Global Index

India Spotlight Index

Global Index 2016

BMS Ranking

BMS Ranking

Company selection: Six manufacturers of breast-milk substitutes (BMS) were assessed using a separate additional BMS methodology. To be included in the BMS analysis, sales of baby food had to account for more than 5% of a company’s total sales in FY2014. Four food and beverage (F&B) sector companies were included on this basis, along with the two largest pharmaceutical sector manufacturers.

Assessment: The 2016 Global Index has significantly strengthened the approach it takes to assessing BMS manufacturers’ compliance with The Code and subsequent WHA resolutions compared to that used in 2013. The new approach, undertaken on a pilot basis, evaluates companies’ performance in two ways:

BMS 1 Corporate Profile assessment: The ATNI BMS Corporate Profile methodology is designed to evaluate whether the six selected companies have robust BMS marketing policies and management systems, and their level of transparency. 

BMS 2 In-country assessments: Two pilot assessments were undertaken in Vietnam and Indonesia to assess the compliance of all BMS companies in each country with The Code and national regulations. This research was carried out by specialist research organization Westat, appointed following a competitive bid process, using the IGBM Protocol. The companies were not informed of the location or timing of these studies prior to their commencement, but only after they had been finished. See links on this page to download the Westat reports.

How the BMS score is calculated and links to the overall Global Index score: The total BMS score is an average of the BMS Corporate Profile assessment score (BMS1) and the ‘in-country’ assessments of marketing practices (BMS2). The total possible BMS score is 100%. The higher this score the closer the company has come to achieving full compliance with the ATNI methodology, which reflects the recommendations of The Code, WHA resolutions and local regulatory requirements. An adjustment to the four F&B companies’ final Global Index score is then made, proportionate to the BMS score, up to a maximum of 1.5. Had Abbott and Mead Johnson been included in the Global Index, their score would also have been adjusted. 

Improving nutrition for all

The Access to Nutrition Index rates food and beverage manufacturers´ nutrition-related policies, practices and disclosures worldwide on a recurring basis.


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