Insegurança alimentar no Brasil segundo diferentes cenários sociodemográficosFood insecurity in Brazil in accordance with different socio-demographic scenarios
Qualidade do Sistema de Informações sobre Nascidos Vivos (Sinasc): análise crítica da literaturaQuality of the Information System on Live Births /SINASC: a critical analysis of published studies
respiratory, parasitic and perinatal diseases revealed to be the main causes for hospitalizations in Brazilian children; pneumonia, gastroenteritis, and asthma constitute the most important of hospitalizations, treatable in the ambulatory health care.
The National School Food Program (PNAE) constitutes an important strategy for the promotion of healthy eating. The objective was to perform a brief analysis of evaluative research on the PNAE. It involved a search of the literature from 2010 to 2015 in the Bireme and Scielo databases. Twelve articles were selected linked to the area, eight of which analyzed the insertion of the nutritionist in the PNAE; seven, to buy food from family farms; five, the implementation of School Food Councils; five, the compilation of menus; and four, funding destined for the PNAE. Problems in the performance of the nutritionist and the School Food Councils, on buying food from family farms and in the compilation of the menus (low fruit and vegetable content) were detected. The need for greater attention to execution of the PNAE was highlighted in order to ensure school food within guidelines that promote food and nutrition security. Further evaluation studies about the program are fundamental for the provision of subsidies to public managers for purposes of enhancing its implementation.
The aim of this cross-sectional study was to evaluate the monitoring of child growth in the context of primary health care in Queimadas, Paraíba, Brazil, highlighting structural and process aspects. A questionnaire was submitted to 204 mothers. Health monitoring instruments of child health and 16 health units were analyzed. Regarding structure, the lack of a minimum number of staff as well as the lack of nursing training for child care was seen as major limitations. In regards to the process, the worst performance was for the records of weight and height in the last three months. For these, the best performance was observed in the urban area. As these duties were performed in disagreement with child health care policies, the results indicate the non-consolidation of effective monitoring of child growth.
DESCRIPTORS:Growth. Nutritional surveillance. Child health. Primary health care. Health services evaluation.
ACOMPANHAMENTO DO CRESCIMENTO INFANTIL EM UNIDADES BÁSICAS DE SAÚDE DA FAMÍLIA DO MUNICÍPIO DE QUEIMADAS,PARAÍBA, BRASIL RESUMO: Estudo transversal que teve por objetivo avaliar as ações de acompanhamento do crescimento no contexto da atenção básica à saúde, no município de Queimadas, Paraíba, Brasil destacando aspectos estruturais e processuais. Foi aplicado um questionário às 204 mães das crianças estudadas, bem como analisados os instrumentos destinados ao acompanhamento da saúde das crianças e as 16 unidades de saúde do município. Na estrutura, observaram-se a completitude da equipe mínima e a capacitação dos enfermeiros para o atendimento à criança como principais limitações. Quanto ao processo, o pior desempenho foi para os registros de peso e de estatura nos últimos três meses. Para o registro de peso nos últimos três meses, o melhor desempenho foi constatado na zona urbana. Em função de atos realizados em discordância com o que preconizam as políticas públicas de atenção à saúde da criança, os achados indicam a não consolidação efetiva da ação de acompanhamento do crescimento.
DESCRITORES:Crescimento. Vigilância nutricional. Saúde da criança. Atenção primária à saúde. Avaliação de serviços de saúde.
ACOMPAÑAMIENTO DEL CRECIMIENTO INFANTIL EN UNIDADES BÁSICAS DE SALUD DE LA FAMILIA DEL MUNICIPIO DE QUEIMADAS,PARAÍBA, BRASIL RESUMEN: Estudio transversal que tuvo por objetivo evaluar las acciones de acompañamiento del crecimiento en el contexto de la atención básica de salud del municipio de Queimadas, Paraíba, Brasil destacando aspectos estructurales y procesuales. Fue aplicado un cuestionario a las 204 madres de los niños estudiados, así como analizados los instrumentos destinados al acompañamiento de salud de los niños y las 16 unidades de salud del municipio. En la estructura se obeservó la completitud del equipo mínimo y la capacitación de los enfermeros para atender al niño fueron las principales limitaciones. Con relación al proceso, el peor desempeño fue para los registros de peso y de estatura en los últimos tres meses. El registro de peso en los últimos tres meses tuvo mejor desempeño en la z...
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