The primary responsibility for monitoring the implementation of the code rests with governments. Enforcement is most effective when this responsibility is shared among the main government agencies involved throughout the various stages of product commercialization.
- National legislation on the Code should indicate which government agencies are in charge of overseeing this and how it should be done.
- Manufacturers and vendors of human milk substitutes should monitor their own marketing practices at all levels.
- Institutional managers and healthcare professionals should be responsible for monitoring the practices followed at healthcare facilities to ensure that products are not marketed there.
Non-governmental organizations, institutions and individuals can draw the attention of manufacturers and distributors to activities that are inconsistent with the Code and inform their governments so that action can be taken.
