POPLINE Document Number: 315158
Author(s):
de Oliveira MI
Camacho LA
Souza IE
Source citation:
Cadernos de Saude Publica, 2005 Nov-Dec;21(6):1901-1910.
Abstract:
This article evaluates a policy for breastfeeding promotion, protection, and support in primary health care units in Rio de Janeiro State, Brazil, analyzing the assumptions, interventions, and results based on a log-frame model. A systematic review sought to identify effective procedures and strategies for extending breastfeeding duration, constituting the basis for creating "Ten Steps" in the "Breastfeeding-Friendly Primary Care Initiative" launched in Rio de Janeiro State in 1999. A corresponding evaluation method was developed and applied to verify the performance of 24 primary health care units from different parts of the State. A direct association was found between the practical implementation of these steps and prevalence of exclusive breastfeeding, as well as with mothers' satisfaction. An analysis of meanings ascribed by pregnant women and mothers to the support provided for breastfeeding identified five categories: "no support", "doubtful support", "encouragement", "guidance", and "partnership". The evaluation model allowed staff at the health care units to recognize opportunities for improving the program, in order to reverse the current low prevalence of exclusive breastfeeding. (author's)
Keywords:
BrazilIndex page
Research Report
Evaluation
Mothers
Infant
Health Personnel
Breastfeeding, Exclusive
Primary Health Care
Health Policy
Satisfaction
South America, Eastern
South America
Latin America
Americas
Developing Countries
Parents
Family Relationships
Family Characteristics
Family and Household
Sociocultural Factors
Youth
Age Factors
Population Characteristics
Demographic Factors
Population
Delivery of Health Care
Health
Breastfeeding
Infant Nutrition
Nutrition
Health Services
Policy
Political Factors
Psychological Factors
Behavior