Evaluación de la estrategia ecuador sin desnutrición en menores de 5 años y mujeres embarazadas en el cantón Guamote, período enero 2020 a enero 2021

Abstract

Abstract:Chronic child malnutrition continues to be a relevant health problem in Ecuador. Therefore, we evaluate compliance and critical nodes of the "Ecuador without malnutrition" strategy in children under 5 years of age and pregnant women in the Guamote canton, between January-2020 and January-2021. An observational, descriptive, cross-sectional and retrospective investigation was carried out by examining the records of the health centers of the canton. Package compliance in children under 5 years of age was low (8%) and all package parameters showed individual compliance of less than 60%. Compliance with the package in pregnant women was very low (11%), with reduced uptake during the first trimester of pregnancy (16%) and low attendance at 5 or more controls (46%). Compliance with the package in pregnant women was different depending on the sector of origin, with GUAMOTE being the sector with the least compliance. Similar failures or critical nodes were identified for the failure to comply with both packages, such as reduced early and periodic attendance at health controls, probably linked to lack of access to health services.