Abstract

ESCOBAR P, Gloria et al. Education in a tension crossed context in the Growth and Development Monitoring Program. Rev. Fac. Nac. Salud Pública [online]. 2006, vol.24, n.1, pp.84-91. ISSN 0120-386X.

This article presents Colombian health system context-related findings as part of a study intended to understand the educative outcomes and impact of the Growth and Development Monitoring Program (SIPI). In a multiple case study, from an ethnographic perspective, a selected group of children and adults was followed at each institution. Observations took place during initial check-up appointment and the three following ones during the first year. Adults and health team members were interviewed after each session. Findings indicate that several factors have influence on the educative process: diverse scenarios were created by the Law 100, in 1993, representing either an opportunity or a threat for different actors. Health System model-related problems (Law 100, 1993) Education in a tension crossed context in the Growth and Development Monitoring Program may also affect education. Incongruence between health promotion and disease prevention was found in the Technical Norm from Resolution 412/2000 and creates tension with SIPI health promotion orientation. Finally, each institution implemented technical norm in a different way. Some actors perceive non proper scenarios for education. So, it is necessary that policy formulation creates conditions to qualify the program and its educative process.

Keywords : Growth and Development Monitoring Program; health education; health promotion; SIPI; Ley 100 de 1993; Resolución 412 de 2000.