[Evaluation of a social policy program: the Maternal and Child Health and Nutrition Program].
This study is based on an evaluation of the Maternal and Child Health and Nutrition Program (PROMIN) targeting pregnant women and their children under five years of age. The objective was to identify the conditioning factors for the Program's implementation in Rosario, Argentina. There were three levels of analysis: the organizational environment as perceived by the Executive Directors of the Health and Child Development Centers; management of interventions by the health teams; and the community's perception of the program's accessibility and acceptability. Two centers were chosen for the year 1998. Empirical evidence was obtained through quantitative and qualitative procedures. The results suggest that the two centers' respective organizational environments influenced the intervention strategies. The goal for coverage had been set at 80%. Documentation of the interventions by the two teams shows a partial and heterogeneous implementation. In terms of accessibility, mothers recognize the institutions by their reputation, quality of services, and extra services beyond the PROMIN basics. Acceptability is expressed as the provision of supplementary nutrition.
Aronna
Alicia
A
Instituto de la Salud Juan Lazarte, Universidad Nacional de Rosario, 9 de Julio 1590, 5a Piso, 2000 Rosario, Argentina. gosende@sinectis.com.ar
D001118:Argentina; D002648:Child; D002664:Child Nutritional Physiological Phenomena; D005260:Female; D006297:Health Services Accessibility / Q000592:standards*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D044342:Malnutrition / Q000175:diagnosis; D039382:Maternal Nutritional Physiological Phenomena; D008430:Maternal-Child Health Centers / Q000592:standards*; D052756:Nutritional Sciences / Q000193:education*; D010342:Patient Acceptance of Health Care; D011247:Pregnancy; D011295:Prenatal Care; D016730:Program Development; D015397:Program Evaluation; D011640:Public Policy