[Impact of a Well Baby Care Program on the promotion of exclusive breastfeeding]

José Justino Faleiros1, Gladis Kalil, Darci Pegoraro Casarin

  • 1Faculdade de Medicina, Universidade Federal de Pelotas, Pelotas, Brazil. jjusfal@terra.com.br

Insights

Exclusive breastfeeding prevalence was high initially but declined over six months in a Brazilian cohort. The Well Baby Program showed adequacy but requires further efforts to extend exclusive breastfeeding duration.

Area of Science:

  • Pediatrics
  • Public Health
  • Epidemiology

Context:

  • Study conducted in Pelotas, Brazil, focusing on low-income families.
  • Utilized a historical cohort of children born between 2000-2002.
  • Primary health care facility setting analyzed for breastfeeding practices.

Purpose:

  • To assess the prevalence and duration of exclusive breastfeeding.
  • To evaluate the effectiveness of the Well Baby Program in promoting breastfeeding.
  • To identify trends in exclusive breastfeeding interruption post-birth.

Summary:

  • Exclusive breastfeeding prevalence was 95.0% in the first month, decreasing to 35.0% by six months.
  • Median duration of exclusive breastfeeding was four months.
  • Prevalence and median duration exceeded Brazilian national rates, indicating program effectiveness.

Impact:

  • The Well Baby Program demonstrates success in promoting breastfeeding initiation and early duration.
  • Further interventions are needed to increase exclusive breastfeeding rates until the recommended six months.
  • Findings provide insights for public health strategies to improve infant nutrition in similar settings.

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