title: [Association between the degree of implementation of the Brazilian Breastfeeding Network and breastfeeding indicators].
abstract: This study aimed to evaluate the implementation of the Brazilian Breastfeeding Network and its impact on breastfeeding indicators. Implementation was analyzed according to type, including 56 primary healthcare units from three Brazilian municipalities. For evaluation of the degree of implementation, a score was created for each unit based on compliance with Ministry of Health certification criteria. Effects of implementation were analyzed according to exclusive and overall breastfeeding rates. Eighteen (32.1%) of the units met the four criteria for certification. The study sample included 1,052 children less than one year of age, of whom 563 were less than six months old. Units that met the four criteria for certification showed higher rates of exclusive breastfeeding (44%) when compared to the other units. Difficulties in implementing the Brazilian Breastfeeding Network were identified, and breastfeeding indicators varied according to the number of certification criteria met by the primary healthcare unit.
authors.affiliation: Secretaria de Estado da Saúde Pública de São Paulo, São Paulo, Brazil.
authors.forename: Sonia Isoyama
authors.initials: SI
authors.lastname: Venancio
authors.affiliation: Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
authors.forename: Elsa Regina Justo
authors.initials: ER
authors.lastname: Giugliani
authors.affiliation: Universidade Federal de Mato Grosso do Sul, Campo Grande, Brazil.
authors.forename: Osvaldinete Lopes de Oliveira
authors.initials: OL
authors.lastname: Silva
authors.affiliation: Universidade de São Paulo, São Paulo, Brazil.
authors.forename: Juliana
authors.initials: J
authors.lastname: Stefanello
authors.affiliation: Universidade de São Paulo, São Paulo, Brazil.
authors.forename: Maria Helena D'Aquino
authors.initials: MH
authors.lastname: Benicio
authors.affiliation: Secretaria Municipal da Saúde de Ribeirão Preto, Ribeirão Preto, Brazil.
authors.forename: Márcia Cristina Guerreiro
authors.initials: MC
authors.lastname: dos Reis
authors.affiliation: Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
authors.forename: Roberto Mario Silveira
authors.initials: RM
authors.lastname: Issler
authors.affiliation: Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
authors.forename: Lilian Cordova do Espírito
authors.initials: LC
authors.lastname: Santo
authors.affiliation: Universidade de São Paulo, São Paulo, Brazil.
authors.forename: Maria Regina Alves
authors.initials: MR
authors.lastname: Cardoso
authors.affiliation: Secretaria de Estado da Saúde Pública de São Paulo, São Paulo, Brazil.
authors.forename: Gabriela Sintra
authors.initials: GS
authors.lastname: Rios
mesh_terms: D000328:Adult; D001938:Brazil; D001942:Breast Feeding / Q000706:statistics & numerical data*; D005260:Female; D006293:Health Promotion; D006801:Humans; D007223:Infant; D008297:Male; D008427:Maternal Health Services / Q000458:organization & administration; D009313:National Health Programs / Q000458:organization & administration; D011320:Primary Health Care / Q000458:organization & administration / Q000706:statistics & numerical data*; D015397:Program Evaluation; D055815:Young Adult