The Communication on Behavioural Impact (COMBI) Programme on Exclusive Breastfeeding (EBF) is the response of the Philippine Government to achieve its millennium development goals (MDGs) 1, 4 and 5.

The programme, a joint undertaking by the Department of Health (DOH) and the WHO Country Office, is an evidence-based marketing and advocacy campaign for mothers to exclusively breastfeed their babies for six months from birth.

Breastfeeding TSEK

With WHO assistance, the programme popularly known by its brand “Breastfeeding TSEK!” was launched by the DOH on 23 February 2011. TSEK, an acronym for Tama, Sapat, Eksklusibo, stands for the three core messages of the campaign focused on desired breastfeeding behavior.

  • Tama- that it is right to initiate breastfeeding the baby within the first hour right after birth;
  • Sapat- mother’s breastmilk is sufficient, both in quantity and quality, to provide for all the nutrients the child needs within the first six (6) months of life; and
  • Eksklusibo - is to breastfeed exclusively for first six (6) months from birth, and not to even give water.

Breastfeeding TSEK Areas of Coverage

The Breastfeeding TSEK is implemented in 32 cities (17 in Metro Manila, 3 in Bulacan, 3 in Cavite, 1 in Rizal, 1 in Camarines Sur, 5 in the Visayas, and 2 in Mindanao) in coordination with the local government units (LGUs).

  • Metro Manila: Quezon City, Manila, Makati, Mandaluyong, Taguig, Pateros, Pasig, Marikina, San Juan, Caloocan, Malabon, Navotas, Valenzuela, Las Piňas, Paraňaque, Muntinlupa, Pasay City
  • Bulacan : Malolos, Meycauyan, Marilao
  • Cavite: Imus, Bacoor and Dasmariňas
  • Camarines Sur: Naga
  • Rizal: Antipolo
  • Visayas: Cebu, Iloilo, Lapu-Lapu, Mandaue, Tacloban
  • Mindanao: General Santos and Zamboanga

Programme Activities

About 3,760 peer counselors were trained.

Mentoring and supportive supervision by the midwives and nutritionists at LGU levels as well as by City COMBI Officers engaged by partner NGOs and working closely with the 9 CHDs

Engaging and updating friends ( celebrity and social network) through its facebook: DOH Breastfeeding TSEK

Trainer’s Reference Manual for printing and distribution to CHDs, National Nutrition Council and LGUs

Trainer’s Reference Manual for printing and distribution to CHDs, National Nutrition Council and LGUs

Social marketing and advocacy kits being reproduced.

Breastfeeding Welcome Here initiatives launched to engage business partners to promote and support breastfeeding in their establishments

WHO Country Cooperation Strategy for the Philippines 2011-2016