Ecology and policy for exclusive breastfeeding in Colombia: a proposal
Abstract
Introduction: Breastfeeding promotion is one of the most important strategies against infant mortality and to control child undernourishment. Despite policies and plans to promote and protect breastfeeding in Colombia, its practice is low and its duration is short.
Objective: To propose an ecology framework to interpret and incorporate contextual, interpersonal, and individual factors associated with the practice of breastfeeding and duration. Thereby, the plans and policies addressed to promote and protect breastfeeding in Colombia could be reinforced.
Conclusions: To implement an ecology framework for Breastfeeding in Colombia, it is necessary to identify the effect of contextual factors in the biggest cultural regions of Colombia, to recognize the limitations of Infant-Friendly Hospital Initiatives to improve exclusive breastfeeding duration, to execute prospective studies in order to identify factors associated with breastfeeding duration, to design and implement plans and policies based on comprehensive planning strategies of healthcare interventions, to develop appropriate and cost-effective extra-institutional strategies aimed at prolonging the duration of breastfeeding, and to implement more reliable breastfeeding surveillance systems.
Authors
Downloads
Keywords
- Breast feeding
- Infant Nutrition
- Colombia
- Ecology
- Health Planning
References
Allen L, Gillespie S. What works ?: A review of the efficacy and effectiveness of nutrition interventions. UN-ACC/SCN Nutrition policy paper n° 19. 2001.
WHO. Infant and young child nutrition. WHO; 2001.
Leon-Cava N, Lutter C, Ross J, Martin L. Quantifying the be¬nefits of Breasfeeding: a summary of the evidence. PAHO,USAID, AED; 2002:168.
WHO. Technical Meeting on the Implementation of the Global Strategy for Infant and Young Child Feeding. Geneva, Switzer¬land: World Health Organization; 2003.
Cabrera GA, Mateus JC, Girón SL. Duración de la lactancia ex¬clusiva en Cali, Colombia, 2003. Colomb. Méd. 2003;35:132-38.
Philipp BL, Merewood A, O’Brien S. Physicians and Breastfee¬ding Promotion in the United States: A Call for Action. Pediatrics. 2001;107:584-87.
PROFAMILIA. Lactancia y Estado Nutricional. Encuesta na¬cional de demografía y salud sexual y reproductiva en Colombia. PROFAMILIA; 2010.
Bentley ME, Dee DL, Jensen JL. Breastfeeding among Low Inco¬me, African-American Women: Power, Beliefs and Decision Ma¬king. J Nutrition. 2003;133:305S–9S.
Chung M, Raman G, Trikalinos T, Lau J, Ip S. Interventions in Primary Care to Promote Breastfeeding: An Evidence Review for the U.S. Preventive Services Task Force. Ann Intern Med. 2008;149:565-82.
Díaz C, Cabrera G, Mateus J. Representaciones de lactancia en un grupo de mujeres de Cali. Colomb. Méd 2003;34(3):119-23.
Labbok MH, Wardlaw T, Blanc A, Clark D, Terreri N. Trends in Exclusive Breastfeeding: Findings From the 1990s. J Hum Lact. 2006;22(3):272-6.
Guise J-M, Palda V, Westhoff C, Chan BKS, Helfand M, Lieu TA. The Effectiveness of Primary Care-Based Interventions to Promote Breastfeeding:Systematic Evidence Review and Meta-Analysis for the US Preventive Services Task Force. Ann Fam Med. 2003;1:70-80.
McKenzie J, Neiger B, Smeltzer J. Planning, Implementing & Evaluating Health Promotion Programs. A Primer. 4th ed. PEAR¬SON-Benjamin Cummings; 2005.
Galindo CM. Seno o biberón, ¡Qué es mejor! Crecer Feliz. Nu¬trición y Salud. 1993:14-6.
Aspy CB, Vesely SK, Oman RF, Rodine S, Marshall L, McLeroy K. Parental communication and youth sexual behaviour. Journal of Adolescence. 2007;30(3):449-66.
Cabrera G. La iniciativa de institución amiga de la mujer y la infancia (IAMI) en hospitales del Valle del Cauca. Revista Facul¬tad Nacional de Salud Pública. 2002;20:75-88.
Bland R, Rollins N, Solarsh G, VandenBroeck J, Coovadia H. Maternal recall of exclusive breast feeding duration. Arch Dis Child. 2003;88:778-83.
Cabrera G. Uso de teorías y modelos en artículos de una revis¬ta latinoamericana de salud pública, 2000-2004. Rev Saúde Públi¬ca. 2007;41:963-69.
Chapman DJ, Damio G, Perez-Escamilla R. Differential Res¬ponse to Breastfeeding Peer Counseling Within a Low-Income, Predominantly Latina Population. J Hum Lact. 2004;20(4):389-96.
Moreland JC, Lloyd L, Braun SB, Heins JN. A New Teaching Model to Prolong Breastfeeding Among Latinos. J Hum Lact. 2000;16:337-41
The copy rights of the articles published in Colombia Médica belong to the Universidad del Valle. The contents of the articles that appear in the Journal are exclusively the responsibility of the authors and do not necessarily reflect the opinions of the Editorial Committee of the Journal. It is allowed to reproduce the material published in Colombia Médica without prior authorization for non-commercial use
