The results of the assessed articles disclosed underutilization of the tool and reflect low awareness by health professionals regarding the recording of information in the child's health monitoring document.
The article discusses methodological aspects of an investigation aimed at promoting the involvement of participants as a challenge. We were interested in understanding how family health teams made sense of the child handbook -Caderneta de Saúde da Criança, and child development. The intervention-research promoted the sharing of viewpoints among researchers and providers in focal groups with the use of narratives making it possible for the participants to become key players of the proposed investigation. The implementation of the strategy promoted: 1) the greater ownership of the instrument, 2) the deepening and repositioning regarding crystalized issues in the functioning of teams, and 3 ) the validation of research results. These results indicate that there is a contribution of participatory research to the consolidation of SUS because they propose access to a common plan as methodological strategy and promote greater engagement of the teams in relation to the proposed themes.Keywords: Community-based participatory research. Intervention-research. Child health. Child Health Handbook.
IntroductionIn this article, we discuss methodological aspects of a research entitled "Understanding the professional discourse about the practice of monitoring child growth and development in the Family Health Strategy" (2014), which aimed to investigate what causes the low rate of completion of the Caderneta de Saúde da Criança (CSC -Child Health Handbook) 1 and to understand teams' conceptions 2018; 22(67):1077-89of comprehensive healthcare in childhood. Inquiries into these themes became important during a study carried out in 2013 with mothers who use the services of Brazil's National Healthcare System (SUS) to follow up their children's health. Firstly, a low rate of completion of the CSC by Primary Care professionals was found, corroborating the literature 2-4 . Another finding suggested that the professionals did not give much importance to aspects of the CSC targeted at the promotion of child development 5,6 .The hypothesis of professionals' lack of familiarity with the CSC and with aspects related to child development motivated the conduction of a participatory research with teams of the Family Health Strategy.The participation guideline established by the SUS 7,8 represents a benchmark for the inclusion of the population in the making and control of health policies 9 . Thus, it has become a commitment that must pervade all health actions, from management 10 to the clinic 11 . It is a principle grounded on the recognition that the person who is the target of a care action is the protagonist of his/her own history 12 , being, therefore, the co-author of health production 13 .Thus, health work has two purposes for professionals, managers and users 12 : health production and a joint construction of the capacity for reflection and autonomy. We understand autonomy as a resource that needs to be constantly (re)constructed in the midst of intersubjective relations.Consequently, the degrees of autonomy that can be experienced are ...
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