Breastfeeding promotion actions at daycare centers in the city of São Paulo

ABSTRACT This study describes the planning, implementation, and monitoring of actions to promote Breastfeeding (BF) in the Municipal Education System of the city of São Paulo. We established a set of four actions: elaboration of instructional material, training of daycare centers employees, development of a communication campaign, and monitoring. Instructional material was elaborated to guide the maintenance of BF after the child’s enrollment and videos were produced to disseminate the information. Annual training in all territories of the city was provided to guide pedagogical interventions. The campaign, called CEI Amigo do Peito, established criteria to recognize daycare centers committed to BF promotion. The number of daycare centers committed to BF went from 93 (2018) to 875 (2022). Electronic form was sent to all daycare centers to evaluate the following indicators: interest of family members in maintaining BF, room available for breastfeeding, development of projects, presence of mothers breastfeeding, and delivery of breast milk. Respondents’ adherence ranged from 40.8% to 50.9%. The results show the urgency of shared responsibility among government sectors to promote BF.

摘要 本研究系统阐述了圣保罗市市政教育系统内推广母乳喂养（Breastfeeding, BF）相关行动的规划、实施与监测评估全流程。本研究确立四项核心行动：编撰指导材料、开展托育机构从业人员培训、策划主题宣传活动以及实施监测评估。编撰的指导材料用于指导儿童入园后母乳喂养的持续践行，同时制作配套视频以普及相关科普知识。针对全市各辖区开展年度专项培训，以指导相关保教干预工作的落地。本次宣传活动命名为“CEI Amigo do Peito”，确立了认定积极投身母乳喂养推广工作的托育机构的评定标准。积极参与母乳喂养推广的托育机构数量从2018年的93家大幅增长至2022年的875家。研究团队向所有托育机构发放电子评估问卷，用以考核以下核心指标：家属对延续母乳喂养的意愿、母乳喂养专用房间配置情况、相关项目推进情况、托育机构内母乳喂养母亲的在岗情况以及母乳递送情况。本次调研的问卷回收率介于40.8%至50.9%之间。研究结果凸显了政府各部门协同履职以推进母乳喂养推广工作的必要性与紧迫性。