ETHNIC APPROACH IN IMPLEMENTING THE PROTOCOL FOR ANTENATAL UNDER 15 YEARS

Introduction: The rate of teenage pregnancy in Colombia remains high despite efforts to reduce it, especially in the group of 10-14 years. The Ministry of Health and UNFPA, with the participation of academics developed the "Protocol of attention to the under 15 pregnant" through rights-based care, multidisciplinary and with elements of child care for the mother and family. Objective: To recognize elements of Afro-Colombians to take into account in the implementation of the treatment protocol, with emphasis on puericultura. Methodology: In order to support the implementation of the Protocol in Tumaco work was done with two groups: human resources in health and teenage pregnancies. Information gathered from workshops and interviews. Results: In the health sector there is prejudice and ignorance of pregnant women’s rights. Teenagers showed cultural practices with little dialogue about sexuality within families, motherhood as an unavoidable task of women and incitement family to early onset of sexual intercourse. There is also persistency of ancient cultural practices such as "entabacada" and co-sleeping during the first year to avoid the "evil eye". Conclusions: Ethnic populations have their own cultural practices that should be considered in treatment protocols for which more ethnographic works are needed. Those who provide sexual and reproductive health should change to avoid prejudice.