Author:

• FERNANDO PEÑARANDA - Peñaranda, F - Medellín, Antioquia - UNIVERSIDAD DE ANTIOQUIA, FACULTAD NACIONAL DE SALUD PÚBLICA - <fernandopenaranda@gmail.com>

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Abstract:

Objectives: to understand how the meaning of child rearing is constructed in the Growth and Development Monitoring Program as a way to study health education and foster its theoretical and pedagogical framework. Method: an ethnography in four health institutions of Medellín, Colombia, developed through observation of program sessions and interview to actors: significant adults and health team members. Results: a communicative process is installed, based on a behavioral education model directed to modify behaviors and to impose cultural values. Conclusions: the pedagogical setting or microcontext receives influences from powerful macrocontext forces, which are a product of uneven distribution of social, cultural and economic capitals. As a consequence, significant adults and health team members locate themselves in two different communicative levels, which in turn affect communication. Understanding this social process from a wider theoretical perspective allows stronger critical positions, needed for promoting a more pertinent health education from its socio-cultural dimension.
Key Words: health education, growth and development, communication, child rearing.

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