Prevalência de aleitamento materno antes e após implantação de um programa de redução de morbimortalidade infanti l

• Ano de defesa: 2007
• Autor(a) principal: Almeida, Crysthianne Cônsolo de
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Estadual de Maringá; Brasil; Programa de Pós-Graduação em Enfermagem; UEM; Maringá; Departamento de Enfermagem
• Palavras-chave em Português: Amamentação; Serviços de saúde para mulheres e crianças; Avaliação; Campo Mourão (Paraná); Brasil.; Program evaluation; Breast-feeding; Health service; Brazil.; Ciências da Saúde; Enfermagem
• Link de acesso: http://repositorio.uem.br:8080/jspui/handle/1/2482

Health services evaluation is part of the planning for the management of actions and decision-making towards reformulation and establishment of new health practices that might contribute to the improvement of health indicators as well as to the users' care. The purpose of this study was to evaluate the impact caused by the Children's Morbid Mortality Reduction Program, "Programa Cegonha Feliz (PCF)" (Happy Stork Program), implemented in the municipality of Campo Mourão - PR., in 1996. One hundred ninety-seven mothers who lived in Campo Mourão were interviewed, having at least one child with the age ranging from one to nine years old, and another one from 10 to 14 years old, who were born, respectively, before and after the implementation of the program. Due to lack of information about the program (PCF), our purpose was to describe and compare the socio-demographic characteristics of mothers in the pregnancy-puerperium cycle; compare the breast-feeding length; estimate the breast-feeding prevalence relating its factors in the sixth month of life of these children and identify the covering of the actions of the program in the promotion of breast-feeding among those who were born after its implementation. As for the prevalence of the exclusive breast-feeding, it was noticed a reduction of 15.7% to 12.2% of abandonment rates in the first month of life of the child, and an increase of the prevalence in the fourth (16.2 % to 26.9%) and sixth months (34 % to 36.5 %). It was also noticed that PCF's activities were focused mainly after the child's birth, with the delivery of kits and orientation books for taking care of the baby. This study evidenced little impact of the PCF on the exclusive breast-feeding prevalence in those children who were born after the implementation of the program. It was also noticed that the program developed non-systematized actions, despite being considered by the mother. Furthermore, this study showed the necessity of partnership with other programs/organizations in order to achieve its goals; the importance of orientation of breast-feeding in the prenatal period and the difficulty of accessibility on the mothers' part to participate in meetings. Other frequent evaluative studies are suggested for the planning of actions and procedures, evaluating its structure, the process and the results, so that the program may have more specific contributions related to the woman and the child's health.