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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Detalles Bibliográficos
Autores principales: Martina, DM, Scruzzi, GF, Eppens, ME, Barbero, LM
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019
Materias:
counselling
breast feeding
health care
coronavirus humano
epidemiologia
biología molecular
pediatría
córdoba
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/25779
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
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institution Universidad Nacional de Córdoba
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container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic counselling
breast feeding
health care
coronavirus humano
epidemiologia
biología molecular
pediatría
córdoba
spellingShingle counselling
breast feeding
health care
coronavirus humano
epidemiologia
biología molecular
pediatría
córdoba
Martina, DM
Scruzzi, GF
Eppens, ME
Barbero, LM
Context, function, structure and integrality in the analysis of breast feeding counselling in primary health care centers
topic_facet counselling
breast feeding
health care
coronavirus humano
epidemiologia
biología molecular
pediatría
córdoba
author Martina, DM
Scruzzi, GF
Eppens, ME
Barbero, LM
author_facet Martina, DM
Scruzzi, GF
Eppens, ME
Barbero, LM
author_sort Martina, DM
title Context, function, structure and integrality in the analysis of breast feeding counselling in primary health care centers
title_short Context, function, structure and integrality in the analysis of breast feeding counselling in primary health care centers
title_full Context, function, structure and integrality in the analysis of breast feeding counselling in primary health care centers
title_fullStr Context, function, structure and integrality in the analysis of breast feeding counselling in primary health care centers
title_full_unstemmed Context, function, structure and integrality in the analysis of breast feeding counselling in primary health care centers
title_sort context, function, structure and integrality in the analysis of breast feeding counselling in primary health care centers
description 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
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2019
url https://revistas.unc.edu.ar/index.php/med/article/view/25779
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spelling I10-R327-article-257792024-08-27T18:26:15Z Context, function, structure and integrality in the analysis of breast feeding counselling in primary health care centers Contexto, función, estructura e integralidad para el análisis de espacios de consejería en lactancia materna en Centros de Atención Primaria de Salud Martina, DM Scruzzi, GF Eppens, ME Barbero, LM counselling breast feeding health care coronavirus humano epidemiologia biología molecular pediatría córdoba 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 La evolución de la obesidad infantil es una preocupación creciente.  La evidencia científica demuestra que recibir alimentación del pecho materno disminuye el riesgo de obesidad en la edad adulta, pero aún no se ha consolidado esta práctica en las mujeres madres, por lo que el análisis de las prácticas de consejería en LM (CLM) aporta elementos para asumir este desafío. El objetivo fue analizar los espacios de consejería en lactancia materna en el marco de los programas de Control de Crecimiento Desarrollo (PCCyD) y Atención del Embarazo (PAE) que se llevan a cabo en los CAPS (año 2017)  Estudio observacional, descriptivo y transversal. Se diseñó un cuestionario semiestructurado en función de las variables: Contexto (C), Estructura (E), Función (F), Integralidad (I), validado a través de una prueba piloto. Lo completaron de manera auto administrada 26 Lic. en nutrición de los CAPS.  Recortamos el análisis a algunos indicadores respecto de las dimensiones de interés: Programas donde se realiza consejería (C), Material Didáctico, espacios físicos, tiempos (E), Relación interdisciplinaria (F) Percepción sobre capacitación.  Los datos se analizaron mediante frecuencias absolutas y relativas. Todos reconocieron utilizar como estrategia la CLM, la mayoría lo hace en el marco del PCCyD bajo modalidad individual. La mayoría utiliza material didáctico de elaboración propia para CLM (grupal: 46%, individual: 42%) Dificultades: tiempo (sólo el 35% refiere disponer de tiempo), disponibilidad de espacio físico (27%) y de equipamiento (27%). Resultan relativamente uniformes los apoyos teóricos que sustentan las actividades de consejería. A pesar de que un 69% refirió formación específica, la autopercepción sobre la capacitación para abordar CLM desde un marco intersectorial varía: 42% refirió sentirse muy capacitado, 54% medianamente y 4% escasamente. Si bien se trabaja interdisciplinariamente (33%), el Lic. en Nutrición fue responsable de coordinar la actividad de CLM en el 60% de los casos.  Si bien los Programas materno infantiles habilitan en gran medida un espacio simbólico para la CLM, apoyado por la formación de los profesionales, las coordenadas espacio-temporales en los CAP son obstáculos para la concreción de ésta, por lo que sería de interés repensar las prioridades en la atención de procesos de salud-enfermedad Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-10-16 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/25779 Revista de la Facultad de Ciencias Médicas de Córdoba.; 2019: Suplemento JIC XX Revista de la Facultad de Ciencias Médicas de Córdoba; 2019: Suplemento JIC XX Revista da Faculdade de Ciências Médicas de Córdoba; 2019: Suplemento JIC XX 1853-0605 0014-6722 10.31053/1853.0605.v76.nSuplemento spa https://revistas.unc.edu.ar/index.php/med/article/view/25779/27530 Derechos de autor 2019 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0

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