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dc.contributor.authorDearden, Kirkes_ES
dc.contributor.authorAltaye, Mekibibes_ES
dc.contributor.authorMaza, Irma dees_ES
dc.contributor.authorOliva, Maritza dees_ES
dc.contributor.authorStone-Jimenez, Maryannees_ES
dc.contributor.authorBurkhalter, Barton Res_ES
dc.contributor.authorMorrow, Ardythe Les_ES
dc.date.accessioned2015
dc.date.available2015
dc.date.issued2002es_ES
dc.identifier.citationDearden, Kirk,Altaye, Mekibib,Maza, Irma de,Oliva, Maritza de,Stone-Jimenez, Maryanne,Burkhalter, Barton R,Morrow, Ardythe L (2002) The impact of mother-to-mother support on optimal breast-feeding: a controlled community intervention trial in peri-urban Guatemala City, Guatemala. Rev Panam Salud Publica;12(3) 193-201,sept. 2002. Retrieved from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892002000900008&lng=en&nrm=iso&tlng=enes_ES
dc.identifier.urihttp://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892002000900008&lng=en&nrm=iso&tlng=enes_ES
dc.identifier.urihttps://iris.paho.org/handle/10665.2/8520
dc.format.extentiluses_ES
dc.format.extenttabes_ES
dc.format.extentgrafes_ES
dc.relation.ispartofseriesRev Panam Salud Publica;12(3),sept. 2002es_ES
dc.subjectAleitamento Maternoes_ES
dc.subjectMãeses_ES
dc.subjectApoio Sociales_ES
dc.subjectColeta de Dadoses_ES
dc.subjectEducaçãopt_BR
dc.subjectSeguimentoses_ES
dc.subjectGuatemalaes_ES
dc.subjectEducação em Saúdept_BR
dc.subjectFenômenos Fisiológicos da Nutrição do Lactentept_BR
dc.subjectFatores de Tempoes_ES
dc.titleThe impact of mother-to-mother support on optimal breast-feeding: a controlled community intervention trial in peri-urban Guatemala City, Guatemalaes_ES
dc.typeJournal articlesen_US
dc.rights.holderPan American Health Organizationen_US
dc.description.notesObjective. To assess the impact that a mother-to-mother support program operated by La Leche League Guatemala had on early initiation of breast-feeding and on exclusive breast-feeding in peri-urban Guatemala City, Guatemala. Materials and Methods. A population census was conducted to identify all mothers of infants 6 months of age, and the mothers were then surveyed on their breast-feeding practices, in two program communities and two control communities. Data collection for this follow-up census and survey was carried out between November 2000 and January 2001, one year after a baseline census and survey had been conducted. Results. At follow-up, 31 percent of mothers in the program communities indicated that counselors had advised them about breast-feeding, 21 percent said they had received a home visit, and 16 percent reported attending a support group. Communitywide rates of early initiation of breast-feeding were significantly higher in program areas than in the control communities, at both baseline and follow-up. However, the change over time in early initiation in program communities was not significantly different from the change in control communities. Communitywide rates of exclusive breast-feeding were similar in program and control sites and did not change significantly from baseline to follow-up. However, of the mothers in the program communities who both received home visits and attended support groups, 45 percent of them exclusively breast-fed, compared to 14 percent of women in program communities who did not participate in those two activities. In addition, women who were exposed to mother-to-mother support activities during the year following the baseline census and survey were more likely than mothers exposed before that period to exclusively breast-feed. This suggests that the program interventions became more effective over time. Conclusions. This study does not provide evidence of population impact of La Leche League's intervention after one year of implementation. In peri-urban Guatemala, long-term community-based interventions, in partnership with existing health care systems, may be needed to improve communitywide exclusive breast-feeding rates (AU)en_US


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