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...
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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 |
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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 & 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 & 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 & 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 & Medical Complete (Alumni)</collection><collection>Nursing & 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> |
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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 |
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