Sustainability of the Healthy Municipalities Strategy in Guatemala.

Objective: Evaluate the sustainability of the Healthy Municipalities strategy in Guatemala in order to have solid evidence to support decision-making.

Methods: A concurrent mixed-methods study was carried out in five phases: 1) theoretical-conceptual (based on a narrative review of the literature on sustainability, dimensions and categories were proposed for evaluation); 2) empirical (four municipalities were selected for convenience and 29 semi-structured interviews and four focus groups were conducted with key actors to explore sustainability; with this information, a score was assigned to each category and dimension); 3) analytical, by category and dimension (content analysis was performed for qualitative information, and totals and averages were calculated for quantitative information); 4) integrative (qualitative data were integrated into matrices by category and dimension, and quantitative data were supported by qualitative information); and 5) meta-inference (consideration was given to the context and its influence on the results).

Results: Ninety-two (92) informants participated.

[Sustainability of the Healthy Municipalities strategy in GuatemalaSustentabilidade da estratégia de Municípios Saudáveis na Guatemala].

Objective: Evaluate the sustainability of the Healthy Municipalities strategy in Guatemala in order to have solid evidence to support decision-making.

Methods: A concurrent mixed-methods study was carried out in five phases: 1) theoretical-conceptual (based on a narrative review of the literature on sustainability, dimensions and categories were proposed for evaluation); (2) empirical (four municipalities were selected for convenience and 29 semi-structured interviews and four focus groups were conducted with key actors to explore sustainability; with this information, a score was assigned to each category and dimension); (3) analytical, by category and dimension (content analysis was performed for qualitative information, and totals and averages were calculated for quantitative information); (4) integrative (qualitative data were integrated into matrices by category and dimension, and quantitative data were supported by qualitative information); and 5) meta-inference (consideration was given to the context and its influence on the results).

Results: Ninety-two (92) informants participated.

SOCIAL REPRESENTATIONS ON BREASTFEEDING AMONG WOMEN LIVING IN URBAN AND RURAL AREAS IN JALISCO, MEXICO: A QUALITATIVE STUDY.

Objective: To understand the social representations regarding breastfeeding among women in ru- ral and urban settings in Jalisco (Mexico), between 2016 and 2017.

Methods: Qualitative phenomenological study. Women living in rural and urban communities in the XIIth Health Jurisdiction, Tlaquepaque Center, Jalisco (Mexico), identified through key informants, were interviewed in focus groups, audio-recorded and semiotically analyzed until the technical saturation was reached in the following categories: meaning, meaning-generating players, and wishes pertaining to breastfeeding.

[Placenta percreta with invasion of the bladder, ureter and abdominal wall. Case report].

Placental acretism is the abnormal adherence beyond the underlying of the uterine muscle. The penetration of the serous is known as placenta percreta. The following is a clinical study of a 28 year old woman, who had undergone 2 previous C-Sections, who had been admitted to the hospital previously with ultrasounds suggestive of placental acretism.