Context, function, structure and integrality in the analysis of breast feeding counselling in primary health care centers
Childhood obesity evolution is a growing concern. Scientific evidence shows that receiving breast feeding decrease the risk of obesity in older age; however there are no consolidated practices in women mothers, so that, the analysis of breast feeding counselling practices (BFC) brings elements to as...
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| Autores principales: | , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2019
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/25779 |
| Aporte de: |
| Sumario: | Childhood obesity evolution is a growing concern. Scientific evidence shows that receiving breast feeding decrease the risk of obesity in older age; however there are no consolidated practices in women mothers, so that, the analysis of breast feeding counselling practices (BFC) brings elements to assume this challenge.
The aim was to analyze breast feeding conunselling in the frame of Supervision of Growth and Development (SGD) and Pregnancy Care (PC) programs which are runned in primary health care centers (2017 year).
An observational, descriptive and transversal study was accomplished. A semiestructured questionnaire was designed considering this variables: Context (C), Estructure (E), Function (F), Integrality (I), validated by a pilot test. It was filled by 26 nutrition graduates from the primary health care centers. We cut the analysis of some indicators with respect to the dimensions of interest: Programs where counselling is provided (C), didactic material, physical spaces, time (E), interdisciplinary relationship (F) training perception. Data was analyzed by absolute and relative frequences.
All subjects recognize using breast feeding counselling strategy, most of them did it in the frame of SGD under individual modality. Most of them use didactic materials designed by themselves for BFC (grupal: 46%, individual 42%). Difficulties: time (only 35% refers to have time), availability of physical space (27%) and equipment (27%). Theoretical support for counselling activities results relatively uniform. Despite 69% refers specific training, the self perception about the capacity to develop BFC from an intersectorial perspective varies: 42% refers to feel very, 54% fairly and 4% scarcely trained. Regardless the work is interdisciplinary (33%), the nutrition graduates was responsible of coordinate the BFC activity in 60% of the cases.
Despite maternal infant programs enable a symbolic space for BFC, supported by profesional training, the space-time coordinates in primary health care centers are obstacles to this development. It will be of interest to rethink the priorities in heath-disease process care |
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