Use and records of child health handbook focused on growth and development

Abstract

Use and filling of child health handbook focused on growth and development RESUMENObjetivo: Evaluar el uso y llenado de la Libreta de Salud Infantil (LSI), especialmente el crecimiento y el desarrollo. Método: Estudio transversal con 358 pares de madres e hijos matriculados en 12 Unidades Bási-cas de Salud (UBS) de una ciudad pequeña. Las madres fueron entrevistadas en el UBS desde febrero a abril 2013 mediante un cuestionario. Se utilizó Epi-info y software SPSS. Resultados: 53% de las madres estaban llevando LSI durante la entrevista, proporción similar a las madres que recibieron instrucciones para llevar el LSI a la atención de la salud. Anotaciones en LSI durante las visitas se registraron en un 49%. Calendario de vacunas fue completa en el 97% de LSI, pero sólo el 9% y el 8% de LSI tenido, respectivamente, las curvas de crecimiento y desarrollos debidamente cumplimentados. Conclusión: El uso y el relleno satisfactorio de LSI refuerzan la necesidad de inversión en la formación profesional y el acercamiento a la comunidad para la LSI se convierte efectivamente en un instrumento de promoción de la salud infantil. DESCRIPTORES ABSTRACTObjective: To evaluate the use and records of the Child Health Handbook (CHH), especially growth and development. Method: Cross-sectional study with 358 motherchild pairs registered in 12 Primary Health Centers (PHCs) of a small municipality. Mothers were interviewed at the PHC from February to April 2013 using a questionnaire. Data analysis was done using WHO Anthro software, Epi Info TM and Stata. Results: Fifty-three percent of the mothers were carrying the CHH at the time of the interview, similar to the proportion of mothers who were instructed to bring the CHH to health appointments. Annotations in the CHH during the visits were reported by 49%. The vaccination schedule was completed in 97% of the CHH, but only 9% and 8% of the CHH, respectively, contained growth charts and properly completed developmental milestones. Conclusion: Low rates of use and unsatisfactory record-keeping in the CHH reinforce the need for investment in professional training and community awareness for the CHH to become an effective instrument of promotion of child health.

Pre-School Children Mother's Awareness and Application of the Growth Curve in Japan

“…Usage percentages were lower in comparison to those in previous studies conducted in Japan (Hokama T et al, 2000;Takeda M et al, 2001;Fujimoto S et al, 2001;Aoki M et al, 2009). However when comparing the results of studies in Brazil (Abud SM et al, 2015;Palombo CN et al, 2014) our results are higher as only 9% of those studies Child healthcare handbook (CHH) contained growth charts. In our survey of the usage of the Maternal and Child Health Handbook by mothers whose children had the 1-year-6-month infant health examination, most mothers reported that in the Maternal and Child Health Handbook, the most helpful record for them was the "immunization record" but they felt that the growth charts were not helpful although they kept records in it (Fujimoto et al, 2001).…”

Vigilância Do Crescimento E Desenvolvimento: Análise Dos Registros Na Caderneta De Saúde Da Criança

“…Esses dados vêm ao encontro de outro estudo que apresentou resultado semelhante, comprometendo a vigilância do desenvolvimento infantil (8) .…”

“…Quanto ao comprimento para idade, identificou-se baixo percentual de preenchimento e o gráfico do IMC raramente foi utilizado, situação semelhante a outros estudos (8,21) . Esse déficit de registros é preocupante, pois sugere que os profissionais de saúde não estão valorizando o acompanhamento do crescimento infantil.…”

“…Portanto, caracteriza-se como um instrumento de acompanhamento longitudinal e de educação em saúde, capaz de auxiliar na atenção integral à saúde da criança (6) . Porém, alguns estudos (7)(8) comprovam que existe fragmentação do trabalho quanto à utilização adequada da CSC pelas Equipes de Saúde da Família, pois ações aparentemente simples como pesar, medir e avaliação neuropsicomotora nem sempre são registradas e, quando são, não estão sendo realizadas de forma correta e sistemática, comprometendo a eficácia de um importante instrumento que visa o acompanhamento integral da saúde na infância. Também não identificaram registros na caderneta quanto aos procedimentos realizados na consulta de puericultura (9) .…”

Reference and counter-reference health care system of infant discharged from neonatal unit: perceptions of primary care health professionals

“…[20][21][22] An integrative review of the literature pointed out that since the creation of the CHB, difficulties have been observed regarding their correct filling out by professionals; and that although they now present a discrete improvement in recording data such as weight and height, the data are not transferred to the graphs. 21 The failure to record the activities leads to waste and lack of information.…”