Assessing the care of children under one year old in Primary Health Care

Furtado, Maria Cândida de Carvalho; Braz, Janaina Carvalho; Pina, Juliana Coelho; Mello, Débora Falleiros de; Lima, Regina Aparecida Garcia de

doi:10.1590/s0104-11692013000200012

Cited by 24 publications

(56 citation statements)

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“…In a simple sample calculation with 95% confidence and 3% maximum estimate error for both samples (optimal values for evaluation research) (17) , the total came to 235 subjects for the population of Family Health Strategy units and 247 for the Basic Units, totaling 482 subjects. Inclusion criteria were children born between January 1 and June 30, 2011, and registered in the Child Care Program of the unit.…”

Section: Methodsmentioning

confidence: 99%

“…The research population was comprised of children registered in all 21 Basic Health Units who had turned 1 year old during the period of data collection as the higher frequency of health consultations occur in the first year of life which enhances the experiences of families in caring for their children at health facilities. There were 590 children served by the Basic Units and 525 children served by the Family Health Strategy Units in this age group.In a simple sample calculation with 95% confidence and 3% maximum estimate error for both samples (optimal values for evaluation research) (17) , the total came to 235 subjects for the population of Family Health Strategy units and 247 for the Basic Units, totaling 482 subjects. Inclusion criteria were children born between January 1 and June 30, 2011, and registered in the Child Care Program of the unit.…”

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confidence: 99%

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Children's health care assistance according to their families: a comparison between models of Primary Care

Oliveira

Veríssimo

2015

Rev. esc. enferm. USP

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Objective:To compare the health assistance models of Basic Traditional Units (UBS) with the Family Health Strategy (ESF) units for presence and extent of attributes of Primary Health Care (APS), specifically in the care of children. Method: A crosssectional study of a quantitative approach with families of children attended by the Public Health Service of Colombo, Paraná. The Primary Care Assessment Tool (PCA-Tool) was applied to parents of 482 children, 235 ESF units and 247 UBS units covering all primary care units of the municipality, between June and July 2012. The results were analyzed according to the PCA-Tool manual. Results: ESF units reached a borderline overall score for primary health care standards. However, they fared better in their attributes of Affiliation, Integration of care coordination, Comprehensiveness, Family Centeredness and Accessibility of use, while the attributes of Community Guidance/Orientation, Coordination of Information Systems, Longitudinality and Access attributes were rated as insufficient for APS. UBS units had low scores on all attributes. Conclusion: The ESF units are closer to the principles of APS (Primary Health Care), but there is need to review actions of child care aimed at the attributes of APS in both care models, corroborating similar studies from other regions of Brazil. DESCRIPTORS INTRODUCTIONAfter more than thirty years since the Alma Ata Conference, Primary Health Care (APS) has consolidated as one of the most equitable and efficient ways to organize a health system (1) by advocating equitable care with quality to the population, among other benefits. The Pan American Health Organization (PAHO) defines Primary Health Care as a "strategy for organizing health care systems in order to enable universal access to services and comprehensive and integrated care over time" (1)(2) .At the national level, the Ministry of Health adopted the Family Health Strategy (ESF) in 1994 to reorganize the Unified Health System (SUS) and expand the APS. According to the Ministry of Health in Brazil (3) , the number of family health teams deployed and funding for the expansion of the ESF have both increased, reaching/covering 52.1% of the Brazilian population.The scientific literature provides evidence of the association between greater APS orientation and increasing the effectiveness of health systems, promotion of fairness, user satisfaction and efficiency (4) . It is noteworthy that most of the studies are centered on the health systems of developed countries (4) . However, there is evidence of the positive impact of APS on the health systems of developing countries, primarily those which are located in Latin America.On the international scene, it has been observed (5-6) that increasing ESF coverage is linked to reducing infant mortality and promoting greater equity. Such evidence is present in the national results (7)(8) , studies which also indicate a higher quality of prenatal care, child care, offering use of health services, although in a low effectiveness context ...

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Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

Children's health care assistance according to their families: a comparison between models of Primary Care

Oliveira

Veríssimo

2015

Rev. esc. enferm. USP

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“…This attribute also had unsatisfactory value in any of the services evaluated by users of BHU and FHS in previous studies conducted in Minas Gerais and São Paulo, as well as in Santander, Colombia. (7,14,15) However, research carried out in FHS units (6) with children younger than 1 year of age in the countryside of São Paulo reported a high score for this attribute; this finding diverged from previous studies. This discrepancy can be explained by the fact that participants in the latter study (6) were from a single family health unit; the study did not involve all units of the municipality or the selected health district.…”

Section: Discussionmentioning

confidence: 94%

“…For this reason, a number of studies have been conducted to verify extension of essential attributes of an efficacious PHS. (6)(7)(8) When considering the PHS as an attempt to reorganize health system, it is necessary to reflect, among other aspects, on characteristics of care delivery and the focus of attention. In this way, the development and broadening of studies on health services are needed, particularly because the reduction in child morbidity and mortality is directly related to the quality of care delivered.…”

Section: Introductionmentioning

confidence: 99%

Assessment of attributes for family and community guidance in the child health

et al. 2014

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Objective: To identify the extension in primary health services of attributes for family and community guidance about the health of children health. Methods: This was a quantitative, cross-sectional and evaluation study. We administered 548 questionnaires (Brazilian Primary Care Assessment Tool, child version) to families and/or legal guardians of children younger than 12 years of age who were received care in 24 health units. Data were analyzed using SPSS software, version 17.0. Results: The basic public health services of the studied municipality were below what is considered ideal for primary health care with regard to the attributes of family and community guidance. Score of these attributes were 4.4 and 5.1, respectively. Scores considered satisfactory were ≥6.6. Conclusion: We found that it was difficult for services to integrate families and the community in the care process. This finding reinforces the healing care culture and individual-centered care. ResumoObjetivo: Identificar a extensão dos atributos da orientação familiar e orientação comunitária na atenção à saúde da criança nos serviços de atenção primária. Métodos: Estudo quantitativo, transversal, do tipo avaliativo. Foram aplicados 548 questionários PCATool -Instrumento de Avaliação da Atenção Primária -Brasil versão criança aos familiares e/ou cuidadores de crianças menores de 12 anos atendidas em 24 unidades de saúde, sendo os dados analisados no programa SPSS 17.0. Resultados: Os serviços básicos de saúde pública do município estudado possuem um percentual abaixo do considerado ideal para a atenção primária à saúde nos atributos de orientação familiar e orientação comunitária. O escore desses atributos foram 4,4 e 5,1, respectivamente, sendo considerados satisfatórios valores de escore ≥ 6,6. Conclusão: Identificou-se a dificuldade dos serviços em integrarem a família e a comunidade no processo de cuidado, fortalecendo a cultura de assistência curativa e centrada no indivíduo.

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“…To transform the organization and health practices from a comprehensive perspective, aiming to overcome the curative and disease-centered model, (6) the care models need to be structured in accordance with the attributes of PHC: access upon first contact, longitudinality, integrality, coordination, family-centeredness, community orientation and cultural competency. (7) The family-centeredness considers the family as the subject of care, with potential for care.…”

Section: Introductionmentioning

confidence: 99%

Orientação familiar e comunitária segundo três modelos de atenção à saúde da criança

et al. 2016

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Objective: To assess the attributes family-centeredness and community orientation according to three Primary Health Care models for children. Methods: Cross-sectional and quantitative assessment study, involving 1,484 family members and/or caregivers of children younger than ten years of age attended in different primary health care models. The attributes family-centeredness and community orientation were assessed using the Primary Care Assessment Tool -Brazil, child version. For comparative analysis, Kruskal-Wallis and Dunnett's test were used. Results: Separately, all Primary Health Care models scored unsatisfactorily for the attributes assessed. When compared, a statistically significant difference was found for the attributes derived, favoring the Family Health Strategy models over the traditional model. Conclusion: The Family Health Strategy models scored higher for family-centeredness and community orientation. Their principles can contribute to reorient primary health care in the mixed model. ResumoObjetivo: Avaliar os atributos orientação familiar e orientação comunitária segundo três modelos de Atenção Primária à Saúde da criança. Métodos: Estudo transversal, avaliativo e quantitativo, realizado com 1.484 familiares e/ou cuidadores de crianças menores de dez anos atendidas em diferentes modelos de atenção primária à saúde. Os atributos orientação familiar e comunitária foram avaliados utilizando-se o instrumento Primary Care Assessment ToolBrasil, versão criança. Para análise comparativa, utilizaram-se os testes de Kruskal-Wallis e Dunnett. Resultados: Isoladamente, todos os modelos de Atenção Primária à Saúde apresentaram escore insatisfatório para os atributos avaliados. Quanto comparados, houve diferença estatisticamente significativa para os atributos derivados em favor dos modelos que operam com a Estratégia Saúde da Família em relação ao modelo tradicional. Conclusão: Os modelos com Estratégia Saúde da Família apresentaram maiores escores para orientação familiar e comunitária, cujos princípios podem contribuir para reorientação da atenção primária à saúde no modelo misto.

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Assessing the care of children under one year old in Primary Health Care

Abstract: The Primary Health Care team makes efforts to approach the community and meet their health needs, seeking instruments that aid the promotion of qualified care to children.

Cited by 24 publications

References 13 publications

Children's health care assistance according to their families: a comparison between models of Primary Care

Children's health care assistance according to their families: a comparison between models of Primary Care

Assessment of attributes for family and community guidance in the child health

Orientação familiar e comunitária segundo três modelos de atenção à saúde da criança

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