Ciencias de la Salud
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Item La lactancia materna como un indicador de la normativa ESAMyN(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Enfermería, 2022-10-20) Calapiña Velva, Blanca Esthela; Paredes Garcés, Mónica GuadalupeThe Sanitary Regulations for the certification of Health Establishments of the National Health System as mother and child friendly is an implementation given in Ecuador as an adaptation of the WHO and UNICEF Child Friendly Hospital Initiative that seeks protection, support and encouragement of breastfeeding (1). Goal. Analyze the level of knowledge that health and administrative personnel have about Breastfeeding as an indicator of the ESAMYN Regulations. People/Material and Method. This research has a quantitative, quasi experimental, prospective, descriptive, cross-sectional approach (2). The research was carried out on the health and administrative staff of the Ambato General Teaching Hospital - Ecuador. The population is 258 and the sample is 155 with a confidence level of 95%. The research was carried out in three stages, the first one was to evaluate the level of knowledge, followed by the education of the ESAMyN Regulations and finally the acquired knowledge was reevaluated. The research process was carried out digitally. Results. The level of knowledge of the population (stage 1) of the ESAMyN Regulations was determined, reflecting 79,6% (n=155). The training was carried out virtually for HGDA staff (n=155) (stage 2). The level of knowledge (n=155) was reassessed (stage 3), managing to increase knowledge of the ESAMyN regulations to 94.8%. Discussion. The 155 Health members of the General Hospital who were evaluated, trained and reassessed about breastfeeding as an indicator of the ESAMyN Regulations in their first stay indicate that 79.6% do know the ESAMyN regulations, but not having been trained. The following results are obtained; the main stimulus for milk production is the child's suction, which corresponds to 25.81%, adequate nutrition corresponds to 10,97% and 7,74% responded that increased fluid intake and stimulation of the breasts and the child's sucking improves milk production, question 6 the right time to cut the umbilical cord is to wait until the cord stops beating before in 62,6%, wait at least 2 minutes in 21.9%. After the training, the health personnel increased their perception, going from 7,74% of little importance to 21.29% after the training, about moderately important, a step from 32.26% to 36.13% was evident, and about the perception of very important, a step from 46,45% to 56.13% is evident. Conclusions. The level of knowledge of the ESAMyN Regulations is low (79,6%), it rose thanks to the training (94,8%), the dissemination of the guidelines of the ESAMyN Regulations must be constant so that the HGDA staff knows the regulations in a clear and efficient way will be able to provide better quality care and warmth.