Aim To analyse available breastfeeding data in Croatia and to describe the process of gathering, collecting, recording and reporting on them to the official institutions. Methods Infant nutrition data collected at maternity wards and infant nutrition data from primary health care units during the period 2005 to 2016 have been used. Descriptive statistics was used to analyse the data and to show the trends in breastfeeding. Results More than 85% of newborns were exclusively breastfed in the maternity wards. Data on breastfeeding from primary health care showed growth in exclusive breastfeeding up to 2011, followed by a fall in 2013. From 2012, paediatric teams had the obligation to join information system (CEZIH), but electronic forms did not contain infant nutrition information. Similarly in the E-Newborn project (E-novorođenče) the question on the feeding method in the application was not designated as mandatory. Conclusion The routinely collected data on breastfeeding did not allow us to draw any conclusion regarding breastfeeding trends in Croatia. In order to improve the process of gathering, recording and reporting data on breastfeeding to the proper authorities, it would be necessary to clearly align definitions, employ a uniform methodology, and upgrade the computer applications in primary health-care. Only then may the reports required for compulsory health insurance be obtained via the CEZIH, as well as the public health reports necessary to monitor preventive work in care of children's health, and monitoring public health indicators.
Zdravlja M, Hrvatske R. Strateški plan razvoja javnog zdravstva. 2013.
2.
Vlada R, Hrvatske. Program za zaštitu i promicanje dojenja. 21AD.
3.
Zdravlja M, Hrvatske R. Pravilnik o izmjenama i dopuni Pravilnika o početnoj i prijelaznoj hrani za dojenčad. 21AD.
4.
Vlada R, Hrvatske. Nacionalna%20strategija%20zdravstva%20 -%20za%20web.pdf. 2012.
5.
Plan i program mjera zdravstvene zaštite iz obveznog zdravstvenog osiguranja. 21AD.
6.
Croatia country programme document. UNICEF; 21AD. p. 2012–6.
7.
Brajša-Žganec A, Brkljačić T, Franc R, Merkaš M, Radačić I, Sučić I, et al. Analiza stanja prava djece u Hrvatskoj. Zagreb: Ured UNICEF-a za Hrvatsku. 2014.
8.
Bosi B, Eriksen A, Sobko K, Wijnhoven T, Breda T, J. Breastfeeding practices and policies in WHO European Region Member States. Public Health Nutr. 2016. p. 753–64.
9.
Report on the situation of infant and young child feeding in Croatia. Zagreb: International Baby Food Action Network. Session. International Baby Food Action Network;
10.
Kako roditelji i zajednice brinu o djeci najmlađe dobi u Hrvatskoj. UNICEF; 15AD.
11.
Croatian Health Statistics Yearbook. Croatian Institute of Public Health; 2015.
12.
Who. Indicators for assessing infant and young child feeding practices: conclusions of a consensus meeting held 6-8 November. 2007.
13.
Tješić-Drinković D, Prehrana. Pedijatrija. Zagreb: Školska knjiga. 2016. p. 232–304.
14.
Pravilnik o načinu vođenja, čuvanja, prikupljanja i raspolaganja medicinskom dokumentacijom pacijenata u Centralnom informacijskom sustavu zdravstva Republike Hrvatske. 15AD.
15.
Hrvatski zavod za javno zdravstvo. Zdravstveno-statistički ljetopis. 15AD.
16.
Victora C, Bahl R, Barros A, Franca G, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016. p. 475–90.
17.
Cai X, Wardlaw T, Brown D. Global trends in exclusive breastfeeding. Int Breastfeed J. 2012. p. 12.
18.
Tuffrey V, Hall A. Methods of nutrition surveillance in low-income countries. Emerg Themes Epidemiol. 2016. p. 4.
19.
Sva su rodilišta u Hrvatskoj "Rodilišta prijatelji djece. UNICEF; 25AD.
20.
Rodin U, Draušnik Ž, Cerovečki I. Praćenje dojenja u Hrvatskoj iz zdravstveno-statističkih izvještaja. Paediatr Croat. 2017. p. 21–6.
21.
World Breastfeeding Trends Initiative (WBTi). Assessment Report. 20AD.
22.
Chapman D, Pérez-Escamilla R. US National Breastfeeding Monitoring and Surveillance: current status and recommendations. J Hum Lact. 2009. p. 139–50.
23.
Scientific opinion on the appropriate age for introduction of complementary feeding of infants. EFSA J. EFSA Panel on Dietetic Products; 2009. p. 1423.
24.
Fewtrell M, Bronsky J, Campoy C, Domellöf M, Embleton N, Mis F, et al. Complementary feeding: a position paper by the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN) Committee on Nutrition. JPGN. 2017. p. 119–32.
25.
Johnston M, Landers S, Noble L, Szucs K, Viehmann L. Position paper. Breastfeeding and the use of human milk. Section on breastfeeding. Pediatrics. 2012. p. 827-e841.
26.
How research and surveillance can support breastfeeding. 15AD.
27.
Methods: breastfeeding rates. 15AD.
28.
Flaherman V, Chien A, Mcculloch C, Dudley R. Breastfeeding rates differ significantly by method used: a cause for concern for public health measurement. Breastfeed Med. 2011. p. 31–5.
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