[Assessment of the Breastfeeding Counselling Course WHO/UNICEF]

Abstract:

:OBJECTIVES: To assess the implementation and the impact of the Breastfeeding Counselling Course WHO/UNICEF on knowledge and skills of health workers. METHODOLOGY: The implementation of the course was assessed by participant observation; the impact on participants was assessed with an experimental controlled study where 20 health workers were randomly allocated as course participants (Exposed Group-EG) and 40 as non participants (Control Group -CG). Impact on knowledge was verified with pre and post evaluations, with multiple choice questions; clinical and counselling skills were assessed through pre and post tests, observing participants in clinical consults with mother and baby pairs in rooming-in before and after the course. Kruskal-Wallis test of variance of means was used in analysis. RESULTS: In the post test of knowledge, the mean of the EG was 8.35 and that of the CG was 5.54 (p=0,0000). In clinical and counselling skills, the means of the EG were higher when compared with the CG in all items observed (p < 0,05). Some difficulties were found in breastfeeding history and in breastfeeding observation. Counselling skills were the most incorporated aspects. CONCLUSION: The course may be implemented as proposed; participants acquired counselling skills, but clinical management should be reinforced; participants shoud have continued support to put what they learned in practice.

journal_name

J Pediatr (Rio J)

journal_title

Jornal de pediatria

authors

Rea MF,Venancio SI

doi

10.2223/jped.267

keywords:

subject

Has Abstract

pub_date

1999-03-01 00:00:00

pages

112-8

issue

2

eissn

0021-7557

issn

1678-4782

journal_volume

75

pub_type

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