Spatial analysis of infringements of the Brazilian Standard on The Marketing of Children's Foods, tips, pacifiers and bottles in the city of Belém – Pará, Brazil

Authors

DOI:

https://doi.org/10.33448/rsd-v10i17.23878

Keywords:

Breast Feeding; Products Commerce; Child Nutrition; Breast-milk substitutes.

Abstract

Exclusive breastfeeding up to six months of age and associated with adequate complementary feeding from six months to two years or more is the ideal feeding practice, capable of reducing infant mortality, promoting satisfactory growth and development and ensuring several protective factors for mothers and sons. However, the trade in food substitutes for breast milk, driven by marketing strategies, has been identified as one of the main factors associated with the low prevalence of breastfeeding in the world. In response, the World Health Organization published, in 1981, the International Code of Marketing of Food Substitutes for Breast Milk. In Brazil, the most important legal framework in defense of breastfeeding is the Brazilian Norm for the Marketing of Food for Infants and Early Childhood Children, nipples, pacifiers and baby bottles (NBCAL). The objective of this study was to identify NBCAL infractions found in pharmacies in the city of Belém. In addition to classifying the type of infraction, number of occurrences in pharmacies and georeferencing the locations for analysis of their characteristics. 145 pharmacies in 33 districts were evaluated. In 72% of the establishments some type of infraction was evidenced: 74 pharmacies offered discounts, 75 infringed the rules of spatial exposure and 48 committed both. The high rate of infringements found reinforces that, in Belém (PA), public policies to promote breastfeeding must necessarily include increased inspection of commercial establishments regarding compliance with NBCAL.

References

Banco Nacional de Desenvolvimento Econômico e Social. (2001). Um panorama do varejo de farmácias e drogarias no Brasil. https://www.bndes.gov.br/SiteBNDES/export/sites/default/bndes_pt/Galerias/Arquivos/conhecimento/setorial/get4is25.pdf

Cleps, G. D. G. (2004). O comércio e a cidade: novas territorialidades urbanas. Revista Sociedade & Natureza, 16(30). http://www.seer.ufu.br/index.php/sociedadenatureza/issue/view/534

Costa, K. S., Barros, M. B. A., Francisco, P. M. S. B., César, C. L. G., Goldbaum, M., & Carandina, L. (2011). Utilização de medicamentos e fatores associados: um estudo de base populacional no Município de Campinas, São Paulo, Brasil. Cad. Saúde Públic, 27(4), 649-658.

https://doi.org/10.1590/S0102-311X2011000400004

Federação Brasileira de Farmácias. Mercado farmacêutico. (2019). https://www.febrafar.com.br/mercado-farmaceutico-2019-veja-expectativas/

Gradim, C. V. C., Magalhães, M. C., Faria, M. C. F., & Arantes, C. I. S. (2011). Aleitamento materno como fator de proteção para o câncer de mama. Rev Rene, 12(2), 358-64. http://periodicos.ufc.br/rene/article/view/4220/3260

Instituto De Defesa Do Consumidor. Amamentação desvalorizada. Revista do Idec. 195, 22.

International Baby Food Action Network Brasil. (2007). Rede Internacional em Defesa do Direito de Amamentar. Alimentos para crianças de até 3 anos, bicos, chupetas e mamadeiras. O que você precisa saber! http://www.ibfan.org.br/parceiros/pdf/2.pdf

International Baby Food Action Network Brasil. (2008). Rede Internacional em Defesa do Direito de Amamentar. Relatório nacional das violações à Norma Brasileira de Comercialização de Alimentos para Lactentes e Crianças de Primeira Infância, Bicos, Chupetas e Mamadeiras e Lei 11.265/2006. 1.

Machado, P. P., Oliveira, N. R. F., Mendes, A. N. (2016). O indigesto sistema do alimento mercadoria. Saúde e Sociedade, 25(2), 505- 515. https://doi.org/10.1590/S0104-12902016151741

Pereira-Santos, M., Santana, M. S., Oliveira, D. S., Nepomuceno Filho, R. A., Lisboa, C. S., Almeida, L. M. R., Gomes, D. R., Queiroz, V. A. O., Demétrio, F., & Oliveira, A. M. (2017). Prevalência e fatores associados à interrupção precoce do aleitamento materno exclusivo: metanálise de estudos epidemiológicos brasileiros. Rev. Bras. Saude Mater. Infant. 17(1), 59-67. https://doi.org/10.1590/1806-93042017000100004

Prefeitura De Belém. Vigilância Sanitária. 2021. https://sesma.belem.pa.gov.br/atendimento/vigilancia-sanitaria

Rochelle, I. M. F., Tagliaferro, E. P. S., Pereira, A. C., Meneghim, M. C., Nóbilo, K. A. & Ambrosano, G. M. B. (2010). Amamentação, hábitos bucais deletérios e oclusopatias em crianças de cinco anos de idade em São Pedro, SP. Dental Press J. Orthod. 15(2)

https://doi.org/10.1590/S2176-94512010000200010

Santana, J. V. & Holanda, A. C. G. (2012). Reflexões acerca da carência habitacional no Pará: dados comparativos entre os anos 2000 e 2010. In Gomes, V. L. B., Vieira, A. C. S., & Nascimento, M. A. C. (Org.) O avesso dos direitos: Amazônia e Nordeste em questão. Recife: Editora Universitária Ufpe. 271-307. https://editora.ufpe.br/books/catalog/book/112

Silva, K. B., Oliveira, M. I. C., Boccolini, C. S. & Sally, E. O. F. (2020). Illegal commercial promotion of products competing with breastfeeding. Rev. Saúde Pública. 54, 10.

United Nations Children’s Fund. (2016). Unicef global databases, based on MICS, DHS and other nationally representative sources. http://data.unicef.org/nutrition/iycf.html#sthash.nEsKwT3U.dpuf.

United Nations Children’s Fund. (2018). Breasstfeeding: A Mother’s Gift, for Every Child. https://data.unicef.org/resources/breastfeeding-a-mothers-gift-for-every-child/

Victora, C. G., Bahl, R., Barros, A. J., França, G. V., Horton, S., Krasevec, J., Murch, S., Sankar, M. J., Walker, N., Rollins, N. C., & Lancet Breastfeeding Series Group. (2016). Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. The Lancet, 387, 475–490.

https://doi.org/10.1016/S0140-6736(15)01024-7

Vieira, D. C. M., Rodrigues, J. C., & Rodrigues, J. C. (2017). Mapeamento e análise das desigualdades socioespaciais: abordagem interpretativa da cidade de Belém, Pará. Geosaberes, 9(17), 1-21. https://doi.org/10.26895/geosaberes.v9i17.612

World Health Organization. (2008). Indicators for assessing infant and young child feeding practices: part 1: definitions: conclusions of a consensus meeting held 6-8 November 2007 in Washington DC, USA. https://apps.who.int/nutrition/publications/infantfeeding/9789241596664/en/index.html

World Health Organization. (2014). Global nutrition targets 2025: wasting policy brief. https://apps.who.int/iris/handle/10665/149023

Published

22/12/2021

How to Cite

GOMES, T. G. .; SÁ, N. N. B. de; GOMES, D. L. .; BICALHO, J. M. F.; OLIVEIRA, G. H.; BOCCOLINI, C. S. . Spatial analysis of infringements of the Brazilian Standard on The Marketing of Children’s Foods, tips, pacifiers and bottles in the city of Belém – Pará, Brazil. Research, Society and Development, [S. l.], v. 10, n. 17, p. e110101723878, 2021. DOI: 10.33448/rsd-v10i17.23878. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/23878. Acesso em: 19 apr. 2024.

Issue

Section

Health Sciences