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Multi-professional action in family health: increasing the look at malnourished children interventionRESUMO Objetivo: Traçar a trajetória percorrida por uma equipe multiprofissional em um projeto de intervenção realizado com crianças desnutridas de 1 a 5 anos e suas famílias. Métodos: Trabalho de natureza quantitativa realizado com um universo de 165 crianças, sob responsabilidade de uma Equipe de Saúde da Família (ESF) da periferia do município de São Paulo. As variáveis estudadas foram: os dados socioeconômicos familiares, avaliação do consumo alimentar, triagem de desenvolvimento e classificação do estado nutricional por escore Z. Com base nesses dados, planejaram-se atividades de intervenção, que envolveram oficinas educativas sobre a saúde infantil, oficinas culinárias e visitas domiciliares. Resultados: Os aspectos socioeconômicos refletiam baixa renda familiar, com média de 6 anos de estudo, consumo alimentar inadequado e 53 (32,1%) encontravam-se desnutridas. A triagem de desenvolvimento mostrou 33(62,3%) crianças em situação de risco, com maior comprometimento na área da linguagem. Conclusão: Para a execução de intervenções em saúde é primordial conhecer a comunidade em que se está inserido, pois somente desta forma é possível se aproximar das reais necessidades e estabelecer estratégias nutricionais mais adequadas, que favoreçam a autonomia e a responsabilidade dos indivíduos para o cuidado com a saúde.

Saúde bucal na estratégia saúde da família: percepções de profissionais e cuidadores familiares Oral health in the family health strategy: perceptions of professionals and family carers Salud oral en la estrategia salud de la familia (eSf): opiniones de profesionales y de parientes cuidadores

MARCOLINO FF. Feeding children younger than 18 months cared by Brazilian Family Health Program (PSF) in two cities in São Paulo [Master thesis]. São Paulo: Faculdade de Saúde Pública da USP; 2010. Introduction: Appropriate infant feeding encompasses the practice of breastfeeding, and timely complementary feeding. Knowing these practices provides support for a better guidance of infant and young child feeding promotion. Objective: Assess the feeding practices of children younger than 18 months cared by Brazilian Family Health Program (PSF) of Itapira and Peruíbe, SP. Methods: Crossectional study with 783 caregivers interviewed at home in 2007. Socio-demographic, health, and feeding practices data obtained through a semistructured questionnaire. Assessment of feeding practices with WHO new indicators as references, as well as have received or not the Family Grant Program (Programa Bolsa Família-PBF). Statistical analysis through simple frequencies, Pearson's chi-square, and bivariate logistic regression. Results: Breastfeeding was more prevalent in Peruíbe than in Itapira, either exclusive breastfeeding among infants younger than 6 months (41.3% x 21.6%; p=0.003), and continued breastfeeding at 1 year (65% x 39.8%; p = 0.001). It was found an early introduction of fruits and semi-solid food in both localities. WHO indicators, such as introduction of solid, semi-solid or soft foods, minimum dietary diversity, minimum meal frequency and minimum acceptable diet achieved high rates of appropriateness in both localities. Among 6-7-month-old infants the daily ingestion of fruit, vegetables and greens, meat and eggs, and the ordinary ingestion of chips/fries, and carbonated beverages were present in about 50% of the diets. Responsive feeding behavior, showing adequate infantcaregiver relationship during meals, was referred by 75% of mothers. It was not found any association between any kind of food ingested by 6-to-17month old infants and the granting of the PBF in both cities. Conclusions: The feeding practices of infants younger than 18 months are behind the recommendations. The WHO indicators must include other feeding aspects and be analysed as a whole for a reliable analysis of the infant and young child feeding practices. The results point to the need of readjusting the programs which promote infant feeding practices for all families cared by the PSF, particularly referring to breastfeeding, early introduction of foods, and diet quality.