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One country's story: The PROALMA program in Honduras.

J Canahuati1

  • 1Management Sciences for Health, P.O. Box 512, San Pedro Sula, Honduras.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|April 13, 2018
PubMed
Summary

The PROALMA project improved breastfeeding practices in Honduras, increasing exclusive breastfeeding duration to 1-2 months and overall breastfeeding to 12 months. Further enhancements included better breastfeeding education and family planning integration.

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Supporting breastfeeding: current status and future challenges.

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Effects of age at introduction of complementary foods to breast-fed infants on duration of lactational amenorrhea in Honduran women.

The American journal of clinical nutrition·1997
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Prelacteal feeds are negatively associated with breast-feeding outcomes in Honduras.

The Journal of nutrition·1996
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Do exclusively breast-fed infants require extra protein?

Pediatric research·1996
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Delaying the introduction of complementary food until 6 months does not affect appetite or mother's report of food acceptance of breast-fed infants from 6 to 12 months in a low income, Honduran population.

The Journal of nutrition·1995
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Determinants of growth from birth to 12 months among breast-fed Honduran infants in relation to age of introduction of complementary foods.

Pediatrics·1995

Area of Science:

  • Public Health
  • Maternal and Child Health
  • Health Services Research

Background:

  • The PROALMA project's initial phase demonstrated success in altering hospital breastfeeding practices in Honduras.
  • Community-level impacts included extended exclusive breastfeeding (1-2 months) and overall breastfeeding duration (12 months).
  • The second phase aimed for nationwide program expansion.

Purpose of the Study:

  • To evaluate the impact of retraining staff and establishing specialized clinics on breastfeeding education and family planning integration.
  • To assess improvements in breastfeeding support and family planning services within a pilot hospital setting.

Main Methods:

  • Retraining of hospital staff in breastfeeding promotion and education.
  • Establishment of a dedicated Breastfeeding Clinic.

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  • Establishment of a Temporary Methods Family Planning Clinic.

    • Main Results:

    • Significant improvements were observed in breastfeeding education following staff retraining.
    • Enhanced integration between breastfeeding support and family planning services was achieved.
    • The specialized clinics facilitated better patient care and support.

    Conclusions:

    • The PROALMA project's interventions effectively improved breastfeeding education and family planning integration.
    • The model of specialized clinics and staff retraining shows promise for broader implementation.
    • Sustained efforts are crucial for optimizing maternal and child health outcomes through improved breastfeeding support.