Monitoramento da audição e da linguagem na atenção primária à saúde: projeto piloto

Abstract

This article analyzes the feasibility of implementing a program that monitors the hearing and language development in the first year of life. It is a prospective longitudinal study, in which 41 community health workers were invited to monitor, on a monthly basis, by means of a questionnaire validated earlier, the hearing and language of children born in their micro areas of expertise. Thirty-nine community health workers agreed to participate, with only two refusals. Five gave up participating. Twenty-six (66.66%) did not perform monitoring, seven (17.94%) monitored improperly and only six (15.38%) monitored properly. Just one child failed the quiz, who was forwarded to the hospital that conducted the auditory screening for retesting. These professionals' high activity demand was considered the main reason for the difficulties encountered in this project. In addition, there is the difficulty to have contact with the Family Health Strategy teams, as well as the impossibility of permanent face-to-face discussions and the influence of the community health agents' supervisors.

Atuação fonoaudiológica na atenção básica na perspectiva de profissionais dos núcleos de apoio à saúde da família

“…These findings show the need to have a SLT working in conjunction with the other professionals who constitute these teams in order to share their knowledge, so that they can contribute to future measures to be taken by the FHSs for health issues prevention and the promotion of human communication (21) .…”

“…It should be noted that the diagnosis and intervention of language issues need to be carried out early since the first years of the child's development are essential for the acquisition of linguistic content (20) . Therefore, the warning signs of such changes should be observed carefully by all professionals who are involved with the care of the child population (21) .…”

“…This way, the FHSC team can articulate with their knowledge so that they can jointly share practices in health by meeting the demands of the territory (21) . With the exchange of information and experiences of participants in this study, it is possible to develop strategies that offer the population an interdisciplinary quality service involving PC professionals.…”

O papel dos profissionais da atenção básica na triagem auditiva neonatal: vantagens, desafios e impacto na identificação precoce de deficiências auditivas

“…Um estudo recente destacou que equipes de saúde da família que contam com fonoaudiólogos nos Núcleos de Apoio à Saúde da Família (NASF) têm um suporte maior em questões relacionadas à audição e linguagem. No entanto, equipes sem esse profissional dependem de auxílio do NASF adjacente, demonstrando a necessidade de uma presença mais consistente desses especialistas na Atenção Primária à Saúde (Wagner et al, 2017).…”