Breastfeeding-Friendly Primary Care Initiative: Degree of implementation in a Brazilian metropolis
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Nutrição |
Texto Completo: | https://periodicos.puc-campinas.edu.br/nutricao/article/view/8437 |
Resumo: | ObjectiveThis study assessed the degree of implementation of the Breastfeeding-Friendly Primary Care Initiative in a Brazilian metropolis. MethodsA tool with 55 items and a maximum score of 10 points, based on validated protocols, was developed for assessing the degree of implementation of the abovementioned initiative. This tool was used on a probabilistic sample of municipal primary care units in the city of Rio de Janeiro, Brazil (n=56). Managers (n=56), healthcare practitioners (n=541) and users (n=985) were interviewed. ResultsThe mean score for the degree of implementation of the Breastfeeding-Friendly Primary Care Initiative in the study units was 5.45 (95%CI: 5.11 - 5.78), the maximum being 10.00. Existence of written guidelines and training obtained the worst scores. Breast massage and manual milk expression techniques; knowledge aboutcontraception and the risks associated with the use of baby formulas, bottles, and pacifiers; and existence of support groups obtained intermediate scores. Provision of information and recommendations on breastfeeding rights and advantages; addressing users’ worries, life experiences, and doubts; and encouraging cue feeding achieved the best scores. ConclusionThe proposed tool assessed the general degree of implementation of the Breastfeeding-Friendly Primary Care Initiative and of each group of actions associated with the “Ten Steps”, providing information for restructuring the strategies used in Rio de Janeiro. The degree of implementation of breastfeeding promotion, protection, and support set by the initiative in this city is intermediate, with its items having been implemented to different degrees. |
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Breastfeeding-Friendly Primary Care Initiative: Degree of implementation in a Brazilian metropolisIniciativa Unidade Básica Amiga da Amamentação: avaliação do nível de sua implantação em uma metrópole brasileiraBreastfeedingBreastfeeding-Friendly Primary Care InitiativePrimary healthcareAleitamento maternoIniciativa Unidade Básica Amiga da AmamentaçãoAtenção primária à saúdeObjectiveThis study assessed the degree of implementation of the Breastfeeding-Friendly Primary Care Initiative in a Brazilian metropolis. MethodsA tool with 55 items and a maximum score of 10 points, based on validated protocols, was developed for assessing the degree of implementation of the abovementioned initiative. This tool was used on a probabilistic sample of municipal primary care units in the city of Rio de Janeiro, Brazil (n=56). Managers (n=56), healthcare practitioners (n=541) and users (n=985) were interviewed. ResultsThe mean score for the degree of implementation of the Breastfeeding-Friendly Primary Care Initiative in the study units was 5.45 (95%CI: 5.11 - 5.78), the maximum being 10.00. Existence of written guidelines and training obtained the worst scores. Breast massage and manual milk expression techniques; knowledge aboutcontraception and the risks associated with the use of baby formulas, bottles, and pacifiers; and existence of support groups obtained intermediate scores. Provision of information and recommendations on breastfeeding rights and advantages; addressing users’ worries, life experiences, and doubts; and encouraging cue feeding achieved the best scores. ConclusionThe proposed tool assessed the general degree of implementation of the Breastfeeding-Friendly Primary Care Initiative and of each group of actions associated with the “Ten Steps”, providing information for restructuring the strategies used in Rio de Janeiro. The degree of implementation of breastfeeding promotion, protection, and support set by the initiative in this city is intermediate, with its items having been implemented to different degrees.ObjetivoAvaliar o nível de implantação da Iniciativa Unidade Básica Amiga da Amamentação em uma metrópole brasileira. MétodosCom base em protocolos validados, criou-se ferramenta de avaliação do nível de implantação composta por 55 parâmetros, gerando escore final que poderia variar de 0 a 10 pontos. Aplicou-se essa ferramenta em amostra probabilística das unidades básicas municipais de saúde da cidade do Rio de Janeiro (n=56). Foram entrevistados gestores (n=56), profissionais de saúde (n=541) e usuárias (n=985). ResultadosA média do escore final das unidades básicas municipais de saúde referente ao nível de implantação da Iniciativa Unidade Básica Amiga da Amamentação foi de 5,45 (IC95%: 5,11 - 5,78). Observaram-se piores resultados em relação à norma escrita e ao treinamento. As técnicas de massagem e de ordenha das mamas, conhecimentos sobre contracepção, riscos do uso de fórmulas infantis, mamadeiras e chupetas e a implantação de grupos de apoio apresentaram resultados intermediários. As orientações sobre direitos, vantagens e recomendações relativas à amamentação, a escuta das preocupações, vivências e dúvidas da clientela e o encorajamento da amamentação sob livre demanda tiveram resultados mais satisfatórios. ConclusãoA ferramenta desenvolvida permitiu a avaliação do nível geral de implantação da Iniciativa Unidade Básica Amiga da Amamentação e de cada conjunto de ações correspondentes aos “Dez Passos”, fornecendo subsídios para reorientação das estratégias utilizadas na cidade. A cidade do Rio de Janeiro apresenta nível intermediário de implantação das ações de promoção, proteção e apoio à amamentação, preconizadas pela Iniciativa e pela heterogeneidade na implantação das atividades que a compõem.Núcleo de Editoração – PUC-Campinas2023-05-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.puc-campinas.edu.br/nutricao/article/view/8437Brazilian Journal of Nutrition; Vol. 26 No. 4 (2013): Revista de NutriçãoRevista de Nutrição; Vol. 26 Núm. 4 (2013): Revista de NutriçãoRevista de Nutrição; v. 26 n. 4 (2013): Revista de Nutrição1678-9865reponame:Revista de Nutriçãoinstname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)instacron:PUC_CAMPenghttps://periodicos.puc-campinas.edu.br/nutricao/article/view/8437/5944Copyright (c) 2023 Rosane Valéria Viana Fonseca RITO, Inês Rugani Ribeiro de CASTRO, Alexandre José Baptista TRAJANO, Maria Auxiliadora de Souza Mendes GOMES, Regina Tomie Ivata BERNALhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccess Viana Fonseca RITO, Rosane ValériaRibeiro de CASTRO, Inês Rugani Baptista TRAJANO, Alexandre José de Souza Mendes GOMES, Maria Auxiliadora Ivata BERNAL, Regina Tomie 2023-10-05T19:19:39Zoai:ojs.periodicos.puc-campinas.edu.br:article/8437Revistahttp://www.scielo.br/rnPRIhttps://periodicos.puc-campinas.edu.br/nutricao/oai||sbi.submissionrn@puc-campinas.edu.br1678-98651415-5273opendoar:2023-10-05T19:19:39Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS)false |
dc.title.none.fl_str_mv |
Breastfeeding-Friendly Primary Care Initiative: Degree of implementation in a Brazilian metropolis Iniciativa Unidade Básica Amiga da Amamentação: avaliação do nível de sua implantação em uma metrópole brasileira |
title |
Breastfeeding-Friendly Primary Care Initiative: Degree of implementation in a Brazilian metropolis |
spellingShingle |
Breastfeeding-Friendly Primary Care Initiative: Degree of implementation in a Brazilian metropolis Viana Fonseca RITO, Rosane Valéria Breastfeeding Breastfeeding-Friendly Primary Care Initiative Primary healthcare Aleitamento materno Iniciativa Unidade Básica Amiga da Amamentação Atenção primária à saúde |
title_short |
Breastfeeding-Friendly Primary Care Initiative: Degree of implementation in a Brazilian metropolis |
title_full |
Breastfeeding-Friendly Primary Care Initiative: Degree of implementation in a Brazilian metropolis |
title_fullStr |
Breastfeeding-Friendly Primary Care Initiative: Degree of implementation in a Brazilian metropolis |
title_full_unstemmed |
Breastfeeding-Friendly Primary Care Initiative: Degree of implementation in a Brazilian metropolis |
title_sort |
Breastfeeding-Friendly Primary Care Initiative: Degree of implementation in a Brazilian metropolis |
author |
Viana Fonseca RITO, Rosane Valéria |
author_facet |
Viana Fonseca RITO, Rosane Valéria Ribeiro de CASTRO, Inês Rugani Baptista TRAJANO, Alexandre José de Souza Mendes GOMES, Maria Auxiliadora Ivata BERNAL, Regina Tomie |
author_role |
author |
author2 |
Ribeiro de CASTRO, Inês Rugani Baptista TRAJANO, Alexandre José de Souza Mendes GOMES, Maria Auxiliadora Ivata BERNAL, Regina Tomie |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Viana Fonseca RITO, Rosane Valéria Ribeiro de CASTRO, Inês Rugani Baptista TRAJANO, Alexandre José de Souza Mendes GOMES, Maria Auxiliadora Ivata BERNAL, Regina Tomie |
dc.subject.por.fl_str_mv |
Breastfeeding Breastfeeding-Friendly Primary Care Initiative Primary healthcare Aleitamento materno Iniciativa Unidade Básica Amiga da Amamentação Atenção primária à saúde |
topic |
Breastfeeding Breastfeeding-Friendly Primary Care Initiative Primary healthcare Aleitamento materno Iniciativa Unidade Básica Amiga da Amamentação Atenção primária à saúde |
description |
ObjectiveThis study assessed the degree of implementation of the Breastfeeding-Friendly Primary Care Initiative in a Brazilian metropolis. MethodsA tool with 55 items and a maximum score of 10 points, based on validated protocols, was developed for assessing the degree of implementation of the abovementioned initiative. This tool was used on a probabilistic sample of municipal primary care units in the city of Rio de Janeiro, Brazil (n=56). Managers (n=56), healthcare practitioners (n=541) and users (n=985) were interviewed. ResultsThe mean score for the degree of implementation of the Breastfeeding-Friendly Primary Care Initiative in the study units was 5.45 (95%CI: 5.11 - 5.78), the maximum being 10.00. Existence of written guidelines and training obtained the worst scores. Breast massage and manual milk expression techniques; knowledge aboutcontraception and the risks associated with the use of baby formulas, bottles, and pacifiers; and existence of support groups obtained intermediate scores. Provision of information and recommendations on breastfeeding rights and advantages; addressing users’ worries, life experiences, and doubts; and encouraging cue feeding achieved the best scores. ConclusionThe proposed tool assessed the general degree of implementation of the Breastfeeding-Friendly Primary Care Initiative and of each group of actions associated with the “Ten Steps”, providing information for restructuring the strategies used in Rio de Janeiro. The degree of implementation of breastfeeding promotion, protection, and support set by the initiative in this city is intermediate, with its items having been implemented to different degrees. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-05-03 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/8437 |
url |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/8437 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://periodicos.puc-campinas.edu.br/nutricao/article/view/8437/5944 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Núcleo de Editoração – PUC-Campinas |
publisher.none.fl_str_mv |
Núcleo de Editoração – PUC-Campinas |
dc.source.none.fl_str_mv |
Brazilian Journal of Nutrition; Vol. 26 No. 4 (2013): Revista de Nutrição Revista de Nutrição; Vol. 26 Núm. 4 (2013): Revista de Nutrição Revista de Nutrição; v. 26 n. 4 (2013): Revista de Nutrição 1678-9865 reponame:Revista de Nutrição instname:Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) instacron:PUC_CAMP |
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Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) |
instacron_str |
PUC_CAMP |
institution |
PUC_CAMP |
reponame_str |
Revista de Nutrição |
collection |
Revista de Nutrição |
repository.name.fl_str_mv |
Revista de Nutrição - Pontifícia Universidade Católica de Campinas (PUC-CAMPINAS) |
repository.mail.fl_str_mv |
||sbi.submissionrn@puc-campinas.edu.br |
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1799126070238117888 |