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An evaluation of a national breast-feeding promotion programme in Honduras

Published online by Cambridge University Press:  31 July 2008

Barry M. Popkin
Affiliation:
Carolina Population Center, University of North Carolina, Chapel Hill, USA
Judy Canahuati
Affiliation:
Carolina Population Center, University of North Carolina, Chapel Hill, USA
Patricia E. Bailey
Affiliation:
Carolina Population Center, University of North Carolina, Chapel Hill, USA
Chloe O'Gara
Affiliation:
Carolina Population Center, University of North Carolina, Chapel Hill, USA

Summary

A significant increase occurred in the initiation and duration of breast-feeding among Honduran women between 1981 and 1987. Changes in population characteristics (e.g. level of education of women) would be expected to lead to a decrease in breast-feeding at each infant age, but these were offset by behavioural changes that led to an increase in the likelihood of initiation and continuation of breast-feeding. An exploration of relevant factors suggests that the PROALMA breast-feeding promotion programme has had a profound effect on the breast-feeding behaviour of Honduran mothers.

Type
Research Article
Copyright
Copyright © 1991, Cambridge University Press

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References

Akin, J., Bilsborrow, R., Guilkey, D. et al. (1981) The determinants of breast-feeding in Sri Lanka. Demography, 18, 287.CrossRefGoogle ScholarPubMed
Brown, K., Black, R., De Romana, G. & De Kanashiro, H. (1989) Infant feeding practices and their relationship with diarrheal and other diseases in Huascar, an underprivileged community on the periphery of Lima, Peru. Pediatrics, 83, 31.CrossRefGoogle Scholar
Calderon, M. & Canahuati, J. (1988) A pilot project to support breast-feeding within health institutions: PROALMA, Honduras. In: Programmes to Promote Breast-feeding, p. 210. Edited by Jelliffe, D. & Jelliffe, E.. Oxford University Press, New York.Google Scholar
Canahuati, J. (1990) One country's story: the PROALMA project in Honduras. In: Proceedings of the Interagency Workshop on Health Care Practices Related to Breast-feeding. Edited by Labbok, M & McDonald, M.. Int. J. Gynec. Obstet. 31, Suppl. 1, 17.Google Scholar
Chávez, A. (1986) Proyecto de Apoyo a la Lactancia Materna, informe anualcondensado. Actividades realizadas del 15 de diciembre de 1985 al 15 de diciembre de 1986. Tegucigalpa, Honduras.Google Scholar
Family Health International (1988) Breast-feeding as a family planning method. Lancet, ii, 1204.Google Scholar
Ferry, B. & Smith, D. (1983) Breast-feeding Differentials. World Fertility Survey Comparative Studies, No. 23. International Statistical Institute, Voorburg.Google Scholar
Guilkey, D., Popkin, B., Flieger, W. et al. (1989) Breast-feeding in the Philippines, 1973–1983. Carolina Population Center, University of North Carolina, Chapel Hill.Google Scholar
Huffman, S. & Combest, C. (1988) Promotion of Breast-feeding: Yes It Can Work!. Center to Prevent Childhood Malnutrition, Washington, DC.Google Scholar
Hull, V., Thapa, S. & Wiknjosastro, G. (1989) Breast-feeding and health professionals: a study in hospitals in Indonesia. Social Sci. Med. 28, 355.Google ScholarPubMed
Jelliffe, D. & Jelliffe, E. (Eds) (1988) Programmes to Promote Breast-feeding. Oxford University Press, New York.Google Scholar
Labbok, M. & Mcdonald, M. (Eds) (1990) Proceedings of the Interagency Workshop on Health Care Practices Related to Breast-feeding. Elsevier, Ireland.Google Scholar
Lechtig, A., Jelliffe, D. & Jelliffe, E. (1990) The first workshop on national breast-feeding programs in Latin America—a personal view. J. trop. Pediatr. in press.Google Scholar
Ministry of Public Health of Honduras, Honduran Association for Family Planning, National Council for Planning, Westinghouse Health Systems (1983) Contraceptive Prevalence Survey, Honduras. Final Report, 1981. Tegucigalpa, Honduras.Google Scholar
Ministry of Public Health in Honduras, Honduran Association for Family Planning, Management Sciences for Health, and Family Health International (1986) Maternal-Child Health and Family Planning Survey, Honduras, 1984. Final Report. Tegucigalpa.Google Scholar
Ministry of Public Health in Honduras, Honduran Association for Family Planning, Management Sciences for Health, and Family Health International (1989) Epidemiology and Family Health Survey, Honduras. Final Report, 1987. Tegucigalpa.Google Scholar
O'gara, C. (1983) Evaluation Plan of the PROALMA Project and Report on Baseline Data Collection. USAID Document 931–1010. US Agency for International Development, Tegucigalpa, Honduras.Google Scholar
Page, H., Lesthaege, R. & Shah, I. (1982) Illustrative Analysis: Breast-feeding in Pakistan. World Fertility Survey, Scientific Report No. 57. World Fertility Survey, London.Google Scholar
Pelto, G. (1981) Perspectives on infant feeding: decision-making and ecology. Food Nutr. Bull. 3, 16.Google Scholar
Popkin, B., Adair, L., Akin, J. et al. (1990) Breast-feeding and diarrheal morbidity. Pediatrics, in press.CrossRefGoogle ScholarPubMed
Popkin, B., Akin, J., Bilsborrow, R. & Yamamoto, M. (1983) Breast-feeding determinants in low income countries. Med. Anthropol. 7, 1.CrossRefGoogle ScholarPubMed
Popkin, B., Bilsborrow, R. & Akin, J. (1982) Patterns of breast-feeding in low income countries. Science, N.Y. 228, 1088.CrossRefGoogle Scholar
Popkin, B. & Bisgrove, E. (1988) Urbanization and nutrition in low-income countries. Food Nutr. Bull. 10, 3.Google Scholar
Popkin, B., Haines, P. & Reddy, K. (1989) Food consumption of US women: patterns and determinants between 1977 and 1985. Am. J. clin. Nutr. 49, 1307.CrossRefGoogle ScholarPubMed
Popkin, B., Haines, P. & Guilkey, D. (1989) Food changes between 1977 and 1985. Am. J. agric. Econ. 71, 949.CrossRefGoogle Scholar
Popkin, B., Yamamoto, M. & Griffin, C. (1984) Traditional and modern health professionals and breast-feeding in the Philippines. J. Pediatr. Gastroenterol. Nutr. 3, 765.Google ScholarPubMed
Popkin, B., Yamamoto, M. & Griffin, C. (1985) Breast-feeding in the Philippines: the role of the health sector. J biosoc. Sci. Supplement 9, 99.CrossRefGoogle ScholarPubMed
Potter, J. E., Mojarro, O. & Nuñez, L. (1987) The influence of maternal health care in the prevalence and duration of breastfeeding in rural Mexico. Stud. Fam. Plann. 18, 309.CrossRefGoogle Scholar
Tognetti, J. (1988) Evaluating breast-feeding promotion programmes. In: Programmes to Promote Breast-feeding, p. 405. Edited by Jelliffe, D. & Jelliffe, E.. Oxford University Press, New York.Google Scholar
Winikoff, B. & Baer, E. (1980) The obstetrician's opportunity: translating ‘breast is best’ from theory to practice. Am. J. Obstet. Gynec. 138, 105.CrossRefGoogle ScholarPubMed
Zeldin, L. (1985) Evaluation report of the breast-feeding support project PROALMA. INCAS Report Series. Educational Development Center, Newton, Maryland.Google Scholar
Zeldin, L. (1986) Results of a baseline evaluation of maternal-child health with emphasis on breastfeeding. Honduras Ministry of Health, PROALMA, Wellstart, Tegucigalpa, Honduras.Google Scholar