Effectiveness of an educational manual to promote infant feeding practices in primary health care

Abstract Background Breastfeeding and adequate complementary feeding in the first years of life provide short- and long-term benefits for child health. However, breastfeeding and adequate complementary feeding prevalence's are low. In Brazil, the Estratégia Amamenta e Alimenta Brasil (EAAB) aim...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:European journal of public health 2020-09, Vol.30 (Supplement_5)
Hauptverfasser: Relvas, G R B, Buccini, G S, Potvin, L, Venancio, S I
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page
container_issue Supplement_5
container_start_page
container_title European journal of public health
container_volume 30
creator Relvas, G R B
Buccini, G S
Potvin, L
Venancio, S I
description Abstract Background Breastfeeding and adequate complementary feeding in the first years of life provide short- and long-term benefits for child health. However, breastfeeding and adequate complementary feeding prevalence's are low. In Brazil, the Estratégia Amamenta e Alimenta Brasil (EAAB) aims to improve the quality of the assistance provided by primary healthcare teams to ultimately improving infant feeding practices in the Brazilian population. In primary healthcare units, continuing education in breastfeeding and complementary feeding is facilitated by EAAB tutors. A Manual to Support EAAB Tutor (the Manual) was developed following a problem-based learning methodology. This study aimed to evaluate the effectiveness of using the Manual by analyzing exclusive breastfeeding and complementary feeding indicators. Methods A before and after study was conducted at primary healthcare units in Embu das Artes, Brazil. The intervention consisted in the use of the Manual by EAAB tutors who performed some comprehensive training activities with healthcare teams, in a period of 8 months. Subjects consisted of mothers of infants under one year of age attended at primary healthcare units. 561 mothers before and 598 mothers after intervention were interviewed about breastfeeding and complementary feeding practices. Multivariate analysis was performed using Poisson multilevel regression to test the hypothesis. Results Lack of minimum food diversity (before 62.9%; after 50.3%) and lack of food adequacy (before 77.5%; after 63.3%) decreased significantly. Regression analysis confirmed that infants after the intervention had lower prevalence of inadequacy of complementary feeding. While the intervention did not show significant association with exclusive breastfeeding, it showed association with the improvement of complementary feeding practices. Conclusions The Manual is a continuing educational strategy that improved complementary feeding practices in primary health care. Key messages The use of a continuing education strategy grounded on a problem-based learning methodology was effective to produce improvements in complementary feeding practices in primary health care. The 'Manual to Support EAAB Tutor' consists of a tool that has the potential to be adapted for different contexts and easy to disclose to all EAAB tutors in the country.
doi_str_mv 10.1093/eurpub/ckaa166.1003
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2476159551</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/eurpub/ckaa166.1003</oup_id><sourcerecordid>2476159551</sourcerecordid><originalsourceid>FETCH-LOGICAL-c1563-c5b931e8b13fc58431dc45a8f082ec81757946544d7535a4d6ed4061d0f101423</originalsourceid><addsrcrecordid>eNqNUMtOwzAQtBBIlMIXcLHEOa03fiQ5oqpQpEpcQOJmbZ01TWnjEidI_D2u0g_gNLuzM6vdYewexAxEJec0dMdhM3dfiGBM4oS8YBNQRmXSiI_LVIOADHKTX7ObGHdCCF2U-YTh0ntyffNDLcXIg-fYcqoHh30TWtzzA7ZDgj7wYxcOoSfetB7bnnuiumk_E43J7yimQWqaA3a_fEu477fcYUe37MrjPtLdGafs_Wn5tlhl69fnl8XjOnOgjcyc3lQSqNyA9E6XSkLtlMbSizInV0Khi0oZrVRdaKlR1YZqJQzUwqfXVC6n7GHcm-78Hij2dheGLr0Qba4KA7rSGpJKjirXhRg78vZ8sgVhT1naMUt7ztKeskyu2egKw_Ffhj-w8nnK</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2476159551</pqid></control><display><type>article</type><title>Effectiveness of an educational manual to promote infant feeding practices in primary health care</title><source>PAIS Index</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><source>Sociological Abstracts</source><source>Oxford Open Access Journals</source><creator>Relvas, G R B ; Buccini, G S ; Potvin, L ; Venancio, S I</creator><creatorcontrib>Relvas, G R B ; Buccini, G S ; Potvin, L ; Venancio, S I</creatorcontrib><description>Abstract Background Breastfeeding and adequate complementary feeding in the first years of life provide short- and long-term benefits for child health. However, breastfeeding and adequate complementary feeding prevalence's are low. In Brazil, the Estratégia Amamenta e Alimenta Brasil (EAAB) aims to improve the quality of the assistance provided by primary healthcare teams to ultimately improving infant feeding practices in the Brazilian population. In primary healthcare units, continuing education in breastfeeding and complementary feeding is facilitated by EAAB tutors. A Manual to Support EAAB Tutor (the Manual) was developed following a problem-based learning methodology. This study aimed to evaluate the effectiveness of using the Manual by analyzing exclusive breastfeeding and complementary feeding indicators. Methods A before and after study was conducted at primary healthcare units in Embu das Artes, Brazil. The intervention consisted in the use of the Manual by EAAB tutors who performed some comprehensive training activities with healthcare teams, in a period of 8 months. Subjects consisted of mothers of infants under one year of age attended at primary healthcare units. 561 mothers before and 598 mothers after intervention were interviewed about breastfeeding and complementary feeding practices. Multivariate analysis was performed using Poisson multilevel regression to test the hypothesis. Results Lack of minimum food diversity (before 62.9%; after 50.3%) and lack of food adequacy (before 77.5%; after 63.3%) decreased significantly. Regression analysis confirmed that infants after the intervention had lower prevalence of inadequacy of complementary feeding. While the intervention did not show significant association with exclusive breastfeeding, it showed association with the improvement of complementary feeding practices. Conclusions The Manual is a continuing educational strategy that improved complementary feeding practices in primary health care. Key messages The use of a continuing education strategy grounded on a problem-based learning methodology was effective to produce improvements in complementary feeding practices in primary health care. The 'Manual to Support EAAB Tutor' consists of a tool that has the potential to be adapted for different contexts and easy to disclose to all EAAB tutors in the country.</description><identifier>ISSN: 1101-1262</identifier><identifier>EISSN: 1464-360X</identifier><identifier>DOI: 10.1093/eurpub/ckaa166.1003</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Adequacy ; Baby foods ; Breast feeding ; Breastfeeding &amp; lactation ; Childrens health ; Continuing education ; Eating behavior ; Education ; Food ; Health care ; Health services ; Infants ; Intervention ; Learning ; Maternal and infant welfare ; Mothers ; Multivariate analysis ; Performance evaluation ; Physical growth ; Primary care ; Problem based learning ; Professional training ; Public health ; Regression analysis ; Tutoring</subject><ispartof>European journal of public health, 2020-09, Vol.30 (Supplement_5)</ispartof><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved. 2020</rights><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27843,27901,27902,33751</link.rule.ids></links><search><creatorcontrib>Relvas, G R B</creatorcontrib><creatorcontrib>Buccini, G S</creatorcontrib><creatorcontrib>Potvin, L</creatorcontrib><creatorcontrib>Venancio, S I</creatorcontrib><title>Effectiveness of an educational manual to promote infant feeding practices in primary health care</title><title>European journal of public health</title><description>Abstract Background Breastfeeding and adequate complementary feeding in the first years of life provide short- and long-term benefits for child health. However, breastfeeding and adequate complementary feeding prevalence's are low. In Brazil, the Estratégia Amamenta e Alimenta Brasil (EAAB) aims to improve the quality of the assistance provided by primary healthcare teams to ultimately improving infant feeding practices in the Brazilian population. In primary healthcare units, continuing education in breastfeeding and complementary feeding is facilitated by EAAB tutors. A Manual to Support EAAB Tutor (the Manual) was developed following a problem-based learning methodology. This study aimed to evaluate the effectiveness of using the Manual by analyzing exclusive breastfeeding and complementary feeding indicators. Methods A before and after study was conducted at primary healthcare units in Embu das Artes, Brazil. The intervention consisted in the use of the Manual by EAAB tutors who performed some comprehensive training activities with healthcare teams, in a period of 8 months. Subjects consisted of mothers of infants under one year of age attended at primary healthcare units. 561 mothers before and 598 mothers after intervention were interviewed about breastfeeding and complementary feeding practices. Multivariate analysis was performed using Poisson multilevel regression to test the hypothesis. Results Lack of minimum food diversity (before 62.9%; after 50.3%) and lack of food adequacy (before 77.5%; after 63.3%) decreased significantly. Regression analysis confirmed that infants after the intervention had lower prevalence of inadequacy of complementary feeding. While the intervention did not show significant association with exclusive breastfeeding, it showed association with the improvement of complementary feeding practices. Conclusions The Manual is a continuing educational strategy that improved complementary feeding practices in primary health care. Key messages The use of a continuing education strategy grounded on a problem-based learning methodology was effective to produce improvements in complementary feeding practices in primary health care. The 'Manual to Support EAAB Tutor' consists of a tool that has the potential to be adapted for different contexts and easy to disclose to all EAAB tutors in the country.</description><subject>Adequacy</subject><subject>Baby foods</subject><subject>Breast feeding</subject><subject>Breastfeeding &amp; lactation</subject><subject>Childrens health</subject><subject>Continuing education</subject><subject>Eating behavior</subject><subject>Education</subject><subject>Food</subject><subject>Health care</subject><subject>Health services</subject><subject>Infants</subject><subject>Intervention</subject><subject>Learning</subject><subject>Maternal and infant welfare</subject><subject>Mothers</subject><subject>Multivariate analysis</subject><subject>Performance evaluation</subject><subject>Physical growth</subject><subject>Primary care</subject><subject>Problem based learning</subject><subject>Professional training</subject><subject>Public health</subject><subject>Regression analysis</subject><subject>Tutoring</subject><issn>1101-1262</issn><issn>1464-360X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>7TQ</sourceid><sourceid>BHHNA</sourceid><recordid>eNqNUMtOwzAQtBBIlMIXcLHEOa03fiQ5oqpQpEpcQOJmbZ01TWnjEidI_D2u0g_gNLuzM6vdYewexAxEJec0dMdhM3dfiGBM4oS8YBNQRmXSiI_LVIOADHKTX7ObGHdCCF2U-YTh0ntyffNDLcXIg-fYcqoHh30TWtzzA7ZDgj7wYxcOoSfetB7bnnuiumk_E43J7yimQWqaA3a_fEu477fcYUe37MrjPtLdGafs_Wn5tlhl69fnl8XjOnOgjcyc3lQSqNyA9E6XSkLtlMbSizInV0Khi0oZrVRdaKlR1YZqJQzUwqfXVC6n7GHcm-78Hij2dheGLr0Qba4KA7rSGpJKjirXhRg78vZ8sgVhT1naMUt7ztKeskyu2egKw_Ffhj-w8nnK</recordid><startdate>20200901</startdate><enddate>20200901</enddate><creator>Relvas, G R B</creator><creator>Buccini, G S</creator><creator>Potvin, L</creator><creator>Venancio, S I</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TQ</scope><scope>7U3</scope><scope>BHHNA</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>20200901</creationdate><title>Effectiveness of an educational manual to promote infant feeding practices in primary health care</title><author>Relvas, G R B ; Buccini, G S ; Potvin, L ; Venancio, S I</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1563-c5b931e8b13fc58431dc45a8f082ec81757946544d7535a4d6ed4061d0f101423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adequacy</topic><topic>Baby foods</topic><topic>Breast feeding</topic><topic>Breastfeeding &amp; lactation</topic><topic>Childrens health</topic><topic>Continuing education</topic><topic>Eating behavior</topic><topic>Education</topic><topic>Food</topic><topic>Health care</topic><topic>Health services</topic><topic>Infants</topic><topic>Intervention</topic><topic>Learning</topic><topic>Maternal and infant welfare</topic><topic>Mothers</topic><topic>Multivariate analysis</topic><topic>Performance evaluation</topic><topic>Physical growth</topic><topic>Primary care</topic><topic>Problem based learning</topic><topic>Professional training</topic><topic>Public health</topic><topic>Regression analysis</topic><topic>Tutoring</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Relvas, G R B</creatorcontrib><creatorcontrib>Buccini, G S</creatorcontrib><creatorcontrib>Potvin, L</creatorcontrib><creatorcontrib>Venancio, S I</creatorcontrib><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>PAIS Index</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><jtitle>European journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Relvas, G R B</au><au>Buccini, G S</au><au>Potvin, L</au><au>Venancio, S I</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of an educational manual to promote infant feeding practices in primary health care</atitle><jtitle>European journal of public health</jtitle><date>2020-09-01</date><risdate>2020</risdate><volume>30</volume><issue>Supplement_5</issue><issn>1101-1262</issn><eissn>1464-360X</eissn><abstract>Abstract Background Breastfeeding and adequate complementary feeding in the first years of life provide short- and long-term benefits for child health. However, breastfeeding and adequate complementary feeding prevalence's are low. In Brazil, the Estratégia Amamenta e Alimenta Brasil (EAAB) aims to improve the quality of the assistance provided by primary healthcare teams to ultimately improving infant feeding practices in the Brazilian population. In primary healthcare units, continuing education in breastfeeding and complementary feeding is facilitated by EAAB tutors. A Manual to Support EAAB Tutor (the Manual) was developed following a problem-based learning methodology. This study aimed to evaluate the effectiveness of using the Manual by analyzing exclusive breastfeeding and complementary feeding indicators. Methods A before and after study was conducted at primary healthcare units in Embu das Artes, Brazil. The intervention consisted in the use of the Manual by EAAB tutors who performed some comprehensive training activities with healthcare teams, in a period of 8 months. Subjects consisted of mothers of infants under one year of age attended at primary healthcare units. 561 mothers before and 598 mothers after intervention were interviewed about breastfeeding and complementary feeding practices. Multivariate analysis was performed using Poisson multilevel regression to test the hypothesis. Results Lack of minimum food diversity (before 62.9%; after 50.3%) and lack of food adequacy (before 77.5%; after 63.3%) decreased significantly. Regression analysis confirmed that infants after the intervention had lower prevalence of inadequacy of complementary feeding. While the intervention did not show significant association with exclusive breastfeeding, it showed association with the improvement of complementary feeding practices. Conclusions The Manual is a continuing educational strategy that improved complementary feeding practices in primary health care. Key messages The use of a continuing education strategy grounded on a problem-based learning methodology was effective to produce improvements in complementary feeding practices in primary health care. The 'Manual to Support EAAB Tutor' consists of a tool that has the potential to be adapted for different contexts and easy to disclose to all EAAB tutors in the country.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><doi>10.1093/eurpub/ckaa166.1003</doi><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1101-1262
ispartof European journal of public health, 2020-09, Vol.30 (Supplement_5)
issn 1101-1262
1464-360X
language eng
recordid cdi_proquest_journals_2476159551
source PAIS Index; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection; Sociological Abstracts; Oxford Open Access Journals
subjects Adequacy
Baby foods
Breast feeding
Breastfeeding & lactation
Childrens health
Continuing education
Eating behavior
Education
Food
Health care
Health services
Infants
Intervention
Learning
Maternal and infant welfare
Mothers
Multivariate analysis
Performance evaluation
Physical growth
Primary care
Problem based learning
Professional training
Public health
Regression analysis
Tutoring
title Effectiveness of an educational manual to promote infant feeding practices in primary health care
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-04T10%3A17%3A38IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Effectiveness%20of%20an%20educational%20manual%20to%20promote%20infant%20feeding%20practices%20in%20primary%20health%20care&rft.jtitle=European%20journal%20of%20public%20health&rft.au=Relvas,%20G%20R%20B&rft.date=2020-09-01&rft.volume=30&rft.issue=Supplement_5&rft.issn=1101-1262&rft.eissn=1464-360X&rft_id=info:doi/10.1093/eurpub/ckaa166.1003&rft_dat=%3Cproquest_cross%3E2476159551%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2476159551&rft_id=info:pmid/&rft_oup_id=10.1093/eurpub/ckaa166.1003&rfr_iscdi=true