The world breastfeeding trends initiative report for the Republic of Croatia
DOI:
https://doi.org/10.13112/pc.362Keywords:
dojenje, Hrvatska, politika, dijete, ljudi, žene, trudnoćaAbstract
Aim: The World Breastfeeding Trends Initiative (WBTi) serves to assess implementation of national infant and young child feeding policies, programs and practices. Results of the assessment are published on the WBTi website. So far, 100 countries have produced a report, including Croatia in 2015 and 2024. In this paper we present the 2024 results for the Republic of Croatia.
Methods: A multidisciplinary working group was formed from members of the Croatian Ministry of Health National Breastfeeding Committee. The ten policy and program indicators were scored from 0 to 10, whereas the practice indicators were presented as percentages or absolute numbers. A draft report was sent to 12 partner organisations with an interest in infant and young child feeding. Based on their feedback, the report was revised, translated into English and sent to the WBTi office for validation.
Results: The Republic of Croatia received a total score of 66.5 of 100 for its infant and young child feeding policies and programs, placing it third in Europe. Highest scores were obtained for indicators 'National policy, governance and funding' and 'Maternity protection'. Lowest scores were obtained for indicators 'Infant feeding and HIV' and 'Infant and young child feeding during emergencies'. Positive practices related to the introduction of complementary foods and the initiation of breastfeeding within one hour of birth. Exclusive breastfeeding rates, avoidance of bottle feeding and median duration of breastfeeding were scored low.
Conclusion: A 'Call to action' is needed in order to improve infant and young child feeding in Croatia.
References
1. World Breastfeeding Trends Initiative. Available from: https://www.worldbreastfeedingtrends.org/ (Accessed August 1, 2024).
2. Global Breastfeeding Scorecard 2023. Global Breastfeeding Collective; 2023. Available from: https://www.globalbreastfeedingcollective.org/media/2531/file (Accessed August 1, 2024).
3. Macnab I, Drandić D, Kellams A, Memon IA, Stevenson A, Walker K. Call to end sponsorship from commercial milk formula companies. Lancet. 2024;403(10430):906-7. doi: 10.1016/S0140-6736(24)00242-3.
4. World Health Organization. Guidance on regulatory measures aimed at restricting digital marketing of breastmilk substitutes. Geneva: World Health Organization; 2023. Available from: https://iris.who.int/bitstream/handle/10665/374182/9789240084490-eng.pdf?sequence=1 (Accessed August 1, 2024)
5. Ministarstvo zdravstva Republike Hrvatske. Nacionalni program za zaštitu i promicanje dojenja za razdoblje od 2018. do 2020. Available from: https://zdravlje.gov.hr/UserDocsImages//2018%20Programi%20i%20projekti//Nacionalni%20program%20za%20za%C5%A1titu%20i%20promicanje%20dojenja%20za%20razdoblje%20od%202018.%20do%202020.%20godine-%20usvojen%2023.08.2018..pdf (Accessed April 5, 2024).
6. Pavičić Bošnjak A. U Hrvatskoj održana prva online-hibridna ocjena za obnovu statusa „Rodilište prijatelj djece“. Liječničke novine. 2021;(201):28-9. Available from: https://www.hlk.hr/EasyEdit/UserFiles/lnpdf/2021/ln201.pdf (Accessed April 5, 2024).
7. Pavičić Bošnjak A. Utjecaj COVID-19 na zdravstvenu skrb u podršci dojenju tijekom trudnoće i nakon poroda. Liječ Vjesn. 2022;144(suppl 1):128-32. doi: 10.26800/LV-144-supl1-19
8. Rodin U, Cerovečki I, Dimnjaković J, Ivanko P. Nacionalna baza podataka o porodima u zdravstvenim ustanovama u Republici Hrvatskoj. Bilt Hrvat Druš Med Inform. 2020;26(2):8-22.
9. Victora CG, Bahl R, Barros AJD et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016;387(10017):475-90.
10. Sankar MJ, Sinha B, Chowdhury R et al. Optimal breastfeeding practices and infant and child mortality. A systematic review and meta-analysis. Acta Paediatr. 2015; 104(467):3-13. doi: 10.1111/apa.13147.
11. Lin D, Chen D, Huang J, Li Y, Wen X, Ou P, Shi H. Breastfeeding is associated with reduced risks of central obesity and hypertension in young school-aged children: a large, population-based study. Int Breastfeed J. 2023;18(1):52.
12. Krol KM, Grossmann T. Psychological effects of breastfeeding on children and mothers. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2018;61(8):977-85.
13. Grgurić J, Zakarija-Grković I, Pavičić Bošnjak A, Stanojević M. A multifaceted approach to revitalizing the Baby-Friendly Hospital Initiative in Croatia. J Hum Lact. 2016;32:568-73.
14. Čatipović M, Draušnik Ž, Kolarek Karakaš M, Puharić Z. Učestalost dojenja u ordinacijama primarne pedijatrijske zaštite u Republici Hrvatskoj tijekom trogodišnjeg razdoblja (2020.-2022.). Paediatria Croatica. 2023;67(3-4):58-64.
15. Vidović Roguljić A, Zakarija-Grković I. 'She was hungry' - Croatian mothers' reasons for supplementing their healthy, term babies with formula during the birth hospitalisation. Acta Paediatr. 2023;112(10):2113-20. doi: 10.1111/apa.16907.
16. Ministarstvo zdravstva Republike Hrvatske. Prehrana dojenčadi i male djece u kriznim situacijama - Smjernice za pružatelje pomoći i voditelje programa u kriznim situacijama. Zagreb: Ministarstvo zdravstva Republike Hrvatske; 2023 [Internet]. Available from: https://zdravlje.gov.hr/UserDocsImages/2023%20OBJAVE/SMJERNICE%20O%20PREHRANI%20DOJEN%C4%8CADI_12_9_23.pdf (Accessed July 31, 2024).
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Copyright (c) 2024 Irena Zakarija-Grkovic, Anita Pavičić Bošnjak, Dinka Barić, Ivana Zanze, Željka Draušnik

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