Evaluación del cumplimiento del paquete priorizado en embarazadas en el Centro de Salud El Progreso en los últimos 6 meses y su impacto en la desnutrición infantil.

Abstract

His study evaluated the level of compliance with the prioritised package of comprehensive care for pregnant women at the ‘El Progreso’ Health Centre during the period between November 2024 and April 2025, and analysed its relationship with the prevalence of chronic child malnutrition in the population served. The research was developed under a quantitative, descriptive, correlational, retrospective and non-experimental approach. The information was obtained from institutional databases (PRAS and SISEN), considering clinical, institutional and socio-demographic variables, and was analysed with statistical. The results showed partial compliance with the prioritised package in most of the pregnant women, with deficiencies in the timely completion of complementary examinations, educational sessions and postpartum follow-up. A direct relationship was identified between the degree of compliance with the package and children's anthropometric indicators, with a lower prevalence of chronic malnutrition in children of women who received comprehensive and timely care. In addition, several conditioning factors for compliance were identified, including maternal education level, informal labour activity, institutional availability of inputs and limitations of the information system. It is concluded that the prioritised package represents an effective tool to prevent child undernutrition, provided that it is implemented with quality, continuity and follow-up. Strategies for institutional strengthening, staff training and community actions are proposed to improve the coverage and impact of prenatal care, thus contributing to the reduction of gaps in maternal and child health.