Vulnerability in the Child Development: Influence of Public Policies and Health Programs*

Abstract

Introduction: vulnerability in child development can defined as the chance or opportunity to the child to suffer losses or delays in their development due to the influence of individual, social, and programmatic factors, which constitute adverse situations. Objective: to characterize the programmatic dimension of vulnerability in child development, according to the nurse at the Family Health Strategy Program. Methods: a qualitative exploratory study, conducted with nurses from units with the Family Health Strategy, in a city of the southern region of Brazil. Data collected by semi-structured interviews and analyzed according to the dialect hermeneutic and analytic matrix of the vulnerability of children in adverse situations for their development. Results: participants were 39 nurses, one from each health unit, who described budgetary, institutional, administrative and care factors that influence the process of health care and relate to the promotion of child development. Even acknowledging improvements in the current scenario of healthcare, they classified such factors as insufficient. Thus, the categories Fragilities in political-programmatic scenario and Gaps in the programmatic-assistance implementation, explain the vulnerability of the child health care in programmatic dimension, which characterizes a potentially injurious situation to the development. Conclusion:The nurses understand that the programmatic dimension of health care shows up as a significant cause of vulnerability in the development of the child.

Determining factors of domestic accidents in early childhood

“…2017; 27(1): [10][11][12][13][14][15][16][17][18] Determining factors of domestic accidents in early childhood…”

“…Therefore, the lack of implementation of prevention programmes can result in unfavourable demands on children's epidemiological profiles and the quality of life of children, thus hampering their healthy development 18 . Although childhood accidents occur predominantly within homes, the school environment is not free from risks of falls and other types of accident.…”

“…Therefore, it is important to emphasize the importance of health professionals who work in children's health on the family health strategy. It is essential that these professionals have knowledge about child development guided by the health programmes in place so there is less emphasis on the accountability of caregivers and more support from the programme guidelines 18 . It is also important to involve all sectors related to health and education, along with engineering and specialized industry sectors, to implement appropriate measures in technical assistance and necessary legislative activities to reduce the risk of injury or death resulting from the causes identified 3 .…”

Infecto-contagious diseases in day care centers: a systematic review

“…A comparision was also made between these and children who are cared for in residential settings, where in these cases the infections are stronger, and in day care centers infections are milder. [15][16][17][18] However, Lee and Young concluded that all day care children are at constant risk from respiratory diseases, so these environments should provide simple prevention measures. 15 Regarding respiratory diseases, LaCross et al studied nontypeable Haemophilus influenzae (NTHi) in two children from a day care center cited in the previous study.…”

Developmental Assessment of Infants Born Preterm: Comparison Between the Chronological and Corrected Ages

“…The approach to disease prevention in child development is not out of this strategy, which aims professional qualification within groups at risk and greater efficiency of health services. Health strategies also depend on social and economic measures to thrive 33,34 .…”