Se presenta la evaluación del Programa Materno Infantil y Nutrición (PROMIN), dirigido a embarazadas y niños menores de cinco años, ejecutado en el Municipio de Rosario, Argentina. El objetivo es identificar los condicionantes que operaron en la puesta en la marcha según: el ambiente organizacional percibido por los jefes de los Centros de Salud y Desarrollo Infantil; la gestión de las actividades de los equipos de salud y las representaciones de la población en torno a la accesibilidad y aceptabilidad con el programa. Se seleccionaron como casos, dos servicios de salud bajo programa durante 1998. Se utilizaron estrategias cuantitativas y cualitativas. Los resultados indican que el ambiente organizacional condicionó diferencialmente las estrategias de intervención en ambos centros. Las coberturas alcanzadas fueron diferentes en ambos centros, con una meta del 80%. El registro de las actividades por parte de los equipos da cuenta de un cumplimiento parcial y heterogéneo en ambos espacios. Las madres reconocen las instituciones por su prestigio, conocen el alcance de las prestaciones y de los servicios más allá de PROMIN. La aceptabilidad se expresó como la provisión de complementación alimenicia.
e20704 Background: Chapters contained in subjects other than PC lack the specificity and the integration of concepts to impact quality of care. Since 2005 an elective subject is part of the undergraduate curriculum of the medical school of the UNR. Teaching is case based in large groups with elective rotations to an acute care hospital PC team. Methods: To evaluate if this subject, as it is outlined, produces sensitization about PC, results of initial surveys (IS) (358) and final surveys (FS) (292) performed each year were compared and changes over time evaluated. Summary measures were calculated and hypothesis tests were done. Results: Students average age: 23 years. Female sex: 75.8%. Global answer rate of IS: 86.77% (range: 76.2% to 96%) and of FS: 76.65% (range: 68% to 85.9%). Composition of courses according to year of study. Quantity of IS and FS/ year. Differences in identification of the objectives of PC between IS and FS was statistically significant (p = 0.002) only in 2005. In 2006 (p = 0.195), 2007 (p = 0.318), and 2008 (p = 0.10) there was not statistical significance. Average 97.3% (range: 93% to 100%) of students considered the contents of the subject will impact in their practice and 95,75% (range: 91.5% to 98.5%) found them useful. 87% (range: 87.3% to 94.1%) positively changed their vision of interdisciplinary team work. Conclusions: Few students have a correct knowledge of PC at the beginning of the course; this knowledge is increased at the end of each course without reaching statistical significance except in 2005 (p = 0.002), when all the students were in the third year of study. [Table: see text] No significant financial relationships to disclose.
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