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Introduction: Pregnancy in adolescence is considered a public health problem worldwide, because the age of pregnant women ranges between 15 and 19 years, generating great consequences for both the mother and the baby. The objective of the study focuses, in analyzing the scientific evidence on the strategies applied at a national and international level for the prevention of teenage pregnancy. Methodology: consists of a literature review, integrator type, based on study publications, scientific articles and research documents on strategies for the prevention of pregnancy in adolescents, applied nationally and internationally. For the collection of information for this study databases such as; PUBMED, SCIENCE DIRECT, SCIELO, EMBASE, BVS, LILACS, MEDLINE, PROQUEST and the Repository of the University of Córdoba. Results: Is obtained 76,246 publications. When applying the inclusion and exclusion criteria, 17 articles were selected. Of which; 13 (76.47%) they are in English and 4 (23.53%) they are in Spanish. The documents were published in; U.S, Peru, Colombia and Ghana. Conclusion: The most used strategies were digital and educational, implemented in institutions such as colleges and universities, which allow attracting a considerable number of participants. Reflecting a decline in teen pregnancies and, a significant increase in knowledge about family planning methods and prevention of sexually transmitted diseases.

Este estudio tiene como objetivo analizar la producción científica sobre las estrategias de educación para el cuidado domiciliario, impartidas a las madres o cuidadores del prematuro. Para esto se realizó se realizó una revisión narrativa con el propósito de identificar las estrategias educativas que utiliza el personal de enfermería para brindar educación. Se usaron las bases de datos Lilacs, Proquest, Science Direct, BVS y el metabuscador Google Académico. La muestra seleccionada estuvo conformada por 17 artículos, 7 estudios cuantitativos, 2 estudios de marco lógico, 4 estudios cuasi experimentales y 4 estudios cualitativos. Los estudios seleccionados se desarrollaron en su totalidad en Latinoamérica, especialmente en Colombia. De acuerdo a la literatura consultada, el Programa Madre Canguro constituye un papel importante en la educación y cuidado del prematuro debido a sus componentes. Entre los resultados se identificaron dos escenarios en los cuales se desarrolla la educación: clínico y domiciliario. Asimismo, se distinguieron las siguientes estrategias dentro de la literatura: implementación de programas educativos, cuestionario evaluativo, folletos educativos, visitas domiciliarias y entrevistas. Igualmente, se determinaron distintos factores que influyen en el proceso educativo, los cuales están enmarcados en tres grandes grupos: factores emocionales, factores institucionales y factores socioculturales. Se evidencia el aporte y el rol esencial que cumple el profesional de enfermería en la búsqueda del mantenimiento de la Salud del RN prematuro a través de metodologías de intervención en madres y cuidadores principales.

To elaborate a feasibility study for the creation of a Second Level of Care Hospital in the Municipality of La Apartada, offering its services to the inhabitants of the San Jorge Subregion and its areas of influence, in the Department of Córdoba, guaranteeing its sustainability over time. Methodology. This research methodology will focus on phases associated with the proposed objectives, which describe the current situation, a market study, a technical study and a socioeconomic evaluation of the project to be carried out as the creation of a second level hospital in the municipality of La Apartada. Results. With the creation of the second level hospital in the municipality of La Apartada, the population of the San Jorge sub-region will benefit from the decentralization of health services and the strengthening of the quality and timeliness of the service in the region. Likewise, it contributes to the regional impact of the health scheme by relieving the workload of the San Jerónimo Hospital in the city of Montería, which, to date, assumes the burden of second level services due to referrals from the San Jorge Subregion and its area of influence. Conclusions. This municipality has a high poverty rate, which means that some of the population is not affiliated to the subsidized or contributory system, and a very small percentage of the population is affiliated to the contributory system, which would be of great benefit to the community in general, This hospital center is necessary and vital to safeguard the integrity, health and quality of life of the inhabitants of the municipality, since there are no hospital entities for the benefit of medical appointments, emergencies or any type of level two complexity services.

Introduction: Being a “Kangaroo Mother” requires more time and dedication to the care of the newborn, it is assumed that this situation could alter the couple's affective relationships, disturbing the emotional stability and the time that was previously dedicated to the relationship. As a result, this could lead to the loss of the emotional strength of the couple, separations or, on the contrary, the strengthening of the relationship. Objective: explore the experiences of affection between the relationships of the parents of the Mother Kangaroo program having as reference the Love triangular theory of Robert Sternberg which has 3 fundamental pillars for the existence of a good relationship of couples (intimacy, passion and commitment). Materials and methods: Descriptive exploratory study, with a qualitative approach. Research subjects: The participating mothers were nine (9) belonging to the Mother Kangaroo Program in a health institution in the city of Monteria, selected through an intentional sampling. A semi-structured interview and an observation guide were used for data collection until the information was saturated. Results: Three categories emerged from this research, affection without barriers, infinite trust, and a union for life, in which the first one references passion, the second one refers to intimacy and the third one to commitment. Conclusions: in spite of the difficulties of having a premature baby, it is possible to strengthen the bonds of the couple and the relationship between them, being a fundamental pillar the components that Sternberg establishes in his triangular love theory, each one taking a greater importance and intensity in the idyll, managing to get ahead in the different situations that arise and in spite of the time that is invested in the responsibilities of the care of the baby, they take a little bit of it to dedicate it to their love relationship

Non-attendance to prenatal care generates serious consequences for both the mother and the newborn, because it is decisive not only in the management of complications that may occur during labor and delivery, but also in the prevention of maternal and neonatal mortality. Objective: To determine the factors associated with non-attendance at the prenatal care program for pregnant women in the municipality of Caucasia in 2019. Materials and methods: descriptive, cross-sectional study, carried out in two IPS in the municipality of Caucasia-Antioquia. The sample was made up of 266 pregnant women who voluntarily decided to participate in the study. Results: 60% belong to socioeconomic stratum 2, 20% are in a vulnerable condition, 44% worked during their gestation, and 48% are high school graduates, 71% are subsidized and 2% are not insured, 26 % live in rural areas and their economy depends 47% on their partner, the highest proportion lives with a partner or family of the partner, 70% were not planning and 70% of the pregnancies were unplanned, 50% accessed prenatal care during the first trimester, 56% complied with controls according to their gestational age, 39% attended about 6 to 7 controls, 29% attended 2 prenatal controls, the reason for absence without justification was 62, 78%, however 14% did not attend due to illness, the most frequent complication was anemia with 53%. Conclusion: Social and economic factors associated with the absence of the care program for maternal care by the pregnant woman were identified, in addition to the lack of motivation to comply with the programmed controls.

The present study aims analyze the theoretical and empirical evidence related to the transmission of COVID-19 infection through breastfeeding, for which a narrative review was carried out with the purpose of obtaining information about the topic in development and for this the following databases were used: Academic Google, VHL, ProQuest, PubMed, SciELO and Colombian Ministry of Health. The selected sample consisted of 13 articles, 7 in Spanish (53.8%) and 6 in English (46.2%), of which 3 were carried out in Spain, equivalent to 23%, Brazil 15.3%, Colombia, USA, United Kingdom, Italy, Chile, Peru, Mexico and Ecuador with 1 article published, that is, 7.69%.According to the literature consulted, different studies were found that analyzed the presence of SARS-CoV-2 RNA in the breast milk of pregnant women with COVID-19, obtaining as results the non-presence of the virus in the human milk samples studied. They also state that breast milk contains antibodies that attack the virus, preventing it from being transmitted from mother to child, in such a way that these studies have allowed the nursing staff to continue promoting breastfeeding as the best and only food for their children. Likewise, mothers should be advised on biosafety guidelines to prevent contamination by COVID 19 from the clinical and community contexts. Keywords: SARS-COV-2, breastfeeding, ne

Objective Design the base model of organizational development for the creation of the orthopedic service in the ESE San Nicolás de Planeta Rica. Methodology. Descriptive, projective, mixed approach study, information was taken from primary and secondary sources, the informants were the beneficiary population represented by family units (470), health service providers (15), the contents of the normative filings and experiences of an entity specialized in traumas and fractures. Results. Legally based on numeral 3 of article 173 of Law 100 of 1993, article 56 of Law 715 of 2001, articles 2 of Decree-Law 4107 of 2011, articles 7, 8 and 14 of Decree 1011 of 2006 and its Chapters I and II, Article 118 of Decree-Law 019 of 2012 and Resolution 1441 of 2013; it is structured in five steps from filing to obtaining the active code; the offer corresponds to procedures of medium and low complexity, of which they are minor (41.2%) and non-surgical (41.2%). The mixed intramural modality with hospital outpatient services was defined, the "patient-centered" service structure with two subunits, this involves a hierarchical-vertical structure and horizontal coordination; it can generate social, health, growth and institutional prestige impacts. Conclusions. The designed model describes a functional unit of public law, of partial hospitalization, with institutional and extra-institutional services, the offer of services will correspond to low and medium complexity in orthopedics and traumatology, as well as minor, non-invasive procedures; patients with minor trauma being subjects of attention.

This documentary research made it possible to characterize the health services offered in hospital institutions in the field of quality during the period from 2015 to 2019. This review illustrated the existence of services identified as primary and secondary with their respective subclassifications. In the second instance, as a state of the art, in Colombia the presence of a series of works is observed, under the discursive modality of research articles that account for the concern that higher education institutions have, through the Faculties of Health Sciences for strengthening the quality of health services offered, a process that is coupled, in some cases, with the perception of users, that is, their opinion is key to the implementation of improvement plans that allow mitigating all those shortcomings that they perceive when they go to a hospital institution to request a health service. For this, the methodology of this study is located within the scope of the documentary review of primary and secondary sources and the respective analysis of their results to obtain conclusions and recommendations related to the subject in question. The results of the study show that, to a certain degree of acceptance with the quality of the services received, the perception that users have regarding the quality of the services they obtain in hospital institutions is related to efficiency and satisfaction in care. received in the different dependencies. Appreciation that managers and workers must take into account for the implementation of continuous improvement plans; because the information obtained from these investigations constitutes inputs that will benefit health institutions, direct providers and will decisively contribute to the satisfaction and effective solution of the needs and expectations of users.

The purpose of this study is to recognize, through a review of the literature, decision making as a significant strategy for managing conflicts in health promoting institutions. Information management accounts for a series of factors that explain why decision-making can contribute to mitigating conflicts and managing them in any organization, in this case in health promoting institutions. As theoretical support, the contributions of Lazzati, Amaya, Sanabria, among others, whose arguments about the factors and elements or functional ingredients in decisionmaking as an input for conflict management, were reviewed. Methodologically, the study is located in the documentary review of primary and secondary sources and the respective analysis of their discourse to obtain conclusions and recommendations associated with the subject. In this way, the results of the study allow the design of an information collection strategy, in the form of a survey that, when applied, would allow establishing the relationship between decision-making and conflict management within a health promoting institution.