Brazil’s Progress in Protecting, Promoting and Supporting Breastfeeding From the Perspective of the Global Breastfeeding Collective

Abstract

Objective: To identify and to discuss the progress of actions for the protection, promotion and support of breastfeeding in Brazil from the perspective of the indicators proposed by the Global Breastfeeding Collective. Data source: A narrative review was conducted according to the methodological orientation of the implementation research and through a qualitative approach. Publications from the World Health Organization and the United Nations Children’s Fund were selected, as well as publications from the Brazilian Ministry of Health were collected from the Virtual Health Library and from the libraries of the Department of Primary Care’s portal and the Brazilian’s Institute of Geography and Research. Data synthesis: Brazil has shown promising results regarding the implementation of breastfeeding protection legislation, the participation of municipalities in community breastfeeding support programs, and the continued evaluation of these programs. However, reports of breastfeeding rates have not been produced every five years and the progress of these indicators is very far from the agreed targets for 2030. There is also a need to improve the number of births in child-friendly hospitals and financial donations for breastfeeding programs. Conclusions: It is necessary to strengthen systematic monitoring of breastfeeding and following up current strategies to more effectively impact the breastfeeding rates in the country. Furthermore, it is suggested that the practice of donations is a pathway to be explored to support breastfeeding programs.

The impact of a package of behaviour change interventions on breastfeeding practices in East Java Province, Indonesia

“…Overall, our findings highlight the advantages of counselling and education activities when carried out simultaneously, either in the health system, community or at the individual level, as reported by various studies (Melo et al, 2021;Pérez-Escamilla et al, 2016;Sinha et al, 2015). Our analysis supports previous literature showing that needs-based, one-to-one, informal sessions delivered by trained personnel, including peer-counsellor, promoted breastfeeding practices (Thurston et al, 2013).…”

“…The differences in the timing of rolling out each intervention throughout the BADUTA study might have resulted in the relatively modest results found in our trial despite implementing a package of interventions compared to studies implementing only a single intervention (Lassi et al, 2020 ). However, it is also plausible that multiple components of intervention working at different levels that worked synergistically to promote optimal breastfeeding practices will produce a larger effect than individual intervention alone, as reported in other studies (Melo et al, 2021 ; Pérez‐Escamilla et al, 2012 ).…”

Factors Associated With Early Interruption of Breastfeeding

“…In studies already mentioned, one carried out in Londrina -PR, in 2008, and another in Cruzeiro do Sul -AC, in 2015-2016.5% and 90% of children received breast milk in the first hour of life, respectively (RODRIGUES et al, 2021;SOUZA et al, 2012). The prevalence of breastfeeding in the first hour of life in the present study showed a value considered higher than the target stipulated by the 2019 indicators of the Global Breastfeeding Collective (GBC), a program led by WHO and Unicef, with the objective of universal improvement in terms of investments in AM, at least more than 70% for 2030 (MELO;PEREIRA, 2021).…”

Factors associated with infant formula supplementation in Brazilian hospitals: a cross-sectional study

“…As a result, a National Policy for Breastfeeding Incentive was created in 1981, and marketing of infant food was regulated in 1988. 1 , 2 …”