OBJECTIVE: To analyze the association between neurodevelopment and the family environment
resources of children from the coverage area of a Basic Health Unit (BHU) of Belo
Horizonte, Brazil, using a tool based on the Integrated Management of Childhood
Illness (IMCI) strategy. METHODS: Cross-sectional study with a non-probabilistic sample involving 298 children aged
between 2-24 months old, who attended a BHU in 2010. The assessment of child
development and family resources made at the BHU lasted, in average, 45 minutes
and included two tests - an adaptation of the Handbook for Monitoring Child
Development in the Context of IMCI and an adapted version of the Family
Environment Resource (FER) inventary. The nonparametric tests of Kruskal-Wallis
and Mann-Whitney were used for the statistical analysis.RESULTS: The sample included 291 assessments, with 18.2% of children between 18 and 24
months old, 53.6% male gender, and 91.4% who did not attend day care centers.
According to IMCI, 31.7% of the children were in the risk group for developmental
delay. The total average score in FER was 38.0 points. Although it has been found
an association between the IMCI outcome and the total FER score, all groups had
low scores in the family environment assessment. CONCLUSIONS: The data indicate the need for childhood development screening in the primary
health care and for early intervention programs aimed at this age group.
During period 2 only one (10%) month had zero enrolled participants and three (30%) had enrollment of six participants, while around 40% of the months of periods 1 and 3, had zero enrolled participants and none had 6 (p=0.004). During period 2 and 3, 22 (48%) participants were enrolled from AS and 6 (13%) from HOC. Conclusions Active surveillance increased the enrolment of patients with early syphilis, and potentially limited the impact of the COVID-19 pandemic.
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