TY - JOUR T1 - Degree of compliance with the ten steps of the Breastfeeding-Friendly Primary Care Initiative and its association with the prevalence of exclusive breastfeeding JO - Jornal de Pediatria T2 - AU - Rito,Rosane Valéria Viana Fonseca AU - Oliveira,Maria Inês Couto de AU - Brito,Alexandre dos Santos SN - 22555536 M3 - 10.1016/j.jpedp.2013.02.004 DO - 10.1016/j.jpedp.2013.02.004 UR - https://jped.elsevier.es/pt-degree-compliance-with-ten-steps-articulo-S2255553613000979 AB - ObjectiveTo analyze the association between the degree of compliance with the ten steps of the Breastfeeding-Friendly Primary Care Initiative (BFPCI) and the prevalence of exclusive breastfeeding (EBF) in infants younger than six months in the city of Rio de Janeiro. MethodsThis was a cross-sectional study conducted in a representative sample of 56 primary health care units of this municipality. The assessment of compliance with the ten steps of the BFPCI was carried out by interviewing health care professionals, pregnant women, and mothers; the generated performance scores were classified into tertiles. To obtain the outcome, i.e., the EBF, a data collection questionnaire was applied to mothers of children younger than six months who were followed at these units in November of 2007. Prevalence ratios were obtained for the EBF using Poisson regression with robust variance. ResultsThe prevalence of EBF was 47.6%. In the multivariate analysis, the upper tertile of performance showed a 34% higher prevalence of EBF (PR = 1.34, 95% CI: 1.24 to 1.44) and the second tertile was 17% higher (PR = 1.17, 95% CI: 1.08 to 1.27) than the first tertile. Mothers who did not work out of home had a 75% higher prevalence of EBF (PR = 1.75, 95% CI: 1.53 to 2.01); assistance in a basic health unit, as opposed to a family health unit, implied a 10% higher prevalence (PR = 1.10, 95% CI: 1.03 to 1.19). The prevalence of EBF decreased 1% for each day of the infant's life (PR = 0.993, 95% CI: 0.992 to 0.993). ConclusionGiven the contribution of BFPCI to the practice of EBF, a greater investment in the expansion and sustainability of this initiative is recommended, as well as its association with other strategies to promote, protect, and support breastfeeding. ER -