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Background: In 1981 the World Health Assembly (WHA) adopted the International Code of Marketing of Breastmilk Substitutes out of concern that inappropriate marketing of breastmilk substitutes was contributing to the alarming decline in breastfeeding worldwide and the increase in child malnutrition and mortality, particularly in developing countries.

Objective: To document progress, challenges, and lessons learned in the implementation of the International Code in West and Central Africa.

Methods: Data were obtained by literature review and interviews with key informants.

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