Regular monitoring of breast-feeding rates: feasible and sustainable. The Emilia-Romagna experience
| Autor: | Eleonora Verdini, Silvana Borsari, Chiara Cuoghi, Luca Cisbani, Sergio Battaglia, Vittorio Basevi, Simona Di Mario, Stefano Sforza |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Databases Factual Age adjustment Mothers Medicine (miscellaneous) Birth certificate 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires 030225 pediatrics Environmental health medicine Humans 030212 general & internal medicine Pregnancy Nutrition and Dietetics Primary Health Care business.industry Public health Public Health Environmental and Occupational Health Infant Monitoring system Immunization (finance) medicine.disease Research Papers Infant Formula Breast Feeding Italy Socioeconomic Factors Mental Recall Feasibility Studies Female business Breast feeding Record linkage |
| Zdroj: | Public Health Nutr |
| ISSN: | 1475-2727 1368-9800 |
| DOI: | 10.1017/s136898001700074x |
| Popis: | ObjectiveAn efficient breast-feeding monitoring system should be in place in every country to assist policy makers and health professionals plan activities to reach optimal breast-feeding rates.Design/Setting/SubjectsFrom March to June 2015, breast-feeding rates at 3 and 5 months of age were monitored in Emilia-Romagna, an Italian region, using four questions added to a newly developed paediatric immunization database with single records for each individual. Data were collected at primary-care centres. Breast-feeding definitions and 24 h recall as recommended by the WHO were used. Direct age standardization was applied to breast-feeding rates. Record linkage with the medical birth database was attempted to identify maternal, pregnancy and delivery factors associated with full breast-feeding rates at 3 and 5 months of age.ResultsData on breast-feeding were collected for 14044 infants. The mean regional full breast-feeding rate at 3 months was 52 %; differences between local health authorities ranged from 42 to 62 %. At 5 months of age, the mean regional full breast-feeding rate dropped to 33 % (range between local health authorities: 26 to 46 %). Record linkage with the birth certificate database was successful for 93 % of records. Total observations more than doubled with respect to the previous regional survey.ConclusionsThe new monitoring system implemented in 2015 in Emilia-Romagna region, totally integrated with the immunization database, has proved to be feasible, sustainable and more efficient than the previous one. This system can be a model for other regions and countries where the vast majority of mothers obtain vaccinations from public health facilities and that already have an immunization database in place. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|