A qualitative study: The promotion of exclusive breastfeeding (EBF) by integrated service post (ISP) cadres in suburban city

Objective: This study aims to explore EBF promotion activities that have been carried out by ISP cadres during this time in the work area of the CHC in Rumbai Pesisir Pekanbaru Riau. Method: The design of this study is a qualitative method with a phenomenological approach. Respondents in this study were ISP cadres with the determination of respondents using a purposive sampling approach, in order to obtain 11 respondents who appropriate the inclusion criteria as follows: cadres who are active in promoting exclusive EBF, cooperatives, aged ≤ 55 years, become a cadre for at least 2 years. Data collection methods in this study are through focus group discussion (FGD). Data processing from the FGD were analyzed according to the Colaizzi method. Results: The results of the data analysis found five themes, namely: (1) Types of EBF promotion activities carried out by cadres, (2) cadre behavior in EBF promotions, (3) cadres' ability to promote EBF, (4) constraints in carrying out EBF promotions, (5) the need for cadres to improve the ability of EBF promotions. Conclusion: Needs for EBF promotion training and cadre guidebooks, guidance and supervision by community health centers (CHC) in the implementation of this EBF promotion

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Diferencias en la nota del ENAM y el promedio ponderado universitario en postulantes al servicio rural peruano, 2008-2015 / Differences in the ENAM grade and the university weighted average in applicants to the Peruvian Rural Health Service, 2008-2015

INTRODUCCIÓN: El Servicio Rural y Urbano Marginal de Salud (SERUMS) es un programa obligatorio al finalizar la carrera médica en el Perú, para la adjudicación de una plaza se toma en cuenta la nota del promedio ponderado promocional (PPP) y del Examen Nacional de Medicina (ENAM). MATERIALES Y MÉTODOS: Estudio analítico, retrospectivo, se empleó el registro de inscritos al SERUMS en el período 2008-2015. Se evaluó la diferencial entre la nota de calificación del ENAM y el PPP, por proceso de adjudicación y según procedencia de la universidad. Se obtuvo estadísticos de asociación. RESULTADOS: De los 21.296 evaluados, el rango de notas del promedio final en las universidades peruanas fue de 10,3-12,7 (PPP: 12,7-14,0 y ENAM: 9,3-12,3), en las de Cuba fue 5,5-12,9 (PPP: 16,9-18,3 y ENAM: 0,0-10,1), en las de Bolivia fue 3,6-11,2 (PPP: 12,0-13,2 y ENAM: 0,0-10,3) y en otras universidades del extranjero fue 4,2-11,7 (PPP: 13,6-17,1 y ENAM: 0,0-10,6). Al realizar el cálculo de la diferencial del ENAM-PPP se halló discrepancia estadísticamente significativa (p < 0,001) en todos los casos, según el tipo de universidad. CONCLUSIONES: Existen diferencias estadísticamente significativas entre las notas finales, los PPP y el ENAM según la procedencia de la universidad. Esto podría generar inequidad al elegir una plaza en el SERUMS y podría indicar que los modelos de adquisición de conocimientos fueron distintos, lo que debe evaluarse para estudiar su repercusión durante el SERUMS

INTRODUCTION: The Rural and Urban Marginal Health Service (SERUMS) is a mandatory program at the end of the medical career in Peru. The promotional grade point average (PPP) and the national medical examination (ENAM) grades are used when awarding places. MATERIALS AND METHODS: An analytical, retrospective study was conducted using the registration of SERUMS in the processes between 2008 and 2015. The differential between the ENAM and PPP grades was evaluated, by an adjudication process and according to the origin of the university. Association statistics were obtained. RESULTS: From the 21,296 evaluated, the range of grades of the final average in the Peruvian universities was 10.3-12.7 (PPP: 12.7-14.0 and ENAM: 9.3-12.3). In Cubans it was 5.5-12.9 (PPP: 16.9-18.3 and ENAM: 0.0-10.1), in Bolivians it was 3.6-11.2 (PPP: 12.0-13.2 and ENAM: 0.0-10.3), and in other foreign universities it was 4.2-11.7 (PPP: 13.6-17.1 and ENAM: 0.0-10, 6). When calculating the ENAM-PPP differential, a statistically significant discrepancy (P < .001) was found in all cases, and depending on the type of university. CONCLUSIONS: There are statistically significant differences between the final grades of the PPPs and the ENAM according to the origin of the university. This could create inequity in choosing a place in the SERUMS, and could suggest that the acquisition of knowledge models are different, which should be evaluated in order to study their impact during the SERUMS