Das diretrizes à prática: avaliação da atenção pediátrica prestada por um serviço de referência secundária no norte de Minas Gerais

Abstract

In the State of Minas Gerais, the Secondary Reference Viva Vida Centers (CVVRS) are one of the strategies deployed to tackle the problems in child health. This study sought to evaluate pediatric care provided in a CVVRS, using the guidelines defined when it was set up as a benchmark. A quantitative-qualitative approach was adopted, which included a cross-sectional study with stratified random sampling of 385 medical records of children registered with the program between 2007 and 2009, and analysis of focus groups with strategic actors of the initiative. There were divergences between the user profiles and the target audience in terms of age, hometown and clinical characteristics. Access and use of the service differed depending on the town, due to problems of misinformation concerning the proposal, difficulty of transportation and the fragility of the health network. The centers are considered an innovative and important initiative for the expansion and organization of the health network, though the intended logic is not effectively seen in practice. Interventions for articulation between the network services and adaptation of the agreed guidelines to the regional specificities are necessary.

Mortality Study of Mother in High Region Jequitinhonha, Minas Gerais

“…20 A atenção humanizada ao parto, que envolve um conjunto de conhecimentos, práticas e atitudes que visam à prevenção da mortalidade materna, exige fundamentalmente respeito e É oportuno ressaltar que o CVV corresponde a um programa de redução da mortalidade infantil e materna no estado de Minas Gerais, lançado em 2003, com proposta de sistematização de ações que inclui investimento em equipamentos, estrutura física e no processo de capacitação dos profissionais, para o combate contra a mortalidade infantil e materna. [12][13][14] Entre as características obstétricas do óbito, destaca-se a primiparidade, o terceiro trimestre gestacional, a classificação de baixo risco e a incidência de cesáreas.…”