Keywords
Child development
Breast feeding
Community health workers
Pregnancy
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Abstract
Objective: Identify knowledge, attitude and practice of pregnant women and community health agents regarding child development and breastfeeding according to the Child Health Booklet. Methods: This is a cross-sectional study, a Knowledge, Attitude and Practice survey, with data collection between December/2018-February/2019. The data were analyzed in Stata 12.1, using the ANOVA test, considering a p-value <0.05. Results: A total of 500 pregnant women and 41 community agents were analyzed. Both participants had a higher frequency of adequate knowledge about paternal bonding and breastfeeding, and inadequate knowledge about the importance of toys for child development. When comparing the mean attitude scores with sociodemographic variables of pregnant women and community agents, the age of the pregnant woman showed statistical significance (p=0.005) in the item child development. The practice of exclusive breastfeeding in pregnant women with children ≤ 60 months was 56.0% (70/125) and the use of pacifiers was 50.4% (67/133). Conclusion: The similarity of adequate and inadequate responses regarding the knowledge of pregnant women and community health agents, highlights the importance of the work of these professionals in monitoring people in a community. Individualized guidance and educational actions aimed at pregnant women and continued education for community health agents are suggested.
References
ABEP. Estratificação Socioeconômica e Consumo no Brasil. Associação Brasileira de Empresas de Pesquisa, 2018. Disponível em: Critério Brasil - ABEP. Acessado em: 20 de abril de 2019.
ALVARENGA P, et al. Escolaridade materna e indicadores desenvolvimentais na criança: mediação do conhecimento materno sobre o desenvolvimento infantil. Psico, 2020; 51(1): 31622.
BOCCOLINI CS, et al. Trends of breastfeeding indicators in Brazil from 1996 to 2019 and the gaps to achieve the WHO/UNICEF 2030 targets. BMJ Global Health, 2023; 8(9): 12529.
BRASIL. Caderneta de Saúde da Criança. Ministério da Saúde; 2023. Disponível em: caderneta da crianca 2023 Ministério da Saúde. Acessado em: 15 de abril de 2024.
BRASIL. Portaria nº 2.436, de 21 de setembro de 2017. Programa Nacional de Atenção Básica em Saúde - PNAB. Ministério da Saúde; 2017. Disponível em: Programa Nacional de Atenção Básica. Acessado em: 15 de abril de 2024.
BRÁULIO TIC, et al. Conhecimento e atitudes paternas acerca da importância do aleitamento materno. Escola Anna Nery, 2021; 25(4): 20200473.
CAMINHA MFC. Desenvolvimento infantil em um aglomerado urbano subnormal (favela) do Recife, PE. Relatório de Pós-Doutorado - Recife: Instituto de Medicina Integral Prof. Fernando Figueira-IMIP; 2016.
CRIPPA BL, et al. From dyad to triad: a survey on fathers' knowledge and attitudes toward breastfeeding. European Journal Pediatrics, 2021; 180(9): 2861-2869.
DARLING JC, et al. The First Thousand Days: early, integrated and evidence-based approaches to improving child health: coming to a population near you? Archives of Disease in Childhood, 2020; 105(9): 837-841.
FELDMAN JS, et al. Duration of Breastfeeding and Supportive Paternal Caregiving in Early Childhood and the Potential Mediating Function of Maternal Caregiving. Journal of Developmental & Behavioral Pediatrics. 2023; 44(4): 309-314.
GARCEZ BBD, et al. Avaliação do conhecimento sobre aleitamento materno de primíparas atendidas em uma maternidade de Teresina, Piauí. Revista Eletrônica Acervo Saúde, 2020; 12(11): 4640.
HILÁRIO JSM, et al. Desenvolvimento infantil e visita domiciliar na primeira infância: mapa conceitual. Acta Paulista Enfermagem, 2022; 35: APE003652.
MARCEAU K, et al. Prenatal influences across the life course: Biobehavioral mechanisms of development. Developmental Psychology. 2024; 60(9): 1533-1543.
MUNN AC, et al. The Impact in the United States of the Baby-Friendly Hospital Initiative on Early Infant Health and Breastfeeding Outcomes. Breastfeeding Medicine, 2016; 11: 222-30.
NOBARI TZ, et al. Baby-Friendly Hospital Initiative and Breastfeeding Among WIC-Participating Infants in Los Angeles County. Journal of Human Lactation, 2017; 33(4): 677-683.
OLIVEIRA DS, et al. Duração do aleitamento materno e fatores associados entre 1960 e 2000. Jornal de Pediatria, 2017; 93: 130-5.
PINHEIRO BM, et al. Fatores que influenciam o desmame precoce do aleitamento materno: uma revisão integrativa. Revista Eletrônica Acervo Enfermagem, 2021; 11: 7227.
SANTOS CVR, et al. Conhecimento dos agentes comunitários de saúde sobre o aleitamento materno. Revista Enfermagem UERJ, 2023; 31: 78287.
SANTOS KO e RIBEIRO DFS. Aleitamento materno: desmame precoce e suas consequências: uma revisão de literatura. Revista Educação em Saúde, 2024; 12(1): 26-36.
SILVA VAAL, et al. Maternal breastfeeding: indicators and factors associated with exclusive breastfeeding in a subnormal urban cluster assisted by the Family Health Strategy. Jornal de Pediatria, 2019; 95(3): 298-305.
SOARES ACO, et al. Pain in the neonatal unit: the knowledge, attitude and practice of the nursing team. Cogitare Enfermagem, 2016; 21(2): 1-10.
VICTORA CG, et al. Amamentação no século 21: epidemiologia, mecanismos, e efeitos ao longo da vida. Epidemiologia e Serviços de Saúde, 2016: 1-24.
WHO. Guideline: Counselling of Women to Improve Breastfeeding Practices. Geneva: World Health Organization; 2018a. Disponível em: Guideline: counselling of women to improve breastfeeding practices (who.int). Acessado em 08 de outubro de 2024.
WHO. Implementation guidance: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services – the revised Baby-friendly Hospital Initiative. Geneva: World Health Organization, 2018b. Disponível em: Implementation guidance - the revised Baby-friendly Hospital Initiative 2018. Acessado em: 15 de abril de 2024.
WHO/UNICEF. Indicators for assessing infant and young child feeding practices: definitions and measurement methods. WHO/UNICEF technical expert advisory group on nutrition monitoring (TEAM). 2021a. Disponível em: WHO/UNICEF TEAM 2021. Acessado em: 06 de outubro de 2024.
WHO/UNICEF. The extension of the 2025 maternal, infant and young child nutrition targets to 2030. UNICEF DATA. 2021b. Disponível em: The Extension of the 2025 Maternal, Infant and Young Child Nutrition Targets to 2030 - UNICEF DATA. Acessado em: 06 de outubro de 2024.