El objetivo de esta investigación fue analizar la sostenibilidad de la política de control de malariaen el municipio de El Bagre durante el año 2011. Se llevó a cabo un estudio de diseño mixtode modelo dominante CUAL→cuan, de carácter exploratorio. Se hicieron catorce entrevistasy una revisión documental, para identificar procesos sociales y ecológicos involucrados con lamalaria, y también para describir y analizar la política de control de esta enfermedad. Se encontróque la minería, las migraciones, las prácticas y creencias culturales, el conflicto armado y lasvariaciones climáticas se relacionaban con la dinámica de la enfermedad y, asimismo, que laestructura de la política de control da cuenta de escasa capacidad de los actores para adaptar lasacciones de control a estos procesos socioecológicos de la región. La política de control mostróser efectiva aunque, bajo los supuestos del modelo, es escasamente sostenible.
Food and Agriculture Organization of the United Nations (FAO), Edificio 238, 3P lanta, Ciudad del Saber, Clayton, Ciudad de Panam a, Panam a, 7114; Fatima Hachem, PhD, Food and Agriculture Organization of the United Nations (FAO); Reina Osorio-Guevara, BS, Food and Agriculture Organization of the United Nations (FAO) Background: Due to the nature of effective school food and nutrition education (SFNE) and the recent emphasis on it, FAO has developed a tool to assist member countries assess capacities, strengths, and gaps for developing and implementing successful SFNE programs at national and/ or subnational level. Objective: To describe the process used for applying FAO's SFNE Capacity Assessment Tool in El Salvador. Study Design, Setting, Participants: A cross-sectional qualitative study conducted through the following 5 phases: 1) setting up an FAO's facilitation team; 2) a SFNE stakeholder mapping (n = 15, from government/NGOs staff to teachers and families); 3) background research of national secondary data, policies, reports, and materials relevant to SFNE; 4) interviews with key actors (n = 7) and facilitation of multi-stakeholder consultative workshops (n = 5); and 5) report and follow-up. Measurable Outcome/Analysis: The tool comprises a series of guiding questions to assess individual SFNE capacities, as well as organizational capacity and the policy environment. Key variables of interest comprised policy frameworks, political commitment, program-related capacities, school system, individual training schemes, among others. Descriptive content analysis was carried out to synthesize the results from each dimension. Results: Main capacity gaps identified were: weak institutional coherence, exclusion of SFNE in the formal school curriculum, lack of opportunities to engage all schoollevel stakeholders in learning activities, and insufficient educational materials for all schools. Key strengths focused on the inclusion of SFNE into key policies, and the availability of SFNE training schemes for front-line educators. Prioritized proposed solutions centered around advocacy for the allocation of SFNE-specific government budget, leveraging on existing multisector platforms to enhance institutional coherence, and strengthening of training of curriculum developers. Conclusion:The application of the tool evidenced key SFNE capacity gaps that needed to be addressed at national level, and provided a clear and nationally-endorsed roadmap to enhance the impact of SFNE in El Salvador.Funding: Food Agriculture Organization of the United Nations (FAO).
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