Avaliação da assistência materno-infantil prestada por uma equipe rural do Programa Saúde da Família

Abstract

O presente estudo visa avaliar a qualidade da assistência à saúde infantil e as estratégias implementadas no serviço de puericultura de uma equipe do Programa de Saúde da Família, do município de Teixeiras-MG, enfocando a situação de saúde e nutrição das famílias estudadas. Investigaram-se os prontuários de todas as puérperas (49) acompanhadas pela assistência pré-natal e selecionaram-se os prontuários (26) dos recém-nascidos que compareceram à consulta do serviço de puericultura. A média de idade materna foi 27,5 anos (± 5,5). A maioria das mães (81,8%) teve gestação a termo. O peso médio das crianças ao nascer foi de 3.060 (±448 g), 63,6% compareceram a menos de 4 consultas durante o período estudado, 100% das crianças eram amamentadas e apenas 8,3% referiram história de internação hospitalar. Os resultados permitiram a identificação de importantes informações sobre a qualidade da assistência prestada ao grupo materno-infantil e contribuíram para auxiliar o planejamento de ações efetivas que possibilitaram um melhor conhecimento das condições de saúde.

Strengths and Weaknesses of Primary Child Health Care Models: An Integrative Review

“…With regard to physical structure, the FHU model as the traditional UBS in the physical vaccine rooms are consistent with the expectations for a PHC unit [26]. However, the physical facilities of the units have deteriorated and are unsanitary, with an insufficient number of rooms [43].…”

“…Coverage was higher for children who had joined the unit [25]. By contrast, vaccination coverage of children at USF was lower than that recommended by the Ministry of Health [26], and there were limitations to vaccination rooms' adhering to the standards and guidelines established by the NIP in both the traditional BHU and FHU models [27].…”

Research potential of food and nutrition in the Family Health Strategy: A structured review

“…Although mostly quantitative, two studies also presented psychosocial and cultural data (perceived situations, professional practices, and cultural practices). Four investigated disease-prevention methods (prophylactic iron supplementation and practice of physical activity in older adults or obese children), one promoted health (nutritional education for hypertensives), 45 Marinho et al 46 Ribeiro et al 47 Soares et al 56 Caldeira et al 57 Lima et al 58 Caldeira et al 59 Cesar et al 60 Costa et al 61 Lima et al 62 Niquini et al 63 Niquini et al 65 Cesar et al and one provided ambulatory care/care/treatment (assistance to diabetics). Table 2 shows studies with managementattribution actions.…”

“…Sixteen studies were quantitative, of which four were intervention studies, ten were cross-sectional studies, one was a cohort study, and one was a community-based trial study. Five of these studies regarded secondary data (two were retrospective) obtained from the child health booklet (which contains a child's health, vaccination, and nutritional data called Cardeneta da Criança), medical records, 75 Pinto & Bosi (2010) 76 Ramos & Cuervo (2012) 77 Camossa et al Most studies on management (n=15) consisted of assessments: five studies made impact assessments 51,[54][55][56]60 ; one assessed effectiveness 59 ; nine made service assessments, of which one analyzed structure, process, and result 61 ; three studies approached only two of these dimensions 53,57,62 ; and five assessed only one of these dimensions 52,58,[63][64][65] . The only study that did not involve an assessment analyzed the dietician's work in a municipality, and whether the municipality had an adequate number of dieticians 66 .…”

“…Eleven studies included samples representative of the municipality [51][52][53]57,[59][60][61][63][64][65][66] , four included specific samples (Health Care Center or Sanitation District) 54,56,58,62 , and one with regional representativeness included samples of four municipalities of two Brazilian Northeast states 55 .…”