Significados Emergentes para un Modelo de Gestión Territorial de la Salud desde el Voluntariado de Base y las Competencias de Enfermería

Marcela Liduvina Rodríguez Argomedo · Revista Internacional de Ciencias Sociales (2026) · DOI: 10.57188/ricso.2026.981

Resumen

This article examines the role of volunteer health promoters as social actors (SA) supported by local governments in the fight against childhood anemia; the study covers the districts of El Porvenir and Laredo in the province of Trujillo, La Libertad region, Peru. Using a mixed-methods explanatory design and Constructivist Grounded Theory (CGT), the promoters’ emotional state and their role transition were analyzed. The results reveal high motivation (mean 4.2/5 in terms of sense of purpose) and a high level of emotional burnout (mean 45/66), with spirituality and interpersonal support being the main protective factors, while physical self-care was identified as the greatest vulnerability; while this is the case among the volunteers, the health sector and municipal administration limit themselves to meeting budgetary targets and fulfilling commitment 1; Health care facilities face challenges in providing adequate care and delivering on their service commitments, while wait times for appointments continue to grow longer. In response, an integrated model is proposed that addresses the continuity of the community role of health promoters, the development of nursing services for their care, the improvement of newborn care services starting with the pregnant woman at health care facilities, and the management of modifiable risk factors during home visits conducted by community health workers (CHWs) deployed by local governments to ensure greater effectiveness in implementing recommendations for mothers during pregnancy, childbirth, and as caregivers of newborns (NB).

Instituciones: Universidad Nacional de Trujillo