Objectives: to describe the adaptation process of the Zero Mothers Die app, developed in Europe, is to combat maternal mortality, was brought into the Brazilian context with an individualized auscultation methodology for pregnant women and mothers who attended a high complexity referred teaching hospital. Methods: the research consisted of two parts: the participant observation technique was used by health professionals to translate the platform; with an approach in the service with online forms for pregnant women, and the content analysis was performed by grounded theory of the data. During five months, 109 pregnant women and mothers installed the app, but only 17 completed the questionnaire. Results: the women and health professionals pointed out questions such as interactivity, application interface, content, pregnancy and childcare clinical management, which contributed for the Brazilian version. Conclusions: the participatory medicine and e-pregnant woman are new premises of a humanization policy for women and childcare. The insertion of an app with information based on the best evidence in the prenatal routine in the health establishments with teaching activities that can provide new dialogue connections with the pregnant women and chances to update the professional in training.

Resumo A implantação do registro eletrônico nos estabelecimentos de saúde tem refletido soluções isoladas, que contribuem para a fragmentação do Sistema Único de Saúde (SUS). Essa investigação utiliza ferramenta de planejamento estratégico, a fim de acompanhar o percurso da implantação do registro em instituto nacional de média e alta complexidade, referência na área da saúde da mulher e da criança. O objetivo foi delinear possíveis contribuições para a informatização de estabelecimentos de saúde em geral. A metodologia se baseia nas práticas da etnografia nos hospitais. O desenho do estudo foi qualitativo, descritivo com análise documental. As fontes consultadas foram as atas dos encontros para implementação do prontuário eletrônico realizados entre 2012 e 2015. Uma narrativa síntese aponta a falta de infraestrutura, de recursos e a ocorrência de conflito de interesses, envolvendo vários atores no processo. O registro eletrônico legitima o desenho institucional e organiza o trabalho, além de mapear a geografia hospitalar. A associação do prontuário físico com o digital exige uma mudança de cultura institucional. O registro é um ato de cidadania e se torna um documento fundamental no controle de qualidade e na acreditação hospitalar.

RESUMO A desnutrição na população indígena é um problema de saúde pública atual e uma das principais causas de morbimortalidade das crianças desses grupos no Brasil. Para subsidiar ações de promoção da educação alimentar e nutricional, abrangendo povos da floresta do estado do Amazonas, Brasil, cujo território faz fronteira com a Colômbia, além da visita de campo em 2018, fez-se necessário, concomitantemente, mapear na literatura como essa população vive e de que maneira o cuidado é prestado. A revisão de escopo buscou tópicos referentes ao modo de vida das mulheres e crianças na Amazônia, à dieta durante o período gestacional e do puerpério, a práticas de aleitamento, à introdução de alimentos sólidos ao bebê e aos cuidados dos serviços de saúde. Como resultado, foram recuperados 21 estudos multidisciplinares. Encontrou-se que a comida tradicional tem valor nutricional maior do que a industrializada, a culinária local é uma fonte de renda das mulheres indígenas no meio urbano e um elo entre etnias. Conclui-se que as pesquisas devem incorporar o paradigma da promoção da saúde e abranger temas como a aculturação indígena nos centros urbanos amazônicos, a chegada da internet nas aldeias e o papel do cuidado à distância, que necessitam ser investigados para melhor enfrentamento do problema.PALAVRAS-CHAVE Saúde de populações indígenas. Saúde da mulher. Saúde da criança. Segurança alimentar e nutricional. Telessaúde.ABSTRACT Malnutrition in the indigenous population is a current public health problem and a major cause of morbidity and mortality of children in these groups in Brazil. In order to support actions to promote food and nutrition education, including forest peoples from the state of Amazonas, Brazil, whose territory borders Colombia, in addition to the field visit in 2018, it was necessary, at the same time, to map the literature as this one. Population lives and how care is provided. The scope review sought topics related to the lifestyle of women and children in the Amazon, diet during pregnancy and the postpartum period, breastfeeding practices, the introduction of solid foods to the baby, and the care of health services. As a result, 21 multidisciplinary studies were retrieved. Traditional food has been found to have higher nutritional value than industrialized food, and local cuisine is a source of income for indigenous women in the urban environment and a link between ethnicities. It is concluded that the researches should incorporate the health promotion paradigm and cover themes such as indigenous acculturation in the Amazonian urban centers, the arrival of the internet in the villages and the role of distance care, which needs to be investigated to better address the problem.KEYWORDS Health of indigenous peoples. Women's health. Child health. Food and nutrition security. Telemedicine. REVISÃO | REVIEWEste é um artigo publicado em acesso aberto (Open Access) sob a licença Creative Commons Attribution, que permite uso, distribuição e reprodução em qualquer meio, sem restrições, desde que o trabalho or...

Purpose: Malnutrition is a current public health problem and a leading cause of childhood morbidity and mortality among the indigenous population in the Amazon forest. This may be related to the nutritional transition observed among indigenous women in Brazil. This research aims to empower health professionals to promote food and nutritional education for mothers and babies living in the forest of the Brazilian state of Amazonas and its Colombian border. We describe our experience using telehealth to combat malnutrition among pregnant women, mothers and babies in the rural Amazonian forest. Methods: This is a qualitative study that included three interventions: field visits, a scoping review, and online meetings. Data collect from field visits and the scoping review were used to identify demands and incorporate themes discussed in the virtual meetings held at telehealth units. Sessions used the web conferencing platform of the state of Amazonas and were facilitated by Brazilian specialists. Locations were selected according to existence of telehealth site. Results and Conclusions: Seven telehealth sessions were held between April and December in 2018 and three in 2019, including 14 different locations equipped with telehealth points, and lasted 120 minutes each. The main findings were that telehealth services can be an instrument to establish a knowledge exchange between health professionals and indigenous people. The participation of indigenous people in social media could be an instrument to maintain their culture and to promote their healthcare, especially traditional and healthy dietary patterns.

Batalha em conexão e a rima pela vida: percepções de jovens empobrecidos sobre a Covid-19

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