Preliminary Program

Pre Congress Course
P_C_01 - Breastfeeding Counselling
This training course plans to introduce the counselling skills described in the WHO/UNICEF Breastfeeding Counselling Course and to share experiences with a view to including such skills in clinical practice.

Pre Congress Course
P_C_03 - Breastmilk “Substitutes”: From nutrition composition to advertising
This training course will discuss the nutritional composition and the main marketing strategies of breastmilk "substitutes" as revealed in their packaging and labelling. The analysis tool for debate will be the Brazilian Standard for Marketing of Infant Foods (the Brazilian Code) or NBCAL.

Pre Congress Course
P_C_05 - Colostrum therapy, human milk supply and recipient needs; bedside milking
Important aspects of the therapeutic use of colostrum for preterm and very low birth weight infants, and indication of pasteurized human milk according to the profile of the newborn. Clinical cases will be discussed on each subject.

Pre Congress Course
P_C_06 - Neuroprotection and Kangaroo method
Discussion of important aspects of using the Kangaroo Mother Care Method as a neuroprotection strategy for newborns admitted to a neonatal unit, highlighting scientific evidence of short, medium- and long-term benefits.

Meeting
P_M_01 - Meeting with participants of breastfeeding committees in Brazil and abroad
Exchange of knowledge and encouragement of actions that promote and protect breastfeeding, supporting women more in the care of their babies, sharing responsibilities and implementing public policies.

Oficina Vivencial
P_O_02 - Integrative and complementary practices as support to the mother-child dyad
Offer individual and group experiences of Integrative and Complementary Health Practices (ICHP) adopted in the Brazil SUS (Unified Health System). In particular: Auriculotherapy, Reiki, Shantala, among others. These ICHP favour breastfeeding, assist mother-child interaction and provide well-being to all who practice them. They are therapies of low technological complexity and great energy potential.

Workshop
P_W_01 - Codex for non-Codex participants
Reflect on the role of Codex in the protection of breastfeeding and the challenges of participating in local Codex committees.

Workshop
P_W_02 - Breastfeeding: Paternity as a way
Workshop on activities developed in various areas of health care in order to promote the involvement of fathers in breastfeeding. Focus on the importance of the father‘s or partner‘s participation in the breastfeeding process for the whole family, and on the qualification of health professionals to promote this involvement.

Workshop
P_W_03 - Drafting a delivery plan by conversations with pregnant women in health care units
The Birth Plan instrument in context. Discuss the importance of the sociodynamics of conversation circles; describe the activities proposed with pregnant women, presenting a script composed of five moments.

Meeting
P_M_02 - Meeting of coordinators of the Baby Friendly Hospital Initiative network in Latin America
Update on the BFHI in the 21st century, based on a review of the scientific evidence for the Ten Steps and on the publication of the WHO Operational Guidelines. Discuss networking and country situations of Latin America and Caribbean.

Workshop
P_W_04 - Breastfeeding-friendly Basic Unit Initiative in Rio de Janeiro: challenges and methodological strategies
The Breastfeeding Friendly Primary Healthcare Unit Initiative (IUBAAM) in Rio de Janeiro: highlights, methodological strategies and challenges. How to implement, examples of good experiences.

Workshop
P_W_07 - A multi-dimensional approach to child growth
During this workshop we will discuss how Amartya Sen and Martha Nussbaum‘s work on the capability approach can be guiding us in our efforts to address issues of inequity and inequality in child feeding. Focussing on people‘s opportunities, we will discuss how we could improve the influencing (conversion) factors that either enable or disable people to live the life they have reason to value. This will include addressing power issues relevant to infant feeding (choice of feeding including use of breast pumps) on the one hand and on freedom of choice on the other.

Workshop
P_W_14 - Powerful strategies to work with breastfeeding in primary care: Successful Experiences
Discussion on powerful strategies to promote breastfeeding within the basic health care units. Presentation of successful experiences in some of Brazil‘s municipalities.

Workshop
P_W_15 - Educational actions for gestation, labor, birth and breastfeeding: a holistic approach for health professionals based on current scientific evidence
Update on the care of women in the pregnancy-puerperal cycle, through a holistic approach in promoting the strengthening of bonding; to discuss how to building the autonomy of women and families during pregnancy, childbirth, the puerperium and breastfeeding.

BREASTFEEDING AND NATURAL FEEDING: CLIMATE-FRIENDLY ACTIONS!
As part of the activities of the XVth National Breastfeeding Meeting, the Vth National Healthy Complementary Feeding Meeting, the IIIrd World Breastfeeding Conference and the Ist World Complementary Feeding Conference, on Monday, November 11 at 3 pm we are going to give a symbolic hug to the statue of Christ the Redeemer, on the Corcovado, Tijuca Forest, Rio de Janeiro.

We want to show everyone that breastfeeding and healthy complementary feeding are ecological acts. Breastmilk is a renewable, sustainable resource that does not pollute, that produces no waste, that avoids deforestation for dairy farming and breastfeeding is a source of love. Complementary healthy feeding is done with real food: natural, family-grown foods without the use pesticides that threaten biodiversity and not ultra-processed food.

Breastfeeding mothers with their babies will join us there! Hugging the statue of Christ will symbolize our love for this wonderful city, for nature and our planet, so that future generations can have a healthy, quality life in a world of love and solidarity! For this event, we have the support of the Pastoral da Criança, the Christ the Redeemer Sanctuary and the Chico Mendes Socio-Environmental Institute. Come and join us!!!!!

Pre Congress Course
P_C_04 - Clinical management of breastfeeding
This course will discuss the clinical management of breastfeeding. It will showcase common issues related to breastfeeding in clinical settings. Each case presentation shall be followed by a discussion of any doubts or questions. The course facilitators are: Mônica A. Pessoto, Andrea Fernandes, Virginia Spinola Quintal, Honorina de Almeida, Hamilton Robledo, Maria Jose Mattar, Ana Maria Pringenzi, Isis Pezzuol, Rosangela Gomes dos Santos, Giselle Okada, Denise Feliciano, Karina Rinaldo.

Pre Congress Course
P_C_07 - The first one thousand days: Breastfeeding and complementary feeding using baby-led weaning (BLW)
Scientific evidence and breastfeeding advantages. Breastfeeding management in clinical practice. Solving the most common problems in breastfeeding.
BLW – Baby Led Weaning: concept, practice and myths. Return to work and breastfeeding. Gentle weaning.

Pre Congress Course
P_C_08 - Complementary feeding from the perspective of autonomy and child development
Historical overview of breastfeeding and introduction of other foods. Physiological and behavioral aspects for complementary feeding. Child development and autonomy. Signs of readiness. The concept, principles and scientific evidence of BLW. Participatory ways of introducing new foods. Food environment and the family. How to present foods. Foods to avoid. Gag reflex and choking. Variety and quantity. Contraindications and warning signs.

Pre Congress Course
P_C_11 - Brazilian law for breastmilk substitutes, infants and young children foods, nipples, pacifiers and feeding bottles (NBCAL) – workshop for health workers
To inform health professionals about the their role related to the protection of breastfeeding implementing the National Standard for Marketing of Infant Foods (known as NBCAL) and about unethical marketing of products covered by the NBCAL.

Oficina Vivencial
P_O_04 - Strategic cooking: how to cook the same meal for the child and family
This workshop will discuss strategies and culinary practices that facilitate the daily preparation of healthy meals for young children, together with meals for the whole family, based on the new edition of the Food Guide for Brazilian Children Under Two (about to be published) and on gastronomy workshops.

Workshop
P_W_06 - NBCAL workshop: update and creating a monitoring group
[For IBFAN members only]
Update on the NBCAL (Decree 2018/2015)and new monitoring tools to help set up an operational monitoring group in selected Brazilian states.

Workshop
P_W_09 - Breastfeeding in day care centres: challenges and perspectives
This workshop aims to reflect on how day care (creches) routines can interfere with breastfeeding; and to propose recreational activities involving the promotion of a breastfeeding culture; to discuss the possibilities, limits and potential for actions at the local level, and to share experiences.

Workshop
P_W_10 - Breastfeeding and feeding: a qualified look at children with Zikavirus microcephaly
Epidemiology of arboviruses. Effects of Zika virus on child growth and development. Possible adaptive technologies to promote breastfeeding and healthy complementary feeding.

Workshop
P_W_11 - Conflict of interests in the prescription of pediatric nutritional formulas: industry practices, the performance of health professionals and the repercussions for the national health care system
The idea of this workshop is to present real cases of conflicts of interest that have occurred during the performance of health professionals‘ duties in child health care and to discuss their repercussions on policies

Workshop
P_W_12 - Observing Infants technique as a strategy to help breastfeeding difficulties and mother-baby relationship
Observing infants is a technique, which provides a valuable tool in clinical handling of children. Here it is shown applied to child-mother bonding comprehension and breastfeeding. The workshop will briefly describe the technique, give examples and video materials. Participants will be asked to put to work their observing abilities, allowing interactive dynamics.

Workshop
P_W_13 - New recommendations of the Food Guide for Brazilian children less than two years old
Explanation of the basis, the methodology and the new recommendations of the Food Guide for Brazilian Children Under Two.

Workshop
P_W_17 - World Breastfeeding Trends Initiative (WBTi)
This workshop will offer knowledge to help understand the basis of this initiative and to learn how to conduct a WBTi country assessment and report on it. The workshop is meant for countries that have not yet joined the WBTi.

Workshop
P_W_20 - Legal and tutorial protection for the setting up of support rooms for lactating working mothers and students
Legal maternity protection. Why set up a breastfeeding support room. Standard operating procedures. Social responsibility. Successful experiences of breastfeeding rooms. Certifying a breastfeeding support room at the Ministry of Health.

Workshop
P_W_21 - Support groups and networks for successful breastfeeding and healthy complementary feeding
How to start a mother-to-mother group to strengthen ties between women and improve breastfeeding indicators. Dynamics expressing a) Ways to overcome difficulties at the start of breastfeeding; b) Exchange of experiences in the introduction of healthy complementary feeding.

Pre Congress Course
P_C_15 - Feeding your 6-month old baby: What you should know?
This course intends to help participants face the critical moment of introduction of complementary foods, from six months on. It is an important moment for the infant‘s health and often is surrounded by doubts and difficulties.

Pre Congress Course
P_C_02 - Skin to Skin contact and labour medications impact on early breastfeeding - CANCELED
Presentation of research methods and group activities designed to implement immediate, continuous and uninterrupted skin to skin, effects of synthetic oxytocin and fentanyl epidural drugs on the newborn. Effects on both the mother and baby in the first year and beyond.

Pre Congress Course
P_C_09 - Advocacy capacity building
Capacity building in advocacy aims to strengthen civil society participation so that citizens can articulate strategies to promote public policies and marketing control measures. The course will present case studies, concepts and tools to evoke a sense of civic responsibility in each one of us and lead to more active political participation.

Pre Congress Course
P_C_13 - Breastfeeding and sexuality
Sexuality plays a role in breastfeeding and it is therefore important that professionals who are supporting breastfeeding understand the signs of psychic conflicts arising from sexuality that might lead to early weaning. This course will explore the subject through clinical cases and stories collected in psychanalytical work with breastfeeding mothers.

Pre Congress Course
P_C_14 - Physical examination of the newborn for identification of ankyloglossia and management of breastfeeding
To train health professionals to apply Technical Standard No 35/2018 entitled Assessment of the lingual frenulum in newborns, issued by the Ministry of Health together with the Sao Paulo Health Institute. The aim is to sensitise health professionals about the assessment of the lingual frenulum, in maternities, as well as to establish a follow-up procedure for doubtful cases or those with special needs after surgery, to maintain breastfeeding.

Meeting
P_M_04 - First national meeting of breastfeeding-friendly clinics
Meeting of professionals already linked to the Breastfeeding Friendly Practices Initiative at Ambulatory Care. Open to all those interested in participating in this initiative and aims to involve health professionals whose work is related to breastfeeding. It will discuss strategies and actions of the initiative and receive reports of participants‘ experiences.

Pre Congress Course
P_C_05 - Colostrum therapy, human milk supply and recipient needs; bedside milking
Important aspects of the therapeutic use of colostrum for preterm and very low birth weight infants, and indication of pasteurized human milk according to the profile of the newborn. Clinical cases will be discussed on each subject.

Oficina Vivencial
P_O_01 - Infant and young child feeding in emergencies: The Operational Guidance and experiences from the field
To inform, promote and disseminate to organizations, academics, governments, and interested individuals the Infant and Young Child Feeding in Emergencies (IYCF-E) Operational Guidance, endorsed by member states at the World Health Assembly in 2010. To enable discussions and consensus building around the need for all governments and organizations to fully implement the Six Steps recommended by the IYCF-E Operational Guidance.

Workshop
P_W_23 - CPLP Human Milk Bank Network
To bring together the human milk banks of the CPLP (Community of Portuguese Speaking Countries) to share knowledge, experiences and technologies, with a view to improving the human milk bank efficiency and quality.

Workshop
P_W_24 - Strategies for promoting, protecting and supporting breastfeeding and healthy complementary feeding when faced with food allergies
Multi-disciplinary workshop that aims to establish strategies to ensure safety and to manage risks when attempting to prevent and handle food allergies, while at the same time promoting and protecting breastfeeding and healthy complementary feeding.

Workshop
P_W_25 - Promotion of adequate and healthy feeding in child education
Presentation of educational materials and discussion of activities to promote healthy and appropriate nutrition for children from 2 to 5 years old.

Workshop
P_W_26 - Food and nutrition surveillance in primary care: Monitoring breastfeeding and complementary feeding of children under two years of age
Discuss how to promote food and nutritional surveillance of children under two years old by managers and health professionals, especially those working in primary health care, as well as in teaching, research and extension activitie

Workshop
P_W_27 - Breastfeeding and Feeding Strategy Brazil
Experiencing the workshop of the Breastfeeding and Feeding Brazil Strategy that is held at the Health Care Unified System (SUS) basic health units.

Workshop
P_W_28 - Biopsychosocial care of infants with Zikavirus and/or STORCH virus and their families
Improve and strengthen the care for children with congenital Zika virus infection syndrome or STORCH by addressing these themes: Integrated Brazil Minister of Health guidelines with emphasis on qualifying care for these children and their families; setting up of integrated care networks; prevention and diagnosis, child development, enabling environment and care; child health handbook among others.

Workshop
P_W_05 - Screen-free food introduction
Encourage reflection about pressures to consume and the difficulties of introducing complementary foods to infants; how important this is to instil healthy eating habits, in a society flooded by visual appeals to consume.

Workshop
P_W_19 - Codex Workshop: Follow-up formulas –discussions at the Codex CCNFSDU and labeling. Follow-up of PAHO 2018 Workshop and review of Latin America proposals
To Discuss the Codex Committee on Nutrition and Food for Special Dietary Uses (CCNFSDU) agenda related to standards for baby foods. Understanding the role of governments, public interest groups and the big food companies; conflict of interest; how decisions are made and how to be involved in the process and to build support net to defend the WHO International Code of Marketing of Breastmilk Substitutes.

Movie Exhibition
P_O_05 - Tigers (a film)
Documentary-fiction film telling the story of a former infant formula industry employee and his discovery of the malnutrition and death of babies caused by the use of formula.

Rio de Janeiro Declaration
THE RIO DE JANEIRO DECLARATION

What it will be and what we expect from the "call to action" from this congress.

The 15th ENAM and 5th ENACS are being held in Rio as an international breastfeeding meeting, the first in the Americas, called third World Breastfeeding Conference (3rd WBC). It will also be the launch of the first World Complementary Feeding Conference (1st WCFC).
It will bring together participants from 62 countries and from all the states of Brazil. About 2400 participants will meet in plenary sessions, discussion groups, workshops, roundtables, poster sessions, oral summaries and other forms of expression. From each of these various sessions, note takers will pick out 2 or 3 essential conclusions and pass those on to the drafting committee that will work on the RIO DE JANEIRO DECLARATION.
An editorial group has been assigned to take up the challenge of presenting in a single document, to be launched at the final plenary session, the strategic priorities that have emerged as consensus of the thousands of people, hundreds of groups, institutions and agencies of the United Nations system who participated in our congress.
We expect the Rio de Janeiro Declaration to be a "call to action", a reference document continuously used as a basis for actions to protect, promote and support breastfeeding and healthy complementary feeding, as a tool in the struggle for the right to health and wellbeing of mothers and children all over the world.