The impact of health policies and the COVID-19 pandemic on exclusive breastfeeding in Chile during 2009-2020

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dc.contributor.authorNavarro-Rosenblatt, Deborah
dc.contributor.authorBenmarhnia, Tarik
dc.contributor.authorBedregal, Paula
dc.contributor.authorLopez-Arana, Sandra
dc.contributor.authorRodriguez-Osiac, Lorena
dc.contributor.authorGarmendia, Maria Luisa
dc.date.accessioned2025-01-20T20:08:42Z
dc.date.available2025-01-20T20:08:42Z
dc.date.issued2023
dc.description.abstractIn 2011, Chile added 12 mandatory extra weeks of maternity leave (ML). In January 2015, a pay-for-performance (P4P) strategy was included in the primary healthcare system, incorporating exclusive breastfeeding (EBF) promotion actions. The COVID-19 pandemic led to healthcare access difficulties and augmented household workloads. Our aim was to evaluate the effect of a 24-week ML, the P4P strategy, and COVID-19 on EBF prevalence, at 3 and 6 months in Chile. Aggregated EBF prevalence data from public healthcare users nationwide (80% of the Chilean population) was collected by month. Interrupted time series analyses were used to quantify changes in EBF trends from 2009 to 2020. The heterogeneity of EBF changes was assessed by urban/setting and across geographic settings. We found no effect of ML on EBF; the P4P strategy increased EBF at 3 months by 3.1% and 5.7% at 6 months. COVID-19 reduced EBF at 3 months by - 4.5%. Geographical heterogeneity in the impact of the two policies and COVID-19 on EBF was identified. The null effect of ML on EBF in the public healthcare system could be explained by low access from public healthcare users to ML (20% had access to ML) and by an insufficient ML duration (five and a half months). The negative impact of COVID-19 on EBF should alert policy makers about the crisis's effect on health promotion activities.
dc.fuente.origenWOS
dc.identifier.doi10.1038/s41598-023-37675-z
dc.identifier.issn2045-2322
dc.identifier.urihttps://doi.org/10.1038/s41598-023-37675-z
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/91929
dc.identifier.wosidWOS:001022712900005
dc.issue.numero1
dc.language.isoen
dc.revistaScientific reports
dc.rightsacceso restringido
dc.subject.ods03 Good Health and Well-being
dc.subject.ods05 Gender Equality
dc.subject.odspa03 Salud y bienestar
dc.subject.odspa05 Igualdad de género
dc.titleThe impact of health policies and the COVID-19 pandemic on exclusive breastfeeding in Chile during 2009-2020
dc.typeartículo
dc.volumen13
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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