Counseling Materials Research Articles

3-6EFFECTIVENESS OF DEMONSTRATION COUNSELING METHOD ON KNOWLEDGE LEVEL REGARDING COMPLIANCE WITH DIET ON HYPERTENSION PATIENTS IN PUSKESMAS SUNGAI KAKAP, KUBU RAYA REGENCY, WEST KALIMANTAN

Background: Hypertension is still a high cause of death and illness. The results of the 2018 Riskesdas study showed that there was an increase in the number of hypertension that remained permanently from 2013 to 2018. Hypertension was still ranked first in the highest number of non-communicable diseases in Sungai Kakap. The most common conventional education patterns used in Primary Health Care Facilities in the form of lecture methods are still seen to be ineffective in influencing the level of public knowledge of salt needs and other nutritional content as well as eating patterns suitable for hypertensive patients. Methods: This research is a quasi-experimental research design of One Group Pretest Posttest, the results of which will be analyzed descriptively and analytically. Samples were taken by purposive sampling totaling 32 people divided into two groups: the test group was given conventional counseling material lecture method and the test group was given counseling material with a demonstration method. Primary data were obtained from pretest and posttest using a questionnaire in hypertensive patients in the working area of Puskesmas Sungai Kakap. Data were analyzed using the unpaired T-test. Result: The mean post-test in the conventional lecture method group was 69.37 ± 16.11, and there were no significant differences in the comparison between pre-test and post-test scores. The mean post-test results in the group with the demonstration method treatment were worth 85.00 ± 14.60, and there was a significant difference in the comparison between the pre-test and post-test scores in the group with the counseling treatment demonstration method where the post-test value was higher than the post-test. The mean post-test score of the group using the demonstration method was of higher significance statistically when compared to the group with the lecture method (Sig <0.05, 95% confidence level) with a value difference of 15.62. Summary: Hypertension Diet Counseling with Demonstration Method is more effective compared to Conventional Counseling Lecture Method.

3-7EFFECTIVENESS OF DEMONSTRATION COUNSELING METHOD ON KNOWLEDGE LEVEL REGARDING COMPLIANCE WITH DIET ON HYPERTENSION PATIENTS IN PUSKESMAS SUNGAI KAKAP, KUBU RAYA REGENCY, WEST KALIMANTAN

Background: Hypertension is still a high cause of death and illness. The results of the 2018 Riskesdas study showed that there was an increase in the number of hypertension that remained permanently from 2013 to 2018. Hypertension was still ranked first in the highest number of non-communicable diseases in Sungai Kakap. The most common conventional education patterns used in Primary Health Care Facilities in the form of lecture methods are still seen to be ineffective in influencing the level of public knowledge of salt needs and other nutritional content as well as eating patterns suitable for hypertensive patients. Methods: This research is a quasi-experimental research design of One Group Pretest Posttest, the results of which will be analyzed descriptively and analytically. Samples were taken by purposive sampling totaling 32 people divided into two groups: the test group was given a conventional counseling material lecture method, and the test group was given counseling material with a demonstration method. Primary data were obtained from pretest and posttest using a questionnaire in hypertensive patients in the working area of Puskesmas Sungai Kakap. Data were analyzed using the unpaired T-test. Result: The mean post-test results in the conventional lecture method group were 69.37 ± 16.11 and there were no significant differences in the comparison between pre-test and post-test scores. The mean post-test results in the group with the demonstration method treatment were worth 85.00 ± 14.60 and there was a significant difference in the comparison between the pre-test and post-test scores in the group with the counseling treatment demonstration method where the post-test value was higher than the post-test. The mean post-test score of the group using the demonstration method was of higher significance statistically when compared to the group with the lecture method (Sig <0.05, 95% confidence level) with a value difference of 15.62. Summary: Hypertension Diet Counseling with Demonstration Method is more effective compared to Conventional Counseling Lecture Method

KARAKTERISTIK KADER DAN EVALUASI PELAKSANAAN KEGIATAN POSYANDU DIWILAYAH KERJA PUSKESMAS PEMBANTU KURAO KECAMATAN NANGGALO KOTA PADANG TAHUN 2019

<p>Posyandu is a health service organized by, from, for and with the community. Padang DKK 2016 Puskesmas pembantu Kurao has a low Posyandu level. The purpose of this study was to find out the description of the implementation of the Kurao posyandu activity in the Working Area of Nanggalo Health Center in 2019.</p><p>The purpose of this study was to find out how the Posyandu Cadre Characteristics and Evaluation of Posyandu Activity Implementation in the Work Area of the Kurao Sub-District Health Center in Nanggalo. This research is a quantitative and qualitative study using primary and secondary data obtained from Health Officers, cadres and the community who come to posyandu</p><p>The results obtained were more than half of respondents (56.6%) with the age category 26-45 years. Most respondents (80%) were married or married. More than half of respondents (63.4%) with <5 years old category. Most respondents (83.4%) with a secondary education level category. More than half of respondents (76.6%) in the category of not working or housewives</p><p>A total of 11 posyandu are under the working area of the Kurao Preparation of information on Posyandu implementation is carried out 1 day before the implementation of Posyandu and preparation of facilities, the infrastructure has been completed. In the implementation of posyandu activities, there was an ineffectiveness in the implementation of the fourth table because not all cadres understood and were able to provide counseling materials related to health issues, because not all cadres received specific training. Cadres only get information through regular monthly meetings at cadre social gathering events. The Posyandu Information System has been arranged in detail. Policies, preparation, implementation and Posyandu Information System in the work area of the Kurao sub-pustu have not been prepared and implemented in full, there are still shortcomings. With this research, it is recommended that health workers in the Puskesmas be able to provide training and refreshment to cadres and be able to complete all the deficiencies that exist in the implementation of the posyandu activities</p><pre> </pre>

Assessing the Implementation of a Behavior Change Intervention: Process Evaluation of a Stepped-Wedge Cluster Randomized Controlled Trial for Newborn Health.

Maternal and under five-year-old mortality rates have reduced in the last two decades globally due to concerted effort, yet newborn deaths remain unacceptably prevalent. Behavior change is an important component of interventions to address newborn health problems in low-income countries. In Cambodia, maternal and newborn mortality has markedly decreased, and continued improvements will allow the country to achieve further reduction in newborn morbidity. The results of an implementation study of the Newborn Care and Infection Control Initiative using process evaluation are presented to provide insight into the trial implementation and context of the program that may have contributed to intervention results. The study utilized a mixed method process to explore the context, mechanisms, and implementation of intervention components: training of village health support group volunteers to provide home visits, training of midwives on infection prevention and control around the perinatal period, counseling on newborn care, and provision of training materials for counseling and intervention. Implementation was evaluated through quantitative and qualitative data collection including surveys, observation, semi-structured interviews, focus groups, and visual media. Descriptive statistics summarized the quantitative data and thematic analysis was used to explore the qualitative data. The evaluation identified several factors that might have influenced the outcomes of the trial: continuity of health center staff communication, timing and ability to complete home visits, and training quality. Additional support for parents in the perinatal period, preferably provided at the community level, will contribute to further improvement in health outcomes for newborns in this area. Researchers in this context should consider mechanisms to improve the coordination of health facility staff counseling while providing support and resources to ensure home visits to families with newborns are made on time. Attention to staffing, training, and quality of newborn health interventions is critical in planning for the scaling-up of newborn health programming.

Peningkatan Pengetahuan dan Keterampilan melalui Penyuluhan dan Simulasi Bantuan Hidup Dasar pada Masyarakat Awam Pesisir di Dusun Kasuari Desa Asilulu Kecamatan Leihitu Kabupaten Maluku Tengah

The inability to deal with emergency patients is generally caused by failure to recognize risks, late referrals, lack of adequate facilities, and community knowledge and skills in recognizing high-risk situations. Counseling and training are important efforts to improve the knowledge and skills of ordinary people in providing prehospital help. The target output is to increase the knowledge and skills of the fishing community about Basic Life Assistance (BHD); able to know and understand and practice BHD. The implementation method is in the form of giving pre-test questionnaires, providing counseling, conducting post-tests, and BDH training/simulations. The results obtained showed that 30 participants were working as fishermen with all-male sex, participants were able to understand counseling materials about BHD, there was an increase in knowledge between before and after counseling, and participants were able to practice BHD correctly. The conclusion obtained is an increase in community knowledge and the ability to create independence to help by the competencies obtained from counseling and training.

Community health workers for pandemic response: a rapid evidence synthesis

IntroductionCoronavirus disease (COVID-19), affects 213 countries or territories globally. We received a request from National Health Systems Resource Centre, a public agency in India, to conduct rapid evidence synthesis (RES)...

Tingkat Efektivitas Penyuluh Pertanian di Kecamatab Jati Agung Kabupaten Lampung Selatan

Improving the performance of agricultural extension workers will determine the future of agricultural development which is basically to increase the income of the agricultural sector. The purpose of this study was to analyze the effectiveness of agricultural extension in Jati Agung Subdistrict, South Lampung Regency, analyze the performance of agricultural extension workers, determine the level of participation of farmers in agricultural extension, determine the level of farmer satisfaction with the performance of agricultural extension workers. The study was conducted in the Village Building District of Jati Agung, South Lampung Regency. The data used in this study are primary data. The results showed that the agricultural instructor in Desa Fajar Baru had performed well, the delivery of material by the instructor was carried out well so that the farmer easily understood all the material easily, the farmer was satisfied with the extension agent's visit because the extension worker was always actively visiting farmers every month. The effectiveness level of counseling in Fajar Baru Village, Jati Agung Subdistrict is in the criteria of Not Effective. The instructor's performance is assessed from the instructor's aspect as a facilitator and the counseling material is considered to be quite good and satisfactory. Agung is still low, and the performance of agricultural counseling in Fajar Baru Village, Jati Agung Sub-district is satisfactory with a satisfaction range of 1.91 to 2.25.

Tobacco and Nicotine Cessation During Pregnancy: ACOG Committee Opinion, Number 807.

Pregnant women should be advised of the significant perinatal risks associated with tobacco use, including orofacial clefts, fetal growth restriction, placenta previa, abruptio placentae, preterm prelabor rupture of membranes, low birth weight, increased perinatal mortality, ectopic pregnancy, and decreased maternal thyroid function. Children born to women who smoke during pregnancy are at an increased risk of respiratory infections, asthma, infantile colic, bone fractures, and childhood obesity. Pregnancy influences many women to stop smoking, and approximately 54% of women who smoke before pregnancy quit smoking directly before or during pregnancy. Smoking cessation at any point in gestation benefits the pregnant woman and her fetus. The greatest benefit is observed with cessation before 15 weeks of gestation. Although cigarettes are the most commonly used tobacco product in pregnancy, alternative forms of tobacco use, such as e-cigarettes or vaping products, hookahs, and cigars, are increasingly common. Clinicians should advise cessation of tobacco products used in any form and provide motivational feedback. Although counseling and pregnancy-specific materials are effective cessation aids for many pregnant women, some women continue to use tobacco products. Clinicians should individualize care by offering psychosocial, behavioral, and pharmacotherapy interventions. Available cessation-aid services and resources, including digital resources, should be discussed and documented regularly at prenatal and postpartum follow-up visits.

Tobacco and Nicotine Cessation During Pregnancy: ACOG Committee Opinion Summary, Number 807.

Pregnant women should be advised of the significant perinatal risks associated with tobacco use, including orofacial clefts, fetal growth restriction, placenta previa, abruptio placentae, preterm prelabor rupture of membranes, low birth weight, increased perinatal mortality, ectopic pregnancy, and decreased maternal thyroid function. Children born to women who smoke during pregnancy are at an increased risk of respiratory infections, asthma, infantile colic, bone fractures, and childhood obesity. Pregnancy influences many women to stop smoking, and approximately 54% of women who smoke before pregnancy quit smoking directly before or during pregnancy. Smoking cessation at any point in gestation benefits the pregnant woman and her fetus. The greatest benefit is observed with cessation before 15 weeks of gestation. Although cigarettes are the most commonly used tobacco product in pregnancy, alternative forms of tobacco use, such as e-cigarettes or vaping products, hookahs, and cigars, are increasingly common. Clinicians should advise cessation of tobacco products used in any form and provide motivational feedback. Although counseling and pregnancy-specific materials are effective cessation aids for many pregnant women, some women continue to use tobacco products. Clinicians should individualize care by offering psychosocial, behavioral, and pharmacotherapy interventions. Available cessation-aid services and resources, including digital resources, should be discussed and documented regularly at prenatal and postpartum follow-up visits.

Penanggulangan Masalah Kesehatan dalam Kondisi Pasca Longsor di Desa Samaenre, Kecamatan Mallawa, Kabupaten Maros

Abstract: Landslides that hit Indonesian territory caused various problems. Every landslide disaster will cause problems such as economic paralysis, environmental damage and also cause various diseases. Geographically, Samaenre village, Mallawa District, Maros Regency, South Sulawesi with high rainfall and an average temperature 32°C with rainy season approximately 8 months. Landslides often occur in Indonesia, especially in areas with steep slopes. Landslides and stagnant water also still have the potential to occur due to heavy rains. Samaenre area has the potential for landslides and waterlogging. The purpose of this activity is to increase public knowledge about the potential for landslides, problems that can arise after landslides and how to deal with post-landslide health problems. The community service activities were attended by 24 people and the counseling material could be delivered by all of the service teams so as to increase community knowledge about tackling health problems in post-landslide conditions.Keywords: Landslides, Samaenre village, health problems..

Edukasi Kader dalam Upaya Pencegahan dan Penanggulangan Stunting di Kecamatan Mondokan Kabupaten Sragen

Nowadays stunting has become the most observed on nutrition issues by the Indonesian government because stunting does not only cause physical abnormalities but also cognitive impairment in todlers so that as adults they will have low productivity. The aim of this community service was to increase the knowledge of certain community groups (health nutrition cadres) in preventing stunting in todlers. With the process of diffusion of knowledge, it is expected that there will be improvement in behavior of the target audience in carrying out their duties as posyandu cadres. This community service agenda are implemented through two activities. By having lectures and QnA sessions. The second method namely “cerdas cermat” was used to assess whether the counseling material can be understood by the participants. A team answer correctly they will be given a "door prize". The implementation of community service in the form of health education targeting Posyandu cadres in Mondokan Subdistrict, Sragen has been successfully implemented. The cadres were very enthusiastic to participate in the activity. This was indicated by their active participation in asking questions during lectures. In addition, during the game "cerdas cermat" was held, cadres can successfully answer questions related to the material "prevention of stunting". This educational activity needs to be followed up by "training" and "assistance", because if it is only given lecturing once it was feared that cadres could nott apply their new knowledge well.

Pengendalian Hama Penyakit Terpadu untuk Mengurangi Kerusakan pada Tanaman Padi di Desa Mekar Sari Kecamatan Gunung Sari

Until now farmers still use synthetic chemical pesticides in eradicating pests and diseases. On the one hand, the use of synthetic chemical pesticides is beneficial because of the poison power or the ability to kill pests and diseases that are high and fast, but the excessive use of toxic pesticides, in addition to the increasingly resistant pests and diseases to pesticide poisons, can also pollute the environment. In addition, pesticide poisons tend to increase in price, so that economically it does not increase production value. Community service is carried out in the form of agricultural counseling, carried out in Mekar Sari Village, Gunung Sari District, aiming that farmers have better knowledge and are willing to implement integrated pest and disease control (IPM) methods on rice plants. This counseling material was delivered with lecture techniques, then followed by question and answer sessions. The agricultural extension activities in Mekar Sari Village, Gunung Sari Subdistrict went smoothly and most of the extension participants were able to increase their knowledge to be better, so that they were expected to increase their understanding and be able to apply the technology

Agricultural Extention Paradigm Private Companies in Bandung Barat District

The purpose of this study is to examine the paradigm of organizing and technical agricultural counseling of private company. This is a qualitative research, and data were collected using interview, observation, document study and FGD techniques. Study documents include reading the standard operational procedures (SOP) counseling, counseling materials, invitations, vouchers, and coupons. Data were analyzed by reading the entire text of the interview transcription, summarizing and eliminating duplication, classifying, describing patterns, and themes. Marketing officers deal with farmer consumers using marketingtechniques and extension methods. Technically, the method of providing knowledge, involving stakeholders, and counseling private companies uses paradigms: persuasive-participatory (solicitation and deliberation), educative participatory (education and deliberation) through information services, consultation, guidance, guidance and assistance in accordance with farmers' interests, using a professional approach, satisfying farmers, providing equality and democracy. The results showed that the paradigm of agricultural extension providers of private companies is oriented to get benefit from the sale of agricultural facilities, or marketing agricultural products.

Personalized Nutrition Using PROCARDIO to Reduce Cardiometabolic Risk in the Academic Community: A Study Protocol with Preliminary Results

Background: Strategies of promotion, prevention and health care of individuals with cardiometabolic risk are necessary to control cardiovascular diseases.Objective: To describe a study design and present partial results of nutritional counseling in the Cardiovascular Health Care Program (PROCARDIO).Methods: PROCARDIO is a nutritional intervention program for students and workers or dependents of the Brazilian university academic community who are at risk of or have a cardiovascular disease (Brazilian Registry of Clinical Trials n° RBR-5n4y2g). Patients are submitted to nutritional clinical assessments involving anthropometry, biochemical analysis, sociodemographic and clinical, lifestyle and dietary data. Patients are provided with nutritional counseling, dietetic workshops and educational materials. In addition, nutritional following-ups are performed monthly.Results: The sample consisted of 296 patients (171 F/125 M, 27-56 years). The prevalence of individuals with excess body weight, dyslipidemia, diabetes and hypertension in the sample were 74.7% (n = 222), 79.1% (n = 235), 18.2% (n = 54) and 25.3% (n = 75), respectively. After three months of nutritional counseling, PROCARDIO users had decreased body fat, waist circumference, fasting blood glucose, total cholesterol and LDL-C (p < 0.05). Specifically, patients with diabetes exhibited reduced glycated hemoglobin concentrations (p < 0.05); those with dyslipidemia showed a reduction in total cholesterol, LDL-C and LDL/HDL (p < 0.05) concentrations; and those with excess body weight reduced waist circumference, waist-to-hip ratio, body fat, uric acid and total cholesterol/HDL-C ratios (p < 0.05).Conclusion: PROCARDIO patients concluded with a clinical-metabolic improvement regardless of chronic diseases after receiving nutritional counseling, thus highlighting the importance of individual actions and strategies to be based on personalized nutrition for achieving proposed therapeutic targets.

Investigating the quality of family planning counselling as part of routine antenatal care and its effect on intended postpartum contraceptive method choice among women in Nepal

BackgroundThough modern contraceptive use among married women in Nepal has increased from 26% in 1996 to 43% in 2016, it remains low among postpartum women. Integration of counselling on family planning (FP) at the time of antenatal care (ANC) and delivery has the potential to increase post-partum contraceptive use. This study investigates the quality of FP counselling services provided during ANC visits and women’s perceptions of its effectiveness in assisting them to make a post-partum family planning (PPFP) decision.MethodsIn-depth interviews (IDIs) were conducted with 24 pregnant women who had attended at least two ANC visits in one of the six public hospitals that had received an intervention that sought to integrate FP counselling in maternity care services and introduce postpartum intrauterine device insertion in the immediate postpartum period. IDIs data were collected as part of a process evaluation of this intervention. Women were selected using maximum variation sampling to represent different socio-demographic characteristics. IDIs were audio recorded, transcribed verbatim in Nepali, and translated into English. Data were organized using Bruce-Jain quality of care framework and analyzed thematically.ResultsOverall, the quality of FP counselling during ANC was unsatisfactory based on patient expectations and experience of interactions with providers, as well as FP methods offered. Despite their interest, most women reported that they did not receive thorough information about FP, and about a third of them said that they did not receive any counselling services on PPFP. Reasons for dissatisfaction with counselling services included very crowded environment, short time with the provider, non-availability of provider, long waiting times, limited number of days for ANC services, and lack of comprehensive FP-related information, education and counselling (IEC) materials. Women visiting hospitals with a dedicated FP counselor reported higher quality of FP counselling.ConclusionsThere is an urgent need to re-visit the format of counselling on PPFP during ANC visits, corresponding IEC materials, counselling setting, and to strengthen availability and interaction with providers in order to improve quality, experience and satisfaction with FP counselling during ANC visits. Improvements in infrastructure and human resources are also needed to adequately meet women’s needs.

KONSELING PERNIKAHAN PERSPEKTIF AL-GHAZALI DALAM KITAB IḤYĀ'U ‘ULŪMI AD-DĪN

Marriage counseling is a service in helping to solve problems related to marriage. The research method used is the library method. The results of this study indicate that the marriage counseling process according to al-Ghazali includes counseling requirements and counseling steps. Fulfillment of counseling requirements include the purpose of marriage counseling, effective counselor and counselee criteria, the relationship situation includes the situation between parents and children; between teacher and student; between friends and between families. The counseling steps are building relationships, identifying problems, determining material and actions. The counseling material is the purpose of marriage, motivation and prevention of marriage, the principle and danger of marriage, criteria for a good partner, adab reception, having good character and patience in facing suffering, joking and laughing, stability according to the partner's wishes, stable in jealousy, simple in spending , teach religion, act fairly, adab settlement, disputes, marital conduct, labor, divorce and the rights and obligations of husband and wife

Pengaruh Pendidikan Kesehatan dan Pemberian Daun Seledri pada Pasien dengan Hipertensi di Wilayah RT 10 Kelurahan Murni

Hypertension is a non-communicable disease which is an important health problem throughout the world because its prevalence is quite high and continues to increase and its relationship with cardiovascular disease, stroke, retinopathy, and kidney failure. Based on the assessment conducted through interviews, observations, and distribution of questionnaires obtained data in RT 10 Kelurahan Murni with a total of 47 families and 172 inhabitants of the population of 39 elderly obtained hypertension percentage of 38.7% and 50% of the community if sick only take medication from shop. Counseling activities carried out for 45 minutes with the stages of directing participants to the place to be counseling, opening which was delivered by the moderator, delivering counseling material delivered by the presenter, demonstrating how to make a decoction of celery leaves, evaluating the extension participants, distributing leaflets to participants and documenting activities. The results of counseling 80,56% of participants were able to explain the understanding of hypertension, mention the causes of hypertension, 77,78% mention the signs and symptoms of hypertension, 77,7% explain the prevention of hypertension, 83,33% mention foods that are allowed, 86,11% mention foods that are not allowed, 86,11% can make herbal ingredients using celery leaves.

Acceptability of a ‘treat to target’ approach in inflammatory bowel disease to patients in clinical remission

BackgroundA ‘treat to target’ approach aiming for remission of clinical symptoms and absence of mucosal inflammation has been proposed in inflammatory bowel disease (IBD). We aimed to establish whether patients...

THE PATIENTS PERCEPTION OF THE NUTRITION COUNSELING PROGRAM IN THE INPATIENT ROOM MEURAXA REGIONAL GENERAL HOSPITAL - BANDA ACEH, INDONESIA

Introduction: The nutrition counseling service program for patients at the Meuraxa District General Hospital in Banda Aceh has never been evaluated. Many studies say the evaluation of nutritional counseling for patients is very necessary because it relates to aspects of the top priority including the attitude of the counselor, material, methods, media, and time of counseling services. Objective: To analyze what is the patient's perception of nutrition counseling services in the Inpatient Room of the Meuraxa District General Hospital in Banda Aceh. Method: A quantitative method with a descriptive observational design was used in this study at the Meuraxa Hospital in Banda Aceh, which was conducted from October to December 2019. All inpatients who had received nutritional counseling became the population by involving 40 samples. To collect data, a series of questionnaires, observations, and in-depth interviews were conducted with 40 patients. After collecting data, the analysis was carried out by cross-tabulation, in the form of a table, and analyzed descriptively. Results: The patient's perception of the counselor is in good category (95%) with indicators of being friendly, polite behavior, and attractive appearance. The perception of the material presented is in a good category (100%). The indicators are easy to understand, supported by the patient's family and relatives. The perception of the method used in delivering counseling in the category of good (97.5%). An indicator is a patient-centered approach by fostering interactive and persuasive communication. The perception of the media used when implementing nutritional counseling is not good (72.5%). The media used in nutrition counseling activities is a nutrition booklet. The indicator of nutrition booklet is still not effective because it is still difficult for patients to understand. Perception of counseling time most patients have a good perception (80%). The indicator of counselor visits ranges from 1 to two times during the patient being treated. The time used when counseling some patients to feel the time given is still insufficient. Conclusion: Most of the patients in the Inpatient Room of Meuraxa Hospital in Banda Aceh had a good perception of the counselor, counseling material, counseling method, and counseling time. The perception of counseling media is in a bad category.

Evaluación de procesos de una intervención: actividad física durante el embarazo y postparto

Objective: To evaluate the process of an intervention on physical activity during pregnancy and postpartum. Methods: In the context of a social program that fights extreme poverty, the beneficiaries (n=927) receive an intervention that consists of the promotion of the practice of physical activity, through counseling, workshops, and educational materials. During 2008-9, 2010 and 2012, we visited health units from urban and rural areas, randomly selected from four states of Mexico. Health service providers collected process data during observation of consultations and through the application of questionnaires to the beneficiaries. Four indicators of implementation of the intervention were studied: fidelity to the planned activities, dose delivered to the population, scope of the target population, and reception of the intervention by pregnant women and postpartum women. Results: Health units were visited in the initial (n=91), intermediate (n=47), and final (n=82) stages of the study. The delivered dose showed an implementation level of 81-86%. Fidelity had <50% implementation and significant improvements were observed in most analyzed aspects between the different stages of the study, such as training of health service providers, the supply of materials, counseling, and workshops in health units. Conclusion: Important Implementation and contextual challenges were observed for the effective fulfillment of the intervention of physical activity into primary healthcare services.