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Salud Pública de México

versión impresa ISSN 0036-3634


ORTEGA-ALTAMIRANO, Doris Verónica; RODRIGUEZ-OLIVEROS, Guadalupe; GONZALEZ-UNZAGA, Marco Aurelio  y  REYES-MORALES, Hortensia. Perceptions of childcare staff for preventing overweight in Mexican preschool children: A SWOT analysis. Salud pública Méx [online]. 2018, vol.60, n.2, pp.166-174. ISSN 0036-3634.


To identify strengths, weaknesses, opportunities, and threats (SWOT) perceived by childcare staff for preventing childhood overweight.

Materials and methods:

Qualitative study using an interpretative phenomenological approach; 18 in-depth, semi-structured interviews and 12 focus groups with 89 key informants working in six Mexican public childcare centers (CCC) were conducted. Through content and SWOT analyses, experts further ranked fifty-nine recurrent perceptions regarding healthy feeding and physical activity (PA), using the Delphi method.


Strengths: Acknowledgement of the CCC’s responsibility in fostering healthy feeding, availability of organizational regulations, and access to PA infrastructure/indoor activities. Weaknesses: Disregard of preschool overweight as a health problem, nutritional misperceptions, and perceived risk of child injuries while conducting PA. Opportunities: Willingness to reduce children’s access to junk foods, and parental active play with children during weekends. Threats: Limited family nutritional education, and restricted parental time/economic constraints/access to safe public spaces for PA.


The identified SWOT must be considered when developing obesity-prevention interventions targeted at CCC.

Palabras llave : preschool; overweight; child care; day care; healthy diet; exercise.

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