title: [An infant feeding update program at healthcare centers and its impact on breastfeeding and morbidity].
abstract: This study evaluated the impact of an infant feeding update program on exclusive breastfeeding and the incidence of diarrhea and respiratory illness in infants. A randomized cluster field study was conducted in the city of Porto Alegre, Rio Grande do Sul State, Brazil, with 20 healthcare centers. Health professionals received information on the Ten Steps to Healthy Feeding for Children up to Two Years of Age. We evaluated 619 infants 6-9 months of age. The results showed longer duration of exclusive breastfeeding (p = 0.02) in the intervention group but no significant differences in the incidence of diarrhea or respiratory symptoms. Complementary analyses showed that exclusive breastfeeding was longer in the group of children without the occurrence of diarrhea (p = 0.001) or respiratory symptoms (p = 0.03). The data suggest that the training was insufficient to affect incidence of illness, but that it was effective in extending exclusive breastfeeding.
authors.affiliation: Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brasil. juliana.bernardi@yahoo.com.br
authors.forename: Juliana Rombaldi
authors.initials: JR
authors.lastname: Bernardi
authors.forename: Cíntia Mendes
authors.initials: CM
authors.lastname: Gama
authors.forename: Márcia Regina
authors.initials: MR
authors.lastname: Vitolo
mesh_terms: D001938:Brazil / Q000453:epidemiology; D001942:Breast Feeding / Q000706:statistics & numerical data*; D003695:Delivery of Health Care; D003967:Diarrhea / Q000453:epidemiology* / Q000517:prevention & control; D005260:Female; D006801:Humans; D007223:Infant; D009017:Morbidity; D009748:Nutrition Disorders / Q000453:epidemiology* / Q000517:prevention & control; D011247:Pregnancy; D015397:Program Evaluation; D012140:Respiratory Tract Diseases / Q000453:epidemiology* / Q000517:prevention & control; D012959:Socioeconomic Factors