Brazilian Strategy for Breastfeeding and Complementary Feeding Promotion: A Program Impact Pathway Analysis
Daiane Melo1, Sonia Venancio2, Gabriela Buccini3
1Department of Nutrition, School of Public Health, University of São Paulo, Professor Mello de Moraes Avenue, 1235, São Paulo 05508-030, SP, Brazil.
Summary
Scaling up the Brazilian Breastfeeding and Complementary Feeding Strategy (EAAB) requires strengthening coordination and monitoring. Program Impact Pathway analysis identified critical factors for successful, large-scale infant and young children feeding (IYCF) program implementation.
Area of Science:
- Public Health
- Health Policy
- Nutrition Science
Background:
- The Brazilian Breastfeeding and Complementary Feeding Strategy (EAAB) aims to enhance Primary Health Care (PHC) worker counseling for infant and young children feeding (IYCF).
- Challenges exist in maintaining and scaling up the EAAB program.
- Program Impact Pathway (PIP) analysis is a recommended approach for assessing and improving large-scale IYCF program implementation.
Purpose of the Study:
- To document barriers and facilitators influencing the scale-up of the EAAB.
- To utilize Program Impact Pathway (PIP) analysis for understanding EAAB implementation.
Main Methods:
- Reviewed EAAB documents to construct an initial PIP diagram.
- Conducted interviews with key informants to identify Critical Quality Control Points (CCPs) within the PIP.
- Analyzed the revised PIP to inform EAAB core functions and implementation pathways.
Main Results:
- Identified six Critical Quality Control Points (CCPs) essential for EAAB maintenance: coordination, tutor support, certification, quality improvement in PHC, monitoring systems, and implementation oversight.
- Identified four implementation pathways and seven core functions that can aid in scaling up the EAAB in Brazil.
Conclusions:
- Program Impact Pathway (PIP) analysis effectively documented factors influencing EAAB maintenance and scale-up.
- The findings provide insights for enhancing the widespread implementation of IYCF programs.
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