Hygienic Practice \r\nfor Foods for Infants and Children, and in addition. shall meet such applicable standards specified in \r\nthis Ordinance and the rules, \r\n (2) The  Board  or  a  Provincial  Committee,  as  the  case  may  be,  may  require  an Inspector \r\nor any other person invested with powers under this Ordinance to test any designated product sold in \r\nPakistan in order to determine whether it is fit for human consumption. \r\n (3) A designated product that does not meet the standards for use in the country of manufacture \r\nshall not be sold in Pakistan. \r\n (4) A designated product that has reached the expiry date shall not be marketed sold or \r\ndistributed. \r\n (5) A  designated  product  shall  be  sold  only  in the  original  container  in order  to prevent \r\nquality deterioration, adulteration or contamination thereof. \r\n 12. Investigation and inspection. ___ (1) The Federal Government may designate any number \r\nof persons professionally qualified  with respect to infant and young child nutrition as Inspector to \r\nconduct inspection and investigation and prosecution for this Ordinance and to monitor compliance \r\nwith the provisions of this ordinance. \r\n (2) After an inspection for purpose of this Ordinance, an Inspector shall refer the case, and if \r\nso required, provide one portion of the sample of a designated product, or the whole of a designated \r\nproduct if it is such that it cannot be divided, to the Board, or a Provincial Committee, as the case \r\nmay be. \r\n 13. Investigation and filing of case. ___ (1) Upon completion of an .investigation and receipt \r\nof a complete report, and after giving the concerned party an opportunity of being heard, the Board \r\n  \r\nPage 10 of 11 \r\n \r\nor a Provincial Committee, as the case may be shall recommend to the Federal Government whether \r\nor not institute prosecution under this Ordinance. \r\n (2) No Court shall take cognizance of any offence punishable under this Ordinance except on \r\na report in writing by an officer authorized by the Federal Government, or any  other  person  as  \r\nthe  Federal  Government  may,  by  notification  in  the  official Gazette, authorize in this behalf. \r\n (3) An offence punishable under this Ordinance shall be non-cognizable. \r\n 14. Appeal.―(1) Any person sentenced by a Court under this Ordinance may prefer an appeal \r\nto the High Court within thirty days of the judgment. \r\n (2) The provisions of sections 5 and 12 of the Limitation Act, 1908 (IX of 1908), shall be \r\napplicable to an appeal preferred under subsection (1). \r\n 15. Public enforcement.― (1) Any person whomsoever may make an application in writing \r\nto the Board or d Provincial Committee concerning contravention of any of the provisions of this \r\nOrdinance or the rules. \r\n (2) In the event an investigation reveals an offence, the Board or a Provincial Committee, as \r\nthe case may be, shall follow the procedure specified in section 13 for recommending prosecution. \r\n__________ \r\nCHAPTER VI \r\n \r\nPENALTIES AND PROCEDURES \r\n \r\n 16. Revocation  or  suspension  of  license,  etc.―(1)  Where  any  person;  except  a medical \r\npractitioner, has, been found to have contravened any of the provisions of this Ordinance or the rules \r\nthe concerned authority upon written recommendation  of the Board or a Provincial Committee, as \r\nthe case may be, and after giving such person an opportunity of being heard, tray recommend to the \r\nFederal Government to suspend or cancel, his license for the practice of his profession or occupation, \r\nor for the pursuit of his business. \r\n (2) In the case of a contravention involving a medical practitioner registered under the Medical \r\nand Dental Council Ordinance, 1962 (XXXII of 1962), the matter shall be referred to the Pakistan \r\nMedical and Dental Council for further action. \r\n 17. Penalties.___(1) Any manufacturer or distributor who contravenes the provisions of \r\nsubsections (1) to (7) of section?, subsection (1) of section 8, subsections (1), (3) (4) or (5) of section \r\n11. shall be punishable with imprisonment for a term which may extend to two years or with fine \r\nwhich shall not be less than fifty thousand rupees or more than five hundred thousand rupees, or \r\nboth. \r\n (2) Any person, who contravenes any other provision of this Ordinance, or the rules, shall \r\nbe punishable with a fine, which may extend to five hundred thousand rupees. \r\n 18. Responsibility of an individual for the act of a company, corporation, partnership or \r\nan institution. __Where the offence is found to have been committed by a company, corporation, \r\npartnership or an institution, as a result of an institutional or  operational   instructions   issued   by  \r\nit  or  implemented   by  it,  the  company, corporation. partnership or the institution may be found \r\nguilty in addition to the individuals directly responsible for the commission of such offence. \r\n \r\n  \r\nPage 11 of 11 \r\n \r\n 19. Power to make rules.___(1) The Federal Government may, by notification in the official \r\nGazette, make rules for carrying out the purposes of this Ordinance. \r\n (2) A Provincial Government may, by notification in the official Provincial Gazette, made \r\nrules for the administration of a Provincial Committee in a Province. \r\n 20. Power to delegate. ___The Federal Government may delegate any of .the functions and its \r\npowers under this Ordinance to a Provincial Government. \r\n 21. Overriding effect. ___The provisions of this Ordinance shall have effect notwithstanding \r\nanything to the contrary contained in any other law for the time being in force. \r\n_____________",
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