Análise das ações pró-aleitamento materno de advocacy, vontade política, legislação e financiamento a partir da iniciativa Becoming Breastfeeding Friendly em Uberlândia - Minas Gerais

Abstract

Objectives: Analyzer the actions and strategies related to the indicators of Advocacy, Political Will, Legislation and Policy, and Financing and Resources, which make up the cycle of policy and program formulation, according to the criteria of the Breastfeeding Becoming Friendly (BBF) index- and perform their score in Uberlândia, MG. Methods: An exploratory study using the BBF index. The research was composed of a committee with 11 health professionals and key managers linked to the Municipality of Uberlândia. Data collection was carried out between August and December 2025, and this committee was responsible for collecting information and scoring the indicators. Four gears of the BBF index were analyzed: 1. Advocacy (4 indicators); 2. Political will (3 indicators); 3. Legislation and Policy (10 indicators) and 4. Funding and Resources (4 indicators). Based on the sum of points of all the indicators of each gear, the situation of pro-AM public policies in the municipality was classified as: "weak environment for the expansion of pro-AM public policies" (0.1 to 1.0), "moderate environment" (1.1 to 2.0) and "strong environment" (2.1 to 3.0). Results: Two indicators of Advocaçy gear received maximum score and two score of "0" (weak environment). The Political will gear was the only one with the maximum score (3.0), being classified as a strong environment. The Legislation and Policy gear received the maximum score for 7 out of 10 indicators, being classified as a strong environment. All items scored in the maximum way refer to national legislation developed in the municipality. The Financing and Resources gear received the maximum score for one of the indicators and a minimum score for 3 indicators, characterizing a moderate environment. Conclusion: The actions analyzed in Uberlândia are characterized as a moderate environment to improve the BF indicators. Strengthening advocacy and directing funding to pro-AM policies and programs could be actions to make the environment stronger for improvement of ML indicators.