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EDITOR
Betrán et al's paper confirms the importance of exclusive
breast feeding in reducing infant morbidity and mortality in the Latin
American and Caribbean region.1 The authors did not,
however, mention other cost effectiveness analyses of the promotion of
breast feeding in Latin America that have been carried out.
In particular, through controlled designs Horton et al examined the effectiveness and cost of hospital based promotion of breast feeding in urban areas in three Latin American countries (Mexico, Honduras, and Brazil).2 They concluded that investing in the promotion of exclusive breast feeding and of any breast feeding is highly cost effective and should be part of the basic public health and clinical services packages of countries in the region.
This work highlighted the relevance of breastfeeding peer counsellors,
which was confirmed in a subsequent experimental study in Mexico
City.3 There, a threefold to fivefold increase in exclusive breastfeeding rates