Evidence map›Paper›PMID 36011476›Full record

ReviewInternational journal of environmental research and public health2022

Brazilian Strategy for Breastfeeding and Complementary Feeding Promotion: A Program Impact Pathway Analysis.

Daiane Melo, Sonia Venancio, Gabriela Buccini

Open access · goldAbstract readReview
In one paragraph

Review in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Blueprint for Enhancing Implementation Quality ofGlobal implementation research and applications · 2025
    Article
  4. Review
  5. Article
  6. Article
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  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Daiane MeloDepartment of Nutrition, School of Public Health, University of São Paulo, Professor Mello de Moraes Avenue, 1235, São Paulo 05508-030, SP, Brazil.ORCID 0000-0002-0560-5645
Sonia VenancioHealth Institute of São Paulo, State Health Secretariat, R. Santo Antônio, 590, Bela Vista, São Paulo 01314-000, SP, Brazil.
Gabriela BucciniDepartment of Social and Behavioral Health, School of Public Health, University of Nevada Las Vegas, Las Vegas, NV 89119, USA.ORCID 0000-0001-6008-0987
Universidade de São Paulo · BRUniversity of Nevada, Las Vegas · US

Funding

Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
NIDDK NIH HHS P30 DK092950
6 · The paper itself

Abstract

backgroundThe Brazilian Breastfeeding and Complementary Feeding Strategy (Estratégia Amamenta e Alimenta Brasil-EAAB) aims to improve Primary Health Care (PHC) workers' counseling skills to promote and support infant and young children feeding (IYCF). However, the maintenance and scaling up of the EAAB has been challenging. The theory-driven Program Impact Pathway (PIP) is recommended to assess and enhance the large-scale implementation of IYCF programs. The purpose of this study was to document barriers and facilitators to scale up the EAAB using a PIP analysis.

methodsFirst, we reviewed EAAB documents to develop an initial PIP diagram. Then, we interviewed EAAB key informants to identify Critical Quality Control Points (CCP) in the PIP. We revised and analyzed the PIP to inform the EAAB core functions and pathways.

resultsSix CCPs for EAAB maintenance were identified: CCP1-Definition and strengthening of the coordination in states and municipalities; CCP2-Maintenance of tutors' work; CCP3-Feasibility of the certification process; CCP 4-Quality improvement of IYCF activities in PHC units; CCP 5-Adequate use of monitoring systems; and CCP 6-Consistent implementation monitoring. Four implementation pathways and seven core functions identified may assist with scaling up the EAAB in Brazil.

conclusionThe PIP analysis proved to be useful for documenting the factors that influence the maintenance and scaling up of the EAAB.

Indexed as

Breast FeedingInfant Nutritional Physiological PhenomenaBrazilChildChild, PreschoolCounselingFeeding BehaviorFemaleHealth PersonnelHealth PromotionHumansInfantbreastfeedingcomplementary feedinghealth policyimplementation analysisprimary health careProgram Impact Pathway

Identifiers

PMID36011476
PMCPMC9408563
OpenAlexW4293779147

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.