Health Promoting School Interventions in Latin America: A Systematic Review Protocol on the Dimensions of the RE-AIM Framework.

Understanding the dimensions of internal and external validities (e.g., using the RE-AIM model: Reach, Effectiveness/Efficacy, Adoption, Implementation, and Maintenance) of school interventions is important to guide research and practice in this context. The aim of this systematic review protocol is to synthesize evidence on the RE-AIM dimensions in interventions based on the Health Promoting School (HPS) approach from the World Health Organization (WHO) in Latin America. Studies of interventions based on HPS-WHO that were carried out in Latin America involving the population of 5 to 18-year-olds will be eligible. Searches in nine electronic databases, a study repository, the gray literature, and the retrieved articles' reference lists will be performed, without year or publication language limits. Study selection and data extraction will be conducted by independent researchers. Data on intervention implementation will be summarized in categories of HPS-WHO actions: (1) school curriculum, (2) changes in the social and/or physical environment of schools, and (3) actions with families and the community. A previously validated tool will be used to summarize the information on the dimensions of the RE-AIM model. The strengths and limitations of the included studies will be evaluated using the Critical Appraisal Skills Program (CASP) tool, and the confidence level of evidence will be assessed according to the GRADE CERQual tool.

Mothers knowledge concerning breastfeeding and complementation food: an exploratory study

Objectives: To investigate the dietary habits and the factors that influence the practice of exclusive breastfeeding in infants 0-6 months old. Method: This is an exploratory study, in which we used a qualitative approach. Sample: 16 mothers of children under six months of age in mixed feeding, residing in Maranguape, CE. Data collection took place from July to October 2009 through semi-structured interviews. Results: we found a diet deficient in nutrients. The positive aspects regarding breastfeeding were praised, however it is noted that early weaning is justified by certain beliefs. Conclusion: the performance of health professionals on infant feeding is relevant in order to promote breastfeeding and prevent possible damage to health, by conducting educational strategies aimed at the Community, trying to understand the reason for early weaning through the approximation with mothers, considering the peculiarities and the scene in which they operate.