(1) Proportion of maternity hospitals that received visits of representatives from companies of infant foods, nipples, baby bottles, and pacifiers |
Percentage of maternity hospitals that received visits of representatives from companies of infant foods, nipples, baby bottles, and pacifiers . |
Information provided by the health professional, but the unit of analysis is maternity hospital. The following steps were considered to build the indicator: (a) Each maternity hospital will receive ‘yes’ if at least one professional reports that one or more companies (or distributors) of infant food or products visited one or more health professionals in person in the maternity hospital. (b) Calculate the indicator: numerator = number of maternity hospitals that received in-person contact from companies; denominator = total number of maternity hospitals evaluated. Multiply the result by 100. The analysis of this indicator can be stratified by company. For ex.: companies X, Y, and Z visited #%, #% and #% of evaluated maternity hospitals that received an in-person visit of representatives from companies of infant foods or products. To qualify the indicator, stratify the visit frequency at least once a month and bimonthly or more, calculating the frequency percentage of the indicator for each of these two categories. Note: the questions related to this variable refer to the last 12 months. |
(2) Proportion of maternity hospitals where health professionals receive visits of representatives from companies of infant foods, nipples, baby bottles, and pacifiers |
Percentage of maternity hospitals where health professionals receive daily (weekly, monthly, sporadic) visits of representatives from companies of infant foods, nipples, baby bottles, and pacifiers. |
Numerator: number of maternity hospitals where one or more health professionals reported receiving daily (weekly, monthly, sporadic) visits of representatives from companies of infant foods, nipples, baby bottles, and pacifiers. Denominator: total number of maternity hospitals where one or more health professionals reported receiving visits of representatives from companies of infant foods, nipples, baby bottles, and pacifiers. Multiply the result by 100. Note: repeat the operation to calculate the percentage of weekly, monthly, and sporadic visits. This indicator can be stratified by visiting company. For ex.: company X visits #% of maternity hospitals and company Y visits #% of maternity hospitals. |
(3) Proportion of maternity hospitals where companies of infant foods, nipples, bottles and pacifiers commit NBCAL violation by offering incentives to health professionals |
Percentage of maternity hospitals where companies of infant foods, nipples, bottles and pacifiers commit NBCAL violation by offering incentives to health professionals. Offering incentives constitutes NBCAL violation; it was identified through 5 questions: (a) offering informational or educational materials to be distributed to mothers; (b) offering gifts or giveaways (pens, notepads, USB sticks or other gifts); (c) offering sponsorship for activities or events outside the institution; (d) offering invitations to social events; (e) offering discounts at product purchase. Offering other materials must also be registered to be analyzed whether it constitutes an NBCAL violation. |
Firstly, the proportion of maternity hospitals where one or more companies of infant foods, nipples, bottles and pacifiers offer incentives to health professionals is analyzed, which characterizes illegal contact from these companies with health professionals: (a) Each maternity hospital receives an attribute (yes/no) if one or more health professionals report the offer of incentive from companies of infant foods, nipples, bottles and pacifiers through their representatives. (b) Calculate the indicator: numerator = number of maternity hospitals where one or more health professionals reported the offer of one or more incentives by a company; denominator = total number of maternity hospitals. Multiply the result by 100. Note: this indicator can be stratified by company: numerator = number of maternity hospitals reporting incentive from company X; denominator = total number of maternity hospitals reporting incentive from companies of infant foods and products. Multiply the result by 100. Example: companies X, Y, and Z offered incentives to health professionals in #%, #%, and #% of all maternity hospitals evaluated, respectively. |
(4) Proportion of maternity hospitals where companies of infant foods, nipples, bottles and pacifiers commit NBCAL violation by offering incentives to maternity hospitals |
Percentage of maternity hospitals where companies commit NBCAL violation by offering incentives to maternity hospitals. Identification of product offer, where a product is offered free of charge or at a reduced price to the maternity hospital, of the following incentives from a company or distributor: (a) free supplies of infant formula or other baby food products; (b) nipples, pacifiers, bottles or nipple protectors; (c) breast pumps; (d) equipment or devices; (e) event sponsorship; (f) courses or workshops held at the maternity hospital; (g) office supplies; 9h) area renovations or improvements; (i) educational and informational materials; (j) discounts or subsidies for product purchases; (l) offering other materials not listed above. |
The categories in this item are attributed to maternity hospitals where a listed incentive was offered to one or more health professionals by a company or distributor to the institution where they work, constituting a positive response (binary, yes/no answer) for each category of this indicator. (a) Each maternity hospital receives an attribute (yes/no) if one or more health professionals report the offer of incentives from companies to the maternity hospital. (b) Calculate the indicator. Numerator = number of maternity hospitals where one or more health professionals reported the offer of one or more incentives to the maternity hospital by a company; Denominator = total number of maternity hospitals. Multiply the result by 100. Note: the offer of each incentive is related to a specific company or distributor. The results of offering one or more incentives can be described by company or distributor. For ex.: company X offered one or more incentives to healthcare professionals in #% (n = #) of the maternity hospitals that received incentives from the companies of infant foods, nipples, pacifiers and bottles. Note: the questions related to this variable refer to the last 12 months. |
(5) Proportion of maternity hospitals where post-partum mothers had contact with representatives from companies of infant foods, nipples, pacifiers and bottles in the maternity hospital |
Percentage of maternity hospitals where post-partum had contact with representatives from companies of infant foods, nipples, pacifiers and bottles in the maternity hospital. Identification of contact from commercial representatives of a company or distributor with post-partum women in a maternity hospital. Subcategories of this variable: the name of the company that made such contact, type of contact and frequency of contact in the evaluated maternity hospital. |
One or more positive answers to this question characterize the contact of commercial representatives of a company or distributor with post-partum women in the evaluated maternity hospital. (a) Each maternity hospital receives an attribute (yes/no) if one or more health professionals report a company’s contact with post-partum women in the maternity hospital. (b) Calculate the indicator: numerator = number of maternity hospitals in which one or more health professionals reported contact of a company’s representative with post-partum women in the maternity hospital; denominator = total number of maternity hospitals. Multiply the result by 100. Note 1: the companies or distributors that had contact with post-partum women in the maternity hospitals can be described. Note 2: the questions related to this variable refer to the last 12 months. Note 3: in case of direct contact of representatives from companies or distributors with post-partum women in the maternity hospitals, analyze the types of benefits offered: (a) promotional materials for specific products; (b) informational or educational materials; (c) samples of milk or other baby food products; (d) gifts or giveaways; (e) coupons; (f) other benefits not listed above. |