Neonatal visits in the first week of life in primary care: low prevalence and related factors

Abstract

Objectives: to identify the prevalence of and factors related to access to neonatal consultation in the first week of life, in Brazil. Methods: a secondary data analysis from a national cross-sectional survey involving 14,133 mothers from primary care services. Pearson chi-square was used to analyze the prevalence of access to appointment and Poisson regression to analyze related factors, considering prevalence ratio (PR) and confidence intervals (95%CI). Results: the prevalence of healthcare visits was 63.0% in Brazil. Children of mothers, aged 30-39 years (PR=1.065; CI=1.029-1.103), and of single mothers (PR=1.021; CI=1.00-1.042) had higher prevalence of access. Children from the northern region of Brazil had a lower prevalence of healthcare visits compared to children from other regions. Conclusions: low prevalence of access to neonatal visits was identified in the first week of life in primary care services; the region of residence, maternal age, and marital status were identified among the related factors.

Profile and knowledge of Brazilian Amazon Primary Health Care professionals on maternal and child health

“…Therefore, to provide such relevant assistance, each Primary Care team member's continuing training and education plays an essential role in these individuals' follow-up success, ensuring both physical and emotional comfort and preventing complications for both the mother and the child 5, 6 . However, there are flaws in the quality of the attention provided by these professionals during the first week after birth, with very low or even non-existent home visit indicators [7][8][9][10] . In this context, Community Health Workers (CHW) tend to adopt their judgment to define risks, without the proper orientation of the nursing professional, who is responsible for leading the nursing team and has the attribution of supervising the CHW 11, 12 .…”