Osvaldinete Lopes de Oliveira Silva

Association between the degree of implementation of the Brazilian Breastfeeding Network and breastfeeding indicators

O objetivo foi avaliar a implantacao da Rede Amamenta Brasil e seu impacto sobre indicadores de aleitamento materno (AM). Realizou-se analise de implantacao de segundo tipo, incluindo 56 unidades basicas de saude (UBS) de tres municipios brasileiros. Para a avaliacao do grau de implantacao, criou-se um escore para cada UBS baseado no cumprimento dos criterios de certificacao do Ministerio da Saude; para a analise dos efeitos da implantacao, foram pesquisadas as prevalencias de amamentacao exclusiva e de amamentacao. Verificou-se que 18 (32,1%) UBS cumpriam os quatro criterios preconizados para certificacao. Foram incluidas no estudo 1.052 criancas menores de um ano, sendo 563 menores de seis meses. Verificou-se que as UBS que cumpriam os quatro criterios de certificacao tiveram maior prevalencia de amamentacao exclusiva (44%), quando comparadas as demais UBS. Dificuldades para a implantacao da Rede Amamenta Brasil foram identificadas, e os indicadores de AM variaram de acordo com o numero de criterios de certificacao cumpridos pelas UBS.This study aimed to evaluate the implementation of the Brazilian Breastfeeding Network and its impact on breastfeeding indicators. Implementation was analyzed according to type, including 56 primary healthcare units from three Brazilian municipalities. For evaluation of the degree of implementation, a score was created for each unit based on compliance with Ministry of Health certification criteria. Effects of implementation were analyzed according to exclusive and overall breastfeeding rates. Eighteen (32.1%) of the units met the four criteria for certification. The study sample included 1,052 children less than one year of age, of whom 563 were less than six months old. Units that met the four criteria for certification showed higher rates of exclusive breastfeeding (44%) when compared to the other units. Difficulties in implementing the Brazilian Breastfeeding Network were identified, and breastfeeding indicators varied according to the number of certification criteria met by the primary healthcare unit.

The Baby-Friendly Hospital Initiative: increasing breastfeeding and decreasing infant mortality in Brazil

Objectives: to estimate the population attributable fraction of preventable infant mortality rates due to changes in breastfeeding (BF) indicators attributable to the Baby Friendly Hospital Initiative (BFHI). Methods: an estimate on the impact of BFHI in reducing infant mortality with an inferential level of plausibility, using secondary data from the II Breastfeeding Prevalence Survey of 2008. Initially, the effect of BFHI on breastfeeding in the first hour of life, exclusive breastfeeding, and any breastfeeding based on the prevalence of the outcomes among infants born in BFHI or non-BFHI was calculated. Second, the population attributable fraction of nonbreastfeeding was estimated for late neonatal mortality, mortality by all causes and infant mortality by infections, for BFHI and non-BFHI, and the number of potentially avoidable deaths if all children were born in BFH. Results: reduction of 4.2% of late neonatal deaths due to the increase in BF prevalence in the first hour, as provided by BFHI. BFHI potentially contributed with 3.5% of all-cause deaths and 4.2% of deaths from infection by BF promotion in infants below 6 months. Conclusions: the reduction of mortality in children between 7 and 180 days in 2008 potentially attributable to BFHI through the promotion of BF indicators reinforces the importance of strengthening and expanding this initiative in Brazil to ultimately enhance child

Asociación entre el grado de implantación de la Red Amamanta Brasil e indicadores de lactancia materna

O objetivo foi avaliar a implantacao da Rede Amamenta Brasil e seu impacto sobre indicadores de aleitamento materno (AM). Realizou-se analise de implantacao de segundo tipo, incluindo 56 unidades basicas de saude (UBS) de tres municipios brasileiros. Para a avaliacao do grau de implantacao, criou-se um escore para cada UBS baseado no cumprimento dos criterios de certificacao do Ministerio da Saude; para a analise dos efeitos da implantacao, foram pesquisadas as prevalencias de amamentacao exclusiva e de amamentacao. Verificou-se que 18 (32,1%) UBS cumpriam os quatro criterios preconizados para certificacao. Foram incluidas no estudo 1.052 criancas menores de um ano, sendo 563 menores de seis meses. Verificou-se que as UBS que cumpriam os quatro criterios de certificacao tiveram maior prevalencia de amamentacao exclusiva (44%), quando comparadas as demais UBS. Dificuldades para a implantacao da Rede Amamenta Brasil foram identificadas, e os indicadores de AM variaram de acordo com o numero de criterios de certificacao cumpridos pelas UBS.This study aimed to evaluate the implementation of the Brazilian Breastfeeding Network and its impact on breastfeeding indicators. Implementation was analyzed according to type, including 56 primary healthcare units from three Brazilian municipalities. For evaluation of the degree of implementation, a score was created for each unit based on compliance with Ministry of Health certification criteria. Effects of implementation were analyzed according to exclusive and overall breastfeeding rates. Eighteen (32.1%) of the units met the four criteria for certification. The study sample included 1,052 children less than one year of age, of whom 563 were less than six months old. Units that met the four criteria for certification showed higher rates of exclusive breastfeeding (44%) when compared to the other units. Difficulties in implementing the Brazilian Breastfeeding Network were identified, and breastfeeding indicators varied according to the number of certification criteria met by the primary healthcare unit.

Associação entre o grau de implantação da Rede Amamenta Brasil e indicadores de amamentação

O objetivo foi avaliar a implantacao da Rede Amamenta Brasil e seu impacto sobre indicadores de aleitamento materno (AM). Realizou-se analise de implantacao de segundo tipo, incluindo 56 unidades basicas de saude (UBS) de tres municipios brasileiros. Para a avaliacao do grau de implantacao, criou-se um escore para cada UBS baseado no cumprimento dos criterios de certificacao do Ministerio da Saude; para a analise dos efeitos da implantacao, foram pesquisadas as prevalencias de amamentacao exclusiva e de amamentacao. Verificou-se que 18 (32,1%) UBS cumpriam os quatro criterios preconizados para certificacao. Foram incluidas no estudo 1.052 criancas menores de um ano, sendo 563 menores de seis meses. Verificou-se que as UBS que cumpriam os quatro criterios de certificacao tiveram maior prevalencia de amamentacao exclusiva (44%), quando comparadas as demais UBS. Dificuldades para a implantacao da Rede Amamenta Brasil foram identificadas, e os indicadores de AM variaram de acordo com o numero de criterios de certificacao cumpridos pelas UBS.This study aimed to evaluate the implementation of the Brazilian Breastfeeding Network and its impact on breastfeeding indicators. Implementation was analyzed according to type, including 56 primary healthcare units from three Brazilian municipalities. For evaluation of the degree of implementation, a score was created for each unit based on compliance with Ministry of Health certification criteria. Effects of implementation were analyzed according to exclusive and overall breastfeeding rates. Eighteen (32.1%) of the units met the four criteria for certification. The study sample included 1,052 children less than one year of age, of whom 563 were less than six months old. Units that met the four criteria for certification showed higher rates of exclusive breastfeeding (44%) when compared to the other units. Difficulties in implementing the Brazilian Breastfeeding Network were identified, and breastfeeding indicators varied according to the number of certification criteria met by the primary healthcare unit.