RESUMO:Objetivou-se com este estudo conhecer aspectos relacionados à atuação do enfermeiro na puericultura. Tratase de uma pesquisa descritiva exploratória de natureza qualitativa. Os informantes foram todos os enfermeiros atuantes nas Unidades Básicas de Saúde de Mandaguari-Paraná e os dados foram coletados em 2010 por meio de entrevista semiestruturada e após, submetidos à análise de conteúdo. Sobre o tema emergiram duas categorias: Puericultura: atividades envolvidas, a qual mostra ser essa uma oportunidade para orientar sobre alimentação, imunização e higiene e acompanhar o crescimento da criança e Organização da puericultura no município: entre a prática e a pretensão, a qual aponta dificuldades de operacionalização, como falta de capacitação, ausência de protocolo e falhas no processo de referência e contra-referência. As discussões ensejaram reflexões a respeito da prática da enfermagem em puericultura, o que poderá contribuir para a elaboração de novas estratégias no acompanhamento de saúde da criança no município. PALAVRAS-CHAVE: Saúde da criança; Atenção primária à saúde; Enfermagem. CHILDCARE IN PRIMARY HEALTHCARE: THE NURSE'S ROLEABSTRACT: This study aimed to shed light on aspects related to the role of the nurse in childcare. It is descriptive, exploratory research, of a qualitative nature. Data was provided by all the nurses working in the basic Health Units in Mandaguari-Paraná, was collected in 2010 through semi-structured interviews, and was later submitted to content analysis. Two categories emerged about the theme: childcare and activities it involves, which shows that this is an opportunity to provide guidance on nutrition, immunization and hygiene, and on accompanying the growth of the child, and organization of childcare in the town: between plan and practice, which highlights difficulties of operationalization, such as lack of enablement, absence of protocols, and flaws in the process of reference and counter-reference. The discussions provided an opportunity for reflections about nursing practice in childcare, which can contribute to the development of new strategies for monitoring children's health in the town. KEYWORDS: Children's health; Primary Healthcare; Nursing. PUERICULTURA EN LA ATENCIÓN PRIMARIA A LA SALUD: ACTUACIÓN DEL ENFERMERORESUMEN: El objetivo de este estudio fue conocer aspectos relacionados a la actuación del enfermero en la puericultura. Es una investigación descriptiva exploratoria de naturaleza cualitativa. Los informantes fueron todos enfermeros actuantes en las Unidades Básicas de Salud de Mandaguari -Paraná y los datos fueron recogidos en 2010 por medio de entrevista semiestructurada y sometidos al análisis de contenido. Acerca del tema, surgieron dos categorías: Puericultura: actividades involucradas, la cual muestra ser esa una oportunidad de orientar sobre alimentación, imunización y higiene así como acompañar el crecimiento del niño y Organización de la puericultura en municipio: entre la práctica y la pretensión, la cual apunta dificultades de operacionaliza...

objective: Based on the analysis of indicators which express the rationale of the actions of the program, we developed a crosssectional study to assess the performance of a Family Healthcare Team as regards the care provided to individuals with arterial hypertension living in a small municipality. Methods:The study carried out was based on the analysis of the records (Record A) of SIAB (Primary Care Information System) of 418 individuals suffering from arterial hypertension, of 351 records stored in the primary healthcare center, and of 376 interviews with individuals living in the area under the team's care, in the year 2003. The following variables were studied: gender, age, family income, housing conditions, health services used, presence of diabetes mellitus, coverage and concentration of care. results: Women above 60 years of age prevailed. They were 65.7% of the cases. The arterial hypertension prevalence rate was 18%, and was different for both genders: for women it was 22.3%. The coverage was 64.1% for appointments with doctors, 32.4% for appointments with nurses, and 36.4% for home visits. The information on files revealed that 25.8% of hypertensive individuals did not receive care in 2003 and 52.7% did not receive care in the last semester. The concentration of care was below the recommendation. conclusion:The information showed that the organization of health care does not reflect the rationale of health surveillance in that services focus mostly on meeting spontaneous demand, which in turn reflects unpreparedness as to the use of information systems for the planning and evaluation of actions.

The remarkable expansion of Family Health Care Program and the discussion of issues related to the amount of the collected data stimulated the need for designing an information system that embraced the complex organization of basic health care. So, in 1998, the Basic Health Care Information System (SI4B) was founded. This research aimed to investigate the use of SIAB by the professional teams of the Family Health Care. A questionnaire was applied to 75 professionals belonging to 10 teams which were observed, one week each. The study evidenced that the Family Health Care teams that participated in this research have not used the available information for planning or assessing their health care services, and so, they have missed the opportunity of using the available information for health care local needs.

This study sought to establish health-care quality indicators based on data from routine clinical records produced by the Municipal Health Department in Maringá, Paraná State. Records for 7813 patients seen in the month of October 1991 at three Integrated Health Centers (IHC) were assessed to determine whether the recorded information allowed for the formulation of quality indicators. Indicators of data quality, demand, coverage, resolubility, and geographic distribution of the clientele by IHC were formulated. Some 49.7% of records had no diagnostic hypothesis, and 14.8% of recorded diagnoses were illegible, 78% of visits were by residents of the IHC's cachement areas; there was a low estimated coverage of pre-natal care of 37%; an estimated 70% of children under one year of age residing in the area were seen during the month; patients seen in October 1991 had a mean of 3 physician visits per person during the preceding year and 4.3% of records specified a referral to another service. Patient records in the centers studied are precarious as information services for either routine internal use or external evaluation. In spite of these deficiencies, it was possible to extract some indicators of quality; however, significant improvements in recording are needed to support more in-depth evaluation.

Pesquisa bibliográfica que buscou identificar como os conflitos e sentimentos das mulheres portadoras de HIV/Aids são abordados na literatura nacional e os caminhos propostos para uma abordagem de cuidado integral. Os dados foram coletados em novembro de 2006, na base de dados LILACS, utilizando as palavras-chave: mulheres, sentimentos, HIV, Aids, sofrimento, depressão e medo e como critério de inclusão o fato de os estudos terem sido divulgados nos últimos cinco anos. A amostra ficou constituída de catorze pesquisas (quatro teses, duas dissertações e oito artigos). O método de análise de conteúdo permitiu identificar três categorias temáticas: o olhar do pesquisador, o que seu olhar identifica e o seu olhar para além do corpo físico - as quais revelam a necessidade de abordar as mulheres considerando todo o seu contexto enquanto ser humano, incluindo questões de vulnerabili-dade, ideologia social de gênero, promoção da auto-estima e exercício da cidadania.