Actividad física en el marco de la atención primaria de salud, mirada desde los actores

Abstract

Objective To identify the actions developed within the framework of physical activity from primary health care (PHC) as manifested by the actors themselves. Methods Qualitative research, with an interpretative approach and narrative method, which sought to identify, through in-depth interviews, the actions developed and the factors underlying the implementation of physical activity programs in the city of Bogotá. Results Regarding the actions developed, individualized and sectoral work was observed, without evidence of articulation between sectors or knowledge of all the programs developed by the city government on the part of the actors. The professionals responsible for implementing the programs disagree with those who are in charge of organizing and managing said programs, since public and social management competencies are not recognized in professions such as physiotherapist, bachelors in Physical Education, and physical culture professionals, as these positions are usually held by engineers and social science professionals. The hiring of professionals continues to be a barrier to give continuity to the programs, as well as the lack of knowledge of the rules and policies in force.Conclusions A sectoral, biologicist and individual view of physical activity does not allow approaching them following the policies based on PHC, which seek to understand health and its determinants from an analytical and critical point of view. This requires the commitment of public and private entities, the community and the academia.