Abstract

CASTILLO, Irma Yolanda; GONZALEZ, Yina Margarita  and  GUTIERREZ, Neidis. SOCIODEMOGRAPHIC DETERMINANTS OF IMPLEMENTATION OF IMCI KEY PRACTICES TO PREVENT DISEASES. RURAL AREA, CARTAGENA, COLOMBIA. Hacia promoc. Salud [online]. 2016, vol.21, n.2, pp.13-26. ISSN 0121-7577.  https://doi.org/10.17151/hpsal.2016.21.2.2.

Objective: To determine the socio-demographic variables associated with the implementation of IMCI key practices for disease prevention in families of children under 5 years of age in rural areas of Cartagena. Methods: An analytical, cross sectional study, that included a reference population of 3,618 families with children under 5 years of age, living in 15 municipalities of the district. Nine districts were selected and a sample of 570 families was estimated applying stratified random probability sampling. Data analysis was performed using the statistical software SPSS version 20. Results: The average age of caregivers was 29.6 years (SD = 9.6 years) and that of children was 2.3 years (SD = 1.6 years). Having a partner is associated with better implementation of practice 8 (OR = 2 (95% CI 1.2 to 4.2)); a higher educational level is a predictor of better implementation of practice 5, (OR = 2.7 (95% CI 1.3 to 5.4)) 7 (OR = 0.4 (95% CI 0.2-0.9)) 9 (OR = 1.5 (95% CI 1, 1 to 2.1)) and 10 (OR = 1.7 (95% CI 1.2-2.5)); and having health affiliation to a contributory health care system favors the application of practice 9 (OR = 1.7 (95% CI 1.1-2.6)) and 10 (OR = 1.9 (95% CI 1.1 to 3.3)). Conclusions: Aspects such as a better educational level and affiliation to a contributory health care system are determinants for greater application of practices at home that seek to prevent illnesses among children of the most vulnerable communities of the city.

Keywords : Integrated management of childhood illness; disease prevention; child health; strategies.

        · abstract in Spanish | Portuguese     · text in Spanish     · Spanish ( pdf )