ABSTRACT
This report describes 1) the evaluation of the Familias Fuertes primary prevention program in three countries (Bolivia, Colombia, and Ecuador) and 2) the effect of program participation on parenting practices. Familias Fuertes was implemented in Bolivia (10 groups, 96 parents), Colombia (12 groups, 173 parents), and Ecuador (five groups, 42 parents) to prevent the initiation and reduce the prevalence of health-compromising behaviors among adolescents by strengthening family relationships and enhancing parenting skills. The program consists of seven group sessions (for 6-12 families) designed for parents/caregivers and their 10-14-year-old child. Parents/caregivers answered a survey before the first session and at the completion of the program. The survey measured two important mediating constructs: "positive parenting" and "parental hostility." The Pan American Health Organization provided training for facilitators. After the program, parents/caregivers from all three countries reported significantly higher mean scores for "positive parenting" and significantly lower mean scores for "parental hostility" than at the pre-test. "Positive parenting" practices paired with low "parental hostility" are fundamental to strengthening the relationship between parents/caregivers and the children and reducing adolescents' health-compromising behaviors. More research is needed to examine the long-term impact of the program on adolescent behaviors.
Este informe describe 1) la evaluación del programa de prevención primaria Familias Fuertes en tres países (Bolivia, Colombia y Ecuador) y 2) el efecto de la participación en el programa sobre las prácticas de crianza. El programa Familias Fuertes se llevó a cabo en Bolivia (10 grupos, 96 padres), Colombia (12 grupos, 173 padres) y Ecuador (5 grupos, 42 padres) para prevenir el inicio y reducir la prevalencia de comportamientos que constituyen un riesgo para la salud de los adolescentes, mediante el fortalecimiento de las relaciones familiares y la mejora de las habilidades de crianza. El programa consta de siete sesiones de grupo (para 6 a 12 familias) dirigidas a padres o cuidadores y sus hijos de 10 a 14 años de edad. Los padres o cuidadores respondieron a una encuesta antes de la primera sesión y al término del programa. La encuesta midió dos conceptos importantes: la "crianza positiva" y la "hostilidad parental". La Organización Panamericana de la Salud capacitó a los facilitadores. Después del programa, los padres o cuidadores de los tres países presentaron puntuaciones medias significativamente mayores en "crianza positiva" y significativamente menores en "hostilidad parental" que en la encuesta previa. La prácticas de "crianza positiva" asociadas con una baja "hostilidad parental" son fundamentales para fortalecer la relación entre los padres o cuidadores y los niños, y reducen los comportamientos que constituyen un riesgo para la salud de los adolescentes. Es necesaria una investigación más amplia para analizar la repercusión a largo plazo del programa sobre los comportamientos de los adolescentes.
Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Middle Aged , Aged , Adolescent Behavior , Child Rearing , Family Relations , Health Promotion/organization & administration , Parenting , Parents/education , Primary Prevention/organization & administration , Bolivia , Caregivers/education , Colombia , Data Collection , Ecuador , Pan American Health Organization , Primary Prevention/methods , Program Evaluation , Risk Reduction Behavior , Video RecordingABSTRACT
This report describes 1) the evaluation of the Familias Fuertes primary prevention program in three countries (Bolivia, Colombia, and Ecuador) and 2) the effect of program participation on parenting practices. Familias Fuertes was implemented in Bolivia (10 groups, 96 parents), Colombia (12 groups, 173 parents), and Ecuador (five groups, 42 parents) to prevent the initiation and reduce the prevalence of health-compromising behaviors among adolescents by strengthening family relationships and enhancing parenting skills. The program consists of seven group sessions (for 6-12 families) designed for parents/caregivers and their 10-14-year-old child. Parents/caregivers answered a survey before the first session and at the completion of the program. The survey measured two important mediating constructs: "positive parenting" and "parental hostility." The Pan American Health Organization provided training for facilitators. After the program, parents/caregivers from all three countries reported significantly higher mean scores for "positive parenting" and significantly lower mean scores for "parental hostility" than at the pre-test. "Positive parenting" practices paired with low "parental hostility" are fundamental to strengthening the relationship between parents/caregivers and the children and reducing adolescents' health-compromising behaviors. More research is needed to examine the long-term impact of the program on adolescent behaviors.
Subject(s)
Adolescent Behavior , Child Rearing , Family Relations , Health Promotion/organization & administration , Parenting , Parents/education , Primary Prevention/organization & administration , Adolescent , Adult , Aged , Bolivia , Caregivers/education , Child , Colombia , Data Collection , Ecuador , Female , Humans , Male , Middle Aged , Pan American Health Organization , Primary Prevention/methods , Program Evaluation , Risk Reduction Behavior , Video RecordingSubject(s)
Parenting , Adolescent , Adolescent Behavior , Primary Prevention , Family , Bolivia , Colombia , Ecuador , Latin America , Parenting , Adolescent , Adolescent Behavior , Primary Prevention , Family , Latin AmericaABSTRACT
OBJECTIVE: To test the hypothesis that social marketing improves women's awareness and consumption of multivitamin and mineral supplements. DESIGN: Formative research and baseline and final surveys using a multistaged stratified cluster sample. SETTING: Department of Santa Cruz, Bolivia. PARTICIPANTS: Women 15 to 49 years old (n=1709 at baseline and n=1735 at final survey). INTERVENTION: Social marketing campaign using radio and television spots. MAIN OUTCOME MEASURES: Awareness and use of multivitamins, including VitalDía, the brand promoted as part of this social marketing campaign. ANALYSIS: Cross-tabulations to assess changes over time in awareness and use of multivitamins. Logistic regression analyses to identify determinants of multivitamin use. RESULTS: The campaign increased women's awareness and use of multiple supplements, including VitalDía. Awareness of multiple supplements nearly doubled among women with 6 to 8 years of schooling, tripled among women with 4 to 5 years of education, and more than quadrupled among women with less than 4 years of schooling. After 9 months of social marketing, 11% of women had taken VitalDía one or more times, 7% had taken it at least once in the last 3 months, and 4% had used it one or more times in the last month. Improvements in the use of VitalDía were evident for women of all socioeconomic and educational levels, with the greatest increases occurring in the least advantaged groups. Additionally, women who had a positive perception of the benefits of multivitamins were 1.7 times (95% confidence interval 1.2-2.3; P <.01) more likely than women who did not have a positive perception to ever use VitalDía, once the effects of social class were adjusted. CONCLUSIONS AND IMPLICATIONS: Social marketing of multiple supplements reached resource-poor women and can be used to bridge gaps in access, improve awareness of supplementation as an option, and increase the likelihood that women will try supplements.
Subject(s)
Dietary Supplements/statistics & numerical data , Health Knowledge, Attitudes, Practice , Health Promotion/methods , Minerals/administration & dosage , Nutrition Disorders/prevention & control , Vitamins/administration & dosage , Adolescent , Adult , Bolivia , Female , Humans , Middle AgedABSTRACT
Este libro presenta la descripción de cómo se diseño y ejecutó, cuales fueron sus resultados y a qué se debió el éxito del Programa de Capacitación Materno Infantil - PCMI - del proyecto 2000, un proyecto del Ministerio de Salud del Perú y la Agencia para el Desarrollo Internacional del Gobierno Norteamericano - USAID.
Subject(s)
Humans , Quality of Health Care , PeruABSTRACT
Contiene: Situación de los servicios de salud al iniciarse el PCMI; La propuesta técnica dle PCMI; El proceso de intervención del PCMI; ¿A qué se debió el cambio logrado por el PCMI? Futuro del PCMI; El PCMI en el contexto mundial. Anexos: Formatos de supervisión de establecimientos candidatos a HC y CC del PCMI; Guía base para las entrevistas del estudio cualitativo de establecimientos de salud
Subject(s)
Health Services , Maternal and Child Health , Quality of Health Care , Community Health Workers , Education , Infant Mortality , Maternal Mortality , Perinatal Mortality , Peru , Evaluation Studies as TopicABSTRACT
Dividido en 7 unidades. Unidad 1: epidemiología: concepto y contribución en la gestión de servicios de salud; Unidad 2: cambios poblacionales: transición epidemiológica; Unidad 3: priorización de problemas de salud: indicadores de magnitud, letalidad, causalidad y factores de riesgo; Unidad 4: fuentes de información; Unidad 5: nociones básicas de estadística; Unidad 6: vigilancia epidemiológica; Unidad 7: epidemiología de los servicios de salud
Subject(s)
Population Dynamics , Epidemiology , Statistics/education , Health Services , Health Status , Public Health/education , PeruABSTRACT
Resúmenes de los artículos publicados por el Instituto de Investigación Nutricional entre los años 1963 y 1990.