Methodology and indicators for NBCAL monitoring in stores and health services: a multicenter study (Multi-NBCAL)
| Autor(a) principal: | |
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| Data de Publicação: | 2022 |
| Outros Autores: | , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng por |
| Título da fonte: | Cadernos de Saúde Pública |
| Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7644 |
Resumo: | The Brazilian Code of Marketing of Infant and Toddlers Food, Nipples, Pacifiers and Baby Bottles (NBCAL), in force in Brazil since 1988, is still systematically violated, exposing mothers and family members to illegal marketing of products that compete with breastfeeding. This study aimed to describe a multicenter study methodology and propose standardized indicators for NBCAL monitoring. This is a Multicenter Study for NBCAL Compliance Assessment (Multi-NBCAL) conducted in seven Brazilian cities: Rio de Janeiro, São Paulo, Ouro Preto (Minas Gerais State), Florianópolis (Santa Catarina State), Brasília (Federal District), João Pessoa (Paraíba State), and Belém (Pará State). Assessment tools were adapted from NetCode/WHO and IBFAN Brazil (International Baby Food Action Network) to conduct two evaluations: (1) evaluation of NBCAL compliance in stores, and NBCAL knowledge and practices of store managers; (2) evaluation of the interaction between the baby food industry and health professionals and post-partum mothers in maternity hospitals. Five indicators were developed to assess NBCAL compliance in stores; seven indicators to assess the knowledge and practices of store managers; five indicators to assess the provision of incentives to maternity hospitals, health professionals, and mothers by sectors; and five indicators to assess NBCAL knowledge and practices of health professionals. The NBCAL assessment methodology with the proposal of standardized indicators allows comparability of studies about this theme. Using these indicators in periodic national or regional investigation can help monitor the level of NBCAL implementation in Brazil. |
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Methodology and indicators for NBCAL monitoring in stores and health services: a multicenter study (Multi-NBCAL)Metodologia e indicadores para monitoramento da NBCAL em estabelecimentos comerciais e serviços de saúde: estudo multicêntrico (Multi-NBCAL)Breast FeedingMarketingHealth SurveillanceConsumer AdvocacyAleitamento MaternoMarketingVigilância SanitáriaDefesa do ConsumidorThe Brazilian Code of Marketing of Infant and Toddlers Food, Nipples, Pacifiers and Baby Bottles (NBCAL), in force in Brazil since 1988, is still systematically violated, exposing mothers and family members to illegal marketing of products that compete with breastfeeding. This study aimed to describe a multicenter study methodology and propose standardized indicators for NBCAL monitoring. This is a Multicenter Study for NBCAL Compliance Assessment (Multi-NBCAL) conducted in seven Brazilian cities: Rio de Janeiro, São Paulo, Ouro Preto (Minas Gerais State), Florianópolis (Santa Catarina State), Brasília (Federal District), João Pessoa (Paraíba State), and Belém (Pará State). Assessment tools were adapted from NetCode/WHO and IBFAN Brazil (International Baby Food Action Network) to conduct two evaluations: (1) evaluation of NBCAL compliance in stores, and NBCAL knowledge and practices of store managers; (2) evaluation of the interaction between the baby food industry and health professionals and post-partum mothers in maternity hospitals. Five indicators were developed to assess NBCAL compliance in stores; seven indicators to assess the knowledge and practices of store managers; five indicators to assess the provision of incentives to maternity hospitals, health professionals, and mothers by sectors; and five indicators to assess NBCAL knowledge and practices of health professionals. The NBCAL assessment methodology with the proposal of standardized indicators allows comparability of studies about this theme. Using these indicators in periodic national or regional investigation can help monitor the level of NBCAL implementation in Brazil.La Norma Brasileña de Comercialización de Alimentos para Lactantes y Niños en la Primera Infancia, Tetillas, Chupetes y Biberones (NBCAL), vigente en Brasil desde 1988, todavía es sistemáticamente infringida, exponiendo a madres y familiares al marketing ilegal de productos que compiten con la lactancia materna. El objetivo fue describir la metodología de estudio multicéntrico y proponer indicadores estandarizados para el monitoreo de la NBCAL. Estudio Multicéntrico para Monitoreo de la NBCAL (Multi-NBCAL) llevado a cabo en siete (7) ciudades brasileñas: Río de Janeiro; São Paulo; Ouro Preto (Minas Gerais); Florianópolis (Santa Catarina); Brasilia (Distrito Federal); João Pessoa (Paraíba) y Belém (Pará). Se adaptaron instrumentos de evaluación del NetCode/OMS y de la IBFAN Brasil (Red Internacional de Acción por la Alimentación Infantil)para la realización de dos encuestas: (1) evaluación del cumplimiento de la NBCAL en establecimientos comerciales y de las prácticas y conocimiento de sus gerentes sobre la NBCAL; (2) evaluación en maternidades de la interacción de la industria de alimentos infantiles con profesionales de salud y madres. Se elaboraron cinco indicadores para la evaluación del cumplimiento de la NBCAL en establecimientos comerciales; siete indicadores para evaluar conocimientos y prácticas de sus responsables; cinco indicadores para evaluar la oferta de incentivos a maternidades, profesionales de salud y madres por las industrias y cinco indicadores para evaluar el conocimiento y prácticas de profesionales de salud, respecto a la NBCAL. La metodología de evaluación de la NBCAL, con la propuesta de indicadores estandarizados, permite la comparabilidad de estudios sobre el tema. La utilización de estos indicadores en encuestas periódicas, nacionales o regionales, puede contribuir a monitorear el grado de implementación de la NBCAL en Brasil.A Norma Brasileira de Comercialização de Alimentos para Lactentes e Crianças de Primeira Infância, Bicos, Chupetas e Mamadeiras (NBCAL), vigente no Brasil desde 1988, ainda é sistematicamente infringida, expondo mães e familiares ao marketing ilegal de produtos que competem com o aleitamento materno. O objetivo foi descrever metodologia de estudo multicêntrico e propor indicadores padronizados para monitoramento da NBCAL. Estudo Multicêntrico para Monitoramento da NBCAL (Multi-NBCAL) conduzido em sete cidades brasileiras: Rio de Janeiro; São Paulo; Ouro Preto (Minas Gerais); Florianópolis (Santa Catarina); Brasília (Distrito Federal); João Pessoa (Paraíba) e Belém (Pará). Instrumentos de avaliação foram adaptados do NetCode/WHO e da IBFAN Brasil (Rede Internacional em Defesa do Direito de Amamentar) para condução de dois inquéritos: (1) avaliação do cumprimento da NBCAL em estabelecimentos comerciais e das práticas e conhecimento dos seus gerentes sobre a NBCAL; (2) avaliação em maternidades da interação da indústria de alimentos infantis com profissionais de saúde e mães. Foram elaborados cinco indicadores para avaliação do cumprimento da NBCAL em estabelecimentos comerciais; sete indicadores para avaliar conhecimentos e práticas dos seus responsáveis; cinco indicadores para avaliar a oferta de incentivos a maternidades, profissionais de saúde e mães pelas indústrias e cinco indicadores para avaliar conhecimento e práticas de profissionais de saúde quanto à NBCAL. A metodologia de avaliação da NBCAL, com a proposta de indicadores padronizados, permite a comparabilidade de estudos sobre o tema. A utilização desses indicadores em inquéritos periódicos, nacionais ou regionais, pode contribuir para monitorar o grau de implementação da NBCAL no Brasil.Reports in Public HealthCadernos de Saúde Pública2022-04-20info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmltext/htmlapplication/pdfapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7644Reports in Public Health; Vol. 37 No. 13 (2021): Supplement 1Cadernos de Saúde Pública; v. 37 n. 13 (2021): Suplemento 11678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZengporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7644/17062https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7644/17063https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7644/17064https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7644/17065Cristiano Siqueira BoccoliniMaria Inês Couto de OliveiraTereza Setsuko TomaPatricia Lima Pereira PeresEvangelia Kotzias Atherino dos SantosMaria Cristina PassosMuriel Bauermann GubertNaíza Nayla Bandeira de SáRodrigo Pinheiro de Toledo ViannaDaniela Lopes GomesTalita Maria Alves Lopes da SilvaEnilce de Oliveira Fonseca SallyMarina Ferreira Reainfo:eu-repo/semantics/openAccess2024-03-06T15:30:05Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/7644Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:08:47.769608Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
| dc.title.none.fl_str_mv |
Methodology and indicators for NBCAL monitoring in stores and health services: a multicenter study (Multi-NBCAL) Metodologia e indicadores para monitoramento da NBCAL em estabelecimentos comerciais e serviços de saúde: estudo multicêntrico (Multi-NBCAL) |
| title |
Methodology and indicators for NBCAL monitoring in stores and health services: a multicenter study (Multi-NBCAL) |
| spellingShingle |
Methodology and indicators for NBCAL monitoring in stores and health services: a multicenter study (Multi-NBCAL) Cristiano Siqueira Boccolini Breast Feeding Marketing Health Surveillance Consumer Advocacy Aleitamento Materno Marketing Vigilância Sanitária Defesa do Consumidor |
| title_short |
Methodology and indicators for NBCAL monitoring in stores and health services: a multicenter study (Multi-NBCAL) |
| title_full |
Methodology and indicators for NBCAL monitoring in stores and health services: a multicenter study (Multi-NBCAL) |
| title_fullStr |
Methodology and indicators for NBCAL monitoring in stores and health services: a multicenter study (Multi-NBCAL) |
| title_full_unstemmed |
Methodology and indicators for NBCAL monitoring in stores and health services: a multicenter study (Multi-NBCAL) |
| title_sort |
Methodology and indicators for NBCAL monitoring in stores and health services: a multicenter study (Multi-NBCAL) |
| author |
Cristiano Siqueira Boccolini |
| author_facet |
Cristiano Siqueira Boccolini Maria Inês Couto de Oliveira Tereza Setsuko Toma Patricia Lima Pereira Peres Evangelia Kotzias Atherino dos Santos Maria Cristina Passos Muriel Bauermann Gubert Naíza Nayla Bandeira de Sá Rodrigo Pinheiro de Toledo Vianna Daniela Lopes Gomes Talita Maria Alves Lopes da Silva Enilce de Oliveira Fonseca Sally Marina Ferreira Rea |
| author_role |
author |
| author2 |
Maria Inês Couto de Oliveira Tereza Setsuko Toma Patricia Lima Pereira Peres Evangelia Kotzias Atherino dos Santos Maria Cristina Passos Muriel Bauermann Gubert Naíza Nayla Bandeira de Sá Rodrigo Pinheiro de Toledo Vianna Daniela Lopes Gomes Talita Maria Alves Lopes da Silva Enilce de Oliveira Fonseca Sally Marina Ferreira Rea |
| author2_role |
author author author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Cristiano Siqueira Boccolini Maria Inês Couto de Oliveira Tereza Setsuko Toma Patricia Lima Pereira Peres Evangelia Kotzias Atherino dos Santos Maria Cristina Passos Muriel Bauermann Gubert Naíza Nayla Bandeira de Sá Rodrigo Pinheiro de Toledo Vianna Daniela Lopes Gomes Talita Maria Alves Lopes da Silva Enilce de Oliveira Fonseca Sally Marina Ferreira Rea |
| dc.subject.por.fl_str_mv |
Breast Feeding Marketing Health Surveillance Consumer Advocacy Aleitamento Materno Marketing Vigilância Sanitária Defesa do Consumidor |
| topic |
Breast Feeding Marketing Health Surveillance Consumer Advocacy Aleitamento Materno Marketing Vigilância Sanitária Defesa do Consumidor |
| description |
The Brazilian Code of Marketing of Infant and Toddlers Food, Nipples, Pacifiers and Baby Bottles (NBCAL), in force in Brazil since 1988, is still systematically violated, exposing mothers and family members to illegal marketing of products that compete with breastfeeding. This study aimed to describe a multicenter study methodology and propose standardized indicators for NBCAL monitoring. This is a Multicenter Study for NBCAL Compliance Assessment (Multi-NBCAL) conducted in seven Brazilian cities: Rio de Janeiro, São Paulo, Ouro Preto (Minas Gerais State), Florianópolis (Santa Catarina State), Brasília (Federal District), João Pessoa (Paraíba State), and Belém (Pará State). Assessment tools were adapted from NetCode/WHO and IBFAN Brazil (International Baby Food Action Network) to conduct two evaluations: (1) evaluation of NBCAL compliance in stores, and NBCAL knowledge and practices of store managers; (2) evaluation of the interaction between the baby food industry and health professionals and post-partum mothers in maternity hospitals. Five indicators were developed to assess NBCAL compliance in stores; seven indicators to assess the knowledge and practices of store managers; five indicators to assess the provision of incentives to maternity hospitals, health professionals, and mothers by sectors; and five indicators to assess NBCAL knowledge and practices of health professionals. The NBCAL assessment methodology with the proposal of standardized indicators allows comparability of studies about this theme. Using these indicators in periodic national or regional investigation can help monitor the level of NBCAL implementation in Brazil. |
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2022 |
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2022-04-20 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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eng por |
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https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7644/17062 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7644/17063 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7644/17064 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7644/17065 |
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Reports in Public Health Cadernos de Saúde Pública |
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Reports in Public Health Cadernos de Saúde Pública |
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Reports in Public Health; Vol. 37 No. 13 (2021): Supplement 1 Cadernos de Saúde Pública; v. 37 n. 13 (2021): Suplemento 1 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
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