Abstract
BackgroundDespite the clear policy intent to contain it, the marketing of formula milk remains widespread, powerful and successful. This paper examines how it works.MethodsThe study comprised a mix of secondary analysis of business databases and qualitative interviews with marketing practitioners, some of whom had previously worked in formula marketing.ResultsThe World Health Assembly Code aims to shield parents from unfair commercial pressures by stopping the inappropriate promotion of infant formula. In reality marketing remains widespread because some countries (e.g. the USA) have not adopted the Code, and elsewhere industry has developed follow-on and specialist milks with which they promote formula by proxy. The World Health Assembly has tried to close these loopholes by extending its Code to these products; but the marketing continues. The campaigns use emotional appeals to reach out to and build relationships with parents and especially mothers. Evocative brands give these approaches a human face. The advent of social media has made it easier to pose as the friend and supporter of parents; it is also providing companies with a rich stream of personal data with which they hone and target their campaigns.The formula industry is dominated by a small number of extremely powerful multinational corporations with the resources to buy the best global marketing expertise. Like all corporations they are governed by the fiduciary imperative which puts the pursuit of profits ahead of all other concerns. This mix of fiscal power, sophisticated marketing, and single-mindedness is causing great harm to public health.ConclusionsFormula marketing is widespread and using powerful emotional techniques to sell parents a product that is vastly inferior to breast milk. There is an urgent need to update and strengthen regulation.
Highlights
Despite the clear policy intent to contain it, the marketing of formula milk remains widespread, powerful and successful
Formula marketing, as for other fast-moving consumer goods, starts with a detailed understanding of the customer; on this can be built long-term relationships which are strengthened with careful segmentation and targeting
The quotations in the results section come primarily from the interviewees with direct experience of breast milk substitutes (BMS) marketing, but the sentiments expressed reflect the comments of all the marketing experts interviewed
Summary
Despite the clear policy intent to contain it, the marketing of formula milk remains widespread, powerful and successful. Many of the products we consume – tobacco, processed food, alcohol, petrochemicals, leaded paint, guns – are known to have caused such harm, even when used as intended, that a new descriptor, the ‘industrial epidemic’ [1], has been coined. Hastings et al Globalization and Health (2020) 16:77. This ensures an environment where marketing – the persuasive tool of choice for consumers – can be used with maximum efficiency. The methods used by marketers have been examined, and the role of emotional appeals, branding and careful targeting noted [5]. The advent of digital technologies has raised further concerns about the insidious power of social media marketing, and the bespoke, deep messaging it facilitates. Facebook gets over 98% of its income from advertising [8], and the Cambridge Analytica revelations show how pervasive and profound digital influence has become [9]
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