Implementation of the Strategy for Breastfeeding and Complementary Feeding in the Federal District in Brazil

Amanda Souza Moura, Muriel Bauermann Gubert, Sonia Isoyama Venancio and Gabriela Buccini
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Amanda Souza Moura: Department of Nutrition, Center of Epidemiological Studies of Health and Nutrition (NESNUT), Faculty of Health Sciences, University of Brasília, Brasília 70910-900, Brazil
Muriel Bauermann Gubert: Department of Nutrition, Center of Epidemiological Studies of Health and Nutrition (NESNUT), Faculty of Health Sciences, University of Brasília, Brasília 70910-900, Brazil
Sonia Isoyama Venancio: Institute of Health, State Secretariat of São Paulo Health, São Paulo 01314-000, Brazil
Gabriela Buccini: Department of Social and Behavioral Health, University of Nevada, Las Vegas, NV 89119, USA

IJERPH, 2022, vol. 19, issue 9, 1-15

Abstract: Background: The Brazilian Breastfeeding and Complementary Feeding Strategy—Estratégia Amamenta e Alimenta Brasil (EAAB) aims to promote optimal breastfeeding (BF) and complementary feeding (CF) practices through the training of primary health professionals. Competition among health priorities and programs is one of the organizational contextual barriers to consolidating the implementation of the EAAB. Methods: This case study included six Primary Health Units (PHU) certified in the EAAB. Documentary analysis, interviews, and surveys were conducted, which informed a conceptual logical model. Organizational context indicators (positive and negative) were identified across the logical model based on the Matus Triangle, and they were used to analyze the degree of implementation of the EAAB in the PHUs. Results: The logic model elucidated six stages of EAAB implementation, but none on post-certification monitoring. Ten indicators positively influenced the implementation, including having legislation that prioritizes BF and CF. Seven indicators exerted negative influence, especially the lack of specific funding resources for the EAAB. Only one PHU had a consolidated degree of implementation. Conclusions: Lack of specific funding, monitoring of BF and CF practices, and compliance with certification criteria are the main challenges for the EAAB’s sustainability.

Keywords: breastfeeding; complementary feeding; health assessment; primary health care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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