BABY FRIENDLY HOSPITAL INITIATIVE: 25 YEARS OF EXPERIENCE IN BRAZIL

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Main Author: Joel Alves Lamounier
Format: Artículo científico
Language:en
Published: Sociedade de Pediatria de São Paulo 2019
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author Joel Alves Lamounier
author_facet Joel Alves Lamounier
contents BABY FRIENDLY HOSPITAL INITIATIVE: 25 YEARS OF EXPERIENCE IN BRAZIL Joel Alves Lamounier Roberto Gomes Chaves Maria Albertina Santiago Rego Maria Cândida Ferrarez Bouzada Medicina Milk human Brazil Breast feeding Objective: To describe the experience of the 25-year-old trajectory of the Baby Friendly Hospital Initiative (BFHI) in Brazil. The first unit was implemented in 1992.Methods: Information and data were collected from publications on the World Health Organization (WHO), the United Nations International Children’s Emergency Fund (UNICEF) and the Ministry of Health websites and in national and international journals, about the period 1990-2017. The descriptors used were: “iniciativa hospital amigo da criança”, “hospital amigo da criança”, “baby friendly initiative hospital”, “aleitamento materno” and “breastfeeding”. The number of hospitals in the 25 years, the course of the BFHI and its repercussions on breastfeeding in Brazil were evaluated.Results: The BFHI is an intervention strategy in hospital care at birth focused on the implementation of practices that promote exclusive breastfeeding from the first hours of life and with the support, among other measures of positive impact on breastfeeding, of the International Code of Marketing of Breastmilk Substitutes. Currently, the initiative has been revised, updated and expanded to integrate care for newborns in neonatal units and care for women since prenatal care. It can be concluded that, during these 25 years, the quantity of hospitals varied greatly, with numbers still below the capacity of hospital beds. BFHI shows higher rates of breastfeeding than non-accredited hospitals. However, the number of hospitals are still few when compared to other countries.Conclusions: The BFHI has contributed to breastfeeding in Brazil in recent decades. Greater support for public policies is needed to expand the number of accredited institutions in the country. 2019 artículo científico 0103-0582 https://www.redalyc.org/articulo.oa?id=406062307014 https://www.redalyc.org/journal/4060/406062307014/ https://www.redalyc.org/journal/4060/406062307014/html/ https://www.redalyc.org/journal/4060/406062307014/406062307014.epub https://www.redalyc.org/journal/4060/406062307014/movil 10.1590/1984-0462/;2019;37;4;00004 en http://www.redalyc.org/revista.oa?id=4060 Revista Paulista de Pediatria application/pdf Sociedade de Pediatria de São Paulo Revista Paulista de Pediatria (Brasil) Num.4 Vol.37
format Artículo científico
id redalyc_406062307014
institution Redalyc
language en
publishDate 2019
publisher Sociedade de Pediatria de São Paulo
spellingShingle BABY FRIENDLY HOSPITAL INITIATIVE: 25 YEARS OF EXPERIENCE IN BRAZIL
Joel Alves Lamounier
Medicina
Milk
human
Brazil
Breast feeding
BABY FRIENDLY HOSPITAL INITIATIVE: 25 YEARS OF EXPERIENCE IN BRAZIL Joel Alves Lamounier Roberto Gomes Chaves Maria Albertina Santiago Rego Maria Cândida Ferrarez Bouzada Medicina Milk human Brazil Breast feeding Objective: To describe the experience of the 25-year-old trajectory of the Baby Friendly Hospital Initiative (BFHI) in Brazil. The first unit was implemented in 1992.Methods: Information and data were collected from publications on the World Health Organization (WHO), the United Nations International Children’s Emergency Fund (UNICEF) and the Ministry of Health websites and in national and international journals, about the period 1990-2017. The descriptors used were: “iniciativa hospital amigo da criança”, “hospital amigo da criança”, “baby friendly initiative hospital”, “aleitamento materno” and “breastfeeding”. The number of hospitals in the 25 years, the course of the BFHI and its repercussions on breastfeeding in Brazil were evaluated.Results: The BFHI is an intervention strategy in hospital care at birth focused on the implementation of practices that promote exclusive breastfeeding from the first hours of life and with the support, among other measures of positive impact on breastfeeding, of the International Code of Marketing of Breastmilk Substitutes. Currently, the initiative has been revised, updated and expanded to integrate care for newborns in neonatal units and care for women since prenatal care. It can be concluded that, during these 25 years, the quantity of hospitals varied greatly, with numbers still below the capacity of hospital beds. BFHI shows higher rates of breastfeeding than non-accredited hospitals. However, the number of hospitals are still few when compared to other countries.Conclusions: The BFHI has contributed to breastfeeding in Brazil in recent decades. Greater support for public policies is needed to expand the number of accredited institutions in the country. 2019 artículo científico 0103-0582 https://www.redalyc.org/articulo.oa?id=406062307014 https://www.redalyc.org/journal/4060/406062307014/ https://www.redalyc.org/journal/4060/406062307014/html/ https://www.redalyc.org/journal/4060/406062307014/406062307014.epub https://www.redalyc.org/journal/4060/406062307014/movil 10.1590/1984-0462/;2019;37;4;00004 en http://www.redalyc.org/revista.oa?id=4060 Revista Paulista de Pediatria application/pdf Sociedade de Pediatria de São Paulo Revista Paulista de Pediatria (Brasil) Num.4 Vol.37
title BABY FRIENDLY HOSPITAL INITIATIVE: 25 YEARS OF EXPERIENCE IN BRAZIL
topic Medicina
Milk
human
Brazil
Breast feeding
url https://www.redalyc.org/articulo.oa?id=406062307014
https://www.redalyc.org/journal/4060/406062307014/
https://www.redalyc.org/journal/4060/406062307014/html/
https://www.redalyc.org/journal/4060/406062307014/406062307014.epub
https://www.redalyc.org/journal/4060/406062307014/movil