[The impact of health workers' training on breastfeeding and complementary feeding practices]
Márcia Regina Vítolo1, Maria Laura Louzada2, Fernanda Rauber3
1Departamento de Nutrição, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brasil.
Insights
Health worker training on the Ten Steps to Healthy Feeding significantly improved infant feeding practices. Interventions led to longer exclusive breastfeeding durations and better complementary feeding quality.
Area of Science:
- Public Health
- Nutrition Science
- Pediatrics
Context:
- Training health workers on "Ten Steps to Healthy Feeding of Children Under Two" is crucial for improving infant nutrition.
- Health Care Centers (HCC) and Family Health Program (FHP) sites in Brazil were part of the study design.
- Infant feeding practices were assessed at 6 and 12 months of age.
Purpose:
- To evaluate the effect of updated training for health workers on infant feeding practices.
- To compare the impact of training delivered through HCCs versus FHP-organized centers.
- To assess changes in exclusive breastfeeding and complementary feeding.
Summary:
- Health workers received updated training on "Ten Steps to Healthy Feeding."
- Intervention groups (HCC and FHP) showed significantly longer mean durations of exclusive breastfeeding (2.56±1.91 and 2.32±1.63 months) compared to the control group (1.91±1.60 months).
- A positive impact on the quality of complementary feeding was observed in intervention groups, particularly within FHP centers.
Impact:
- Updated health worker training positively influences infant feeding practices.
- The intervention demonstrates a significant increase in exclusive breastfeeding duration.
- Improvements in complementary feeding quality suggest enhanced nutritional support for infants.
Abstract:
This study aimed to evaluate the impact on feeding practices for infants (<1 year of age) resulting from update training for health workers in the Ten Steps to Healthy Feeding of Children Under Two. Health Care Centers (HCC) in Porto Alegre, Rio Grande do Sul State, Brazil, were randomized into a control group (n=11) and an intervention group (n=9). Health centers organized according to Brazil's Family Health Program (FHP) were included as an intervention cluster (n=12). Infant feeding practices were evaluated at the health centers at 6 months (n=918) and again at 12 months of age (n=799). The results showed that mean duration of exclusive breastfeeding was significantly longer in the two groups that received the intervention (2.56±1.91 months in the FHP intervention and 2.32±1.63 months in the HCC intervention) compared to the HCC control group (1.91±1.60 months). There was a positive impact on the quality of complementary feeding of infants treated at the health centers that participated in the intervention, especially those with the FHP.
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