title: [Barriers and facilitators for physical activity during pregnancy and postpartum in women living in poverty of Mexico].
abstract: OBJECTIVE
  To explore perceptions of healthcare providers and beneficiaries of Oportunidades program on physical activity during pregnancy and post-partum; and identify current reported practices related to counseling on physical activity in the primary healthcare services in Mexico.
  
  
  METHODS
  A mixed methods approach was used which is part of a nutrition intervention of the Oportunidades program. Qualitative information was collected through interviews (50=women; 34=providers) and quantitative information was collected by questionnaires (n=88 women; n=64 provider; n=111 observations during consultation).
  
  
  RESULTS
  The main barriers were: a) individual (lack of time and social support to childcare); b) sociocultural (gender bias derived from peer groups or family and lack of instructors), and c) environmental (lack of safe and adequate physical places). Only 38% of beneficiary women reported having been counseled on physical activity vs 63.4% of providers who reported having counseled on physical activity (p=0.002).
  
  
  CONCLUSIONS
  There is a need to train healthcare providers and to promote physical activity during pregnancy and post-partum for reducing associated biases.
authors: Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors: Ana Lilia
authors: AL
authors: Lozada-Tequeanes
authors: Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors: María de Lourdes Eugenia
authors: Mde L
authors: Campero-Cuenca
authors: Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, Estados Unidos de América.
authors: Bernardo
authors: B
authors: Hernández
authors: Spectron Desarrollo, S.C., México, Distrito Federal, México.
authors: Luis
authors: L
authors: Rubalcava-Peñafiel
authors: Global Alliance for Improved Nutrition, Ginebra, Suiza.
authors: Lynnette Marie
authors: LM
authors: Neufeld
mesh_terms: D001294:Attitude to Health; D003376:Counseling; D015444:Exercise; D005260:Female; D006078:Government Programs; D006282:Health Personnel / Q000523:psychology*; D006293:Health Promotion / Q000191:economics / Q000458:organization & administration; D006801:Humans; D007407:Interviews as Topic; D008800:Mexico; D010349:Patient Compliance; D011181:Postnatal Care / Q000191:economics / Q000458:organization & administration / Q000523:psychology; D049590:Postpartum Period / Q000523:psychology; D011203:Poverty / Q000523:psychology; D011247:Pregnancy / Q000523:psychology; D011295:Prenatal Care / Q000191:economics / Q000458:organization & administration / Q000523:psychology